HomeMy WebLinkAbout2004-P07578 - water softner PERMIT
CI��'� OF ORONO
2R750 Kelley Parkway- PO Box 66 Permit Number: Po�s�a
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 6/8/2004
SITE ADDRESS: 1540 Long Lake Blvd
L.ong Lake,MN 55356
P I D: 26-118-2 3-3 3-0007
DESCRIPTION:
Proposed Use: xesicientiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. QWNER' William Ghandy&Rachel Carpenter
2905 Garfield Avenue S. � 1540 Long Lake Blvd
Minneapolis,MN 55408 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Capies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION
1. You may apply for plumbing permits by mai] or in person at che City offices. '
� 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 dwclling.
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 the State Code requirements.
6, All work rrmiist bP inspe��ed ��d a;r tesred bPfO:'� it is cov�:ed. �al: (952) 249-4600. 24-hou: r.otice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the _
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair 1{eplace
_/�2esidential Commercial
.T�B SITE:. GRANDY A,WILLIAM
' 1540 LONG LAKE BOULEVARD Zlp: '
U�vner's Name:.
Mailin Ac�dress oRorvo, Mrv 55s5s C t�hone Number:Zi '.
g (952)249-0434 �. �
Contractor's Name: c Telephone Number:_(��Z��JZ�-y��
Mailing Address: ZqOS �/✓ .so. City:_�/S Zip: S'5���'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND I OTHER I FIXTURE I BSMT I 1ST I 2ND OTHER
TYPE FL FL TY?E FL rL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sinlc Water Heater
Dis osal Water Softener �
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Dishwasher Wet Bar
Si]lcocks Misc (list)
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PERMIT F'�E CALCULATION(Sl
2002 State Statute �Yes, This Section Applies
The replacement of a Residential fixttire 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 licenced contractor.
Ski�, liext section; Cost of Perrnit $ 1�.OU
State Surcharge $ .5�
Mail In Fee $ 1.50 k
If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ _ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � •
* 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 installation aze 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 Department of Inspection Services for the price.
� 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 Ciry 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: Date,:/ /�/ �
' , �,�' �/
�� �7"' DATE TIME
CITY OF ORONO `� CALLED IN 7 Dy
INSPECTION NOTI E SCHEDULED --��L� -�=L�—
PERMIT NO. G 7$7S COMPLETED
ADDRESS ��V C� �
OWNER TR. �/��'�/r� /Yl l�ie�ry�
TELEPHONE NO. S� ��� - L��,/� � C'•G�/�/ibT�
� DESCRIPTION t.�c�,�1 �-(�C�.��ei'"� � SC���.�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SE I FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑COfiRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac� ite:
Inspector. ��
White Copy/lnspector's ile Canary Copy/Site Notice