HomeMy WebLinkAbout2004-P07739 - water softner � - � PERMIT
C�,����OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po��39
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �i22i2oo� �i�
SITE ADDRESS: 1280 Spruce Place
Mound,MN 55364
P I D: 08-117-23-3 2-0014
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit 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: Culligan Soft Water Service Co. OWNER: Killian's Gate LLC(Dr. Dennis Killian)
6030 Culligan Way 1300 Spruce Pl
Minnetonka,MN 55345 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
r � �
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CTT� OF O�tONO APPLICATION FOR PLUIV�I1�TGr PERi1�tIT
Bo� 66 (2750 Kelley Parkway)
Cr�stal Bay, 1VIN 55323
c'TENE�tAT,.INF'ORMA'I'YO1�T
I. ^ You may apply for plumbing permiu by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. P�12MITS ARE NOT VA.I,Tl�iJNTIL
YOU RECEIVE A p$RMIT. V✓O�MUST NOT AEGIN UNTIL 7NF?PBRMiT CARD 1S pOSTED ON
TI-� 70B STTi3_
3. Plumbing permiu may be issued ONLY to licensed plumbins conuactors and to propeny owners residing
in the dwelling.
4. When any new construction or remodeling is��nvolved, a separate building permit mus�be obtai.aed.
5. All work must be done in accordance wi�h the: Stau Code requirements.
6. All work must be inspecced and air tested t�efare it is eovered. Call (9S2) 2fi9-4600. 24-hour norice
required.
Instruc�ic►ns Complete all items on this application. Compute the perrnit fee. Sign and date the
certification. INCO�TPLET� APPLICAT7CINS WII_.L NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: �_Ne�v _ Addition Repair �2eplace
Residential Commercial
�oB s�'I'E: I 2�v S�.�v L t �'�- Zip:
Owner's Name: �c:: t c-+-�=— Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: CULLIGA�! WATER CONDITiONINC�'elephoneNumber:
Mailing Address: 6030 N Cit�: Zip:
, .
PL�ur����� sc�oF:nul.E
gIXTL7R� BSMT 1ST 2NA OTHI:R �'�.'`{TURE BSVIT 1ST 2ND OTFIER �
'FY'pE FL FL TYP� FL PL
'Water Closet Floor Drains
Lavato Sewer �iector
Bathtub Laundrv Tra
Shower W asher '
'Kitchen Sink Water Heater .
Dis osal Water Softener �
Dishwasher wet�ar
Sillcocks Misc (Iist)
� . .
. r
PERMTT k'�E CALCYILATYON(51 ~ �
20 2 State Statute � Yes, This Section Applies
The replacement of a �tesidential f xture or appliance that meets all three of the following
requirements:
1) Does not require nlodification t.o electrical or aas service.
2) Has a total cost af$SOO.OQ or less; excludina the cost of the fixture or appliance:
and
3) Is impraved, installed or replac ed by the homeowner or licenced contractor.
Skip next secuon; Cost of Permit $ T5.00
� State Surcharge $ .50
Mail Yn �ee $ 1.50
If above does not apply, follow guidelines below:
1. Contract price* is .�125 � of job with a 11�Iinimum Fee of ($35.00�,
x .0125 $
(contr;tct price) (minimum$35.00)
Z. State �urcharge. ** Add the State Building Code Division a (IYluumum Fee of $ .50)
x ,0005 $ �
(con��act price) (minimum$ .�0)
3. Post e and Handlin (Qnly mail-in applicarions) $ 1_50
4. TOTAY.PERt�IIT F�E (Add lines 1-3 above) $ (�; o�`
* CONTT�ACT PRICE or 70B COST means thE:accual or estimaced dollar amount eharged for the permitted
work including materials,labor,profiL, and odier fixed costs. It is rhe amoun[to be chazged to�he customer
for the work done. If any material, equipmer�t, labor, or installation are furnished by the owner,tenani or
any other parry th�reasonable market value cf such items musc be added to rhe estimated cost or contrac�
� price for permi�fee purposes. In the event r.hac there is a dispute on�he amount of the job cost, the Ciry may
request the submission of a signed copy of thc actuat eontraec.
*# The STATL SURCHARG�is .0005 of the coi�tract price under 51,000,000 or S.50 -whichever is grea[er.
For valuations over$1,000,000 call the Department of Inspeetioa Services for the price. .
The undersigned hereby applies to the City f��r issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinanc�:s of the City and the regulations of the State of
Minnesota, and certifies that all statemenu made on this application are complete, true and
correct.
Applicant's Signature: / . Date: �/�v�/