HomeMy WebLinkAbout2007-P11042 - water softner PERMIT
�CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P11042
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
5/23/2007
SITE ADDRESS: 1860 Shoreline Dr Unit#
Wayzata,MN 55391
PID: 10-117-23-42-0004
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Pernut Type:
Fixtures Pernut Sub-type(s): Water Softner
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: Richard's Custom Water OWNER: Troy Broitzman
6121 Excelsior Blvd.#206 1860 Shoreline Dr
St.Louis Park,MN 55416 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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TPL ANT PERMITEE SIGNATURE ISSLJED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
, _�
r FOR CITY USB UNLY
City oi Orono
�"�� P.O.Box 66 DaGe Received: Permit q
�� � 2750 Kelley Parkway
�y; a., Crystai Bay,MN 55323 Approved By: Amount S:
�j,���{•�� {952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be epproved by the Building Ot�lciel or{nspecror)
GENER.AL INF�RMATION
1. You may apply for plumbing permits by mait or in person at the City offices. Applications wi{I be
reviewed and a permit will be issued within two working days.
2. Permit cards wiil be sent by retum mail after a review is completed. PERMITS ARE NOT
VALCD UNTIL YOU RECEIVE A PERMIT. WORK MUST1�10T BEGIN UNTIL THE
PERMIT CARD iS POSTED ON THE JO��IT�
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to prcperry owners
residing in the dwelling.
4. When any new constraction or remodeling is involved,a separate building permit must be
obtained.
5. Ali work must be dont in accordance with Siate 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
,�tesidential ❑Commercial(Approval Required}
�ew ❑Add:tional ❑Repairs ❑Replace
❑ :n Accessory Structure?
*You will need orior souroval and may need CUP.(Per C2rono City Code,Chapter 78,Article I��)
Job Site/Owner Inforrnation:
SiteAddress: 18(eo �bc�.l� � �� —
Owner: �r o N �cb'��rz r�J Mailing Address:
Ciri: Zip:
Home Phone: Alternate Phone:
Contractvr Information: _
Contractor: �►���s C�-lu��.Ja�-eiSys�ar�ontact Persan: �+� �__�—
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Address: (o1z� ��'� Q�'d �'''zDb State Bond#: 000382 We-
Ci S'r L°u,s Qak MN Zi Ss�f)b Ex iration Date: tz-31-v�'
ty: P��_ P
Phone: °t5Z �'Z�.�zou Alternate Phone: Qu--�-`fa'�'��'°
� Insuc•ance-Current: e,�-�.4Dus ��les1 �a��
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� : � . :;, , PL'ZJMBING�IXTURES"BEll�`G INSTALLED . . �' • : ;' ''
F1XTf1RE BSMT l 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL ; TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
' Shcwer Washer
� Kitchen Sink V►�'ater Heater
Disposal Water Softener
Dishwasher Wet Bar I '
Sillcocks Miscellaneous
�' '� � ;P£R�'V�IT F£E CA�.CUT:ATI��T�S) , � `' '" �: , �
� '; ':� � F�ASED OFF 2002 S�"ATE�'S'�'ATU£ '� .� , ', � �;�
� Yes,this section applies
The repIacement of a�tesidential fixture or appliance that meets all thrte of the following requirements:
1. Qaes not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exclu i the cost of the fixture or appliance; and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skig next section,if this applies; Cost of Permit $ ]5,00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee S� 1�-.0�
(Permit Fees Continued On Next Page)
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� .:`�ER11�TT�E�Ct�Z,CULATiON S -,3.OBS OVER$500.�0 �
If above does not apply;follow guidelines beiow:
1. CONTRACT PRICE '' is 1.25%of contract price with a(Minimum Fee of S3S.00)
� +� x.0125$
(contract pric � (minimum 535.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of S.SO}
x.U005 $
(contract price) (minimum S .SOj
3. POSTAGE&HANDLING(Only on Mai!-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Abova) S
• "` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cRarged for the
pertnitted work including materiafs, labor,profit,and other fixed costs. It is the amourtt to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished by
the owner,tenant or any othar party, the reasonabie 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 City 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—whichevcr is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
` + ;," . : P�,�3'M8 , G�ERMIT'APPLT�ATIO�+T AGREE�TENT.' . .
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al{
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifes that all statements mad on this application are comp{ete, true ar�d
correct. -� ;�
i � '
,/ ' ���D �
Applicant s Signature: G�'���` Date:
;:, Reset Fortn`
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