HomeMy WebLinkAbout2006-P10594 - water softner PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10594
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 11/28/2006 '
SITE ADDRESS: 1005 Linden La Unit#
Mound,MN 55364
PID: 07-117-23-13-0092
DESCRIPTION:
Proposed Use: Residential
Pemut Class: Plumbing
Permit Type:
Fixtures Pemut 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: Michael&Kristen Hart
6121 Excelsior Blvd.#206 1005 Linden La
St.Louis Park,MN 55416 Mound,MN 55364
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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`I�Y`-�`� � � G��
APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�.IJ. . �
' �� FOR CITY USE ONL'Y
$p� City of Orono I
� �r o P O.Box 66 Date Receiwed: Permit 8
2750 Kei►ey Pa�kway !
���' r� Crystal Bay,MN 55323 I Approvad By: _ Amount S:
���,,b�- (952)249-i600 �
CITY OF ORONO—PLUMBING PERMIT
(Ail Commercial permiu must be approved by the Building Ofl�icial or l:upeceor)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the C;ty offices. Applications will be
reviewod and a prrmit will be issued within two working days.
2. Permit cards wilt be sent by return mail af�er a review is compieted. PERMTTS ARE N(7T
VALID UN?[L YOU RECE[VE A PERMIT. WORK MUST NOT B�GIN UNTIL THE
��RMIT CARD IS�,QSTED ON THE JOB SIT�
3. Plumbing pennits may be issued ONLY to licenstd plumbing contractors and to p�operty owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a sepazate building permit must bc
obtained.
5. Ali werk must be done in accordance with State Code requirements.
6. All work must bt inspected and air tested before it is cavered. Call(952)249-4600.
(24-48 hour natice required)
� TYPE OF PERMIT � �
(Check All That Apply)
,,0'�esidential ❑Commercial(Approval Required)
�'New ❑Additional ❑Repairs ❑Replaco
❑ In Accessory Structura?
•You wiil need urior aonrnvel and may'need�.(Per Orono City Code,Chapter 78,Article IV}
Job Site/Owner Information:
,
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Site Address: -�O".�' �-�r.�tt�-► �•-a d,r-o�..o
Owner: 1��k.e a- 1L�.s ��_ Mailing Address:
City: Zip:
Horne Phone: Alternate Phone:
iContractor Inforrnation: ,
Contractor; 1<���J S�s (��.. l.J�-�n� S ontact Person: �_,�_.�;t�.�
Address: �l ZI �accels��' lS\v� "�� State Bond #: 2��2�
City; S�- �atr�' Pi•il� Zip:�sy�.6 Expiration Date: 12.-�1�Q�o
Phone: G�Z-�j"1-o-'�2,,�� AlternatePhone:
❑ lnsurance—Current: � __
1
� _ � .
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' , :; PLUMBING FIXTURE�BEING INSTAi;L�D . . �'� :,
�FIXTURE BSMT ' 1 2 fOTHER FIXTURE ' BSMT 1 2 OTf�R
E � ( FL FI, I TYPE FL FL
VJater Closet � Floor Drains
Lavatory Sewer Ejector
Bathroom i Laundry Tray � ,
Shower 1�l�asher �
� KitchenSink � WazerHeater �
_ _ ' _
D s�'�po as 1 � ; Water Softener i �
� Dishwasher Wet Bar
Sillcocks Miscellaneous �
I
,
p'ERIVI.IT,FEE CAI.C:LTLATIaN(S) � } . �;.
' : �, '�` ,$ASED't7F� =2002 ST�'i'E S'�ATUE . ;� ;,;�`.�t�"�;
' Yes,this section applies
�.
The replacement of a Residential fixturesr anoliance that meets all three of the following requirements:
1. s n t require mo�ification to electrical or gas servic;e.
2. Has a t 1 cost of S50{�.00 or less;ex lu in the cast of the fixture or appliance: and
3. Is improved,installed ur replaced by the homeowner or licensed conkractor.
Skip next section, if this appties; Cost of Permit $ 15.
State Surcharge E •SQ
Mail-In Eee(If Applicable} E 1.50
Total Permit Fee S I ,fiC�
(Permit F'ees Continued On Next Page)
�
. - ►
.
� :� �, . _;�ERN1iT. �E�CALCULATIUN. S —JOBS O�R$500.40
If above does aot apply;follow guidelines below:
l. rONTRACt`gRICE 'is 1.25%of contract price with a(Mintmum Fee of 535.00)
xAIZS$
(conuact price) (minimum 535.00
2. STATE SURCHARGE '*Add!he State$ldg Code Div.Surchargt{!�fiaimum Fee of 5,50)
x.0005 $
(contr�ct price) (minunum S .50)
3. POST.qGE&HANDLiNG(Oniy on Maii-In Applications) S 1.�0 _
M 4, TOTAL PERMIT FEE(Add Lines 1-3 Above) S
■ * CONTRACT PRICE or JOB COST means the actual or estimated doUar amount charged for the
permitted work inciuding materiais, labor,profit,and other fixed costs. It is tht amount to Ix charged
to the custom�r for the work done. If any material, eyuipment, labor or installations are furnished by
tht owner,tenant or any other party, the reasonable market value of such items rnust 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 tl�e job cost, the Ciry may request the submission of a ssgned copy of the actual contract.
• •' The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
groater. For valuations nver 51,000,000 call the Building Departrtient at(9�2)249-4600 for the price.
: 'S� �":�� '.� .':�� P�::EJMB�N�'PERI�IiT APPLii�ATIOI�AGREEMEI�.�; ' :. .' �,. '
The undersigned herebv applies to the City for issuance of a Plumbing Permit, agrees to do ali
work in strict accordance with the ordinances of the Cit�� and the reguiations of ihe State of
Minnesota, and certiftes that all staternents made on this application are compiete, true and
conect.
Appiicant's Signature: Date:, ll-1"1��6
� Rsset Form`;
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