HomeMy WebLinkAbout2002-P05088 - vacuum breaker CIT`'�OF ORONO PERMIT
r Permit Number:
275�J'kelley Parkway - PO Box 66 Pososs
Crystal Bay, Minnesota 55323 Permit Type: vacuumBreaker
(952) 249-4600 Date Issued: 4i24�2o02
SITE ADDRESS: 1180 Heritage La Aly
Wayzata,MN 55391
P I D: 10-117-23-13-0002
DESCRIPTION:
Proposed Use: xesidennai
Pernut Class: Plumbing
Pernut Sub-type(s): Vacuum Breaker
Permit Type: Vacuum Breaker
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 375.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: �'�'eld&Sons Plumbing OWNER: Lowell Janke
315 Juneau Lane 1180 Heritage La
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 BUILDING CODE REQUIREMENTS.
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APPL CANT PERMITEE SIGNA"CURE ISS ' BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiT1�1BING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAL LYF'OR.��IATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permi[ 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 UNTII.. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Piumbing 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 buildin;permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. r111 work must be inspected and air tested before it is covered. Call 249-4600. 24-hour no[ice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. I�i 1COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New � Addition Repair Replace �
Residential Commercial
JOB SITE: //�D er�- ��t�- l.c�,n c� Zip:
O�mer's Name: P�,v 1 ��`s Ta.n 1�� Telephone Number:
I�Iailing Address: S�-�. City: Zip:
Contractor's Name: j,�,�/� � �i3 �v,,,,j„ n4 Telephone I�umber: 763--�7�=p,Zq�
1�lailing Address: 3IS .�i>n�.� Ic�.n e City: .-►-►o✓ Zip: S�-y 5' 7
PLLTMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa[er Close[ Floor Drains
Lavatory Sewer Ejector
. Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
3 7v�-. c'�C� x .0125 $ �� �U
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ , �S Q
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin; (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7 p�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for[he permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
tenant or any other parry tne 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 Ci�y 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 Jnspectional 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�!�� Date: �`�—�2
i
�} DATE TIME
CITY OF ORONO - - �Eo w _7_r___
INSPECTION NOTIC -y�., scHE�u�E� -� —,�-(�—
PERMIT N0. v COMPLETED
ADDRESS ������� �1-l�f G� C� '--��
OWNER CONTR. �
TELEPHONE N� �- �� �" �� Q
� DESCRIPTION / ����
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING �
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS S�
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
„� OWNERICONTRACTOR TO ME YOU: � YES T NO
� �OMMENTS: � C.L
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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Q O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
NSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for t e next inspection 24 hours in advance. (952� 249-46�0
Own r tc�r on site:
Inspector.
W i e Copyllnspector's Fi e � Canary Copy/Sfte Notice
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� DATE TIME
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CITY OF ORONO ¢ALLED IN =____� __Z7�
INSPECTION NO CE ISCHEDULED
PERMIT NO. COMPLETED S-'2.\-0� �',3�>
ADDRESS �
OWNER CONTR. � P
TELEPHONE NO.�%VJI��� �� ���g � ���r�
� DESCRIPTION �1�1 n�� ,�-'�/1C�C.�.
� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Ri 23 SEPTIC FINAL 35 HAFD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOFi TO MEET YOU: YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site• ��V �
Inspector. " ���
White Copylinspector's File Canary CopylSite Notice