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HomeMy WebLinkAbout2007-P10770 - water softner PERMIT CITY OF ORONO 275b Kelley Parkway- PO Box 66 Permit Number: p1o770 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 2/14/2007 SITE ADDRESS: 2665 Mapleridge La Unit# Excelsior,MN 55331 PID: 21-117-23-21-0004 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: FEE SUMMARY: Permit 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: John Johnson 6121 Excelsior Blvd.#206 2665 Mapleridge La St.Louis Park,MN 55416 Excelsior,MN 55331 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. ( �_� APPLICANT PERMITEE SI NATURE ISS D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . , . BOR C1TY U8t ONLY � � City ot Orvno prrn,it� '���►O P U.Box 66 Dats Rouived• -- – � • 3750 Kell�y ParrvrsY �,�provsd By. Amowx�-.�—. t Cry�ulBsy.I►fts 55313 �,`y4��� i932)249-4600 CITY OF UR�UNO–PI.UMBING PERMIT (All Commoreirl permiq mu+tt bt approvrd by the Buildin�OtPici�!a liapKtor) GENERAL INFOt'tMATION ! i, You may appiy for plumbing perniits by mail or in person at the City offias. Applic�tions witl be roviewcd anc!a permit will be issutd within two workin�days. �, Pcrmit cards wi11 be senc by retum msil�Rer a review is cornP�eted. P�EtMlT'S ARE NOT VALYD UN'i'IL YOU R�CEiVE A PER.tiII?. WdRK M+,"�'T_1�.T BL��N UNTiL_2H& �I��;IT CARD 15 PQS_'�'f,Qj�,�I�,�� 3. Plumbing permits msy 4re issued ONLY to licena+ed plumbin�contractors an�to propartY ownere residin�in the dwcitin�. o. When any ntw construction or ramodeling ia involved,s sepante buildina pe�it must be obtaincci. S. Ail work must be dane in acc4rdance with Stau Code roquiromenb. 6. AU work must be inspected and air tssted before it iY covered. Calt(952)249-4b00. (24-A$hour notice requ[rsd) (�`� — TYPE OF PERMIT L (Check ali That a ! �Rmsidential (�Cammercial (Approvs!Requirod) ❑New ,�Additionsi ❑Repairs ❑Replace [] ln Acceasery Structurc? "You�„�v 11 need nrior aonrovi�und may need�.{per Orono C'try Cc�de,Chaptor 78,Article!V} Job Site/Owner Inforrnation: 5ite Address: �6 5 (v�� �"`�� '�%"`¢' (3wner: .� ati�•J a�,.,,.� � _ Msiling Address: c�ty: U.�.r.,� z�p: - Horne Phone: Altemate Phone: �Gcrntractor Inforrnatian: Contractor: 1`���-�J ���►A W�"'S`/S- Contact Persr�n: f� �`��s`� Address: blz� 4,ecals'►a. �\�,9 #��v State Bond#: '����� C��y; 5� �-o.�;,s P��i� Zip:v'-f�� Expiration Date: 1_?31=,Q�1 Phone: qs2 -g2°'�Z o a i Alternate Phone� ,� Insuranee–Currcnt: l . , , , � ; ' . PLUMBING FIXTURES BEING LNSTALLED FIXTURE BSMT I 2 4'T'E�R FI7C7VRE BSMT 1 2 i OTi�R � TYP� FL FL � TYPE FL FL � , Water Clesct � Floor Dnins �Lavswry Sewer Ejector , �thn,om � Laundry Tray � � ISEiower � I Washer , �Cit� chan Sink z f Water Hwter �_ � f ' �� Disposa! � � Water Soitena � ' � Dishwasher Wet Bar � �SifEcocks I i Miscclianeous � � ; � ; � '-�PERMIT F£E CAI,C'ULAT'X4N(S} , `� ��; ` •�.BASED OFF -2(�D2 ST�►TE S'��4'�'UE ' . �� � � Yes,chis sect;on appiies The rtplacement of a$ysidentia!fix�e or agetiance that meets all t3�rce af the faEtowin�requircmenu: l. �y�requirt modification to electricai or�as service. 2. Has a tual cast of S500,��or less;�rtudi►za the cost af the fixture or apptiance• snd 3. Is improved,instalSod or replaccd by the homwwner or IicCnsed condector. Skip next section,ifthss applies; Cost of Permit ���4� State Surchuge S .50 Mail-In Fee(If Applicabie) S ]�•50 TatN Permit Fes S 17,oQ �Parmit Fee�CGntinued On Next Pa�e) � •- ' - , i ;,: ���M3T FEE CALCULATIOII{S�—JOHS OVER 5300:tIt� ' _ If above aoes not appty;follow�uidelines below: t. CONTRwCT PRICL� • is ].25°�of contrut price with a(Mtatmwa Fee of SJ3.00) x .0125 t (contnct prico) (m�aimum 533.00) � 2. �'TATE SUR HAR�E '� Add the State Hld�Code Div.Surchu�e(:vlMiroua Fce otS.50) ____ x.0005 S (:ortuact prirx) (minimum S i0) 3. PUSTAGE&HA`VDLITrG{Only on Mail-In Applications) S 1.50 4. TOTAL PERMIT F�E(Add Lines i-3 Above? t ,_, • • CONTRACT PRICE or JOB COST means ci►e sctual ar estimated doliv �unount chsr�ed for the permixted wor6c inciuding r��asarials. labor,profit,a��d other fixed casts. Ix ia the �mount to be chsrged t6 thr customer for the work done. If ar�y material,equipmeirt, lsbor or installstions are fumished by the owner,tenant or uny other perty,the reasonable market vatue of such items must ba added to tha estim�ted cost or contr�ct prica for permit fee purposes. In the event th,rt chere is a dispuu on the amount of the job cost, the City may reque�t the submission of a signed copy of the actust watract. � •• The STAT�SURCHARGE is ,0005 of the contract price under S1,OOA,OW or S.SO—whichever is �reater. For valuations over S 1,000,000 call the Huilding Department at(932 j 249-4600 for the price. 5r ' . PL.�lMB�iG PERMIT APPI,�'�ATIE'aI�ACrRE$MEN'�`<:r ' ' "] The undersigned hereby appties ro the City for issuancr af a Plumbing Permit, agroes to da ali work in strict accordanc� with the ordinances af the City and the regulatians of the Stat� of [l�linnesota, and certiftes thet all statements made on this application are complete, true snd correct. /' .;� � Appiicant's Signatuee: � Dato: �• �•G� � � R�ae�form 3