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Home My WebLink About2000-P02904 - vauum breaker PERMIT C I T�Y O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po29o4 Crystal Bay, Minnesota 55323 Permit Type: vacuum Breaker (612) 249-4600 Date Issued: 9�6ioo SITE ADDRESS: 123 Chevy Chase �r WAYZATA,MN 55391 PID: 36-]18-23-41-0017 DESCRIPTION: ,-,--.�_, PI'OpOSOd USO: �c�iucuwai Permit Class: Plumbing Permit Type: Vacuum Breaker Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 200.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: LEON DUDA PLUMBING OWNER: R E STRAUMAN&K E STRAUMAN 208 17TH AVE NORTH 123 CHEVY CHASE DR HOPKINS,MN 55343 WAYZATA MN 55391 TI-�E 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. � � ' ) � _ >c� _ ,4,�y, ,y�, 4 � i�✓� -�__ / ��'1�1 C L /r� APPLICANT PERMITEE SI NATURE ISSUED B SIGNATLJRE /�> � f`�7 Copies: City,Applicant, Assessor, 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 pemuts by mail or in person at the City offices. 2. Pemut 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 pemuts 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 sepazate 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 �ddition Repair Replace Residential Commercial JOB SITE: a� 3 � ��'� � � Zip: �j`��/ Owner's Name: � e� Telephone Number: c��,� ��'S9 Mailing Address• � � C� � City: F��"��, � Zip: 5,��"i Contractor's Name: �� Telephone Number: �� '_��.�6' Mailing Address: a2�JP � �"�.�c-� s�Q 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 Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) � G ,� ��,��c� �,^� �K��O'f �Oc W�f Q��!`��C�c!' PERMIT FEE CAI.CULATION 1. 1.25% of Contract Price* or Niinunum Fee 35.00 �-� ��, x .0125 $ �� ---o (contract price) 2. State Surcharge. ** Add the State Building Code Division ,� Surcharge to each permit. 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) $ �.�o ,�`� �. �: * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, �, the Ciiy may request the submission of a signed copy of the actual contract. L ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of lnspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all � work in strict accordance with the ordinances of the City and the regulations of the State of �; Minnesota, and certifies that all statements made on this application are complete, true and � correct. � � �r � �; Applicant'sSignature: � � Date: d �� d d �. v _ . .�.� �� - ,� . . � , , , �,. ;�; � �' .�� y� �� "- �,t � �.,„� z -,;, ` � ��s a a'� �`. , G . t,,> „ � � ' a � � ,� < , ,� . . . � . .. .. �. ; _. .-.�.� •` �; �. },. , , ,,a �k� � . _ : . ,•�. ,' ' ;� ''�c' � ��L �` � i`'' j:� �� -_ J y��.,. � ��. Y. ,s� ��i�� a:' .,•� �,ai+ i' f �'3$.`�', - _ � - kyl.. } . . a . � .��'� �. .s.-� F.,. ..;, ,s� �, ,, q a. � .. .'s. . ., ; . . ... . y .. � ��h .. � � , .M.,.,�. '^""` �g..;y °�'� µi, , y,a"'y - 'Tl: VF' 3. h �. f . ,� �� , � , � .'��" +� �+�t � � ,��e t� � � �R t ' a w ,� ' ��'�� Z � [�e-d��rtfi ° � � �� „"� � �� ! �*,��r `� ` �'y- "�'-� < �� n�,��. 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"'" .:.'°t, .,...... . ...._.. ....':,. . � PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po293s Crystal Bay, Minnesota 55323 Pe�mit Type: User Defined (612) 249-4600 Date Issued: 9�a�2000 SITE ADDRESS: 123 Chevy Chase Dr WAYZATA,MN 55391 PID: 36-118-23-41-0017 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: GREENKEEPER INC OWNER: R E STRAUMAN&K E STRAUMAN 12325 MINNETONKA BLVD 123 CHEVY CHASE DR MINNETONKA,MN 55305 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. ��/"//GC�-�, c��--� C.,4' I%� 7 � PPLICANT PERMITEE SI NATURE ISSLTED BY SIGNATURE Copies: City,Applicant, Assessor, Finance Page 1 � - �� ` �� - � Please check one: New ✓ Addition JOB srrE / a.3 ��✓►� ��.��s� r�� ✓t o��,.�� Owner's Name ,s ��(,/�/�� Il ��5, Telephone Number Mailing Address s�/�/r Sprinkler Contractor's Name ��Q��f(�C�'�� n/�., Telephone Number`j (�-O �� Contact Person G�-�"/�r`/j�' .�/ MG�'� ., a S-' Mailing Address �cr,3a� /yi/I//UG ��Gff��► ��..✓D. M/ N/'YL 1ana,r�'f�, I%'/✓� S.S .3 WATER SUPPLY � Lake Well City ✓ BACKFLOW DEVICE AVB PVB � RPZ Year of Make Model Manufacture Quantitv Sprinklers /�c�N fi�l�'' �'l.� P r�r:�� — -' 4,a,iv6��G ��oa a'vva — TorraL HYDRAULIC CALCULATIONS Design Data: Area of Application: s /�C �U/�"j�:,C� Sq. Ft. Coverage per Sprinkler: i' i� Sq. Ft. No. of Sprinklers: �° " Total Water Required: / ,� GPM PERMIT FEE CALCULATION l. Permit Fee $ 35.00 2. State Surchar�e. $ .50 3. Mail-In Fee $ 1.50 4. TOTAL PERMIT F�E (Add lines 1-3 above) $ The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to do all work in strict accordance with the ordinances of the City and State regulations, and certifies that all statements made on this application are complete, true and correct. Applicant C�/�'�t 6'.i i��°_-k /�� —L.-��r'�� Date ******�***********************�***�*********...**��******�*****x�*********�***** Approved Approved with Correction� Denied Reviewed by: � !�� `'ef�tiZt,O Date � l�dcl��a�,� � �� f ��e��ir��-�o i-�r . �"lw ,�A�K �IDW ��' ✓P✓�� -� ' � CITY OF ORONO APPLICATION FOR LA`VN SPRINKLER SYSTENI PERMIT GEN�;RAL INFORMATION 1. You may apply for sprinkler system permits by mail (P.O. Box 66, Crystal Bay, MN 55323) or in person at the City offices (2750 Kelley Parkway). Submit plans for review with this application. 2. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN•UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. When any new construction or remodeling is involved, a separate building permit must be obtained. 4. All work must be done in accordance with City and State Building Code requirements. 5. Two (2) sets of working plans shall be submitted for approval to the authority having jurisdiction before any equipment is installed or remodeled. Deviation from approved plans will require permission of the authority having jurisdiction. Workin� plans shall be drawn to an indicated scale on sheets of uniform size with a plan of the site so that they can easily be duplicated and shall show the followinQ data: a. Name of owner and occupant. b. Location, including street address. c. Point of compass. d. Location of septic system if applicable. e. Source of water supply. f. Pipe size. g. Pipe location. h. All control valves, check valves, drainpipes. i. Name and address of contractor. 6. All work must be inspected (final). Call 473-7357. 24-Hour Notice Required INSTRUCTIONS Complete all items on this application. Incomplete applications �vill not be processed. If you have questions, call 473-7357. You will be notified by phone when the permit review is complete.