HomeMy WebLinkAbout2007-P11456 (plumbing-fixtures) PERMIT
CITY �OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11456
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
9/17/2007
SITE ADDRESS: 3165 Casco Cir Unit#
Wayzata,MN 55391
PID: 20-117-23-43-0026
DESCRIPTION:
Proposed Use: Religious
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 va�uation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Appliance Connections OWNER: Sandra Logelin
1313 Danita Cr. 3165 Casco Cir
Shakopee,MN 55379 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 UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
FOR CITY USE ONLY
� �p� City of Orono
` � O O P•O.Box 66 Date Reccived: Pemvt#
2750 Kelley Parkway
' � • � � ; fi � Crystal Bay,MN 55323 Approved By: Amount$:
� (952)?f39-4600
CITY OF ORONO—PLUMBING PERNIIT
(All Commercial perauts must be approved by the BRilding Official or Inspec[or)
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GE:NERAL INFORM�ITION
1. You may apply for plumbing pemuts by mail or in peison at the City offices. Applicarions will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. W4RK MUST NOT BEGIN UNTII.THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new constiuction or remodeling is im�olved,a separate building permit must be
obtained.
5. All woiic 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 PERNIIT
Check'All That A 1
Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs eplace
❑ In Accessory Structnre?
*You will need vrior aauroval and may need CUP. (Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
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Site Address: �� �=1 ��'��� �% � ��
Owner.
���'�I � �ti����5 i� Mailing Address: '�>��.Y� �u�� ���
City: L�i� Zip: � , �� �
Home Phone: l� ��► � (.4'(�� ` ��� � Alternate Phone:
Contractor Information:
Contractor: Con ct Person:
pp ance onnections�nc
Address: 1313 D8111te CKState Bond#: �
Shakopee, MN 55379
City: p��,��03 Expiration Date:
• . . ,.
Phone: Alternate Phone: � '
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❑ Insurance—Current:
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_.,: �'r F�KTURES BEING�INS � '
FIXTURE BSMT 1 2 OTHIIt FIXT[JRE BSMT 1 2 OTHII2
TYPE � FL FL TYPE �. FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal ��'ater Softener '
Dishwasher Wet Bar
Sillcocks Miscellaneous
,
��:<����:������`��'��.�BASEU'OFFE 2002 TATETSOTATUE y,. .
][� Yes,this section applies �
The replacement of a Residernial fixture or appliance that meets all three of the following requirements:
1. Does not require mociification to electrical or gas service.
2. Has a total cost of 5500.00 or less;excludinQ 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 S .50
Mail-In Fee(If Applicable) $ 1 50
Total Permit Fee $�
(Permit Fees Continued On Nezt Page) � . ,�'
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