HomeMy WebLinkAbout2004-P08010 - water softner w PERMIT
CI�Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Posoio
Crystal Bay, Minnesota 55323 Permit Type: Fixhues
(952) 249-4600 Date Issued: 9�29i2ooa
SITE ADDRESS: 208o Salem Ct
Long Lake,MN 55356
P I D: 27-118-23-31-0016
DESCRIPTION:
Proposed Use: xesidenriai
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolurion#:
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: �lligan Soft Water Service Co. QWNER' Laura&Robb Hirschberg
6030 Culligan Way � 2080 Salem Ct
Minnetonka,MN 55345 Long Lake,MN 55356
T'HE 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 REQUIREMENf S.
,
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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Aunlicant,1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
CYT'Y OF OTtONO APPLICATION FOR PLUM$T1�C PERMIT
Box 66 (2750 Kelley Parkway) �
Crystat Say, MN 55323
c�a�nvFo�cATroK
I. You may apply for plumbing permiu by mail or in gerson at the City offices.
2. Permit eazds will be sent by ret�un mail after a review is completed. PEI2MITS A.RE NOT VALID iJNTIL
YOU RECEIVE A pE�tMIT. w012�MUST NO?BEGIN UNTIL THE PERMIT CARD 1S POSTED ON
TI� 70S SITk-
3. Plumbing permits may be issued ONLY to licensed plumbiag conuactors and to properry owners residing
in the dwelliag.
4. When say new construction or remodeling is��nvalved, a separate building permit must be obtained.
5. All work must be dona in accordance wirh th� Stau Code requiremencs.
6. All wark must be inspecud and air tested t�efore it is covered. Call (9S2) 249-460Q. 24 hour nouce
required.
Instructi�ns Complete all items on this application. Compute the permit fee. Sign and date the
cert�cation. INC011�IPLETE APPLICATYC)NS WII.L NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: �New _ Addition Repair Replace
Residential Comm.ercial
�OBSITE: o��S� �� � c�'� Zip;
Owner`s Name:_ R o bb / ,�r's�h��G Telephone Number:
lviailing Address: City: Zip: .
Contractor'sNanae: CULUGAN WATER CONDITiON{NC�'elephoneNumber:
Mailing Address: 030 City: Zip:
� .
PLY�����:JRE SCT�ATJLE
g1XTiJRE BSMT 1ST 2iVA OTHI:R ��YTURE BSNIT 1ST 2NA OTFIER -
'FypE FL FL - TYF� FL PL
'Water Closec Floor Drains
Lavato Sewer �'ector
Bachtub � Laundrv Tra
Shower Washer '
Kitchea Sinlc Water Heacer . �
Dis osal Water Softener �
Dishwasher Wet�az
Sillcocks Misc(Listy I
PERMY'r F�E CALC'ClLA1'YON(S)
20 2 State Statute �Yes, This Section Applies
The replacement of a itesidential f xture or a�pliance that meets all three of the following
requirements:
1) Does not require rnodificauon t.o electrical or gas service.
2) Has a total cost af$SOO.OQ or less; exctudinQ the cost of the fu�ture or appliance;
and
3) Is impraved, installed or xeplaced by the homeowner or licenced contractor.
Sldp next secuon; Cost of Permit $ r5.00
� 5tate Slircharge $ .50
Mail Yn Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract pric�* is .4125 % of job with a Min;mum Fee of (�3S.Q0)
X .0125 $ i T� U�
(conucict price) (miaimum$35.00)
2, State urcharge. *� Add the State Building Code Division a (1Viinimum Fee of$ .50)
X .�5 $ r 4"a '
(cancract price) (minimum$ .50)
3, postage and Handling (pnly mail-in applications) $ 1.50
4. - TOTAY.PERNIIT FEE (Add lines 1-3 above) $ l ? , a v
* CONTRACT PRICE or JOB COST means thf:actual or esama�ed dollaz amouni chazged for the permitted
work includic�materials,labor,profic,and odier fixed cosu. It is che amoun[to be chazged to the customer
for the work done. If any material, equipmeru,labor,or installarion are furnished by the owner,tenant or
any ather party th�reasonable market value of such items must be added to the estimated cost or contracc
� price for permi[fee purposes. In the event thae there is a dispate on the amotui[ef[he job cost, the Ciry may
request the submission of a signed copy of tbc acrosl contracc.
** The STATE SURCHARGE is .0005 of the caitract price under S1,OOQ,000 ar S.SO -whichever is greacer.
For valuations over$i3Ob0,000 call the DepacGmenc of Inspeetioa Serviees for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plumbing Peraut, agrees to do all
work in strici accordance with the ordinanc�:s of the City and the regulations of the Sta.te of
Minnesota, and certifes that all statements made on this application are complete, true and
correct.
Applicant's Signature: � Date: � /�/!a�