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Home My WebLink About2004-P07861 - vacuum breaker PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07861 Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker (952) 249-4600 Date Issued: 8/19/2004 SITE ADDRESS: 205 Tonka Ave Long Lake,MN 55356 PID: 05-117-23-13-0053 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Vacuum Breaker Permit Sub-type(s): Vacuum Breaker DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Backflow to lawn irrigation FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 150.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Leon Duda Plumbing OWNER: Timothy&Natalie Vaughan 208 17Th Ave N 205 Tonka Ave Hopkins,MN 55343 Long Lake,MN 55356 THE UNDERSIGNED HEREBY QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO D LL COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA IL G C D U �CT MENTS. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Siznitures Required), 1-Aoolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 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 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 _"Residential Commercial JOB SITE: AVE Zip: Owner's Name: 1 rvl VA Telephone Number: q y 3/ Mailing Address: avS Tn City: 001>( 0 Zip: �=T� Contractor's Name: Lol)g tot i34, Telephone Number: IQT31S-43(e Mailing Address: D$ - 1--7-4:0 tgwr:. IJ City: !to S Zip: 63"3 53 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM is 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar LL Sillcocks Misc (list) � /�Pl��"J 7(J PERMIT FEE CALCULATIONS) 2002 State Statute 3ZYes, This Section Applies The replacement of a Residential fixture or appliance 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 .0 12 5 % of job with a Minimum Fee of ($35.00) ly 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 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 installation 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. 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-whichever is greater. For valuations over$1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City forissuan of a Plumbing Permit, agrees to do all work in strict accordance with the ordina o fh ty the regulations of the State of Minnesota, and certifies that all statements made on ati complete, true and correct. c Applicant's Signature: Date: §Reset Form' " o--_4+— AT/ TIME CITY OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED 'ZU-V`j �O"'�. PERMIT NO. /�O�i�� COMPLEETTT D 0�dy _ U O ADDRESS r lam. OWNER CONTR. DVeY,6— TELEPH0NE NO. q.5,_2 9 33 �3Cp DESCRIPTION -�C �O� 7�� L S;�r��,lC le r- 4 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 P I FINA 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YESXO COMMENTS: cc Q. �� LtS �- �'r Sof f'p, j Q v cc Q W CC Q W CC LUEl WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sut6a Inspector. White Copy/Inspector's File Canary Copy/Site Notice