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Home My WebLink About2004-P07609 - vacuum breaker CI ��fY OF ORONO PERMIT 275p Kelley Parkway - PO Box 66 Permit Number: Po�6o9 Cry�t�al B;�y, Minnesota 55323 Permit Type: VacuumBreaker (95�) 249-4600 Date Issued: 6ii�i2ooa SIT� ADDRESS: 312o Sussex 1td Long Lake,MN 55356 PID i 04-117-23-32-0009 DESCRIPTION: Proposed Use: Kesidennal Per�it Class: Plumbing Per�nit Type: Vacuum Breaker Perniit Sub-type(s): Vacuum Breaker DETAILS: Approved per resolution#: Se�arate pernuts required: I N TICES/REMARKS: � Vac.Breaker backflow for lawn irrigation FEE SUMMARY: PermitFee: $ 15.00 Valuation: $ 200.00 ' State Surcharge Fee: $ 0.50 i � TOTAL FEE: $ 15.50 � �APPLICANT: Leon Duda Plumbing OWNER: Brett& Stephanie Anderson 208 17Th Ave N 11244 Cedar Pointe Dr S Hopkins,MN 55343 Minnetonka,MN 55305 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING COI� REMENTS. / � � .�-''�' � � � ��, ��9 ��l�rz.-� <�� ,-�'APPLICANT PERM[ E NATURE ISSUED BY SIGNATURE � / Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � �i ` CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, NIN 55323 � GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City off'ices. 2. Permit cards will be sent by retum 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call. (952) 249-4600. , Please check one: � New Addition Repair Replace i _�/Residential Commercial ! JOB SITE: �/�O .5�+,�:�x �� Zip: sS3�`i Owner's Name: s�c a��-�:c s9,��%.-so.-� Telephone Nuxnber: G�z 3�3— oi 9� Mailing Address: 3/�a �-. �s-c,� �� Crt3':(d/'o✓i,v Zip: SS3F/ Contractor's Name: LCan 5..; �v. Telephone Number:�,s'a- g'3'3-5��6 Mailing Address:�?O,y /7� uc � City: • ,,,1 _Zip: �-�.-, PLUMBING FIXTURE SCHEDULE � FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laun Tra Shower Washer Kitchen Sink Water Heater Dis osal Water Softener Dishwasher Wet Baz Sillcocks Misc(list) .�/Gb�� /�c�Cf/��J �r 1�"'� �� ' , . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, Tlus Section Applies The replacement of a Residential fixture or a�liance 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 licenced contractor. Skip next section; Cost of Permit $ 15.00 ; State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of($35.001 , ��, �_ x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum $ .50) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted work inciuding materials, labor,profit,and other fixed costs.�It is the amount to be chazged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other parry 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-wkuchever is greater. For valuations over$1,000,000 call the Department of Inspection Services for the price. 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 conect. I Applicant' re: Date: `�7--C9 � DATE TIME " CITY OF ORONO CALLED IN � INSPECTION NOT y�E C SCHEDULED �`� � � PERMIT NO. v COMPLETED ADDRESS ��o�� SUS-� � OWNER CONTR. �-�� c�� TELEPHONE NO. Cl� �� I �-S�IS � /� � DESCRIPTION ��C i'l�1il�� ,�Or,w�C�e,^ l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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 � � � O �. � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 Owner/Con t n site: Inspector. � White Copyllnspector's File Canary CopylSite Notice