HomeMy WebLinkAbout2005-P08862 - water softner ` � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08862
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/20/2005
SITE ADDRESS: 721 Sandstone Cir Unit#
Long Lake,MN 55356
P��� 33-118-23-11-0048
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:
Double Fee-Wark done without a pernut
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 15.00
TOTAL FEE: $ 30.50
APPLICANT: Moore&Moore OWNER: John Terrance Homes,LLC
10336 299th Ave. 2500 Kelley Parkway
Princeton,MN 55371 Long Lake,MN 55356
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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APPLICAN PER ITEE SIGNATURE SSUED BY SIGNATURE
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Copies: l-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
�,¢�O City of Orono
P.O.Box 66 Date Received: Permit#
�;,_, 2750 Kelley Parkway
� �`�•'��� Crystal Bay,MN 55323 Approved By: Amount$:
�� (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Buiiding 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STTE.
3. Plumbing permits 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. Ail work must be done in accordance with State Code requirements.
6. All work must be inspected and sir tested before it is covered. Call(952)249-4600.
(24-48 hour notice reqaired)
TYPE OF PERMIT
Check All That A 1
��esidential ❑Commerciai(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior anproval and may need CIJP.(Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information:
Site Address: �a � ` �'��'�►�Q
Owner: _�c)�►n �-?�`1'�y�,,.� �Pj►►'4e� Mailing Address: S le�� � ,�w-�r
S� S�o 1
c�Ty: ��—.�, z�p: 3
Home Phone: Alternate Phone: ��d' Y 7�-l�7�
Contractor Information:
Contractor: Y' ��� �Dy�(� Contact Person: 1��/�'���
Address: �D 336 � a�9 r^�e., State Bond#: �Q�o 5����
City: d1`�.e.�s ✓� Zip:�37� Expiration Date: /d ^�I �0�
Phone: �G�'S��- 1�� Alternate Phone: �3� a�(�-d! ��
❑ Insurance-Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
I,avatory Sewer Ejector
Bathtoom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellat�eous
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❑ Yes,this section applies
The replacement of a Residential fixttu+e or appliance that meets all three of the following requirements:
1. no require modification w electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the oost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contcacWr.
Skip next secrion,if this applies; Cost of Permit S 15.
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fce S�
(Permit Fces Continaed On Nert Page)
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If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25% f cc�ntract ' with a(Minim■m Fee of 535.�0)
x.0125$
t price) tminimam s3s.00�
2. STATE SURCHARGE #'Add the S Idg Code Div.Sutcharge(Mi�io�m Fee of t.SA)
x.0005 S
(conuut ' (minimwm S .so)
3. POSTAGE&HANDLING(Only n 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 ths
pernutted work including matezials,labor,profit,and other fixed costs. It is tbe amount to be charged
to the customer for the work done. If any material,equipment,labor or installations are fumished by
the owner,tenant or any other party,the reasonable market value of such items must be added to the
estimated cost or contiact price f�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.
• **Thc STATE SURCHARGE is.0005 of tbe contrg►ct price under$1,000,000 or$.50–whichever is
greater. For valuarions over$1,000,000 call the Building DepaRment at(952)249-4600 for the price.
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The undersigned hereby applies to the City for issoance of a Plumbing Permit, agrces 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
cortect
ApplicanYs Signature: ... .,__—��. Date: '� -�J
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