HomeMy WebLinkAbout2005-P08749 - water softner � � - PERMIT
CIT'y' OF ORONO
2750 K��Iley Parkway- PO Box 66 Permit Number: po8749
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/18/2005
SITE ADDRESS: 1870 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 27_118-23-42-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut 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: Custom Plumbing OWNER: Phillip&Mary Hemandez
815 Niagra Lane 1870 Sixth Ave N
Plymouth,MN 55447 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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(SignaturesRequired), 1-Applicant, l-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) � � � � �-
Crystal Bay, MN 55323 � �
rENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
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. All work must be done in acaordance with the Stat�Cc3e requiresents.
6. All work must be inspected and air tested before it is covered.� Call (952) 249-4600. 24-hour nodce
required.
Instr ictions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call (952) 249-4600.
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Please check one: New � Addition � Repair - lace
esidential Commercial
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JOB SITE:� � g'�Z 0 C�„�y Rd .� Zip:
Owner's Name: �.�1 1-E���^d e z Telephone Number: �S�- 'i 7 3' `f qs S
Mailing Address:_ Cityt _ Zip:
Contractor's Name' Custom Plumbing Telephone Number: 763-yy`1 "� �y 7
� 815 Niagara Lane �
Mailing Address:_ �ymo�m,MN 55447 Clty: Zip:
PLUMBING FIXTURE SCHEDULE
FIXT�TRE BSMT 1ST 2ND OTHER FIXTURE SMT ST 2ND OTHER
TypE FL FL TYPE FL FL
Water.Closet F1oorDrains
Lavato Sewer E'ector �
Bathtub Laun Tra
Shower Washer
Kitchen Sink , Water Heater
Di sal _ Water So ener : ; t `
Dishwasher , . , ,. ... Wet Bar , , ; .. .. . . .
•'Sillcoc�Cs.,,:., . =:1;, r. :,� _ :,Mis�: 1� ;�: ,,. ,.. , . .:
, • . . , . , . ' - � ; . . .
. .. . .:-._..W'h'�N�..+rirr���Y`wh71�M�4�b�t9`..';i . � . _ . ..
, .` .,-' "..,Y..bi...:.`�:�: . � . � . ..� :r,.�.t�.�_:.. ..:�-: .;_. .,,,...-'" . . a ...i e . . - • �
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�ERMIT FEE CALCULATION(S) �
2002 State Statute I�j Yes, This Section Applies
��
The replacement of a Residential fixture or anpliance 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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of F'ermit 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.00)
- x .0125 $
(contract price) (minimum$35.00)
� 2. State Surcharge. ** Add the State Building Code Division a(Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. �Qstage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 1� , o O
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials,labor,profit,and other fized costs. It is the amount to be chazged to the customer
for the work done: If any material, equipment, labor,or installation are furnished by the owner,tenant or
any other party the reasonable mazket 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�Department of Inspection Services for the price. .
The undersigned hereby applies to the�City.for issuance of a Pl�imliing Permit, agrees to�do all ��
work in strict accordance with the.ordinances of the City-�nc�'the regulations of the State of �
Minnesota, and certifies that all statements made on this application are complete, true and •
correct. �
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Applicant's Signature: � Date: �6/°�