HomeMy WebLinkAbout2006-P10507 - water softner ,
PERMIT
� CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P1o507
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
10/27/2006
SITE ADDRESS: 2545 North Shore Dr Unit#
Wayzata, MN 55391
PID: 09-117-23-41-0003
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:
water softener,Iron filter,reverse osmosis
FEE SUMMARY: Permit Fee: $ 106.25 va►uation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: Clearwater Systems OWNER: Bradley&Cheryl Jones
1519 148th Avenue NW 2545 North Shore Dr
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
MINNESOTA BUILDING CODE REQUIREMENTS.
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NT PERMITEE SIGNATURI? P ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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• FOR CITY USE ONLY
Cit of Orono /, /
��� P.O Box 66 Date Received: �r Z ' Permit# ' �V�V��
f�:�,ti.� 2750 Kelley Parkway ->�
I.� '{�'�'?,�'r �* Crystal Bay,MN 55323 Approved By. Amount$: � �'�-'
������o�a~ (9�2)249-4600
CITY OF ORONO –PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERA.L INFORMATION
1. You may apply for plumbing pernuts by mail or in persoii at the City offices. A�plications wi11 be
reviewed and a pernut will be issued witl�in two working days.
2. Permit cards will be sent by rehuzi mail after a review is completed, PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbnig pernzits may be issued ONLY to licensed plumbing conhactors and to property owners
residing in the dwelling.
4. When any new conshuction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected aud air tested before it is covered. Call(952)249-4600.
(24-�8 hour notice rcquired)
� TYPE OF PERMIT _
(Check All That A ply)
�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior anproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: O��'"S �,�?�!zc.3-��rt�l���
Owner: �t�c�� Mailing Address:
City: Zip:
Home Phone: Altemate Phone:
Contractor Infornlation:
Contractor: ��� � , Contact Person: �i+'� ��sor�
Address: l�l�'/��iF��, /t�C✓ State Bond #: Lr.�_373
City: iy2�vo'�L Zip;�y Expiration Date: /�T�3J��
Phone: '��03–y�� –a��S— Alternate Phone:
❑ Insurance– Current:
1
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':. �,.�; ����,� :.PLI�IVIBING:FIX'i't�RES��$�ll�TG;INST:�LI,ED� ` <k h ' �; f �;
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener /
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Dishwasher Wet Bar
Sillcocks Miscellaneo �
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L%��'�''�ES
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� -3� 'V Z `44. �? 4 W i5 .'�+? 1 4l. `'i
sk, ,'L+'„y � _ r�e r r,�,��aG )+'` {..�� '.�* �+e c 'k 3°'�'+r � '� � s.�"�'6.�a� X:_�
)'v� ,�;+��¢e"��& N ��h'Y�"'y�,,< �`a����r�,V '� .�����7����„�`�l�,���,.�* l� � a•,fx� ^��!".�v�.�;�?aw..3.,.
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❑ Yes,tlus section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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f. . :`` r `. ,:: _:�'�R1VII'�:FEE CALCULATIQN(S :�QBS:OVE�.$S00 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)
$�Q^ x.0125$�0� ��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��
x.0005 $
(contract price) ( nimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��
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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
esrimated cost or contract price for pemut fee ptuposes. 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.
■ **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 Building Deparnnent at(952)249-4600 for the price.
d��'a ��r ���.� a ;�^ T7�T 73 �e �� ,Lt1S✓�A� .4�1 KL71�:Ci� l��# �{ Y � $p
'-�''�r, ''�.7a'i s�` �it�3.t, �,lr.���+r��.A'��. F.-�.��' ��. _ � ,�, E.
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 ement made on this application are complete, true and
correct.
� ,
Applicant's Signatur . DateY
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