HomeMy WebLinkAbout2006-P09653 - water softner . PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09653
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 3/8/2006
SITE ADDRESS: 775 Brown Rd S Unit#
Wayzata,MN 55391
PID: 03-117-23-34-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.60
TOTAL FEE: $ 37.10
APPLICANT: Bergerson-Caswell Inc. OWNER: Mr. &Mrs.Peterson
5115 Industrial St. 775 Brown Rd S
Maple Plain,MN 55359 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 SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT�ECEIV�r
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 MAR 0 8 z0��
GENERAL INFORMATION CITY OF OI��.
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU
RECEIVE A PERMIT. WORK !�1L'ST NOT BEG[N UNTIL THE PERMIT CARD [S POSTED ON THE JOB
SITE.
3. Plumbing permits may be issued OIVLY to licensed plumbing contractors and to property owners residing in the
dwelling.
4. When any new construction or remodeling is invola�ed, a separate building permit must be obtained.
5. All work must be dode in accordance tivith the State Code requirements.
6. Ali woric must be inspected and uir tested before it is covered. C�ll (952) 249-4600. 24-hour notice reyuired.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Please check one: New Addition Repair Replace
_� Residential Commercial
JOB S[TE: � �-� C�/t-�YLf� Zip:
Owner's Name: ���_ ,� Telephone Number:
Mailing Address: City: Zip•
Contractor's Name: e ,c - ���� "-�.��. - Telephone Number: ��3-y7c�3jz/
Mailing Address: -S//S � City�Y'� -�� ,��� Zip: SS 3
PLUMBING FIXTUR£ SCHEDULE
FIXTURE BS��IT 1 ST 2ND OTHER FiXTURE BS,1�1 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Fioor Drains
Lavatorv Sewer Eiector
Bathtub Laundrv Trav
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener �
Dishwasher Wet Bar (
Sillcocks Misc list
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PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or ap liance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of $500.00 or less; excludin� the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit � 15.00
State Surcharge $ .50 %-d
�Nail In Fee � 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of f$35.001
a/S�.�7o x .0125 � �,j �'
(contrac: pricej (minimum $35.00)
2. State Surcharge. ** �dd the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $ % � �
(contract pricei (minimum$.�0)
3. Postage and Handling (Onlv mail-in applications) � 1 .��
4. TOTAL PER'VIIT FEE (Add lines 1-3 above) $ '-� 7 ��
* CONTRaCT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work
inc;uding rnaterials, iabor, prcfit, and e:hF'� fi�ed costs. It is the amoun! to be charged to the customer for the ;vork
done. [f any materiai, equipment, labor, or installation are furnished by the owner, tenant or any other 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 re�auest the submission
of a signed copy of the actual contract.
** The STATE SLRCHARGE is .0005 of the contract price under $1,000,000 or $.�0 - �.vhichever is greater.
For valuations over$•1,000,000 call the Department of Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agree� to do all work
in strict accordance with the ordinances of the City and the regulations of the State rf :4linnesota, and
certifies that all statements made on this application are compiete, true and correct.
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App(icant's Signature: vJ r ���v�� Date: �� , �6