HomeMy WebLinkAbout2003-P06413 - water softner * � = PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06413
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 6iiii2oo3
SITE ADDRESS: 2915 Somerset Lane
I.ong Lake,MN 55356
PID: 04-117-23-24-0019
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Aquarius Water Conditioning,Inc. OWNER: Nancy&Brent Bordson
6027 Georgia Avenue 2915 Somerset La
Oakdale,MN 55128 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
Covies: 1-File(SiQnitures Repuired), 1-At�nlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
aun-OB-rJ03 10:13am From-CITY OF ORONO +9522494616 T-596 P.002/003 F-2T5
CYTX OF Q1tONa APPLICAZ'ION FOR PLU1ViBING P�1t�iT
Box 66 (275Q Y{elley Farkway)
Crystal�ay, MN 55323
��NE�tAL 11vFQ�M�,ON
1. You�a}+apply for plumbi�g permits bY mail or i�Person at tht City off'iCes.
2. YOU ItEC��IV�A PERMTL'. ORK M 3'T T� g G°�leted.��RMITS ARE NOTIS POSTFD ON
THE JOB S H. o��=esidin.g
3 plumbing pennizs may be issued ONY.Y co licensed plumbiug cantractors an�d to property
in the dweJlinr;.
4. When aay new con.°nvction or remod.eliag is involved, a separate buitding permit must bc obtained.
5, All work musc be done in accordaace witt►the State Code requiremen�s.
g, All work mu.tit be inspected and sir tested before it is covcred. Call (952} 249-4600. 2A-hour nodce
required.
Yns�ictio�s Complete all item.s on this application. Compute the pertnit fee. Sign and date the
certification. INC:C?MP�ETE APPY-YCA,TIONS WII.L NOT BE P120CESSED. If you have
quesuons, call (9�:z) 249-4600. _
Please check one; ����New Addi�ion Repair �teplace
Residential Commercial
�OB SITE: � �p� -'
Owner'S Name• Tetephaae Number:
Mailing Addresa City: Zip: p
Contractor'sNa�ar T honeNumber• - -O�d
1V�ailing Address• Cxiy: ZiP:
P UMBING FTXTCIRE SC�iEDULE
pp�TUREi ByMT 1ST 2ND OrHER �T�TRE BSMT �� �b Q��
TY'pE FL FI.
Water Closet �'loor Drains
Lavato Sewer E'ector '
Bathtub Laun Tra
Shower W��
ICitchen Sink Waier Heater
�_ S� Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
� v
Daily Cash Receipts
Name Month
Date Name Deposits
New Service PaRs Tax ChedcNumber
De sits New Servioe Parts Tax
TOTAL
�un-06-2D03 10:14am From-CITY OF ORONO +9522494616 T-596 P.003/003 P-275
pE�E CA�.CUL TI S
2 02 S te S a Yes, 7�'his Section Applies_
_ _ _ _
The replacement of a Resi entia] fixturg or appl� that meets all three of the following
requirements:
1) Doe� not require modif'ication to electrical or gas service.
2) Has a ral c st of$500.00 or less; excludin�the cast of the�ixture or appliance:
and
3) Is improved, installed or replaced by the homcowner or licenced contraccor.
SkiX� neXE seCtian; Cost of Permit $ 15 00
Sr.ate Surcharge $ .50
Mail In Fee $ 1.50 �—
If above does not c�p�1y, follow guidelines below:
�, ontr I ice* is ,0125 % of}ob with a ' ' �' of .00
x .0125 $
(contract price) (minimum$35.00)
. Z, Sta Su r.har e. ** Add the Stat� Building Code Division a (Mi�timum Fce of$ .50)
x .00OS $
(canuac[price) (��'�$ .SQ)
3, o e d �Y ndlin (Only mail-in applications) $ 1.50
� TpT�,pEgMYT FEE (Add lines 1-3 above) � �
* CpI�TtRACr PRIC�or 10B COST u�eans the actual or estimated doUar amount charged for the permitted
work including maeerials,labor,profit,and other fsxed casts. It is rhe amount to be charged to the cusiomer
tor the wor�:doae. If any material, equipment,l&bor,or insiallxtion are furnisbed by the owaer,t�ant ar
any other p:�ny the reasanable mark�[value of such iLems must be added to the esrimated cost or eon[ract
price for permit fee purposes. In[he event that there is a dispute on the amount of the job cosc,the City may
requesL the subcnission of a signed copy of the aetual eontraec•
** 'Y'he STATIi SURCHARG�is.0005 of the co��ract price under$1,000,000 or $.50-wbiichever is greater•
For valuatians over$1�000,000 eall the DeAa�ment of Inspecaan Serviees for che price.
The undersignEd hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict acxordance with the ordinances of the City and the regulations of the State of
Nlinnesota, and certi�ies that all statements made on this application are complete, uue and
correct.
Applicant's Signawre:
Date: �
r �
Daily Cash Receipts
Name Month
Date Name Deposits
New Servioe PaRs Tax Chedc Number
De its New Serv(ce Parts Tax
TOTAL