HomeMy WebLinkAbout2006-P10521 - water softner _, PERMIT
E�ITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P1o521
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
11/1/2006
SITE ADDRESS: 1805 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 27-118-23-41-0002
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: $ 35.00 Vatuation: $ 1,600.00
State Surcharge Fee: $ 0.80
TOTAL FEE: $ 35.80
APPLICANT: Clearwater Systems OWNER: Curtis Gardner
1519 148th Avenue NW 1805 Sixth Ave N
Andover,MN 55304 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 SUILDING CODE REQUIREMENTS.
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APP CA,N�3' EI�At EE SIGNATURE _ ISSUED BY SIGNATURE
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l
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FOR CITY USE ONLY
City of Orono �
g O� P.O.Box 66 Date Received: Permit# � �l 2 '
, �,�;,. � 2750 Kelley Parkway
{ �j^��r'�: �* Crystal Bay,MN 55323 Approved By: Amount$:
���-�X��a` (9�2)249-4600
CITY OF ORONO -PLUMBING PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector)
GENERA.L INFORMATION
1. You may apply for plumbing permits by nZail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within rivo working days.
2. Pernut 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. Plumbuig pernlits may be issued ONLY to licensed plumbing conh•actors and to property owners
residing in the dwelling.
4. When any new consn-ucrion 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 and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice rc�uired)
TYPE OF PERMIT
(Check All That A ply)
,�Residential ❑ Commercial(Approval Requu-ed)
,�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ��0� � �O
Owner�� l�°'"'�� ���'�a-S Mailing Address:
City: [�1`� Zip:
Home Phone: Alternate Phone: �O�a-S� -G��
Contractor Inforniation:
Contractor:�,��4��3� S �,S Contact Person: � j�/�
Address: ��/� �y��� �� State Bond #; (�� �J��
City: Zip:SZ� Expiration Date: �a ( O
Phone'��'������� Alternate Phone: ����Z����D/O
❑ Insurance- Current:
1
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� €.: � �� , ;.�..P.I;UMBIN'G�FIXTURES��B�]NGr;IN�TA��.L�U`� ', ' ' r �, _�
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 /
�
Dishwasher Wet Bar
Sillcocks iscellaneous /
/',u�r.+�
C�.-
4€ ''"r. �.� ��'"� ��"a'w�"�'��a�� "�'c�'9�f"�a5�������L'�.L�.�i:� �yLO121���'`-a�'�{�iia`^'���`�fi��,�} �Y 5�4j.�.f'�f�:
•F - . d GM j +{ ,,y, k a+t � �. 'w t � � J �S � _ rV ti.k%
`��''� a �N f �xE47 .C��t, � v r� t'� r,�.,� � r� a ��� � „��.� f,G�24
r�';4�r:,���`�}��? �, ��,���,�� ;����i�s�r�Q� �Q����.t��".���f.��?�5!��;�y � ,e,� '�..�"������:
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixiure 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
. < ..,' , ` . '; -:�'�RMIT F�E CALCULA'�'ION(S "=�JOBS OVER:$500 00 ;., . `� "
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
��,Qd� x,0125$ W�
� (contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
X.000S $ D� �v
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ '.--�
4. TOTAL PERMIT FEE Add Lines 1-3 Above $ �
� )
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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,
r s s.�V F-�S ,�`,��a-� �� ,A.4_l\_t.��i���j�i�����./t.�.�;1.��''1,1�`�7��.,�� ,b__n �,�i� >fi '�� '�
's�� �1��� TT�4 dt,•.
The undersi�ed 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 this application are complete, true and
conect.
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Applicant's Signature: � Date:,����
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