HomeMy WebLinkAbout2005-P09138 - water softner PERMIT
CITY Or ORONO
Permit Number:
2750 kelley Parkway- PO Box 66 P09138
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 9/2/2005
SITE ADDRESS: 1265 Bracketts Point Rd Unit#
Wayzata,MN 55391
PID: ll-117-23-32-0010
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:
Also 2 Iron Filters and 1 Reverse Osmosis System
FEE SUMMARY: Permit Fee: $ 102.50 Valuation: $ 8,200.00
State Surcharge Fee: $ 4.10
TOTAL FEE: $ 106.60
APPLICANT: Clearwater Systems OWNER: Roger O'Shaughnessy
1519 148th Avenue NW 10562 Estate Drive
Andover,MN 55304 Eden Prairie,MN 55347
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL(MPROVEMENTS 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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GRMITEE SIGNATURE [ SUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
FOR C[TY USE ONLY
- 0,�` City of Orono
. O� `rO P'O•B°x 66 Date Received: Permit#
�,;,y„ 2750 Kelley Parkway
a �j'�'?�f'? � Crystal Bay,MN 55323 Approved By: Amount$:
����o�.$o� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial peiYni[s must be approved by the Building OFficial or[nspector)
GENERAL INFORMATION
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 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 conh�actors and to property owners
residing in the dwelling.
4. When any new conshuction 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 ly)
�Residential ❑ Commercial(Approval Required)
� New ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
�Job Site/ Owner Information:
Site Address: ����i������� j��
Owner� �i'�'��'. Mailing Address:
City: ��lh��-� Zip:
Home Phone: Alternate Phone: �-�� ��7 8
Contractor Information:
Contractor:�-�/�,�wsfl��-.� , Contact Person: � � ��")
Address: �'r9 /�`"8��•.�w State Bond#: 6�
City: /�`�""�v�� Zip:���/ Expiration Date:
Phone: Alternate Phone: �Lj�.�`�'���5
❑ Insurance— Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
B athtub Laundry Tray
Shower Washer -
Kitchen Sink Water Heater
Disposal Water Softener �Z_
Dishwasher Wet Bar
Sillcocks Miscellaneou
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that meets all tlu•ee of the foliowing requirements:
1. Does not require modification to electrical or gas service.
2. 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 contractar.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Pernrit Fee $
(Permit Fees Continued On Next Page)
2
' PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
��L91� � x .0125 $
(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) $
■ * CONTR.ACT PRICE or JOB COST means the achial or estimated dollar amount charged far the
pemutted work including inaterials, 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 puiposes. 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.
6 ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50—whichever is
greater. For vahiations 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 far 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 s ments made on this application are complete, true and
correct.
Applicant's Signatur Date:
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