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Home My WebLink About2006-P10278 - plumbing PERMIT CITY OF ORONO 2750 Kelle�y Parkway- PO Box 66 Permit Number: P10278 Cry�t�l Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/9/2006 SITE ADDRESS: 2060 Sixth Ave N Unit# Long Lake,MN 55356 P�� 27-118-23-31-0002 DESCRIPTION: Proposed Use: Religious Permit Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 1,875.00 valuation: $ 150,000.00 State Surcharge Fee: $ 75.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 1,951.50 APPLICANT: Commercial Plumbing&Heating Inc. OWNER: Trinty Lutheran Church 24428 Greenway Avenue 2060 Sixth Ave N Forest Lake,MN 55025 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��Y�,r"�� /AA vv L Ff� APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE Copies: 1-File(Signatures Required), i-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � �5��0 ` �V' FOR CITY PSE ONLY Ci of Orono I_{1� a� P.O.Box 66 Date Received:�,3Q' Permit# /-��O��G� �O � 2750 Kelley Pazkway 5.d ra �e � �� _; Crystal Bay,MN 55323 Approved By: ; ��F Amount$: ��,��$�a� (952)249-4600 � � . CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) � � � � TYPE OF�PERMIT � �� (Check All That A I } � � � ❑Residential �ommercial(Approval Required) ❑ New �Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site l Owner Information: � p�z,�,v �� „-.r Site Address: �� C7(lU-� Il�pi2 d-O•s o��V �� - Owner: I 121�U! Ll.l,�)Q/!�(� C1�fL��{ Mailing Address: City: �1'120�U� Zip: Home Phone: Alternate Phone: Contractor Information: Caht�7GC[M. �U.cvn 8(�- Contractor: �I((�, !NC Contact Person: �I/1/E7U S�lf I U,I�' ��28 G��IU U� Address: /f✓�UI.I,E State Bond#: ��-� ,52(0 �f(( City: �Q�LA'ICE Zip:�ZSExpiration Date: � Z�31/6�o Phone: (�pS�-��0�� Alternate Phone: �(Z -�2'.5q I Z ❑ Insurance-Current: � 1 f �r� ... �� .,,_. � �, � �, ,��y�;PLF.TMB��'`a,Wr��X�:�R��,$ £"a,t FC��'�A�.I..��" . � FIXTLJRE BSMT 1 T 2 OT`HER FIX'TURE BSMT 1 2 OT`FIER TYPE FL FL TYPE FL FL Water Closet �S Z tt,tid�c.s Floor Drains / D Lavatory J1 Sewer Ejector Bathroom .�wundrv, Tr�y A��SlI�L' / Shower Washer Kitchen Sink Water Heater / Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � i72/N(� PERMI-I'FEE CALC ULA`TION(S} �� ; ,,� � �� BASED O�F - 2002 S7'ATE ST�TUE � �� , .�" `��. "''' ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , � PERIVIIT FEE CALCULATION{S)—JOBS OVER $500.00 �� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) /j�Q, (��D• P!� x.0125 $ � ��,5. O� (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) ��i 4� ' � x.0005 $ 7.S• 07� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j �5�•-� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including�materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLIGATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: ��%��G�� Date: � 28 0 Reset Form 3 -�� ti� � - > _ �� . e , �� , .. � �. �tacte of �i��o��c � � 5 � � �`,� � 3 _ x � r �� { �� x�rate i�� r��e�ara�s � �itnrYe�ota�eparhttent of�or ar�b ��t�trp ��im,�ora�e��;ne,�t,��r a�;�n�ru� ', , : ` PLUMBING.UNIT' �PI�UMBING UNIT 443 LAFAYETTE ROAD°NOR'TH, ST: PAUL, _NII�T 55I55 �343 ' ��.' 443'�LAFP,YETTE`�ROAD:;NORTH, ST � PAUL, ,: � Master .Plumber �icense �', f '- "�Master'''Plumb'er Licensek�: � ,�a, �� 'F. -' ;J ' ' }Nx LICENSE NO 004234PM ds " �LICENSE NO 004234PM � ; : � ,s� . „ � , 7 ., �� _ . .�� . _ ��, '� _ .. � � , � ., . ,�.,�. -. . r.�� k aa,,.. �.-� s ;n,�` � � � �D• x �� . �,��.� � � �� . � . • Robert' A � ' � � � Skeie _ ' ��0 , � Robert aA � Sl�ei�e� �j � � �; ;� z �17 Ridge Road � 4 � 1 _ r <�� . � - � �a�� t , �� -�� ,�x � � �' t� e � 4 B 'k s "�S',.a ¢� $+",a�� 4 y t �. �,� . r ,- - Osceol+a WI 54020- � � � � '� � � � � `�� w � � e � ' � _ � � � � �t x �'� � r��ATE g� �,p�'�� '� ��a E�(PIRATION DA7E +.. � � � s � �5.�«,^ a-� � � � ,; >� : � -{ ' � �,� ��= z �r. �� '�, � �,�01Ja1�20f��`�a� � ��'� �-��l��U�06 :; >a� 'e � '� e �u a i C ��&`'� e ' k�zT, � ar �" d ��. � *�' ��c.�,��.q, �+ns$ ��#�"'"�t,a�''�� ' �'s��`'`a' t_ .. `�`- c - ' p x .z��. s *.�y, 4 n. � . ,�',�' �.:�"' b . ��t,�r trk w= �. �h.. � �. } °'� �, ,� r t � �,^ s,a�s .,s� �..,.r. Y�� i.> .z'<. *c...`i�_.�� .-�.;. � { �� €�. n ,�, �. �:. , �' c �. t�� t, �, � 9y �e ,�,�s ,3''��`�,3 � 4'�72 +1'r € 3, �"` ,.�, '�`,,�� 4`�� .��h�, ^ r' "�s..�� _ �...' ...�u.._s..d:p 5. ....,:".s..5E � w � ��,� a'� �,�� 4 r�d� �� ' ��`�' �� -�EFFECTIY�DATE�� -�� " x ,, � �� E�(PI�iAT,IONDATE��'` a: w�'" f�` i "�i` `at � .u�. 3� '� g'..:5� m:....mAr�a s a s � -''� 01�01��2906 �-'.� ,�� ;��.��'y �� *'��}��y� �;� ��`�.��-�{1�2��20D6°� ��; •. k �� .� �F �*.�k � �'`"�'-S �`'�'° � v,,,'LT"1 �".3 '°4 e."a�t. � �+� . S�t�,# * �" a ��`-+' ,� 'h,.�.�`.�k,. �.''�.s��h r��E ��".. a'�'."�:;��.' ,a MINNESOfA GQ'ARTliEflT Oi � Lr4BOR&INDUSTRY ��LABOR&INDUSTRY Construction Codes and Licensing Division Construction Codes and Licensing Division Commissioner of Labor and Industry COIri1111SS1011e1' Of I.ab01' aII(1 Iri(�llStTy Has Received and Filed s$25,000 Surety Bond, Has Received and Filed a $25,000 Slli'C�'BOII(1� As Required by MS 326.992,for Work Regulated by the State Mechanical Code As Required by MS 326.992, for Work Regulated To: Robert Skeie Bond No: RLI 561450 by the State Mechanical Code commer��ai ri�mb��g& MB ID: 00308 Heating,Inc. �•O• Robert Skeie Bond No: RLI 561450 Effective Date Expiration Date ' Commercial Plumbing&Heating,Inc. MB ID: 00308 7/1/2006 6/3o/zom 24428 Greenway Ave. Forest Lake MN 55025 Effective Date Expiration Date 7/1/2006 6/30/2007 MBFormRC MINNESUTA UEPAKI�MENI� UF� LAEiUft ANU 1NUUSTRY - �UNU CEk�fll=tCAfE This is to certify that Robert A. Skeie, Master Plumber License No. PM004234. representing Commercial Plumbing & Heating. Inc. , has filed a $25,000 bond with the Commissioner of Labor and Industry on December 16. 2005 for the year 2006 in accordance with the provisions of Minnesota Statutes, Section 326.40. BOND N0. RLI 526411 Old Republic Surety Company Des Moines, Iowa MR ROBERT A SKEIE COMMERCIAL PLUMBING & HEATING. INC. 24428 GREENWAY AVENUE FOREST LAKE MN 55025 Scott Brener. Commissioner LETTER OF TRANSMITTAL ��,�� DATE Au9ust 2s,2oos JOB NO. s��sHEa �MBING AND HEATING ,,4428 GreenwayAvenue,Forest Lake,MN 55025 qTTN 111S p s5�-as4-2sss•Fax 651-464-2425 pections De t RE: Trinity Lutheran Church TO: City of Orono 2060 Sixth Avenue North 2750 Kelley Parkway Orono, MN Crystal Bay, MN 55323 WE ARE SENDING YOU: x Enclosed: Under separate cover via the following items: Shop drawings Prints x Engineered Plans Specifications MDH Report Change order x Permit Application x Check COPIES DATE NO. DESCRIPTION 2 TRANSMITTED as checked below: x For Approval Approved as submitted Resubmit Copies for approval For your use Approved as noted Submit Copies for distribution As requested Returned for correction Return Corrected prints For review and comment Other FOR BID'S DUE: PRINT RETURNED AFTER LOAN TO US NOTE: The plans have been submitted to Minnesota Department of Labor� Industry with an expedited fee for plan review. A copy of the pfan report will be forwarded to you Signed Dee Skeie cc: file s:/Formslfransmittal ��•�� O—' /�A TIME � CITY OF ORONO CALLED IN `-'� INSPECTION N TICE SCHEDULED - - �=�� PERMIT NO. � COMPLETED ADDRESS �D�_d�''�� OWNER CONTR. C.UY1tir11,d�G[Cc,l �,P . TELEPHONE NO. �� a �O�-s �./ � DESCRIPTION �� /!ts? �� ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � O � 2• �. DK 0 � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on s' e_ / _`l7� r Inspector. White Copyllnspector's File Canary CopylSlte Notice s�/�' ' AT TIME � C��ITY OF ORONO CALLED w �� INSPECTION NOTI SCHEDULED � _C!%� PERMITNO. ��z'�� COMPLETED ADDRESST�N"�� r��9 O cYC 1l`�� • OWNER CONTR. (�U�'Yt�'►�1 , d-�li..�.,h/ TELEPHONE N0. �l a � �g5 � �l� ��f � DESCRIPTION (��d-- .G�-//� ��-�-� � 01 FOOTING 11 MEC�ANICAL RI 18 EXCAV/GRADING/FILIING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � , � � � �C S� � �i�� ()N� �o� f I2� �<,�k'� 0 � W � Q � 2 W � W � � � ��1IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor sit : Inspector. ��/ White Copyllnspector's File Canary CopylSite Notice �u �,v�u�� ✓ �ATEQ TIME CITY OF ORONO CALL J INSPECTION N TI SCHEDULED =� PERMIT NO. � COMPLETED ` S ADDRESS � OWNER CONTR. TELEPHONENO. lD`o2—"��5-�ai.3 n��9�r' � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLI Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAN y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: a �.CJ�T� �.�C%��'C� � ��il.J o �/M� � — C"c�.�O,g� Y � � ° � B,��aa�.s W /� � �1 %/� �//� '��CJ�-�''�} Q Z , . �/��.v✓ W � W /lit�i�v ��' ��'l� D�K � � a W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice