HomeMy WebLinkAbout2016-00009 - water softner CITY OF ORONO * z 0 1 6 - 0 0 0 0 9 *
„ 2750 KELLEY PARKWAY DATE ISSUED: OU05/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2335 GLENDALE COVE LA
PIN : 34-118-23-33-0066
LEGAL DESC : GLENDALE COVE
: LOT 007 BLO�'K 001
PERMIT TYPE : PLUMB[NG
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : WATER SOFTENER
NOTE: REPLACE 1 WATER SOFTNER
APPLICANT PLUMBING FIXTURE FEE(<$500) 50.00
STATE SURCHARGE PLBG(<$500) 1.00
ECOWATER MAIL-[N FEE 2.00
3208 FIRST STREET S
WAITE PARK, MN 56387- TOTAL 53.00
(320)251-2505 Payment(s)
Minnesota State License#: plbg-PC643402 CREDIT CARD 3331 53.00
OWNER
BEELER,MATTHEW& KASEY
2335 GLENDALE COVE LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMEIVT
The work for which this permit is issued shall be performed according[o
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 separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
I�he 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.
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Applicant Permitee Sign ure Date Issued By Signa re Date
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°( FI;UMBING FIXTURES BEING iNSTALLED
FIXTURF„ BSIvIT 1' 2' OTHFR FIXTURE BS1�4T 1' 2 O'i'HGR
TYPE FL FL Tl�'PE Fi_, €�L
1�Vater Closet Floor[7rains
Lavatory ' Sewer Ejeeror
Bathtub ' Laundry Tray
Shawer W'asher
KitcE�en Sink � 4VaCer f-leater
Disposal Water Sat�ener 1
Dish�vashcr Wet i3ar
Sillcocks Miscellancaus
'� � � �PERMI"I'PEB�ALCI�LATION(S) �` � �
I BASED OFF-2002 STATE STATUE
� Yes,this scction applies
,� '
The rcpincci��cnt ofonly one Residenti�l fixture or„a��liance ihat meets all tt�r�e ofthe t'otlowing
requirernc:nts
1. Daes not requirc madification to electrical or g7s senlice.
2. Has a total cost of$500.00 ar less;e�cludinc;thc cost ofthe fixturt or appliance:and �6'�-�
3. fs improved, installed or replaced by the homeo�vner or licensed plumbing cnntractor. ('�-� �i'"�
Skip next section,if this applies; Cost of Permit �y .���
State Surchar�e $ .0(1
Maif-In Fer(IfApplicable} $ ?.QO
`Cota[Permit Fee S �e��
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION S -"JOBS OVER$SOOA�
f f above does not apply; follow�uidelines below:
I. CONTR�IC'1'PR10E � is 1.25%ofcontract price witt�a(Minimum Fee ot$5�.00)
x.0135 S
(corttrart price) (minimum SSOAO) �
?. STA7'E SLiRCHARGE
� x AOOS $
fcontr.zct priec} ^
3. POSTAGE& HANDLING(Onfy on;�tail-[n�'lpplications} $ 2.00
�3. TOTAL PERM17'FEE(Add Lines 1-i Abo�e) $
• * CON7RACT PR10E or J(�!3 C'OS7' means the actual or estimated clallar am�imt charged far thc
permitted �vork inciudin�materials, labnr,�rafit,and other tixed costs. It is thc amotint ta be charged
to the cust�mer for the work done. [f any material, equipment, labar or installatiotis are fiirnished by
the o�4�ner, tenant or any other party, the reasonablc market value of such itcros must be addecl to the
estimated cost ar ccrntract price for permit fee purposes. [n the cvent that therc is a disputr on tf�e
amount of the job cost, th�: City may req��est the submission af a signed copy of the actual c�ntract.
PLUMBING PERMIT APPLICATION AGREEMENT
"1'he undersi�ned liereby applies to the City fnr issuance of'a Plumbing Permit, a�;rees to da all
�vork in strict accordance �vitlz the ordinasices aP the City and the re�ulations ot'the Statc of
Minnesota, and certifies that al) statements made on this application are CQl11�It;IC, true and
correct.
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Applicant'sSignature:� . . � ✓ �~' Date: 01�45I16 _
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