HomeMy WebLinkAbout2017-00095 - water softner CITY OF ORONO * 2017 - 00095 *
2750 KELLEY PARKWAY DATE ISSUED: 01/31/2017
•� ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 660 TONKAWA RD
PIN 05-117-23-33-0016
LEGAL DESC PARTENS POINT 1 ST DIV
LOT 003 BLOCK 000
PERMIT TYPE PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
WATER DOCTORS STATE SURCHARGE PLBG(VALUATION) 0.50
8201 CENTRAL AVENUE MAIL-IN FEE 2.00
SPRING LAKE PARK,MN 55432- TOTAL 52.50
(763)535-1800 Payment(s)
Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.50
OWNER
LADD&CAROL STAINBROOK,MICHEAL
660 TONKAWA RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Pert itee Signature Date Issue By S gnature Date
Jan 31 1711:07a Water Doctors 7635351805 p.1
City of Orono FOR CITY U E PIN
P.O.Box 66 Date Received: 1
2750 Kelley Parkway
Crystal Bay,MN 55323 Permit ac;20/-7—
tsHyi (952)249-4600-Main
� �ia`
� f (952)249-4616-Fax Approved By:
Amount$: 5 56)
CITY OF ORONO—PLUMBING PERMIT
(Ail Commercial Permits Must be Approved by the State Prior to City Approval)
http:llvwwr.dli.mn.ciov/CCLDIPDF/ge Mumbplanreyagp pdf
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 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 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 required)
TYPE OF PERMIT(Check All That Apply)
Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB [I PVB]
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 Inform- ation: (�
Site Address: _�p�p J 7U1r'1VV,(3t ,JCr ,C.-OCA C�-
Owner: �► l�C�� &nn -s Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: CYl��C
Address: z � il�YZh� AVtState Bond *
City: (Oxp ygar-- Zip: �A)t3 Expiration Date:
Phone:AQ --5 Ste" ) U(DO Alternate Phone.
Insurance— Current: �P�
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Jan 31 1711:08a Water Doctors 7635351805 p,2
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT i 1sT 2N0 OTHER FIXTURE BSNIT 1sT2ND OTHER
TYPE Floor Floor TYPE Floor Floor
I ! �
Water Closet I Floor Drains j
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcodcs Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE is 1.25%of contract price with a(Minimum Fee of$50.00)
x .0125 $
2. STATE SURCHARGE (contract price) (minimum$50.00)
x .0005 $
(contract price)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00
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.
PLUMBING PERMIT APPLICATION AGREEMENT
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: R � � Date: l '71 -"`
L
Building Official/Inspector: Date:
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