HomeMy WebLinkAbout2007-P10699 - water softner PERMIT
CITY CyF ORONO
2750"Kelley Parkway- PO Box 66 Permit Number: P10699
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
1/18/2007
SITE ADDRESS: 2585 Dunwoody Ave Unit#
Wayzata,MN 55391
P��� 20-117-23-21-0032
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: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Richard's Custom Water OWNER: James&Amy Dailey
6121 Excelsior Blvd. #206 2585 Dunwoody Ave
St. Louis Park,MN 55416 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 [ ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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, FOR CITY LiSE UNLY
�'��-��t` City of Orono
/ 4 `r```� P.O.I3ox 66 Date Received: Pennit#
�`� �' 2750 kelley Parkway
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��a �'�t'�'�'���'�. �� Crystal Bay,MN 55323 Approved By: Aimount$:
�`�'°r{���yo�i (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Buildin�Official or Inspector)
GENERAL INFORMATION
l. You may apply for plumbing permits by mail or 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 retu�7� mail after a review is completed. PERMITS ARE NOT
VALID Uiv`TIL YOU R�CEIVE A PERMIT. WORti MUST NOT BGGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOI3 SITE.
3. Plumbing pennits may be issued ONLY to licensed plumbing contractors and to propercy owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building pennit 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)
[�"New ❑ Additionai ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior anaroval and may need CUP.(Per Oroilo City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: �S�> �•,� .•�� C�.. ��� c;.�,
Owner: J;:., ��.;t=���1 Mailing Address: � � -� k-
City: Zip:
Home Phone: ��i S � - �1 ��f'� ` � % Alternate Phone:
Contractor Infoi-�nation:
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COIltC1CtOC: 1l��-�`�l�S ��tS�r-.tivt�l�'-" ��% CO11t1Ct PeCS01l: L�•�-.�y-�t ' .• r.�� ��C_,; ,�
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Address: �i�i ��u�ts���•, ��.���� " 2`'�`' State Bond #: ..�' :�.�1 2��
City: �� �•������ ��, K Zip: sS`1��' EYpiration Date: ►L-3`�-V �-
Phone: i S t `j��� � +"�--•� Altecnate Phone: `�s t-Zy�—u�l"�U
� Insurance—Cucrent:
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PLUMBING FIXTURES BE1NG INSTALLED
FIXTURE BSMT 1 2" OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitche��Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcochs Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets alt three of the following requirements:
1. Does not require modification to eleciriczl or gas service.
�. 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 licensed contractor.
Skip next section, if this applies; Cost of Pennit � 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50 ��
Total Permit Fee $ CC.
(Permit Fees Continued On Next Page)
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PERMIT FEE CALCLTLATION S `—JOBS OVER$500.00
If above does not apply; follow guidelines below:
L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x .0125 $
(contract price) (ininimum$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Nlinimum Fee of�.50)
x .0005 �
(contract price) (minimum$ .�0)
3. POSTAGE&HAI�'DLING(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 reasonab(e 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$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Pennit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: %� '� � � Date: I -I S o"�
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Reset Form
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'MINNESOTA DEPARTMENT OF LA$�R AND INDUSTRY - BONDING AND INSURANCE CER7YFICA`iE
This i� to certify t�iat Richard T. Grassie water conditioning confiractor
License No. WC000382 repre�enting Richard Grassie, Inc. DBA Richard's Custor�
Water Systems, has fiied a $3.00U bond with the Commissioner of Labor and
Inc�ustry on December I3, ?_006 and p�rc�vi�led evic�e��ce of Public Liability
Ir�surance, i ncl udi ng Praducts l.i�bi�7't���r�s�r�nGe of at 1 east �50,000 per
person and $100.000 per oceurr'PT1CP, and, Pr�ope�rty.�flamage Insurance of at ieast
g70,000 for the year 2Q07 in acc�rdance witfi� the provisions af Minnesota
Statutes . Section 32e.b0? (19$0) .
BCND N0. 277286 PC�tIC�' J�p. CT23Q5972-01
A,rr�er;can Cor�tractors Indemn-ity In�egrity MUtual Insurance
Los Angeles. Califorriia Jewel Less,m�n, Minnesota Agent
�1R RICHARD T GRASSIE �t � Pa�al . M�.nnesota
RICHARD GRASSIE , INC. uBA RICHARD'S
CUSTOM WATER SYSTEMS
6121 EXCELSIOR BLUD. . N0, 2G6
ST. LOUIS PARK MN 55416 Scott Brener, Comrrrissioner
.
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�IttttEg�A �f�t'�tttftl� �f �A�OT d1t�f �It�t� �lcntt,e�at� �9e�arbttent af"�bnr artD 3ftt�ugt
PLUMBING UNIT ' PLUMBING ZPNIT
44� LAFAYBTTE ROAD NORTH, ST. PAUL, A'IDT 55155-q343 443 LAFAYETTE RQAD I30RTH, ST. PAUL,
Water Cnnd. Contractor License Water Cand. Contxactor License
LIGENSE NO 044382WC I LIGENSE NO 000382WC
��'Richard T. Graeaie ��' Richard T. Graseie
6121 Excelsior Boulevard ���.�yED�� ���p��
Suite 206
Miss,neapolis, MN 55416 Ol/O1/20d7 12/31J2007
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I EfFECTIVE DATE EXPIRATIOM OATE
� a�/oi/2oa� 12/31/200�
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