HomeMy WebLinkAbout2006-P09792 - vacuum breaker � PERMIT
CI�Y C�F ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P09792
Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker
(952) 249-4600 Date Issued: 4/25/2006
SITE ADDRESS: 2933 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0048
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:
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Weld&Sons Plumbing Company, Inc. OWNER: Audrey Gallistel
3410 Kilmer Lane N 2933 Casco Point Rd
Plymouth,MN 55441 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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNAI'URE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
O�Oy\, P.O.gox�rODO Date Received: Permit#
� y,;;�,.,.. 2750 Kelley Parkway
'� q'� ��, ,� Crystal Bay,MN 55323 Approved By: Amount$:
i�,�'? ��'"���� (952)249-4600
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CITY OF ORONO-PLUMBING PERNIIT
(All Commercial permiu must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. 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 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 dwellir►g.
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
�Residential ❑Commercial(Approval Required)
r �
❑New ❑Additional ❑Repairs [�Replace
❑ In Accessory Structure?
*You will need urior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ��3� ���J �0,`n�}-- R,� �
Owner: rT_��� �c�.( �+S�"� Mailing Address: ���_3 �(%t�0 P���'`��'��
City: V��^d Zip:
Home Phone: ���-�-(��-�02�� Alternate Phone:
Contractor Information:
Contractor: ��L� G�n� �n5 P�iil��+� Contact Person: � i M ���M
Address: �J�(U `����M.C��,H^�-N' State Bond#: �-0 (�`7��
City: MD��'� Zip: ,��. y�� Expiration Date: (7-31-��
Phone: ���i-�7S-���� Alternate Phone: 7�� - �0� -� ���
❑ Insurance-Cunent: ����K
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�i��i�t�� �f Cl�f.tl�h� �jf�'ci��?� � �,�,✓v� �VY�c�cti�P�ln S�S��,N. .
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PERMIT FEE CALCULATIQN(S}��� �
BASED�OFF-?A02 STATE STATU�� �
� Yes,this section applies
The replacement of a Residential fixture or apvliance that meets all three of the following requirements:
1. Does not require modification to electricai or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ � •GD
(Permit Fees Continued On Next Page)
2
,„..., . . , � . °"'�5�0.00 ���
< , ��� � F'EE CAL;CULATION S --JtJBS
[f above does not apply;follow guidelines below: N 1 �.
l
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 535.00)
x.0125$
(contract pnce) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Swchazge(Minimum Fee of 5.50)
x.0005 $
(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 chazged
to the customer for the work done. If any material,equipment, labor or installations are furnished by
the owner,tenant or any other pazty,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 STAT'E SURCHARGE is .0005 of the contract price under$1,000,000 or$.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 aze complete, true and
correct.
Applicant's Signature: ` ,��"�>�"�' Date: �{—���
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D TIME
CITY OF ORONO CALLED IN �
INSPECTION N TIC�J SCHEDULED ��"�6 ��_
PERMIT NO. / � COMPLETED
ADDRESS___ a I 3.3 ��'�-�1 � C�t��
OWNER CONTR. �������
TELEPHONE NO. 9�2 �- �7� , �'Z� 7
� DESCRIPTION ��- "' 'n I�O�1C'
ly� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GR ING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE�'WETLANDS
�
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—F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIONiREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContractor o
Inspector. _
White Copyllnspectors File Canary Copy/Site Notice