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Home My WebLink About2007-P11762 (plumbing: water softener) PERMIT CITY OF ORONO Permit Number: 2750 Kel ey Parkway - PO Box 66 P11762 Crystat Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 12/18/2007 SITE ADDRESS: 3295 Carman Rd Unit# Excelsior,MN 55331 PID: 20-117-23-14-0014 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: Water Softner&Carbon Filter FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Clear Water Systems Inc. OWNER: Mr. &Mrs. Thomas Lowe 1519 148th Ave NW 3295 Carman Rd Andover,MN 55304 Excelsior MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OP ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �, � C, ✓� ��,, � ��- APPI,ICANT PERMITCE SIGNATURE � ISSUED BY SIGNATURE Copies: 1-File(Signatures Reyurred), 1-Applicant, 1-Monthly Reports, I-Assessing(If Septic, 1-Septic) Page l � � PERMIT CITY OF ORONO Permit Number: 2750 Kell`y Parkway- PO Box 66 P11762 Cry�stal Bay, Minnesota 55323 Permit Type: Plumbing water Meter (952) 249-4600 Date Issued: 12/18/2 007 SITE ADDRESS: 3295 Carman Rd Unit# Excelsior,MN 55331 PID: 20-117-23-14-0014 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Plumbin Water Meter Permit Sub-type(s): Water Softner Permit Type: � DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Water softener and carbon filter FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Clear Water Systems Inc. OWNER: Mr. &Mrs. Thomas Lowe 1519 148th Ave NW 3295 Carman Rd Andover,MN 55304 Excelsior MN 55331 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. l ICANT PERMI 'E SIGNATURE ISSUED BY SIGNA'fURE Copies: I-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 «• . / FOR ITY USE O�TLY ,��, City of Orono /�., . � � O, O P.O.Box 66 Date Received� � � ennit#�//7�/ �;�,,,, 2750 Kelley Parkway ��'�r�.�;'�� 1�,) Crystal Bay,MN 55323 Approved By: Amount$: \��o��oe (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION L You may apply for plumbing permits by mail ar in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 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. 5. All work must be done in accordance with State 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 �Residential ❑ Commercial(Approval Required) ,�Vew ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need urior approval and may need C�UP. (Per Orono City Code,Chapter 78,�Article IV) Job Site/Owner Information: Site Address: �2�-�_ �i¢��r.�� p=-��' �� Owner:/�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor��A/�u-�� J�JSt`r�� Contact Person: �rr� ��- Address:/S"��j /�g�� t/r.� State Bond #: f,J� ` 3�3 City: ii��vvc�-L Zip:SS�o�/Expiration Date: ��.�/ v �7 Phone: 7(��f- U4��S' Alternate Phone: ❑ Insurance-Current: 1 . •. � . �`��.;,.�� ,��`�� y� �` M '�.��FIXTURES BEING INSTALLED ` �� ,,,,, ;s ��• FIXTURE BSMT ] 2 OTIiER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks iscellaneous 01Jlr�`-- .� L��-- PERM11'F'EE CALCULATION(S) � � � BASED OFF — 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a pliance 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; excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ti k �w . d . , � � � >. � � � . �, �' r�` .: . � ; � �i 4 ,�� ; _ ..n..�, _.�..� a � � " p . � » „«. ... 1 �� ._� , �i. . <v. . inr ..a.., ..�... � a-4.m '�« . � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��n�— x A 125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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 installations 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 reyuest 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 Building Department at(952)249-4600 for the price. � � � N..� '�� :��. � � � „� �r �- +�, 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 st ments made on this application are complete, true and correct. Applicant's Signature• Date: � l� ��_ ��G�Irylll�� I� ��4s1 �'VI}II � � �el�"�' I� 4 3