HomeMy WebLinkAbout2007-P11463 - water softner PERMIT
CITY�OF ORONO Permit ►vumber:
2750 K�Iley Parkway- PO Box 66 P11463
Crys��l Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
9/18/2007
SITE ADDRESS: 127 Chevy Chase Dr Unit#
Wayzata,MN 55391
P��� 36-118-23-41-0019
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: Appliance Connections OWNER: Jeffrey&Elizabeth Jacobsen
1313 Danita Cr. 127 Chevy Chase Dr
Shakopee,MN 55379 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIC�FL'AMi?L.12�N�,�,1�VITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU[LDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, l-Septic) Page 1
FOR CITY USE ONLY
, O,�p�O City of Orono
, ` � P.O.Box 66 Date Received: Pemut#
2750 Kelley Parkway
��. , 1 � Crystal Bay,MN 55323 Approved By: Amount$:
(932)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Bqilding Official or Inspedor)
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GENERAL INFORM�ITION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued witliin two working days.
2. Pernut cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD LS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is urvolved,a separate building pernut must be
obtained.
5. All wodc must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
sidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs eplace
❑ In Accessory Strucd�re?
*You will need nrior auuroval and may need CUP. (Per Orono City Code, Chapter 78,Article I�
Job Site/Owner Information:
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Site Address: � , � � �0� �
Owner�.lC `-��l ( ' Mailing Address: �� �` � � (� ��.
City: �I ���� Zip: w} �� +
HomePhone:� ��� �/�,1�(��� AlternatePhone:
Contractor Information:
Contractor: ������Person:
qpp ance
aaaress: 1313 Danita CcSta e Bond#: �
Shakopee, MN 5537�
City: 0�9„��.�Q$Expiration Date:
Phone: Alternate Phone: � ' ✓
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❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHIIt FIXTURE BSMT 1 2 OTHIIt
TYPE FL FL TYPE �. FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Baihroom Laundry Tray
Shower W��r
Kitchen Sink Water Heater
Dis�sal � ;L1�.ter Sof',e:ze:
Dishwasher Wet Bar
Sillcocks Miscellaneous
`• �;�;'", �`. `�" �'��R.,��'�E�..CALCULATION(S),
������� . ASED.OFF =2002 STATE�STATLTE �*'
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Yes,this section applies
The replacement of a Reside�ial fixture or appliance that meets all three of the following requirements:
1. Does not require moc�ification W electrical or gas service.
2. Has a t�os of 5500.00 or less;excludins the cost of the fixture or appliance: and
3. Is im.�,:ov:,d,::,stallzci or reglace3 t-,�i;�e uomeowner or Iicensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .so
Mail-In Fee(If Applicable) $ 1,50
Total Permit Fee $�
(Permit Fees Continued On Nezt Page) ` . , d'
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