HomeMy WebLinkAbout2010-00096 - water softner � , CITY OF ORONO PERMIT NO.: 2010-00096
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 02/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1180 LOMA LINDA AVE
PIN : 08-117-23-23-0002
LEGAL DESC : UNPLATTED 08 1 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER SOFTNER
VALUATION OF PLUMBING 1800
APPLICANT PLUMBING FIXTURE FEE 50.00
BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.90
1424 3RD STREET N
MINNEAPOL[S, MN 5541 I- MAIL-IN FEE 2.00
(763)755-6468 TOTAL 52.90
OWNER
BURNS, MATTHEW
1180 LOMA LINDA AVE
MOUND,MN 55364
AGREEME1vT AND SWORN STATEMEIYT
The work for which this permit is issued sha11 be performed according to
the approved plans and specitications,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 atter wark has commenced.
The applicant is responsible for assuring ali 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 Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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P.O.Box 6� y �S ) ��.g� /.ti P C� Date Received: Permit#
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector)
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 A 1
❑✓ Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑./ Replace
❑ In Accessory Structure?
*You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information:
Site Address: 1180 Loma Linda Ave
Owner: Matthew Burns Mailing Address: ��80 Loma Linda Ave
City: Orono Zlp; 55364
Home Phone: �952)472-1212 Alternate Phone:
Contractor Information:
Contractor: Ben Franklin Plumbing Contact Person: Josh McGuire
Address: 1424 3rd St N State Bond#: 4041341
City: Minneapolis Zlp.55411 Expiration Date: 12/31/10
Phone: (612)604-4285 Alternate Phone:
�✓ Insurance—Cunent: 10/01/10
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FIXTURE BSMT 1 T 2 OTHER FIXT'URE 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
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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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
1,800.00 x.0125$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
1,800.00 x.0005 $ 0.90
(conuact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $. 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.90
■ * 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.
• **The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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 d�e 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: i . Date: 02/16/10
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