HomeMy WebLinkAbout2003-P06717 - water softner PERMIT
CIT'� OF ORONO Permit Number:
�150 Kelley Parkway - PO Box 66 Po6�i�
Crystal Bay, Minnesota 55323 Permit Type: FiX�eS
(952) 249-4600 Date Issued: 9i3i2oo3
SITE ADDRESS: 1400 CherryPl
Mound,MN 55364
PID: 08-117-23-33-0012
DESCRIPTION:
Proposed Use: xesicientiai
Pemut Class: Pltunbing
Pemut Type: Fixtures
Permit Sub-type(s): Water Sofiner
DETAILS:
Approved per resolution#:
Separate pernrits 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: CustomPlumbing OWNER: Gene&NlaryZulk
815 Niagra Lane 1400 Cherry Pl
Plymouth,MN 55447 Mound MN 55364
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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
.
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APPLICANT PER1b4ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF OI�ONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMA'IION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards wili be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED 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 separate building permit must be obtained.
5. �,11 work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair ce
� __���idential Commercial
�P .ros srr�: ���� �:�-�. �?� �c� z�P:
�: Owner's Name: ��E ��i E Telephone Number: `i S�-�i�[ - ��� E
Mailing Ad�r���. Cit Zi
� Custorr� Plumbin y� p�
Contractot g Telephone Number: 7 6��Y�i t �c�� �7
�'' Mailing Ac 815 Niagara Lane City: Zip:
Plymouth, MN
55447
Y1,UM1i1N(T FIXT�TIt� SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
� Lavato Sewer E'ector
� Bathtub Laund Tra
� Shower Washer
�: Kitchen Sink Water Heater
�:;
Dis osal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCLJLATION(S)
2002 State Statute �es, This Section Applies
The replacement of a Residential fixture or a�pliance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.OQ)
� �. U
x .0125 $ � `� °
� (contract price) (m;n;mum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ ,5Q)
x .0005 $ • � �
� (contract price) (m;n;mum$ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
� v�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation are fumished 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 City may
� request the submission of a signed copy of the actual contract.
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** 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 Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, ajrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
� � �31 ��3
Applicant's Signature: Date: