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Home My WebLink About2007-P11277 - vacuum breaker , PERMIT CiTY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11277 Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker (952) 249-4600 Date Issued: 7/31/2007 SITE ADDRESS: 645 Ferndale Rd N Unit# Wayzata, MN 55391 PID: 36-118-23-I 1-0010 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: install presssure vacuum breaker for irrigation FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Roto Rooter Services Co. OWNER: Andrew& Sara Turner 14530 27th Ave.N. 645 Ferndale Rd N Minneapolis,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 BUILDING CODE REQUIREMENTS. �� Grt_. 0 �y' AP LICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Asscssing,(If Septic, 1-Septic) Page 1 �ar-17-2005 03:19pm From-CITY OF ORONO +9522494616 T-719 P.002/004 F-619 J� ^�^ FOR CIrcY USE ONLY Pc�mi�# �--r,�' patcT�scived: ..:-.�-�— . C��y of Orono . �" AmountS=�"' �— nPRtOvad By: .�� O,(� p.p.Box 66 �, � 2']SQ 1Ct11oY��323 Crysml BnY� ' ��'s�� (952)2a9�60U ��.tur�+� �"�"d� OR.4N Q�p d by�$uilding O�cial oe�nsP�Lot) CXTY��' �t��av� (A11 Comrnc.�'a�4�rt"��'m GENER:A.I-'�`]��M`�'TION ]ications willbe �, for plumbing pem"u by�il or in p erson at�he City o�ice�. �Pp 1. You may apP Y e�t Wiu be issued within n"�o worlcin$d�Ys� g p�r10T reviewed ana$P mail aRer a rcview is cam letzd. P�RNi1T P 2 pemu�car�will bnU R�CEN�pERM1T- �%ORK M'UST NOT BEG1N UN'fIL ,��L-;� ��," , �ri�.3i��31�i- R contxacLors and to properry o•Wz�ers P,EIdM�T C,e,�2D IS POSTT:D v1��'� 3. Plumbing pe�ts may b�issucd ONLX to liceused plumbin, tesidinS in thz dwelli,ltg. eCi111i IIlUlst bG q Wlien any new construeuon or Tcmodeling is involved,a separate building P obcained. 5. p,1I v,,ork m�ast be done an accordance with State Code requirements• 6, A11 work must be inepzcced aud air test�d before it is cov�red. Call(952)249-4600. (x4-48 hour notice required) ��"`"J"�� T'YPE OF�'ERMIT . (Check f�.11 That A 1 �1 Resi3enrial ❑CGmme::;i.al{f.pproval Required) /� � y'�cw ��.dditicn�l [�Rcpairs ❑Replace � '�` Q In Aecessory Structuxe? ' *You wiu nPed prior approvA]and�xiay need CUP.(�'er Orono City Code,Chapter 78,Ar[icle N) � Job Site/Owrie�r Ynfoamation_ � I � SiteAddress: '� �t'f' Y�r�c.� � f Z.� t� w � ' Owner:��r`�- S C�F �� Mailing Address: ��-�.�-'� _T_ c�cy: r.��-c�r�v. z�p: �'s,3c� �- i Home Phone; �D�� - ��' y 5(�� Altez�ziate Phone: ` Contractor Tnformation: � i i ;� Contractor: `�O�O� '��r' Contact person: �C�U� LC�I'1.Y1'�,�vt 41 A.ddress: ��f 5.�u �7�h R�� b`� State Bond#: I C1�� le�o� ��5 � City; � �1� i�l;+..x.f 1�1 Zip: `�j�4 y�cpiration Date: I a ' � I -� � Fhone: �(�3-5.I�i 3 7v� Alternate Phone: � ❑ Insurance—C�zrrent: � 1 � __ . . - MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY - BOND CERTIFICATE This is to certify that DavidiceslC�omaany hastfileduab$25LOOOnbond�wiPh��he9J representing Roto Rooter Serv P Commissioner of Labor and IndSSofyM�nn��o�abStat�tes006ectionh326 40 2007 in accordance with the prov�s�o BOND N0. 103622785 Travelers Casualty & Surety Hartford, Connecticut MR DAVID T LOHMANN ROTO-ROOTER SERVICES COMPA�lY 14530 27TH AVENUE NORTH �cott Brener, Commissioner MINNEAPOLIS MN 55447-4804 , �t�te o� �i��e�o�� in��o� �e��er�af �L�or �i� ��bt��i�p P�UMBII�tG UN�T 443 LAFAYETTE RQAD NORPH, ST. PP;UL, P�lN 55155-4343 Master Plumber License LICENSE NO 002695PM BF TFSTER ID NO 00855T �p• David T. Lohmann 613 Kii�gsview Lane North Plymouth, NII�I 55447 , � EFFECTIVE DATE EXRIRATlOtd-DATE O1/01/2007 12/31f20�7 �ar-17-2005 03:19pm From-CITY OF ORONO +9522494616 T-719 P.003/004 F-819 ,,;.. .,,,. .;;�.;;.;:�:-�: ��:��.�a�t -F�x-'�c.n��s �r . �L � �.,� .... �. �:�;. ,k; ��4�' .., �a, i,.....', FIX'TURE BSMT 1 2 dTHEk FIXTUR� BSMT 1 2 OTHPR TY�� FI. �'L TYP� FL FL Wattr Closet Floor Drains T..BVflLDY� Scwer Ljector Bathroom Laundry Tny Shower washe� 0 Kitchen Sink Water Heatzr Aisposal Water Softener Dishwasher Wat Bar Sillcocks Miscell&neous �( / � �(-. (.�.4�i`�,� Y f e;S, �J C�c. �V�2 c�.F�c'ir `�v^ c ^ ' � L-ir��c d^��- , �,-,,;,,;. ,:�K;��,; �� . _,+,,,:..,,:�,;P.ER.1��'',�' '-� � ��JLA; ° nT� s�:;�'�''� ' �, F'� ,:; ;.^:',;;:,:; ''.;` �� ,; � A� �o. �:>� ,., �r�,r��;:�;,.:.. � `9'�,r:�i!i �FS�!�..' �' `��: :d�•�F ��e. .I� -�.� .r.. �� r� ,,�... �,�� I��a.�,,I:� .�'�i-��.� ��'�: �'r'•:.�'��'�! { .Y�•�d� i q<::. ,�.Rr/�r �F,�.' •d'� a , � •. .. ,� ,, " � �'�F"��.4i1',�'..��'�}r�� ,1��h��•�p f Y�.' �� f i� ,�� 1 � � i r ��.��.: ri,(.��'.�::• �"!�'" t�,. � ' i. ,'�'" ��'; �'..5�'�'' ''y�'�� '�:��L•'=i'�:.;.�d��":..''. " �'.ti. •..1�:.(; .,�;:-�� •��tr�:��.�r.��x:,, ,��Df. �-20Q A� � ��:,�•,�. [� Yes,this section applies The replacement of a Residenria]fixture or�,�liance chat meets all chree of the foIlowing requirements: 1, noes not require modifi;ari�an tc�electrical�r g,s scrvic:�_ 2. Has a total cost of$500.00 ox less;cxchidin�rhe cost of the fixture or appliance:and 3. Ts improved,installed or replaeed by the hom�own�r or liCcnsed con�actor. Sldp next sccuon,if rhis applies; Cosc of Permit � 15.00 State Surchu�e $ .50 Mail-In F�e(If Applicable) $ 1.50 - Total Permit Fee �, 1�7,0�1 (Permit Fees Continued On Next Fage) 2 Nar-i7-2005 03:20am From-CITY OF ORONO +9522494616 T-719 P.004/004 F-819 - ,,;,; ;.,��:,, �p ��rj/'��7�/l}',��AI�7'�� (1 , .�.,tn.i� C.��;ii �µ'��.1.C��4�.d'�'".�t,l.L'11r�:it./,4:+�1.1 � �'J� O i�'� ` .y,,�'`I:�::;�; Q� I��-:�� Q,V�1�'��O��OO;.y:: rf above does not apply;follow guidclines bzlow; 1. CON'TRp,CT PRICE *is 1.25%of con�acr price with a(Minimum�'ee of$35.00) x.0125$ �'`� (comTacs p�icc) (minimurr�$35.00) 2. STA1'E SUR,CHARGE **Add the State�ldg Code Div.Surcharge(Minimum Fee of 5,50) x.00OS $ (conUact prica) (minimum$ .50) 3. POSTAGE 1C HAND�.ING(Only an Mail-Tn Ap�licaiions} $_ l.50 4. TOT,A,L r�RM,I'��EE(Add�,ines 1-3 Above) $ • * CON1'RAC'�' PRIC� or JOB COST means the actual or estunated dollar amount charged for the permitted work includiu�materials,labor,prof�t, and other fixed costs. Tr is the sunount to be eherged to the custou,er for the work done. Lf any matzrial, equipmzn,t,labor or installauons are furnished by ihC owner,tenant ox any o�ther parry, the reasonable market value of such items must be added to the estimated cost ar eonuact price for permit fee purposes. Iu the event that there is a dispute on the amoant of the job cost, tho City may rcquest the submissiou of a siga�d coP7� of thc actual eontract. • '�*Th�S'�ATl3 SUR(�EiARGE is .0005 of rhe contract price under$1,p00,D00 or�.50-whichever is g:eater. FOa V8luatip115 ciVez$1,Q00,000 calI the Building Department at(952 j 2��9�64A for the pric�. �a,:•�_..:��;;;;`:?;�' ' '�T�1',____,.�EFt�� .APPLiC 7'� �,u.=,' ,: �': .r, �:� Gr` �?� ,�1; It�N�:A:�r1��IY��'I:x;':�:. ,;';;:,��::;,.�:;:':��"�.�; - —1-- 7'hc unders��.ed herc:by ap�lies to the City far issuance of a Plumbing 1'ermit, agrees to do all �vark in s�rict a�Ltirdan�� with the ordinances of th� Czcy and the regulations of the State of Minnesoca, a►i� certi�es that ali statements made on this �pplication are compiete, tras and correct. Appliaant°5 Signature: � :.?�`is D�ate; 7� I �-CU 7 3