HomeMy WebLinkAbout2008-P12155 - water softner � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12155
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/11/2008
SITE ADDRESS: 2670 Countryside Dr W Unit#
Long Lake, MN 55356
PID: 04-117-23-12-0013
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: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Appliance Connections OWNER: Robert&Jean Devere
1313 Danita Cr. 2670 Countryside Dr W
Shakopee,MN 55379 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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APPLICANT PERMITTE SIGNATURE SUED BY S[GNATURE
Copies: 1-File(Sigr:atures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� p City of Orono
- a P.O.Box 66 Date Received: Permit#
�¢ � 2750 Kelley Parkway
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� ��v;�� Crystal Bay,MN 55323 Approved By: Amount$:
�;��t�i` (952)249-4600
�riK
CITY OF ORONO—PLUMBING PERMIT
(All Commercia�permiu must be approved by the Building Oflicial or Inspector)
GENERAL INFOF�MATION
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 buiiding 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 A 1 '
Residential ❑Commercial(Approval Required)
❑ New ❑Additional Q Repairs eplace
❑ In Accessory Structure? .
*You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article I V)
Job Site/Owner Information: �
Site Address: .%�l� �l �; ����`� �� � ��,' �� �{` � � i��,i- .
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Owner�--U`�`�� �"1 ��� �' �--%� � Mailing Address:
City: �J��i'V �� Zip:
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Home Phone: `'� ?��� ��L � t=�1,� � � Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Appliance onnect o�rs Inc
Address: 1313 Danits� Q� State Bond #:
Shakopee, MN .53T9 .
City: Expiration Date:
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Phone: Alternate Phone:
" ❑ Insurance—Current: .. `'
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-` ° P�.�R�����;�,���>a�� ,�:PLUMBING FIXTURES�BEING�INSTALLED �
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
M.
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener 1
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Dishwasher Wet Bar
Sillcocks Miscellaneous
, � � r � ���PERMIT�FEE,CALCULATION(S) � � � �� W� �
� �, BASED OFF =2002 STATE STATUE
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�/ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludine the cost of the fixture 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 $���r
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(Permit Fees Continued On Next Page)
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