HomeMy WebLinkAbout2001-P03711 - water softner PERMIT
CIT�Y OF ORONO
27:�0 Kelley Parkway - PO Box 66 Permit Number: Po3�11
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: aii��2oo1
SITE ADDRESS: 1005 Linden La
MOLJND,MN 55364
P I D: 07-117-23-13-0092
DESCRIPTION:
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PTOpOSeCl USe: nc�iucui�ai
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: $ 200.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Culligan Soft Water Service Co. QWNER: GLORIA IRENE KING
6030 Culligan Way 1005 LINDEN LA
Minnetonka, MN 55345 MOLJND 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
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE IGNATIJRE SUED BY SI AT
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLLTI�1Bliti G PERl�ITT
Box 66 (2750 Kelley Parkway)
Crystal. Bay, I��1 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut 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 PERIv1IT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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. All work must be done in accordance with the State Code requirements.
6. All w�ork must be inspected and air tested before it is covered. Call 249-4600. 24-hour ao�ice r�quired.
Instructions Complete all items on this application. Compute the permit fee. Si�n and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600. �
Please check one: _�/New Addition Repair Replace
_�Residential Commercial
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JOB SITE:� ,� ,� � r�����'�'� Z�p'.����'�
Owner's Name: j���,�-{ �e r� � y,�����-�- Telephone Number: �,5,�/y��-�y,�,,-
Mailing Address: rAN WATER CONDITIONI��py; Zip:
Contractor's Name: 6030 CULUGA Telephone �umber:
�lailing Address: MINN , City: Zip:
PLUNIBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSti1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
`J✓ace; C:�sct Flecr D:ai^s
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) , o
r9l?0�� x .0125 $ ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ,�0
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3—( � p(�
* 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 charged to the
customer for the work done. If any material, equipment, labor,or uistallation are furnished by the owner,
tenan[ or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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,OQ0,000 or $.50 - whichever is
greater. For valua[ions 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 regulations of the State of
Minnesota, and certifies 1 statements made on this application are complete, true and
correct. ,
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Applicant's Signature: Date: �' .3
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� DAT TIME
CITY OF ORONO CALLED IN ���
INSPECTION N �T,I��E�/ / � SCHEDULED .L � 4
PERMIT NO._���.��___c_— OMPLETED � I .:O C)
ADDRESS IUOS Gi/j C� L.GC/7 �.
OWNER ��b �[�,!/�`�� CONTR. ������1G-�
TELEPHONE N�sa� y 7�- 7�`�/�
� DESCRIPTION f�`�r/l�-t �/'1 W�t� 5���'�-`�.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ��AIORK SATISFACTORY:PROCEED �ROJECT COMPLETE
�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site•
Inspector.�iG�CLs-G WS'
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