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HomeMy WebLinkAbout2008-P12054 - water softner PERMIT CITY,OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12o54 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/9/2008 SITE ADDRESS: 1500 Bohns Pt Rd Unit# Wayzata,MN 55391 PID: 09-117-23-33-0005 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Softner DETAILS: Approved perresolution#: 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: Robin&Trudy Parker 6121 Excelsior Blvd.#206 1500 Bohns Pt Rd 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. APPUCANT PERM[TEE S[GNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY O¢p�,O City of Orono P.O.Box 66 Date Received; Permit# . 2750 Kelley Parkway � �,a''� R Crystal Bay,MN 55323 Approved By: Amount$: � � � �o`� (952)249-4600 `�asxua CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. 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 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 wark must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice reqaired) TYPE OF PERMIT Check All That A I �'Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: � �C:'C-� (�,� � ^ � �(��� � 1"c. � ;�� ��c�cl� Owner: ��:. �� �F�( Mailing Address: city: �� �f c ti*��� zip: � �;.���l � Home Phone: Alternate Phone: Contractor Information: � _ i � � ` �- � (c�r Ss;, .�� Contractor: ���:s-r .S �.�S �i�t�- Contact Person: o ; k���. �f � + Address: (� 1 .')�t ��C c�S;�r_�'(f c l State Bond#: I C�i:���`7 S�%,��) #.���: City: Zip: S 5`I I�Expiration Date: 1•'��� j ��� � Phone: Alternate Phone: �] [nsurance—Current: 1 .� PERMIT FEE CALCULATION 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) (minimuiri$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee 5.50) x .0005 � '�' � (contract price) (minimum$ .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 fumished 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 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 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 statements ,ta�de on this application are complete, true and correct. ` � ,; ,� ���,' r ���`�, Applicant's Signature: Date: -� l r1 /� / � " Reset Form 3