HomeMy WebLinkAbout2006-P10074 - vacuum breaker PERMIT
CITY.OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10074
Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker
(952) 249-4600 Date Issued: 7/6/2006
SITE ADDRESS: 2505 Old Beach Rd Unit#
Wayzata,MN 55391
PID: 21-117-23-22-0018
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: Permit 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: Mr.&Mrs.Sherman
3410 Kilmer Lane N 2505 Old Beach 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.
APPLICANT PERNIITEE SIGNATURE &SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
1 � 1
�Cersr>las>�olvr. �
0� d►O City of
Orono Hato 13eodved Pen a
2750 Kelley ra&way
Crystal Bay,MN 55323 Appmved By; Amount$:
(952)249.4600
MY OF ORONO`—PLUMUNG PERMIT
(AH Comm=W permits must be approved by the Builft OffisW or Iospet oar)
GENERAL INFORMATION
1. You may apply fix plumbing Permits by mail or in ptason at dw City offices. Applitatlona wtU be
reviewed and a pwmit will be issued within two wmldag days.
2. Permit cards will be acet by return mail ager a review is cAmgietod. PERMITS ARE NOT C
VALID UNTIL YOU RECEIVE A PERNUT RM AM Mf
PERMIT CARD IS POSTED ON THE M WL
3. Plumbing permits may be issued ONLY to licensed plumbing conuactom and to per►owners
residing in the dwelling.
zt .
4. When any new conshuction or remodeling is involved,a separate building permit must be
t obtained.
5. All work must be done in accordance with State Code require
6. All work must be inspected and air tested bd=it is covered. Call(952)249-4600.
(24-48 hour nodee required)
Y{' TYPE OF PENT
w Cheek AUThat ly
Rewidential ❑Commercial(Approval.Required)
❑New ❑Additional ❑Repairs Replace
r
In Acommy Structure?
" *You w M- need Drier as=MW and may need OR.(Per Orono City Code,Cir 78,AW M v
Job Site I Owner Information:
Site Address: S(�c—
Owner. j-�v Mailing Address: Z�U S� Ut� c `koad
,x< City: Oru, o Zip: SS i C
y ,
Home Phone: ��� —� �� Alternate Phone:
Contractor Information:
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Contractor. la � S lea^,r Coact Person: tel`✓w (n
Address: �e lv - L � State Bond#:
C h Zi •GSgq I irataon Date: f -
•fi
22
Phone: Alternate Phone:
Insurance—Current
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FIXTURE BSMT lur fw OTHER FIXTURE BSMT 1 OTHER
TYPE FL FL TYPE FL FL j
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Trap i
Shower Waste
Kitchen Sink WaterHeater
Disposal Water Softener
k.
Dishwasher Wet Bar
'Sillcocks Miscellaneous
t
Yes,this Section applies f
The replacement of a Residential fixture or anoliaace that meets all throe of the following ;
�x 1. Does not require modification to electrical or gas service. k
- 2. Has a total cost of$500.00 or less;gxcludins•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 $ is
State Surcharge $
Mail-In Fee(If Applicable) $ l Jo
Total Permit Fee $ J:7,oo
a.
(Permit Fees Continued On Nut Page)
ii
Itabo*does notapply;follow guidelines below:
1. 'C—ON—MCT PRICE •is 1250/6 of contract price with a(Mtntmum Fee of$35.00) ;.
•
x.0125$
(amu Pico) (mhdmwn$35.00) g,
Z. STATE SURCHARGE ••Add the Stats Bldg Code Div.Surcharge(Minimum Fee of&"
X.0005 $ u1
(Cmftd Price) (Mh&O M$ .30)
3. POSTAGE fit HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
* '
01*IRACr PRICE or JOB COST means the actual or estimated dollar amount charged for the
pfd work including materials,labor,profit,and other fixed costa. It is the amount to be charged '
to duo QWDM for the work don. If any material,equipment,labor or installations are furnished by
the;owO,tint or airy other per►,the reasonable market value of such items must be added to the
est MWd Cost or contract price for permit fee purposes. In the event that there is a dispute on the
W8000-of the job cosy the City may request the Mission of a signed copy of the actual contuaat.
• ' "Tho STATE SURCHARGE is AM of the contract price under$1,000,000 or$.SO-whichever is
4 i3 •_For valuations over$1,000,000 call the Building Department at(952)2494600 for tae price. �
TIM und0ftned 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
Mid and certifies that all statements made on this application are complete, true and
correct.
�` Applitnt'tz 3igtrabure: �� Date: i%a—ZC1-0(�
a
i
3
1--r TIME\ �1CITY OF ORONO CALLEDININSPECTION NOTICE SCHEDULED 49� r
PERMIT NO. 2 f 74 COMPLETED
M��PL''ETE,D
ADDRESS o J506 e)t a Yd�C4_
OWNER CONTR. tt
Q/
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TELEPHONE NO. `6 3 `LIN �L L
DESCRIPTION V
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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-FINAL 15 SEPTIC INSTALL. 'r.i 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUMBING FINAL f - 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/ContplAr oite:
Inspector.
White Copylinspector's 'Ie Canary Copy/Site Notice