HomeMy WebLinkAbout2006-P10209 - vacuum breaker � PERMIT
�IYY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10209
Crystal Bay, Minnesota 55323 Permit Type: VacuumBreaker
(952) 249-4600 Date Issued: 8/14/2006
SITE ADDRESS: 850 Partenwood Rd Unit#
Long Lake,MN 55356
PID: 08-117-23-21-0009
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:
RPZ Valve
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: E.W.Day Plumbing&Heating OWNER: Robert&Joyce Humboldt
520 Brimhall Avenue 850 Partenwood Rd
Box 294 Long Lake MN 55356
Long Lake,MN 55356
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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APPLICANT PE MITEE SIGNATURE I SUED BY SIGNATURE
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Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CTI'Y USE ONLY
:,¢p� City of Orono
P.O.Box 66 Date Received: Permit#
��, � i� 2750 Kelley Parkway
p�'M• Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Ofticial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMTT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing 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 building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
Q Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: gso Panenwooa xoad
Owner:Humboldt Mailing Address:
Long lake 55356
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Home Phone: (9s2�a�i-s�a9 Alternate Phone:
Contractor Information:
E.W.Day Plumbing JeffJohnson
Contractor: Contact Person:
520 Brimhall Ave 23310580
Address: State Bond#:
Long lake 55356
City: Zip: Expiration Date:
PhOrie: �952)473-8403
Alternate Phone:
❑ Insurance—Cunent:
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FIXT'URE BSMT 1 2 OTf�R FIXTURE BSMT 1 2 OTf�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Sillcocks Miscellan�us 1
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not rEquire modification to electrical or gas service.
2. Has a�c�of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeovme.r or licensed contractor.
Skip next section,if this applies; Cost of Permit $ , 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Totai Permit Fee $
(Permit Fees Continued On Nezt Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of 535.00)
?�'� x.0125$ 35.00
(contract price) (minimum 535.00)
2. S�TATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee ot$.50)
700.00 x.0005 $ 0.50
(cartract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 3S�
■ ' CONTRACT PRICE or JOB COST means the actual or esdmated dollar amount charged for the
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 installations are fuR►ished 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 peimit fee pwposes. In the event that there is a dispute on the
amount of the job cost,the City may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the contract price under 51,000,000 or$.50—whichever is
greater. For valuations over$1,(100,000 call the Building Department at(952)249-4600 for the price.
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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.
� 08/14/06
ApplicanYs Signature: Date:
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�U''AT�� M E
CITY OF ORONO CALLED IN � �
INSPECTION TICE Q SCHEDULED ���� �
PERMIT NO. ��D�% COMPLETED
ADDRESS ��� �C- 2�
OWNER CONTR. � `�
TELEPHONE NO.
� DESCRIPTION \:-r�� ��/ Z U
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑ ORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 24J-46��
Owner/Contr on ite:
Inspector. �
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