HomeMy WebLinkAbout2006-P09536 - water softner PERMIT
CI�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09536
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
1/17/2006
SITE ADDRESS: 2550 Sixth Ave N Unit#
Long Lake,MN 55356
P��� 28-118-23-41-0005
DESCRIPTION:
Proposed Use: Residential
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: Culligan Soft Water Service Co. OWNER: Ed&Tess Rice
6030 Culligan Way 2550 Sixth Ave N
Minnetonka,MN 55345 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.
�IZyj-Q'(.� �!'l (!'�Z�-�,
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� . .
CT'I"Y OF ORONO APPLICATION FOR PLUIVIBI�Ii 'G PERMIT
8ox 66 (2750 Kelley Parlcway)
Cr�stal Say, MN 55323
GEIVERAT,.�'ORMATTO
I. ' You may apply for plumbing permiu by mail or in persou at che Ciry offices.
2, Permit cards wi11 be sent by retw.n mail after a review is completed. P�12MITS ARE NOT VALTll UNTIL
YOU RECLIVE A p�RMIT. WO�MUST NOT BEGIN UNTIL'T'HE PERMIT CARD 15 pOSTED ON
T 70B STT__
3. Plumbing permiu may be issued ONLY to licensed plumbing conuactors and to property owners residing
in the dwelling.
4. When say new conssraction or remodeling is��nvolved, a separa�e buildin�permit must be obtained.
5. All work must be done in accordance Wirh the: Stau Code requirements.
6. All work musx be inspected and air tested trefore it is covered. Call (952) ?A9-4600. 24-haur norice
required.
Instruct't��?s Comple�e a11 items on this application. Compute rhe nemiit fee. Sign and date the
certification. INCOi1�TPLETE APPLICATTC)NS WII.L NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addition Repair 12ep1ace
Residential Commercial
JOB SITE: Z�p:_�_ ��l
Owner's Name: ' � Telephone Number:
Mailing Address: ����City: Zip:
Contractor's N ' „�o,�����t� Telephane Nuinber:
MailingAddress: ���,���T�Np����,�t a ����� City: Zip:
�GF������'3�-'72(�t! .
'PLUiVIBING FIXTU�tE SCT�ATJLE
FIXTURL-" BSMT 1ST 2��D OTH1:R F�YTURE BSMT 1ST 2ND OT�IER
TYPE FL FL TYPE FL PL
Water Closet Floor Drains
Lavato_ Sewer �'ector
Bathtub Laundrv Tra
Shower W asher "
'Kitchen Sinlc Water Hea�er .
Dis osal Water Softener
Dishwasher Wet gaz
Sillcocks Misc (list)
PERMIT CALCULATTON S �
20 2 State Statute �-Yes, This Section Applies
The replacement of a Residential fixture or appliance that meeu all three of the following
requirements:
1) Does not require modificauon I.o electrical or gas service.
2) Has a total cost of$500.00 or less; e�ciudi�a the cost of the fi�ture or appliance:
and
3) Is improved, installed or replared by the homeowner or licenced contractor.
Skip next secuon; Cost of Permit $ r5.00
State Surcharge $ .SO
Mail Yn Fee $ 1.50
If above does not apply, follow guidelines belo�v:
1. C�ntract Price* is .0125 % of job with a Minirrium Fee oF ($35.00)
x .0125 $
(cantr;ict price) (minimum$35.00)
2. State urcharge. *�` Add the Siate Bnildiug Code Division a (Minimum Fee of $ .50)
x .0005 $ �
(con�•act price) (minimum$ .�0)
3. Posta�e and Handlin� (Qnly mail-in applicarions) � 1.50
4. TOTAT. PER'VIIT F�E (Add lines 1-3 above) $ � �.��
* CONTF.ACT PRICE or JOB COST means thE:actual or estima[ed dollar amount charged for the permiaed
work including materials, labor,profit,and odier fixed costs. It is che amount to be charged to�he customer
for the work done. If any material, equipme�u, laber, or instzllation are fur.ushed by the owner, !enaat or
any o[her parry th�reasonable market value of such i[ems must be added to [tze estimated cost or contract
price for permit fee purposes. In the event thac there is a dispute on the amoun[of[he job cost, the Ciry may
reques�the submission of a signed copy of thc accual con[ract.
** The STATE SURCHARGE is .0005 of the contract pnce under�1,000,000 or 5.50 -whichever is grea�er.
For valuations over�1,Od0,000 call the DeparunCn�of I�spection Services for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plurnbi�g Perm.it, agrees to do all
work in strict accordance with the ordinanc�:s of the City and the regulations of ihe State of
Mi_nnesota, and certifies that all statements made on this application are complete, true a.nd
correct.
Applicant's Signatur �� Date: I,,l�Z(�J�