HomeMy WebLinkAbout2000-P02424 - water softner � �
PERMIT
C I TY O F O RO N O Permit Number:
275� Kelley Parkway - PO Box 66 P02424
Lrystal Bay, Minnesota 55323 Permit Type: FiXrures
(612) 249-4600 Date Issued: s�a�oo
SITE ADDRESS: 145 Brown Rd S
LONG LAKE, MN 55356
P I D: 03-117-23-21-0007
DESCRIPTION:
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PCOpOSed USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,900.00
State Surcharge Fee: $ 0.95
TOTAL FEE: $ 35.95
APPLICANT: STUMPFL ENTERPRISES INC OWNER: JOHN M WINTON
8027 CHEYENNE AVE 145 BROWN RD S
CHANHASSEN,MN 55317 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� 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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APPL T RM[TEE S[ A R ! ISS ED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
�2ox bb (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 1NFORMATION
1. You may apply for plumbing permits by mail or in person at the 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
POST�D ON THE JOB SITE.
' 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOA7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
;
Residential Commercial
JOB SITE: �. I� Zip:
Owner's Name: ' Telephone Number: *j�`� --�' ?�t'''
Mailing Address: City: Q�,�u.�- Zip:
; Contract�ir'sName: Tele neNwnber:�/Z � ,3' ' �� 7 t
MailingA.ddress: 7 City: �Zip: _5�31
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PLUMBING FII�TURE SCHEDULE
� FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw��sher Wet Bar
� Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or ' um Fee 35.00
��oo X .o�2s $ �3, 1,,5',.
(contract price)
2. State Surchar� ** Add the S�Building Code Division �
Surcharge to each permit. / �O a x .0005 $ , 'rl'�
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
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 fized costs. It is the amount to be chazged 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 Ciry 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 Jnspectional 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 City and the �egulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: Date: ���