HomeMy WebLinkAbout1996-007786 - water softner PCRMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: F I HG
Crystal Bay, Minnesota 55323
(612)473-7357 Date Issued: iris/1 a/19E.
SITE ADDRESS:
455 TONKAWA RD
CH
P. I .N. _ 06-117-2.13-41-0105
DESCRIPTION:
1 FI XTLJRE
Plumbing Permit Type FIXTURE'S
PlumbingWork Type RESIDENCE
1 WATER ';;��1FTNER I
REMARKS:
FEE SUMMARY:
VALt lAT I tih! 1.e-z-
Rase Fee $35.00 MAIL IN
Surcharge ---------I-5i Total Fee -$37. 5 j
Subtotal $35 .50
CONTRACTOR: - Applicant. - OWNER:
ULL I G N 293:_3'7200 NES.,SER��ER :OHN
6030 C-JLL I CLAN WAY 455 TONKAWA RD
til INNETONKA MN 55:345 i iRONO MIN 5356
(61 ) 933-7200 404-1375
THE UNDER I NEI3 HERE>3Y ` {ait kEST'3 E`l_RP°1 I ��IDN TD I' A E THE EPS TIS `
SPECIFIED AND AGREE•- TO DO ALL WORK Its CTI TY� LDF
MIND ,►ORDINANCES AND STATE OF MINNESOTA St IL�3INig C:s7�1E :RE R NT
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE e4 '
CITY OF ORONO APPLICATION FOR PLUMBING�WIT
Box 66 (2750 Kelley Parkway) 1
Crystal Bay, MN 55323P
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 SITE.
d plumbing contractors and to property owners residing
3. Plumbing permits may be issued ONLY to license
in the dwelling.
modeling is involved, a separate building permit must be obtained.
4. When any new construction or re
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: ✓mow Addition Repair Replace
✓Residential Commercial
JOB SITE: LS5 ' zip: -1-55R5--
Owner's Name: J ter 'C1P S r Telephone Number:-fir 464-.k
Mailing Address: L455 T-,r1 LA RCA- City: C>rclC1�_ Zip: `5S L4
Contractor'sName: TelephoneNumber: ,�,3-
MailingAddress:10
,j 'tata� t _— _City:1-���� Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
1--Q •n`s x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ,
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -a�-l , L-5 h
C,
* 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 installation 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 Department of Inspectional Services for the price.
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 statements made on this application are complete, true and
correct.
Applicant's Signature: Date: —�-`�