HomeMy WebLinkAbout2007-P10858 - water softener PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10858
Crystal Ba„y, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
� 3/30/2007
SITE ADDRESS: 2750 Kelley Pkwy(Admin Offices) Unit#
Long Lake,MN 55356
PID: 33-118-23-12-0007
DESCRIPTION:
Proposed Use: Other
Pemut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
N/C Because Work Done For City-Per Public Works
FEE SUMMARY: Valuation: $ 3,559.25
TOTAL FEE: $ 0.00
APPLICANT: Kingsway Mechanical(See Comments) OWNER: City of Orono
6250 Highway 12 W 2750 Kelley Parkway
Maple Plain,MN 55391 P.O.Box 66
Crystal Bay,MN 55323
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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� �
� — roR ciT��usE on1.Y
O���O City of Orono
P.O.C3ox G6 Date Received: Pennit#
�;;,;,,,� 2750 I<elley Parkway ���
� ����'_� �� � Crystal Bay,MN�5323 Approved By: � Amount�: C
�" ���w}����.�c` (952)249-��600
�'�'a�sxo�
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved Uy die Building Oflicial or h�spector)
GENERAL INFORMATION
1. You may apply fior phmibing peinvts by mail or in person at the City offices. ApplicaCious will be
reviewed and a permit will be isslied within Ywo working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS AR�NOT
VALID UNTIT'YOU R�CEIVE A PERMIT. WORIt MUST NOT 13EGIN UNTIL THE
PEIZMIT CARI)IS POSTED ON THE.JOB SITE.
3. Pluinbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in tlle 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 requireinents.
6. All�vork must be; inspectcd and air tested before it is covered. Call(952) 249-4600.
(24-48 hour notAce required)
TYPE OF PERNIIT
(Check All That Apply)
❑ Residential ❑ Conuilercial(Approval Required)
ew ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Strucbare'?
� , r„n i"'. `,' y ' , p ",��iticl�iV)
�"1�GL1 DViii i120t'I ['ii'r6i' i7�3�31"GV21i AIIC'1 713' iieZ(1 l.iJi Yl,l VT^vll0�.1{ l.OUC l,�l'c! LC'I 7u
�b Site/ Owner Information: � �
, ./.
Site Address: � �_ �
Owner:_��� Mailing Addi-ess: _
city: �C.� �� Zip:
�[ome Fhone: Altci-�7ate P11oi1e:
�ontract�r Ir.f�nnatic:�:
I
r- c
'� �_��� �-c� ✓ G S � �
Contractor: �/C�',_<' Contact Person:
7 / �
Address: ��G � Z State Bond #: � ��a0
City: �f� Zip����xpiration Date: �2 " :3/ — D�
Pholle: ��- � Alternate Phone: (o � Z ��/'d —�C���_
❑ liisurance— Cun�ent: �.S
1 '�� 3 2 �7 Z�
�
�
` � �' �: PLUlVIBING;FIXTLTRES`:BEING INSTAI,LED ° ° : "
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
` � 4 �� FE `R1VI�T'EEE GA.�.CI.�L;A,TIO�T(S) s ; - �-
�.; ,, ...:�" _BASED OF�y 2002;'STAT��STATL�E:: .
❑ Yes,this section applies
The replacement of a Residential fixture or ap hp 'ance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is innproved,installed or replaced by the homeowner or licensed conh•actor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
� Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
�
�
�— PEIZIVIIT FEI; CALCULATION(S) —JCBS OVER $500.00 �
� If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of connact price�vith a(�inimum Fee of$35.00)
� 5�9 � � .0�25 �
(contr ctprice) {minimum53�.00)
2. STATr SURCHARG� '��� Add the Si�ate T31dg Code Div. Surcl�arge(illinimum Fee of�.50)
� .0005 $
(conh�act pricc) (miiiimum$ .50)
3. POSTAGL; &HANDLING(Only on Mail-lu Applications) $ 1.50
-{. TOT'AL PE12.1VIIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cl�ar�ed for +���
pei�nitted work including materials, labor,proft, and other fixed costs. It is the amount t� '- �„�
to the customer for tlie �vork done. If any material, equipment, labor or installati��- �� r
the owner, tenant or any other party, the reasonable market value of such items � ���� �,fa
estimated cost or corih-act price for pernut fee puiposes. In the event that thei �
amotmt of the job cost, the City n7ay request the subnussion of a signed copy o� '
0
_ ** The STATE SURCHARGE is .0005 of the contraet price under $1,000,000 or � �
greate�r. I�or valuations over$1,000,000 cal: .hc Building Department at(952) 2�39-4t
� PLUMB?�G PERMIT APPLICATION AGREEl�ic;NT ____�
The trndersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
worlc in strict accordarice with the ordinances of the City and the regulations of the State of
i�imlesota, arid ceriifies tna� dii siaiei�len�s iiiau� un tliis appiication a�c con��,icte, tr�ic �nd
correct.
--_..
Applicant's Sign re: '"�� Date� �
� —
� �
3