HomeMy WebLinkAbout2007-P10769 - water softner PERMIT
CITY JF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o769
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
2/14/2007
SITE ADDRESS: 920 Brown Rd S Unit#
Wayzata,MN 55391
PID: 10-117-23-12-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Richard's Custom Water OWNER: Jay Hulbert
6121 Excelsior Blvd. #206 920 Brown Rd S
St. Louis Park, MN 55416 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISS(ON 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.
C���-�'�l �
APPLICAtiT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: l-File(Signatures Required), l-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
_ r'�`--' Fc��crrti�ust nMr.Y �
�City ai Orc�no � �
'� '� P�.Bax C�i i Daee Rmctivecl` _�- P�rm�t f� �
0^. � 2750 Keitey�'ukwxy
� y��t '��:.� Cryoai Hay,rhl:Ss323 i wFpro�ad By. Amourx g .�_____.�
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cxr�r �� r�txoNo-��t�LY�s��r� ����rT
(A)1 Commercirl perm�u mwct br aqf+rovsd by uae Buildfa+g OPf�eiil o+r tnspectorl
; G�NE�tAi. INFOFtP�L�,TI0�1 _ �� �
l. You may apply for pis�mbing perrs�ics bp mail or in pers�n at the Ciry offtas, Applications wi11 bt
rtviewcd and a�errnit wili be issued wic'�in e�ao workin�days.
2. Ptrmit carQs wi16 be sent by netum +na;'s aftor a review is coanplated. P�RMITS�RF NrJ7
V�,L.ID !!N7'IL YOl�` REC�iVE A PER'�f�T. ���M'��7 NOT$E�aN l'N'Y'IL THE
�+�.�S,�,C'A�t3 !�F'Os,T�,t�4ti'TH�3�'?B 5IT�e
3. Plwnbing pertn4te rtay bt issutd ON1,Y ta 1�censed pi►�mbing c:u�tr�tors ar,d to propt�ty owncrs
rtsidin�in the dv,�ciling.
4. When any nrw�onstructior�mr romod�tiasg is invulved,a seprrate buiidin(�psmiit mus~ he
obtaine�
S �41i wurk must be dane in sccordanGe with �tate�ade rtquiremenu.
6. Ail wark must be inspectsd at�d air teAted baf�re ir, is covtcod. Calf (9`2):49-4600.
��4-48 hour��+�tica reyuired}
�` T`�PE flF PE�RMTT
� .��...._.. iCheck All That APP1Y) -..-J
�]�Rts'.dential ❑Commtrcisl (,�ppr�val Requirad)
��'vdw ,�Additic�nal ❑RGpain [)Replsce
i� lri Accessc��y SiruCt4re"
�y�u wi1��tc4�eio,�a�nnro��i and rnay necC�.{per Oroc�o City Cade,Chapter 78.Ar►icle tV)
Job Sit�! Gwner Tnfarma�tion: �.__�
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, ���5i"� A�dress: `�'� 2-c �;�: .u.. � S. -
C3wnrr:� ':-�-\�-:�-����� !wlaiUng Addross: - _.�
C;ity: _ b.v r�-.____� �ip: ____�
Hoyr� ph�ne: _ __�______� Alttrnate Phon�� - —
,______._...______._... �._ �`—��--�
� C;ontract�r Informat�c�n:
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Cantractcr: I��C..�g��!�_.:_�-' �� Cantact Person: --__ ____
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Ad�re�s: �v 1�1 ��t s,c� ,S\.,,� ��u� St�te Hcnd �: _2 Z�z2stc _
Ciry: ������s �c-�� 2i�s�/�_ Expiration L�ate: I z-��-�� ____
Yh�nr: �fS i -`�Z� -- �z.0�___�_, Alternate Phone: _._.._.
�1`�` Irtsu:ance�-Current:
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L._� ; PZ.UIWtBING �d�%TCJ�S �ETNG Il�'S"T'ALLED ��
; �'IXTL'RE 65MT i 2 01"�iEk�PI?tTURE BSMT � 1 �'I'H��3�
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rWuter Closct � � , Flr�cr Drz;ns ��
;l,avatory ', � �T 5ewer Ejrctoe '
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B throom�� � r"~""�.�..._ L�undry Tny f �� .
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5hower � �M—�--����—�Washer: �I
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Kit�--chtn Sink� � � V'dxter Hc�t�r �� � � �
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�C�isposa: + , V�'xter Scrftener ; �. !
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Dis� hwasher ! ._ 11'et Bar �� ' �
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Sili;.ccks ! �� �� Misccilar�eous i
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r�� ���R.�/YI"f�'£E CALCU'I,A�'Tl:OId(�) � �
� � . BA.S�I� tJ�°F -2UO2 SY"A.T'E S�ATU'E t' '�
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�i es,t�ti5 SCCtIOYt dP�+IlI"3
7'he repfatement of'a� i +i j,f xcure„�r� li n that meets al9 thcee of the foiiowing rcquircmtnts:
;. ;�„�require modit'ication te�alectrical cr ga,servia.
2. F•las a t,gtal YUst�f SSOO.OrJ�r��ss;y,�s;�;�J,i�thC C�St 6�thC fxCure UP 2ppliancC: Snw
J. Is improved, installed or r�plav�c� by che ham��waer or licensed conuxctor.
Skip next section, if this applies; Cost ofPermi[ 5._ i 5•U7
State 5u.*char�e S� .SO
Maii•In :et(If App�icablrj f I,,�.Q
Tor�.l Permit Fee S � � '�_
(F'ermit Fees CuRtinued On Nex4 {'���)
�
, p�.�vur�E�_e�ccc�„w�rroN s�-JaBs ov�ssao.00__��___�...�
1f above doee not appfy; follow�uidelines trelow:
1. CONTEtAC.T�CE,, � is 1.25p/e o�'r..ontr�cc price with a(Minimum Fee of S33A0)
x.O l25 S
(contnct pr�ce) (min�mum 535.04j
?. �TATE SliR�A,�tGE •` Add the State�ld�Codt Div. Surchar�e(:btiaimu�a�'.e of 5.�fl?
� x .0005 S _
(:onuact pricc;� (min;mum f SJ)
3. F'USTAGE&HA`VD1.IT�G(Or,ly on Mai1•In Appiic�tionsl 3� ,js�
4. "!'OTAL PFitMIT IFFF(Add Lines l-3 Aboot) S��r.�
• • CG?��T'RACT FRlCE or JOB COS? means ehe �tual �r estira�ated dollar ameunt charged for thc
�c,m.:'srted work inctuding ,�iaterisls, ialaor, praft,and ac!►er fixed costs. It is the atnount to be charged
to the cusWmer for the work dona [f eny i»aterial,oquiprs�ent, labor or insu+llations a�rc furnishsd by
the owncr,tenant or an} other party, tht reasonabie :ntrket value of such itecns rnust be added to the
esr�matrd �st or wntrsct price for permit fcc purposes. :n the event thac therf is a dispute on the
amaunc of tne.yob cost, the City may� eeq��e�t tht submission �f a signed copy of the actuai cantract,
� "° 7t►c SUTE Sl'RCHARGE� is .0005 af tht contract pr;ce under S 1,000,U00 or r.50—+�,hichever is
greaur. For raluations over�I,OOO,Od�O call the Building Dtpartment at(4�2)249-4600 for the price.
-�-•,T..._-•-r --R---.-r.-,....�___�
��. PLU��N�p�RMI'T APPL.I�AT'TON AGREBMENT.� '
"The undersigned llereby apptics tc the Ciry for issugnce of a Plumbing Pcrmit, agrees lo do alM
work in strict acedrdai�ce wi4h the ar�inancas of the City anci the rcgulations of the Stete of
Min:�esota, and cr.rtifies th�t al! stste zs made �n this application are complete, true and
�
c�rrect. � ;:�
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Applic�nt's Signature: //� ���; /` � Dnte: �-. 3'. �� _
�r,
� Rasot Form
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