HomeMy WebLinkAbout2003-P06246 - water softner . • PERMIT
C��`'Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06246
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: a�29�2003
SITE ADDRESS: 3722 Livingston Ave
Wayzata,NIN 55391
PID: 17-117-23-34-0055
DESCRIPTION:
Proposed Use: Kesidenrial
Pemut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 700.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: CustomPlumbing OWNER: StaceySmith
815 Niagra Lane 3722 Livingston Ave
Plymouth,MN 55447 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.
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APPLICANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finar►ce Page 1
Jan-24-Z002 Od:37p� F�o�-CITY OF ORONO +A62Z494616 T-558 P.002/003 f-018
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�Ty p�'QRONO APPLICA'�ION FOR Pi.TJNIBING PERMIT
Box 66 (275U Kelley Parl�way)
Cryst�i gay, MN 55323
GENFRAI. ORIb1 'I'tON
1. You may apply for plumbeug p��ts 1►Y cn�sl ur in p�son at tbe Ciry officxs.
2. YOU RECEIV�A PERMT7. WORK MaU�NO BEGI�N �UNT THE��TT��S� DTE ON
THE OB SI''I�E- owners resid'
3. Plwnbrog permits may be issued ONLY co lic.��plucr►bity;conusctors�nd to Pt�nY �►8
in the dwelling. rmit musc be obrained.
4. When any�w ca�ssavction or remodelin8 is involvod, a separate build'mg Pc
g. All work must be do�m acc:ocdansx with the Stace C�requaem�.
g pg K,or►c iuu.yt he insp�cted and eir teat�before it is covrnd. Call (952) 249-4G00• 24-hour notice
reguirzd.
�gtructions Complece all items on this appli<:ation, Compute t�permit fee• Sign and date the
cetti�icacion. INCOMPLETE APPLICATIONS WILL NOT BE PTtOCESSED. If you have
questions, ca11 (952) 249-4600. .
Please check one: New ��Addicion Repair Replaee
esidenu Commercial
�ros s��• �3'?�� L��;�►�s r� �. z�p:
Owner's Name:_. 5-F ti�e� 5�:;-��T d e p h o n e N u m b e r: 't s�- '-i?t - 0 9�`{
Mailing Address� -- �'' �
� Cus�an Plumbin9 C Telephone Numb�• 76 3 �4 4 q-o�'�7
Contractor' s Na� 815 Nisgara Lane .
Maibing Address Pymoutl�� NMI ��3'� Zip:
55447
rLutvt�uvu r'1x;�-u�cE SCHEDUY.�
FIXTURE BSMT 1ST 2ND �7HIiR PIXTUit� BSMT 1�SLT �D OTH£R
TYPE FY. FL TYPE
Wacer Close� Floor Dcaias
Lava�o Sewer E'ector
BathtuD La Tra
5hower w��
Kitchen Sinlc Waar Heater
Di al acer Sofcener �
Dishwasher W�t Bar
S�lcocks Misc(list)
. . . . . .:��Nt-'.a�..,.ili.'_..:�__.:.: . .. ... . . .. .. .�._..y.,�:.. -......:.,... ...�..:�,.. .... .... ........ . . ...:.
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PERMIT TEE CALCULATION
1. 1.25% of Contract`Price* or Mini um Fee 00 0 0
-70rJ ,�o x .0125 $ �� ' _
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ��7 a o ° ° x .0005 $ � ��
(contract price)
or $.50, whichever is greater �
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ 1 Z � ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done! If any material, equipment, labor,or installation aze furnished by the owner,
tenant or any other pazty the reasonable market value of such items must be added to the estunated cost
or contract price for permit fee piuposes. In the event that there is a dispute on the amount of tne 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 Inspectional 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 ttiis applic�tion are complete, true and
correct. .
Applicant's Signature: Date: � �6�o�
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