The URL can be used to link to this page

Home My WebLink About2012-00363 - water softner CITY OF ORONO * 2 0 1 Z — 0 0 3 6 3 * � 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3340 GRAHAM H[LL RD PIN : OS-117-23-11-0012 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 4 BLOCK 2 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 RICHARD'S CUSTOM WATER STATE SURCHARGE PLBG (<$500) 5.00 6121 EXCELSIOR BLVD. #206 ST. LOUIS PARK,MN 55416- TOTAL 20.00 (952)920-1200 Minnesota State License#: WM061456 OWNER MCCARTY, LEROY& LISA 3340 GRAHAM HILL ROAD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time afrer work has commenced. The applicant is respo ible for assuring all required inspections are requested in confo ce 'h the Sta[e Building Code.This permit may be revoked at any m u ca� �S'/��/ �Z / Appl' ant Permite ' na e Date Issued B ' gnature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . . . FOR CLTY L'SE ONLY ,�` City of Orono �040`YO P.O.Box 66 Date Received: Permit# �,�,;,,y 2750 Kelley Parkway 'a ��'�R;��.- ti Crystal Bay,MN 55323 Approved By: Amount$: �A '��i•y.�o` (952)249-4600—Main �agso�' (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://v��w��.dli.mn.aov/CCI..D/PDF/ e lumb lanreva . d,f GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 pernuts 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) �Residenrial ❑ Commercial(Approval Required) ❑ 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 Information: Site Address: �3L�U � �1q�f�'0�'Y1 �J1 L L �� Owner:��2CG c'�'/S� �G�2�IVlailing Address: c�ty: b/� m�v z�p: S.� 3 s� Home Phone: Alternate Phone: Contractor Information: � � Contractor: � iC�(/aQ��(��$y�•_ Contact Person: l�//Y/Zl�� wi� T�S�'L- Address: ��Z�L k��L.S/o� /SG�/� State Bond#: City: ��/1�� S Zip-��6 Expiration Date: Phone: p� 2 �Z o�l�bL Alternate Phone: ❑ Insurance—Current: 1 , : PLUMBING FIXTURES BEING 1NSTALLED ;� FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 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 Miscellaneous � PERMTT FEE CALCULATION(S) j i BASED OFF -2002 STATE STATLTE i ❑ Yes,tlus section applies The replacement of only one 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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next secrion, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) � � � �`�� ` PERMIT FEE CALCULATION`�� =JOBS OVER.:�5.00.00 :� If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (conn�act price) (minimum$50.00) 2. STATESURCHARGE � .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 pernutted 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 instaliations are fumished 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. � � � �:� �`_ � ��Pi��BI:NG PERMI�'��PLIC�:T��.l�T�GR:EEMENT '°;�� ,�.r. 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 sta ents made on this application are complete, true and correct. l ! I r � � � t �� Applicant's Signature: � Date: � ( 3