HomeMy WebLinkAbout2001-P03623 - plumbing PERMIT
C�ITY OF ORONO
2a�50 ICelley Parkway - PO Box 66 Permit Number: Po3623
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 3i2ti2ooi
SITE ADDRESS: 140 Brown Rd S
Long Lake,MN 55356
P ID: 03-117-23-12-0011
DESCRIPTION:
.,--.�_,
PTOpOSeCI USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: KELLY PLUMBING&HEATING INC OWNER: Mr. &Mrs. Coleman
1932 ST. CLAIR AVENUE 140 Brown Road S
ST. PAUL,MN 55105 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.
�
� /' r ,�� .�� f��J , �,.-�/�.,?
'' / " G��-('� '�,-�- '� 'x; ' ` ` - L��
A$ LI ANT PERMITEE IGNATURE I .� ED BY SIGNATiJRE ' i'
Copies: City,Applicant,Assessor,Finance Page 1
y Feb-23-2001 01 :03pm From-CITY OF OROND +9522494616 T-581 P.DO1/002 F-795
+ ..
' �
CITX QF ORONO A.PPLICATI4I'�I FOR Pr.UMBING pE�iMi'� �
���
Box b6 {2750 Kelley Parkway} . � �;
Crystal Bay, 1ViN SS3z3 �
GEN��t.�L 012M 'I'ION .
I. You may apply for plumbis�g permits by maJl or ia person at the C:ity offices.
2, permis cax@s wiii be sent by return mail after a review is complc:ted. PEFtMITS AR� NOT VALID
UNTIL Y4C7 �CEIVE A PERMIT. WORK UST NOT BEGITV YINTIL THE PERMTT CA�D IS �
POSTED ON TI-IE JOB SITE_
3. Plumbing permits maY be issued QNLY ta licensed plumbing concrai.i.tyrs aud �o prop�-ty• a�:.�rs residir.�
in the dwelli.�g.
�}, Nhen any new construction or remodeling is involved, a separate buildiag permit must be obtained.
5, A41 work must be done in accordance with the State Code requireanents.
6; ,�►ll wark must i�inspected and air iest�d before it is Covered. Call 249-4600. 24-hour uo�ice required.
Instrurtibns Complete all items on ihis a�plicafiion. ComputE. the permit fee. Sign and date
the ceraf'icatian. INCOMPLETE .Apl'LICATIONS WII.,I�NOT BE PROCESS�17. If yo�Z have
questions, call 2�9-4600.
please check one: I�ew Addition Repair � Replace
� Resideucial Commercial
J4B SIT�: ' '���'� �J;;��c�CL Zip: �5`s' 3.�-
'� i ,� ; `� �'-
Owner's Name• l� u � �`d � _ Telephone Number: �%�','z - �/I 3 - '��3�
Mailinn Address' �y � '.s._...f�-��5�.____-. City: �;,-c���- �ip: � 3 5�-
Contrac�or's Name• �e lr'�� �/ceu��1.�„y�--��l��.F.��`�� Te le��hone Num b�r: lo��-� Q -iZ 3,�
N l a i l i ng A d c l f e s s: __L q,�� S�',C���� ��-t=; ��3': S/. /-Cz�_L Zi p:� S'.s�0�
�����
PLYTM��'C�� FTf�T CT�EDiTLE
�IXTURE RSMT 1ST � 2ND (7THER �� FiuTliRE DSiViT � 1S'�' � �ND OTH�R
Z-ypE FL FL T'�'PE FL FL
Watcr Closet Floor 17rains
L.avatory Sewer Ejecfor
Bathn:b I.aundry Tray
Sho�•er Washer
Kitchea Sinlc � Water Heater
�
Disposal �Jater Softea�:r
Dishwasher We� g�
� SitIcacks Misc (list)
.
, Feb-23-2001 01 :04pm From-CITY OF ORONO +g522494616 T-581 P.002/002 F-795
.
PERMI'I' I'E� CA,X.CULATIQN
I; 1.25% of Contr�ct Price* or I1�inimum Fee ($35.001 `�,t,� ��J L�;
�"' ���-� �-- x .0125 $ .�--
�l.'' _�...._— � _
(contract price}
2. State Surchar� *� Add the State Bui�ding Code Divisi��n
Surcharge .to each permit. �CiOG: '�� X •O�OS $ �`'`�
(contract pric.�)
or $.50, whichever is greater
3. Posta e and HandIing (4nly maiI-in appIications) $ 1.50 �0
4. TOTAL PF.RMIT PE� (Add Iines 1-3 above) $ ='--- � ��
'� CONTRACT pRICE or JOB COST means the actual or estimated dollar amount charged fot thc permitted
work including tn�terials, labor� profit, and other fized costs. It is itie amount to be ehxrged to th�
cuswmer for the work done. If any material, equipaieat� labar�or iustallation are furnisE�ed by the owner,
tenaut or any other party the reasonable market value of such items must be added to the estiraated cost
or contract price for germ.it fee purposea. In the evtnt that there is a�iispute on the amaunc of che job cost,
the Cicy may request the submission of a signeci copy Qf the actuai contract.
� ,
�* '�`he STATE SURCHARGE is .00�S of Lhe coatract price under $1,Q00,000 or $.SO - whichever is
greafer. For valuations pver $1,0OO,OQO call the Departmeut of Jnspectioual Services for the price.
The undersigned hereby applies to th� City for issuanee of a �'Iumbing 1'erm.it, agrees to do aIl
wark in strict accordance with the ardinances af the City aad the regulatians of the State of
Mi.nnesota, and eertifies that a11 statements made on this application are complete, tnte and
correct. �
�
�
Applicant's Signature f _ �Date: �;/�
�
_ �- - -
- - - _ __
� ---- - ----
- -- - _ - - - - --
_._ _ _-- ---- - - -
i . MINNESOTA DEPARTMENT OF HEALTH - BONDING AND INSURANCE CERTIFICATE
i ;
This is to certify that Philip R_ Skoog master plumber License No. PM003575 � '
i� representing Kelly Plumbing & Heating Inc. , has filed a $25,000 bond with the
��! Secretary of State on December 11 , 2000 and provided evidence of Public � I�
��i Liability Insurance, including Products Liability Insurance of at least
;! $50,000 per person and $100,000 per occurrence and Property Damage Insurance %
of at least $10,000 for the year 2001 in accordance with the provisions of
Minnesota Statutes , Section 326.40. '�'
�
BOND N0. 55-128585 Policy N0. CPP30563830182 I
�, United Fire & Casualty Company Milwaukee Mutual Insurance
Cedar Rapids, Iowa Karen Chartier, Minnesota Agent
� Fridley. Minnesota �il'
i MR PHILIP R SKOOG � ''�
KELLY PLUMBING & HEATING INC. ��✓ �. ,`�,o,,., �
1932 ST. CLAIR AVENUE �^
ST. PAUL MN 55105
Patricia A. Bloomgren, Director !
' Division of Environmental Health
� _ �
j !� Jan K. Malcolm, Commissioner �
!,I I
;
1I� I
I;i;
,.
�� 'i
. _.__ _ _ _ ___ .._ _ .____
___
� __ _ _ _ - - ----- -- ---— —_--- --
L _. �.__- _ _ _' ___ __'. __.. _.. . __- . ._._ . __- - I
I
�t�.te of ,��nne�at�.
.���nPgota ���art�ett� o� �eat��j
PL�3l�I�FG t3NI'�', BiOX 649?5
121 �P►ST SEV�1�1'fi PIAdCE, ST. PAUL, lS�� 55164-0975
Hast.er Plim�ber License
�
C.ICENSE NO fl�3575PH
� �Q:
Y�l3I1p H, 5}ct�og
bb7 I?eer�rood Drive
Hudsan, ti!I 540 Z 6- ,
E FFECTIYE D�R1E � �1IlIR�TlOM D�TE
01I01I20�T 12/31/2001
I
0 DATE ME
CITY OF ORONO ED IN 3 0"� -c /*�,_3'�
INSPECTION NO�CE _ /� SCHEDULED - - b. °O
PERMIT NO. ��� � `F�� COMPLETED "'L� -0� ��d
ADDRESS � �U'� �
OWNER CONTR.��?��c
TELEPHONE NO. .���- �D � �— ��.3��_-
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEFI HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v fNG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� pC�'YVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
�..
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.����,��
White Copyllnspector's File Canary CopylSite NoUce