HomeMy WebLinkAbout2006-P10272 - vacuum breaker "` � PERMIT
v1T"Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10272
Crystal Bay, Minnesota 55323 Permit Type: VacuumBreaker
(952) 249-4600 Date Issued:
8/29/2006
SITE ADDRESS: 60 Smith Ave Unit#
Wayzata,MN 55391
PID: 02-117-23-21-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type:
Vacuum Breaker Pernut Sub-type(s): Vacuum Breaker
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 550.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Theodore Bonnett
1880 B Wayzata Blvd W. 60 Smith Ave
P.O.Box 150 Wayzata,MN 55391
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.
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PLIC T EE SIGNATURE ISSLTED BY SIGNAI'URE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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City oi Orono ��"'?�
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C�Ystal BsY>MN 553?3 �°'�"�' �...-.--=�=,
� (952)249-1600
CITY OF ORONO—PLUMBING PERNIIT
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1. You may apply for plumbing permits by mail or in person st the C'ttY offices. Applic�tions will be
reviewed aad a peimit will be iss�d within two workn�g days.
2. Pexmit cards will be se,�t by retum mail aftex a review is complebed. PERMITS ARE NOT
VALID UN'T[L YOU�A PERMIT. WORK MUST NOT BEGlN U1�T�L�
PERMIT CARD IS M)3'I'EA ON THE JOB SiTE.
3. Plumbing permits may be issued ONLY w licensed plumbing c�ntrad�ors ac�d to pnoperty ovm�s
residing in the dwelling.
4. When any new construcxion or remodeling is im+olved,a scparake build"mg permit must be
obtained.
5. All work must be done in acoordance with State Code requiranents. -
6. All work must be inspectod and sir�before it is covered. Call(952)249-4600.
(24-48 honr notice rcquired)
T�'�fl�P�R'�II"T
�h�?� : �'
[�Residential ❑Cotnmercial(Approval Rcquired)
❑New �Additional ❑RePaus ❑�P�
❑ In Accessory Structure?
*You wlll aeed urior anoroval and may need�.(Pa Orono City Code,C�apt�78,Article I�
�ob Site L(�uner�.ft��m��on�
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Site Address: �O J�'�'' ��l 1 /�U e►�! W�
Owner:�3. �ri�2 � Mailing Addrsss: �i� .Slr��� �V�
c,ty: O,r��n � _ z�P: sS3�t I
Home Phone: 6�a'3�a��U� Alternate Phone:
Contrac�r In�omaati��: '
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Contractor: C� ; V: � P�� �-e Contact Person: v�✓► �� 01�
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Address: /880 F� W e s�'W a.r1.p►�it B���I State Bond#:
City: � Zip:5�3��Expiration Date:
Phone: q��-473`a� '�13 Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 O'THER FIXTURE BSMT 1 OTFiER
Typg FL FL TYPE FL FL
Water Clos� Floor Drains
Lavabory Se�er Eja�or
Bathroom �Y Tt'aY
Shower w��
Kitchen Sink Water Heater
Disposal Water Softa►ex
Dishwasher Wet Bar
Silicocks Miscellane�oos /
�.,s�-��� V«Lu�b�eal�e��r�� .��� �� 1�l ec-Sy��'e�"'�
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Q Yes,this sa�ion applies
The replacem�►t of a R�side.c�l fixture or a�L�s t�m�s a11 thrce of the following require�ts:
1. Does not require modification to electrical or gas s�vice.
2. Has a total c�t of$500.00 or less; cg� l��n' g the cost of the fixriu�e or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed oontractor•
Skip next s�tion,ifthis applias; Cost of Peimit S 15•00
State Surcharge S .50
Mail-In Fee(If A�licable) S 1.50
Totsl Permit Fee S
(Permit Fees Continned On Next Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add e State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�
`� .5�0�� b X.000s $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 fiunished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
esrimated 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$1,OOO,d00 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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.
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Applicant's Signature: �I��!�/r��1�> Date: a ��
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