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Home My WebLink About2005-P09368 - plumbing PERMIT CITY OF ORONO e750 Kelley Parkway- PO Box 66 Permit Number: p09368 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/28/2005 SITE ADDRESS: 3320 Fox St unit# Long Lake,MN 55356 PID: OS-117-23-44-0009 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: $ 537.50 Valuation: $ 43,000.00 State Surcharge Fee: $ 21.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 560.50 APPLICANT: Lakeside Plumbing OWNER: Thomas Borman 12469 Zinran Ave. 3320 Fox St Savage,MN 55378 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 O APPLICANT PERMITEE SIGNATURE I SUED BY S[GNATURE ' Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l �� r �I . . - � a _. 1 FOR CITY USE ONLI' `�j��t, City of Orono j'41' �:1� ! � P.O.Box 66 Date Received: Permit# �� '�� 2750 Kelley Parkway � ',� ��a;' ��+ Crystal Bay,MN 55323 Approved By: Amount$: � � �.�,�� 9sz>za9-aboo � ��o�� CITY OF ORONO—PLUMBING PERMIT (All Coinmercial pennits must be approved by Ihe Building Official or Inspector) GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TIIE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 desidential ❑Commercial(Approval Re't�uired) New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site /Owner Information: � Site Address: �3�Q �o�(�S�r�,'�- �I Owner: Wa�a.r S�1'e�� a�►e� MailingAddress: '�(oy �� S�{�,�- i , ; City: �X Ce1�Sto� Zip: SS33 � ' Home Phone: Alternate Phone: ; Contractor Information: Contractor: ��SJ�� i'��,Nb;,,y Contact Person: 1�� ( n Address: �� b�. Z:nlea,. /��, State Bond #: D�a3$'j f/h City: y�_ Zip:�'S3l? Expiration Date: ___,�eaC„ � ' Phone: 9Se}-8 9`l• �l.00 Alternate Phone: ❑ Insurance—Current: 1 � 'r � � '� `� r �. k � �r�� ,�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � J Floor Drains � a.fea DRaans :,. �or� Lavatory Sewer Ejector � , � � Bathroom � Laundry Tray ( Shower Washer � Kitchen Sink Water Heater Disposal Water Softener , Dishwasher � Wet Bar � ' Sillcocks Miscellaneous i a i 1 i i PERMIT FEE CALCULATION(S) � � BASED OFF �-��2002 STATE STATUE � I ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludine the cost of the fixture or appliance: and � 3. ls 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 , . � �� -PERMITFEE��CALCULATION(S)�=70BS OVER�$500.00�= � i If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) '�3,oe+► X .o�zs $ 531.So __ (contract price) (minimwn$3�00) 2. STATE SURCHARGE ** Add the State Bldg Code Dtv. Surcharge(��linimum I�cc oI�S.SII) y�,oeo X .000s $�t.Sa___ (conVact price) (minimum$ iU� 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ s(pp.S'p ■ * CONTRACT PR[CE 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. ln 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 co�tract price under$1,000,000 or $.50–whichever is greater. For valuations over$I,000,000 call the Building Department at(952)249-4600 for the price. � �� .: ��m`'�g'�I,UMBING�P, R�1�`��'PL��C;A"T�T(�N`=AGREEMENT The undersigned hereby applies to the City for issuance of a Plwnbing 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: 0......,, r,.M�� Date: �d- Os �._—. ��„E��.'�� Reset Forrn , � , � 3 ;j �, ;; ;i MINNESOTA DEPARTMENT OF HEALTH - BO�D CERTIFICATE This is to ce.rtify that Duane H. Reimer, Master Plumber License No. PM002387 , representing Lake Side Plumbing & Heating. Inc. , has filed a $25,000 bond with the Commissioner of Health on November 30, 2004 for the year 2005 in accordance with the provisions of Minnesota Statutes , Section 326.40. BOND N0. RLI 504652 Old Republic Insurance Company Milwaukee, Wisconsin MR DUANE H REIMER LAKE SIDE PLUMBING & HEATING. INC. ��V � �;�eOM 12469 ZINRAN AVENUE �� SAVAGE MN 55378 Patricia A. Bloomgren. Director Division of Environmental Health Dianne Mandernach. Commissioner I -�: �tate of �.ir��e�ota ' ,�in�e�ota �e�artrt�ent of �ea[t�j PLUMBING UNIT, BOX 64975 121 EAST SEVENTH PLACE, ST. PAUL, NIIJ 55164-0975 Master Plumber License LZCENSE NO 002387PM , ��' Duane H. Reimer 750 - 229th Street West Jordan, NIIQ 55352 I EFFECTIVE DATE EXPIRATION DATE O1/O1/2005 12/31/2005 I i;' it�: f%` 4i,� � � ii' i. IS� � 'r, i � �� ✓ � �1\\\ � ATE TIME CITY OF ORONO � CALLED IN 7 INSPECTION NO ICE SCHEDULED Z-� �.s�4tit PERMIT NO. g COMPLETED ADDRESS � �J�G �UX �T � OWNER CONTR. LG`-�Ca S�%�e° /�/�Jn,,� TELEPHONE NO. �S�oZ ��L� �Lr?�� DESCRIPTION ��U�� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT v 07 DEM - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o .� � � T r S�T C�� a � 0 � w � Q � z w � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_i PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �� %� `" White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION IV�TICE SCHEDULED PERMIT NO.�� "�G�� COMPLETED _T i' t�—,cz ' ''�� ADDRESS � �211'� �"O'� ��-2�� OWN ER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � b ,4 �� s7 0� 0 � � � � a��-1,`�ocS,��S J��- ea��Q _ � W �� Q r, .�A� �2� ��- �-,� � r � z W � W � � d W� WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ,� CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952) 249-46QQ OwnerlContractor on te: Inspector. L(J rl��S White Copyll�spector's File Canary CopylSite Notice � � � DAT TIME / CITY OF ORONO CALLED IN /!� INSPECTION T Q SCHEDULED %fr D(� 9: 3O PERMIT NO. U COMPLETED ADDRESS 33�D {�D�� (' OWNER CONTR. �-��LG�¢ �`l�.�'�''�[� TELEPHONE NO. �� 7�Da � DESCRIPTION //� ��%� � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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�NSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMME . W e 1�.� � Q i . a �i — 1�� rVl ��i � � Q � � 0 � � � � � Q � � z w � W � � d W ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (J52� 249-460� OwnerlContr site: Inspector. White Copyllnspector's File Canary CopylSite Notice