HomeMy WebLinkAbout2005-P09063 - water softner PERMIT
CITY OF ORONO
Permit Number:
275(! K Iley Parkway- PO Box 66 P09063
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 8/l0/2005
SITE ADDRESS: 3860 Cherry Ave Unit#
MOUND,MN 55364
PID: 08-117-23-33-0008
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: Perniit 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: R R ENGLLJND ET AL TRUSTEES
6030 Culligan Way 38 ADDRESS UNASSIGNED
Minnetonka,MN 55345 MN 00000
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.
�'1Lu-c-P �il, d�� Grh�a-r� �-.
APPL[CANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
� �
.+ w .
CYT'Y OF O�tONO APPLICATION FOR PLU1V18N'G PERIVIIT
Bo�c 66 (2750 KeIley Parkway)
Crystal Bay, 1VIi�1 55323
rE,YERAT,-Il�IFORMAT'Y01�I
1. 'Yau may apply for pinmbino permiu by mail or in person at�Y►e City offices.
2. Permit cards will be sent by renun mail after a review is completed. P�12MITS ARE NOT VALTI'�UNTIL
YOU RECEIVE A p�RVIIT_ w0�uUST iVOT BEGIN LNTIL THF_PERMIT CARD IS pOSTED ON
TH�IOB STTF—
3. Plumbing permiu may be issued ONLY to licensed plumbing conuactors and to properry owners residing
in the dwelling.
4. When sny new construcuan or remodeling is �nvolved, a separate building permit must be obtai.aed.
5. All work must be done in accordance�wirh the: State Code requirements.
6. A.11 work must be inspected and air tested t�efore it is covered. Call (9�2) 2A9-4600. 24-hour no[ice
required.
Instructinns Complete all items on this applicacion. Compute rhe pem�it fee. Sign a.nd date the
certification. INCOi1�IPLETE APPLICATTC)NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addicion Repair 12eplace
--..i Residential Commercial
JOB S�TE: 3� � �e zip: 553�
Owner's Name: � Telephone Number:�.`� l 4 7 - 1 ��
Niailing Address: City: Zip:
Contractor's Name:��� , _ Telephone Number:�( �- - - -]�
Mailing Address: � I���City:��,Zip: t" �
PLU,YIBIIVTG FI?�TLrRE SC�TFT)ULE
FIXTURE BSMT 1ST 2�ID OTHI=R 1��YTURE BSMT 1ST 2ND OTFIER
TYPE FL FL TYF� FL PL
Water Closec F1oor Drains
Lavato Sewer �jector
Bathtub Laundrv Tra
Shower Washer '
K.itchen Sink Water Hea�er .
Dis osal Water Softener
Dishwasher Wet gar
Sillcocks Misc(Iist)
PERMIT E CALCUZ.ATTON S , '
� - �
20 2 State Statute � Yes, This Section Applies
The replacement of a �tesidential fixture or appliance that meeu all three of the followin�
requirements:
1) Does not require madificadon i.o electrical or gas service.
2) Has a cotal cost of$500.00 or less; exciudinQ the cost of the fixtuxe or appliance:
and
3) Is improved, installed or replared by the homeowner or licenced contractor.
Skip next secuon; Cost of Permit $ r5.00
� 5tate Surcharge $ .SO
Mail Yn Fee $ 1.50
�f above does not apply, follow gttidelines below:
1. C�ntract pri�e* is .0125 7 of job with a l�Iinimurn Fee of ($35.00)
x .0125 �
(cantr;ict price) (minimum$35.00)
2. State urcharQe. *� Add the State Building Code Division a ('iViinimum Fee of $ .50)
x ,OOOS $ �
(cono•act price) (mirumum � .�0)
3. Posta�e and Handlin� (Ouly mail-in applications) � 1.50
4. TOTAY. PER�IIT F�E (Add lines 1-3 above) $
* CONTFACT PRICE or JOB COST means thE:actual or estimaced dollar amovn�charged for the permitted
work zncludir�materials, labor,profit,and odier fixed costs. It is che amoun�to be charged to the customer
for the work done. If any material, equipmer�t, labor, or installation are furnished by the owner, tenant or
any other party th� reasonable market value af such i[ems must be added to the estimated cost or contract
price for permit fee purposes. In the event thac there is a dispute on the amount of[he job cost, the City may
request the submission of a signed copy of thc accual contract.
** The STAT�SURCHARG�is .0005 of the contract price under 51,000,000 ar S.50 -whichever is greater.
For valuations avcr�1,000,000 call the Deparunen�of Inspection Services for the price.
Th� undersigned hereby applies to the City fi�r issuance of a Plumbing Pennit, agrees to do all
work in strici accordance with the ordinanc�:s of the City and the regulations of ihe State of
Minnesota, and certifies that all sta[ements made on this application are eomplete, true and
correct.
�.� ;
Applicant's Signature: - � Date: — _�-