HomeMy WebLinkAbout2008-P11819 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11819
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
1/25/2008
SITE ADDRESS: 2185 Watertown Rd Unit#
Long Lake,MN 55356
PID: 03-117-23-21-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 128.13 Valuation: $ 10,250.00
State Surcharge Fee: $ 5.13
Misc.Fee:
TOTAL FEE: $ 133.26
APPLICANT: Liberty Plumbing&Heating Co. OWNER: Heinz Otto
21435 Johnson St.NE 2185 Watertown Rd
Suite 200 Long Lake MN 55356
Cedar,MN 55011
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.
APPL ANT PE TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
Of/16/2008 16:01 7637534514 LIBERTY PLUMBING & H PAGE 02
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Q , City of Orono i:oP717WNLY
4 �� P.0,13ox 66
O` gate ltccc4ved: Permie J
2750 Kollcy Parkway
[���
( •, � Cryst:+l tray,WN 55323 meed g -=1 t-��
(952)249.4600 ' Y Amount S:
CM OF ORONO-PLUMBING PERK UT
(All COtnmcmi Ll permits must be apPmvcd by the R1ti1dine nt icial or Impector)
GENLR,AL INFORMATION,
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. Ptormit cards w111 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 POSTE ON T.HE J'OB SITE.
3. Plumbing pennits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. Whcn any new construction or remodeling is involved,a ecpartte 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 uvvurcd, Call (952)249-4640.
(24-48 hour notice required)
'1'YnE OF PERMIT -
Cheek All That A •I
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑ Replacc
r`I In Accessory SmtctnrR?
*You will need Rrior aooroval and may need C1,JP.(Per Orono City Code,Chapter 78,Article 1V)
•Jab gitc/.O"dr.Infbtinativa,: .
Site Address:
Owner: Mailing Address-
City: Zip:
Home Phone: Alternate Phone:
Contractor-In,foi.mation: .
Contractor: i"IM b 4*�Ontact Person: a I'
S4 taco
Address: a�y3� 1��1h,r Y1 St, State.Bond#:
S50Il
City: zip: Expiration Date:
Phone: -llp 3' 15 2i``(`� �C) Alternate Phone: I Q 3 - of b(o - LOS'
S'
❑ Insurance—Current:
1
01/16/2008 16:01 7637534514 LIBERTY PLUMBING & H PAGE 03
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F1XT'URE I BSMT 1' 2N11OTHER FIXTURE. BSMT I�12 NIJ OTHER
TYPE FL FL TYPE FL FL
Water Closet I Floor Drains
Lavatory Sewer Ejector
Bathmsaa I Laundry Tray
Shower WaSIWL
Kitchen Sink Water Heater I
Disposal Water Softener
Dishwasher Wet Har
Sil lcocks Miscellancoue
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n.i,:•i...��,..�.:e••:ni.i�..:.,,'d...i;...�..'�,.;..� �.��..... �aryI,Y Iri•.i•�..4j,.3•�....
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1.
❑ Yes,this section applies
The replacement of a Residential fixture orsap II.D aRCe that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
Z_ Has a total cost of$500.00 or less;excluding 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 FP.P. S
(Permit Fees Continued On Next Page)
. 2
01'/16/2008 16:01 7637534514 LIBERTY PLUMBING & H PAGE 04
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If above does not apply,follow guidelines below:
I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 535.00)
Sot oo x.0125 S_
coritract price) (minimum$35,00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.5o)
--x.0005 $
(contract price) (minimum 5 .50)
3. POSTAGE&HANDLING(Only on•Mail-Tn.Applications)
4. TOTAL,PERMIT FEE(Add Linea 1 3 Above) S
■ * CONTRACT PRICE or JOS COST means the actual or estimated dollar amount charged for the
permitted work including matodals, labor, Profit,turd uthcr fixed costs. TE 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
c st matcd cum( w• wntract price for permit tee 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.
■ *'
11e,SIATE 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.
nli4��•• i'i t. n.H ilti .,11 b.�V LWT I.. `'ri .mh.••...:::"�n1i
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordivaiuxs of the City and the regulations ot* the State of
Minnesota, and certifies that statements rnadc on this application are complete, true and
correct.
Applicant's Signa Date 1 '"I�p' V
'i,i�i"'J• ••�.dCi�'� .„m'.rr°ung..•_":' '':•' ;:i�i:.rn1Y'RR�t�',°•_,'...._..
it. 1� n1i!';:' !��,,�yy♦�r pw :riiil'li"i':�i
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0T/1672008 16:01 7637534514 LIBERTY PLUMBING & H PAGE 01
,
Liberty .Plumbing & .Heating Company
.3,
PHONE # ( 763 ) 753 - 9580 FAX # ( 763 ) 753 - 4514
1FAC5II%ILE TRANSMI'A"FAL SHEET
TA: FROM;
Perry*counter Lana S.
COMPANY: DATE;
City of Orono 1/16/08
FAX NUMBER; TOTAL NO,OF PAGES INCLUDING COVL•R
952-249-4616 6
PHONF,NUMBER. SENI)Iws 1WRERENU NUMDE&
YOUR REFERENCE NU4BRR:
❑ URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑ PLEASE REPLY ❑PLEASE 1tECYCIT..
NOTES/COMMF,NTS:
Pleme.rAH 763-753-9580 with the am0unt Of permit so I can send paymcnt
Thank yuu
21435 JOVINSON STILEET NP- SUITE 200 EAST BETFI;EI„ MN !J9U11
-PREVAILING WAGE CONTRACTOR-
MINNESOTA STATE APPROVED APPRENTICESHIP PROGRAM
DATE TIME
CITY OF ORONO CALLED IN _Z/.
INSPECTION NOTICE SCHEDULED
PERMIT NO.V l 1 ' l`'l COMPLETED
ADDRESS _._)A-k- `—cJAJ c�
OWNER CONTR. A-54 c.a,(,^57.2
TELEPHONE NO.
DESCRIPTION
❑ FOOTING ' MECHANICAL RI [_1EXCAV/GRADING/FILLING
Q
-1 FRAMING ❑'MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
ti ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
cc
W
a
oC_j C-2f coo f Otj
0
U.
W
CC
Q
2
W
Z
W
cc
d
tum WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION WTICE SCHEDULED
PERMIT NO. I T 1 c COMPLETED
ADDRESS 2'-!8 S FJ
OWNER CONTR. L 160'
TELEPHONE NO. Ar^4 14-e-PA
DESCRIPTION
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
WeLUMBING RI El FINAL ElHARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cd., COMMENTS:
0
�G Q✓t 2�+ � ��Af A l 6 k.$w
0
W
Q
2
W
z
W
cc
j
d
W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
C3 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on ite:
Inspector.
White CopyMapectoes File Canary Copy/Site Notice