HomeMy WebLinkAbout2007-P11222 - water softner PERMIT
�IT'Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11222
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 7/17/2007
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 Permit 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 Ctistom 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATCJRE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
., �.
� FO[t CITY L'SE ONLY �
City o1 Orono ` Dau Received: �m'°t� (
�'��O� P.O.Box 66
O�- 2750 Kelley Parkway � APProv�By. Amount S: I
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CITY OF ORON4-PLL'MBING PERMIT
(Afl Commercial permiu must lx approved by the Building Official or Inspeeror)
GENERAL INFORMATION
W 1, You may appiy for plumbing permits by mail or in person at the City affices. Aprl�cations will be
reviewed and a permit w+li he issuad within two wOrking dsys.
2. Ptrmit cards will be scnt by return mail efter a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK M�'ST NOT B�GIN ;?NTIL THE
PER} IT GARD 1S POSTED ON THE JO�SITE.
;. Ptumbing permies may be issued O1VLY to l�censed plumbing contractars and to property owners
residing in the dwetling.
4. When any new constructi�n or rerr;odeling is involved,a separate bu:tding permit must be
obtained.
5. All work must be done in accordanc�with State Code require�r,ents.
6, Al{ work must bs inspected and air tested before it is covered. Call(952)249-4600.
(Z4-48 hour notice rrquired)
TYPE 4F PERMIT
�
{Check A]I 1"hat Apply) i
,,�Rosidential ❑Commerciai(Approvat Required}
�tv,, ❑Additianal ❑Repairs ❑Replace
❑ ln Accessory Structure?
"You wi41 need arior aoorovat and may need�.(Per Oro�10 City Code,Chapter 78,Articie IV)
Job Sitc!Owner Information:
Site Address: �S��o S�'`0t�- �^° D^`"Q- --
Own�r. '�'�o�► �ro��'z-1�-"� '.Viailing Address:
City: Zip:
Home Phone: Alternate Phone:
�� Contractor Inforrnation:
Contra�tor: 1`���d s ����-��Sys���ntact Person: �.'��
Address: �l2( �cc..Qis►of ��� '�20�' State Bond #: 0003$� we
City: S�'�`^�s ��1� _ Zip���'�' Expiration Date: � z•3�'��
Phone: q��-�i����" Aiternate Phone: ,
� lnsurance-Current:
1
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�. PLUIvIBING FIXTURES $EING INSTALLED
FIXTURE BSMT 1 2 + OTHER FIXTURE BSMT 1 2 ' OTI�R i
TYFE FL FL � 'I'YPE FL FL
i j
; Water Clcset Floor Drains
Gavatory Sewer Ejector '
i
Bathroom � Laundry Tray
� 4
1� Shower f � 4 Washer
, Kitc���k i � � Water Heater
� � �
Disposa! i V1'ater Softener ; ' y
Dishwasher VVet Bar � �
Silicocks Misccllaneous ! �
t
_; >PERYIIT FEE CALCiJ�ATIdN(5) ;�
� : h BASEA OF� -20Q2 STATE S'�ATUE . .'
� Yes,this section applies
The rtplaczment of a Re��dentia!fixture or anatiance that meets alf:hree of the following requiremcnts:
1. es require modification to electrical or gas service.
2. Has a tatal cost of$500.0�or less;exclu ' the cost of the fixcure or app[ia.nce: and
3. ls improved,installed or replaced by the homeowne;or licensed conuactor.
Skip next section,if this applies; Cost of Pormit � �5 a
Scate Surcharge S_ •SO
Mail-In Fee(If Applicable) $ 1�
Total Permit Fee $�..Q�
(Permit Fees Continued On Next Page} ,
�
f
p�RMiT FEE CALCULATION(S)-3OBS OVER$500.40 �
If abave does not apply;follow guidetines balow:
1. �'ONTRACT PItICE ` is 1.25%of contract price with a(:Vlinimum Fee of S35.OQ)
x.0125 S
(can.roct pr�ce) {minimuT 535.00)
3. �ST�t'E SURCHARGE "' Add the State Bldg Code Div.Surchargs(.'viiaimum Eee of S.SO)
x.00Q� $ �
� (:ontract pr;ce) iminimum S .�0)
3. PUSTAGE&HA�IDLi1�G{Only on Maii-In Applications) S_ 1.50
4. TOTAL PERMIT FE�tAdd Lines 1-3 Above) s —
• * CONTRACT PRICE ar JOB CQST means the actual or estimated dollar xmaunt charged for the
pennitted work inctuding materials, tabor, profit,and other fixed costs. It is the amount to be charged
to the customcr for the work done. Cf any inaterisi,equipment, ►abor or installations are fumished by
the awner,tenant ar any other party,the reasonabie market value of such �terns must be added to the
estirnated cost or contract prica for permit fee purposes. In the event that there is a dispute on the
amount of:he job cost, the City may request the submission of a signed copy of:he actuat contract.
• '"" The STATE SURCHARGE is .00QS of the contract price under 51,004,OOU or$.50–whichever is
groacer. For valuations over$1,000,000 call the Building Department at{9'.2)?49-4600 for the price.
; �_ , . , PY.UMBINCx�PERMIT APPLICATION AGREEIvIENT`:: ' _
The undersigned hereby appiies to the City for issuance of a Pfumbing Permit, agrees to d� alt
work in strict accordance with the ordinances of the City and the regulations of the 5tate of
Minr,esota, a.nd certifies that aIl statements made on this application are complete, true and
corcect.
Applicant's Signature: Date: '}�$,�}'-
� Reset Form
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