HomeMy WebLinkAbout2004-P07203 - water softner 'tTY� F R N PERMIT
�' � � � � Permit Number:
2750 Kelley Parkway - PO Box 66 P07203
Crystal Bay, Minnesota 55323 Permit Type: FiXc�res
(952) 249-4600 Date Issued: 2/3/2004
SITE ADDRESS: 135 Luce Line Ridge
Maple Plain,MN 55359
PID: 31-118-23-34-0007
DESCRIPTION:
Proposed Use: xesicientiai
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: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Appliance Installers of MN.,Inc. OWNER: David Anderson
16740 Iredale Path 135 Luce Line Ridge
Lakeville,MN 55044 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
I f
� � / q� ,�g
�C � / ��U v RECEIVED
FE� 0 3 2004
CITY OF ORONU APPLICA'Y'ION FQR PLUNiBING P��F ORONO
Box 66 (2750 Kelley Pukway)
Crystal Say, MN 55323
���-�a�A��� on at the City offices_
1. Yon may aPP1Y for plumbing Permits by ma�'i or in p�
? Pernut cards wi1l be gen[by retum mail sfter a review is comPleted. pE1tMIT; T�ARD IS POSTED ON
YOU RECEIVE A PERMIT• wORK_MUST NOT BEGiN UNTIL'�HE PER.�
�g 7OB �TE. owaets residing
3. Piumbing Permiu may be usued ONLY co licensed plumbing cornra�ctors and to praperry
in the dwelling• rmit must be obtained-
q., vVhen au,y�W�nstru�tmn or remodeling is invoived,a separace building pe
5. All work musc be done w accordance with the State Code requir�is.
(,, p11 work muac be inspecced and aiz �ested before it is covered. Cail {952) 249-4600. 2a-hour notice
requ'ued.
Instrueti� Complete all items oa this aPPlicauon. CompuLe the permit fee. Sign and date the
cerufication. INGOMPI�T� �PLI�'TIONS WILL NOT BE PROCESSED. If you have
questions, call (9S2) 249-�600. .
N��,�, Addition Repair Replace
Please check one: Commercial
�_Residential
JOB SYTE: � e e �p'" J�� S'
Telepho Number:� ' —
pvvner'sName� � Cit�►: y ZiP:i,�'�3.�9
Mailing Address: � Tel hoae Number: 9�v�8"Q`/$3�7
Contractor's Name: � � City: � RN- : �`�'����
Mailing Address: �"T
pY,�B�YTRE SC�DCJL�
BSMT 1ST 2ND OTHER
�T�g BSMT 1ST 2ND 07AER ��E � �
TYPE �' �'
Fi�r Drains
wa�er Closec
Sewer E"x�or
Lava
Laund Tra
�a�htub
Washer
Shawer
Wacer He�ue�
Ki�chen Sink
Water Sofce
Dis osal
VVet Bar
Dishwasher
Misc(Jisc)
Sillcocks �
� �eb-02-1004 08:54am From-CITY OF ORONO +9521494616 T-T3T P.003/003 F-875
�*-RMTT FEE CALCY3Y.ATION(S)
2002 Sta�te Stat� ❑ '��= T�s Section Applies
The replacement of a Residenti 1 fixture or a liance that meets all three of the following
requirements:
1� 17�es not require modification to electrical or gas service.
2} I�as a total cost of$500.00 or less; excludin�the cos�of the fixture or appliance:
and
3� 7S improved, instailed or replaced by the homeovvner or licenced contractor.
Skip next section; Cost of Permit $ 1S.Oa
State Surcharge $ .�0
Mail In Fee $ 1 SQ
If above daes not apply, follow guidelines below:
1. Contra_ Price* is .0125 % of job with a Minim� m Fee of(�35.00)
x .0125 $
(cantracc price) (miaimum$35_00)
2, �tat� Surcha� ** Add the State Building Code Division a (Minunum �'ee of$ .5Q}
x .0005 $
(contract price) (minimum$ .50)
3. osta e nd Han � (4nly mail-in appiicarions) � 1.5�
4. TOTAL PERMIT FEE (Add Iines 1-3 above) �
* CONTRACT PRICE ar JOB COST means the actual or escima�d dollar amount charged for the permiRed
work inelud'mg macerials,labar,Qrofit,a�other fixed cosu. It is the amount to be eharged[o che eustomtr
for the work done. If aay material,equipment. labor,or installation are furnished by the owneT•�e�n�or
a�other parry tbe reasonabte marksc value of svch items must be added to thc esamaced cost or co�nr,ract
price for permit fee purposes. !n tbe e�+cnt�L theTe u a a'spute°n the amount of the job cosc,the City may
request the submission of a sigped copy of ihe aewal con�act•
+�* The SZ'ATE SURCFIARGE is .0005 af the contra�t price under 51,000,000 or �.SO-whichever is greaier.
For valuations over$1,000,000 ca11 the Departmenc of Inspection Services for the prsce.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: —
Date:v�- '�-