HomeMy WebLinkAbout2003-P06332 - water softner � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po6332
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: s�i9�2oo3
SITE ADDRESS: 1045 Brown Rd S
Wayzata,MN 55391
P I D: 10-117-23-24-0002
D ESC RI PTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Sofiner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Clearwater Systems OWNER: Steve Vandeveire
1519 148th Avenue NW 1045 Brown Rd S
Andover,MN 55304 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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L ANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si,enitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAL INFORMATION
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 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.
Y.
� 5. All work must be done in accordance with the State Code requirements.
� 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
� . . .
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.
a
�`� Please check one: � New Addition Repair Replace
Residential Commercial
JOBSITE:/p�.S�' e�ra � �� Zip:
` Owner's Name:�Av,i ,���� �/'e� . Telephone Number:
�� Mailing Address: City: Zip:
; Contractor's Name• �,e, y,� „�Telephone Number:qL�- y 3�a 0f<S!S
�',
Mailing Address:/,�/� �f�8��•, �! l�3 City:rqn�vci'� Zip: 5g��
�':
� PLUMBING FIXTURE SCHEDULE
1
as
�
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
��: Lavato Sewer E'ector
$' Bathtub Laund Tra
�
f� Shower Washer
Kitchen Sink Water Heater
i� Dis osal Water Softener 1
!
Dishwasher Wet Bar
��� Sillcocks Misc (list)
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PEItMIT FEE CALCULATION(S)
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 totai 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
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
/�o- X .oi2s � 3�e
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minaanum Fee of$ .50)
x .0005 $ a ��
- (contract price) (minimum $ .50)
,` 3. Postage and Handling (Only mail-in applications) $ �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��
��
* CONTRACT PRICE or JOB COST means the actual or estimated 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 installation are furnished 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 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 -whichever 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, 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 s tements made on this application are complete, true and
correct.
A
Applicant's Signature: Dat •