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Home My WebLink About2000-P03310 - vacuum breaker � ^ PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po33�o Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker (612) 249-4600 Date Issued: �oi6i2oo SITE ADDRESS: 3105 Casco Point Rd WAYZATA,MN 55391 P��: 20-117-23-34-0006 DESCRIPTION: „__�._, PPOpOSed USB: ��c�iucuiiai Permit Class: Plumbing Permit Type: Vacuum Breaker Permit Sub-type(s): Vacuum Breaker DETA ILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 500.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Weld& Sons Plumbing OWNER: THOMAS L NORMAN JR 315 Juneau Lane 3105 CASCO POINT RD Plymouth, MN 55447 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL�MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY q��' ORONO ORDINANCES AND STATE OF MINNESOTA BiJILDING CODE REQUIREMENTS. �y� V �C� �'� � ,� Z% APPLICANT PERMITEE S[GNATURE ISSlJED 13Y SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 �� - PERMIT '�L ��,o CITY OF ORONO 2750 Kelle Parkwa - PO Box 66 Permit Number: Po3� , �,-, � - Y Y � ��.� Crystal Bay, Minnesota 55323 Permit Type: vacuum�e'aker (612) 249-4600 Date Issued: loi6i2oo SITE ADDRESS: 3105 Casco Point Rd WAYZATA,MN 55391 PID: 20-117-23-34-0006 ; , �, ; �� DESCRIPTION: � i�,�� p ' ' < ti� � ��,`" � �iT" , � PCO USeC�USe: nc�iucii�iai �, �� s�,, �y �'nn �l /L Permit Class: Plumbing �( -�,ti C, '� � � Permit Type: Vacuum Breaker ,/ Y'� �i �"/Permit Sub-type(s): 1'lumbing Undefined � � �� Plumbing Undefined ., �� „� DETAILS: , Approved per resolution#: ;�'�� Separate permits required: � \ , � , NOTICES/REMARKS: /, �� f/i�(� kv-� FEE SUIIIIMARY: Permit Fee: $ 35.00 � � Valuation: $ 0.00 �� / �, �- � \ State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Weld&Sons Plumbing OWNER: THOMAS L NORMAN JR 315 Juneau Lane 3105 CASCO POINT RD Plymouth,MN 55447 WAYZATA MN 55391 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 BUII.DING CODE REQUIREMENTS. �` I � � / � , _ � �-n.e�-� `j .y�; ,� APPLI ANT PERMITEE 1 NATURE ISSUEDBY SIGNATURE J Copies: City,Applicant,Assessor, Finance Page 1 � ,�-� �� CITY OF ORONO APPLICATION FOIt PLLTMBING 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 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 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE• ��d S �'f�-�'crv �o..�r- 2� � Zip: Owner's Name: To a� .✓oti:,�� Telephone Number: y��- �s�o Mailing Address: City: Zip: Contractor's Name: �-'��d cv;�,�,.��- Telep�hone Number: y�.�-o�--1� Mailing Address: 3�s 1�.�� -��' City /�c��r�•� Zip: 3 SY'�7 P�.i.TNIBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) .�.�(,� �,��4�t�v�L PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) e.�oo °` x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. 5 a° �V x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handlin� (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 chazged to the customer for the work done. If any material, equipment, labor,or installation aze fumished 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the Cicy 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 Inspectional 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. Applicant's Signature: Date: