HomeMy WebLinkAbout2003-P06850 - vacuum breaker - PERMIT
C�I T1P' O F O RO N O Permit Number:
�2750'Kelley Parkway- PO Box 66 Po6sso
Cry�tal Bay, Minnesota 55323 Permit Type: VacuumBreaker
(952) 249-4600 Date Issued: io�2�2003
SITE ADDRESS: 322o Bohns Pt La
Wayzata,NIN 55391
PID: 08-117-23-44-0006
DESCRIPTION:
Proposed Use: Kesicient�al
Pernut Class: Plumbing
Perxnit Type: Vacuum Breaker Permit Sub-type(s): Vacuum Breaker
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00 Valuation: $ 400.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Weld&Sons Plumbing OWNER: Albert Trapenese
315 Juneau Lane 3220 Bohns Pt La
Plymouth,MN 55447 Wayzata,MN 55391
THE UNDIILSIGNED 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
NIINNESOTA BUII,DING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �
Conies: 1-File(Signihcres Required),1-Avulic�nt, 1-Monthlv Reuorts, 1-A�essine, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1�I�i T 55323
GENERAL Pi iF'OILtiiATION .
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE. ,
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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, ca11249-4600. �
Please check one: New Addition Repair Replace
�c Residential Commercial
JOB SITE: 3�a.C� �o ��..5 Po�r�t •�a,.n� Zip:
Owner's Name: Telephone Number:
Nlailing Address: City: Zip:
Contractor's Name: G�/d. � ,So�s �/v.r,b:��Telephone l�umber: 76,�-y7s-�zy�y6'
Mailing Address: 3/S` Tv�+�� 1a,•�e City: �/yMov Y� Zip:ssy�/7
,
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory �ewer Ejector
. Bathtub Laundry Tray �
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Silicocks Misc (list)
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' �ERMIT rEE CALCULATIOTI
S 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ - / .�l0
(contract price)
2. State Surchar� ** Add the State Buildin? Code Division
Surcharge to each permit. � x .0005 $ _ � ,,sQ
(contract pr.ce)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) , $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ _ /�p p
Pp�' �l�Jo n e= Cc�l/ �y_�.Q3
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fiaed costs. It is the amount to be chazged to the
customer for the work done. If any material, equip�ent, labor�or installation aze fumished by the owner,
tenant or any other party the reasonable market va1Le 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 Ci�y may request the submission of a signed cog�•of the actual contract.
. �
. *'� The STATE SURCHARGE is .0005 of the contrac: price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the D:�artment 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. .
Applicant's Signature: � i�?�"l� Date: !'/9-�3
4
��� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED J�'�Y�
PERMIT N0. ���(p� COMPLETED r��-��d,
ADDRESS .3��� �� i�S' I-7�' L�.�
OWNER CONTR. �����5�'�S� l�r/6�.�a.
TELEPHONE NO. ��� ��I �� ��
� DESCRIPTION 1�G'�-CC c��'Yl �/'��{t.e!`> C�yL ����iv/'G�
ly 01 FOOTIN(i 11 MEGHANICRL RI 18 EXCAVIGRADING/FIWNG
� 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FlNAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
J 10 PLUMBING FlNAL � � 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES�NO
y COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED °`�iqOJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED J�SSI UE CERTIFICATE OF QCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDRIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CfTATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnedContr ctor on site:
Inspector. ,
White Copyllnspector's Flle Canary CopylSite Notice