HomeMy WebLinkAbout2000-P02829 - water softner . t
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s29
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: g�16i2oo
SITE ADDRESS: 2845 Little Orchard Way
WAYZATA,MN 55391
P ID: 09-117-23-21-0011
DESCRIPTION:
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Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): Water Softner
YP Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 36.25 Valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 37J0
APPLICANT: CLEARWATER SYSTEMS INC OWNER: ROGER J& SHIRLEY J WIKNER
1519 148TH AVE NW 2845 LITTLE ORCHARD WAY
ANDOVER, MN 55304 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 S BUILDING CODE REQUIREMENTS.
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IC SIGNATUR ISSLTED BY SIGNATURE
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Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
2. Pernut 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 pemuts 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 the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certif'ication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: ; _ New Addition Repair Replace
Residential Commercial
JOB SITE• TS ��75`-L� �i`�ria�� Cc.�.�-t Zip:
Owner's Name:�� .�`c C ephone Number:
Mailing Address: City: Zip:
Contractor's Name: �,� ._ :n, Telephone Number: � -c,�3�,8�t,1�
Mailing Address: / l � � City: �� Zip: S��c���
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lava[ory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks � ist) f
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� � x .0125 $
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only 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 installation 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 purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Department of Jnspectional Services for the price.
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 made on this application are complete, true and
correct.
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Applicant's Signature• � /��----" Date: �
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