HomeMy WebLinkAbout2006-P09730 - water softner PERMIT
CITY QF ORONO
2750 l�elley Parkway- PO Box 66 Permit Nt�mber: P09730
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued: 4/6/2006
SITE ADDRESS: 4203 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: Pltunbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Also RO Water Filtrarion
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 450.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Richard's Custom Water OWNER: Jeff Gustafson
6121 Excelsior Blvd.#206 4420 Shoreline Dr
St.Louis Park,MN 55416 Spring Park,MN 55384
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO LL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STA'I'E OF
MINNESOTA BUI G CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, i-Sepric) Page 1
r
, � � FOR CITY US�ONLY
� 0-�: City of Orono �
� �`��\ P.O.Box 66 Date Received: Permit#
�, � �` 2750 Kelley Parkway
�:;�.,..,,.
4,a ;ii'��'�';�`. � Crystal Bay,MN 55323 Approved By: Amount$:
\��'e� %,''r:j�.,;�,,�o�/i (9�2)249-4600
��!t�xo$/
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits mus[be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID U;�1TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pennits 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 pennit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)349-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�'Residential ❑Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior a�nroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: 7ZU � ����� �/���— ���
Owner: C�l/CJ C�r�L� Mailing Address:
City: 't��c,,,,-�� Zip:
Home Phone: Alternate Phone:
Contractor Inforrnation:
�c��,o,�'s �ra� cvAT
Contractor: ` � Contact Person: � ����
�c�/Z/ �k�'iLrLSJ0Y1-
Address: A`�k' State Bond #: 217z��
�r, La�,.�s' /�n� i�'��SS'yl,b
City: Zip: EYpiration Date: �Z - �}_ C��V-
Phone: �SZ�� �lZ� Alternate Phone:
❑ Insurance—Current: ✓`
l
�
,
.
�
.
� .:�} {,,.� P�TI�BTN�f�F�XT�LT���.B�INC�7�INS"�AT,�.`�D �'`x� ;r� _�4o-, f 3L �,x,,_,
�� . � �r��
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI-�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Miscellaneous �
2ra
.�:�� ��, -.�rrr ar�-,����,���'���'�ta�'p'[� ,�1. f-" �� ��h�'��'���� ���t r'��` , ��'���`,4„�,��� `�',r F ��j,
°j„��r����S ha�,����',�`,����� ���,f-�rr���,. � a^���^`�`F����r4��`+( �y��� ��y��{�t=�`,� '��1�„, r z �^'�l�z�� s- ��� }:
4 �'���� ��,� ��'µ�� 4�I��+.'!Y t:��'"���4���1i,�..-IJ���� YN'�:�" �jsF'�Fk'��.'�1�� ��: �n re �"'
����` 's;,;�x� pS �� , ,t�E� I,. ,i� tvt. F".�,' = a _:`+a
❑ Yes,this section applies
The replacement of a Residential fixture or aualiance that rneets al1 three of the following reyuirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ � •�
(Permit Fees Continued On Next Page)
2
{
.
�
t '
��. � � �� '�>�.�'E°RN�iTT��E��CiILA�;TO�T�S `` �"l�$S,,(�'��:'$50(�0��°��, _ # , ,�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 installations 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 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 Department at(952)249-4600 for the price.
2�. � " �' ����y> �i �+ 7� A tti i �k" �t i�.m�a�d 3�
�`t'�. .�a'��p.�r� `� ��rl;llYiD' ,1����1���k;�n..�Q�,����'��Y�'4Y t+ i ���_ _�id�,` ,i.
The undersigned IZereby 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 state nts ade on this application are complete, true and
correct.
Applicant's Signature: Date: / �� ��
, � �,� �. � � , ..a� 5 �
f
4 � "�`Reset Fort� t`, }.� �
� _ . � �,_ �� _s� _� � . �... n � __ _
3