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HomeMy WebLinkAbout2006-P09651 - water softner � PERMIT -CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po9651 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 3/7/2006 SITE ADDRESS: 740 North Arm Dr Unit# Mound,MN 55364 PID: 06-117-23-43-0006 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: Permit Fee: $ 35.00 valuation: $ 1,200.00 State Surcharge Fee: $ 0.60 Misc.Fee: $ 35.00 TOTAL FEE: $ 70.60 APPLICANT: Bergerson-Caswell Inc. OWNER: Dean&Lucy Mitchell 5115 Industrial St. 740 North Arm Dr Maple Plain,MN 55359 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 STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �,.. " �� �� L,�._ -� �s_.--�t _..�f'��.-._- �,�� ` � � APPUCANT PERMITEE SIGNATURE ISSUED BY SIGNAI'URE Copies: 1-File(Sigriatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 t 1 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GElYERAL INFORMATION 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. PER�'bl[TS ARE NOT VALID IJNT(L YOU RECENE A PER.MIT. WORK MUST NOT BEG[N UNTIL THE PERM(T CARD IS POSTED ON THE JOB S[TE. 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 bui(ding permit must be obtained. 5. :all work must be dode in accordance with the State Code requirements. 6. .411 work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice reyuired. Instructions Complete all items on this app(ication. Compute the permit fee. Sign and date the certiiication. INCO1�tPLETE APPLICATIONS WILL NOT BE PROCESSED. [f you have questions, call (95?) 249-�600. / Please check one: v New addition Repair Replace Residential Commercial JOB SITE: ��1� /�DkTfl /�L'� ��� { D�d/�C7 ; �i�/ Zip: Owner's Name:/1�i,ay��ti,c-� �'iu�sro� ,�12�m�� Telephone Number: �%� 3�6 - ��r�� MailingAddress: �i��S��c��i,c City: /Yld�/t'�� Zip: .S's3G,� Contractor's Name: �� ,- �, Uv<l Telephone Number: ��3 y���i- �z� Mailing Address: S�is rndus�.�i sr City:/r��p,l�P�s:� Zip: �s-�;-�� PLUMBING FIXT[JRE SCHEDULE FL�TLRE BSNIT 1 ST 2ND OTHER FLYTL'RE i BS�bt 1 S 2ND OTHER T�PE FL FL TYPE i T T FL FL l�'ater Closet Floor Drains Lavatorv Sewer E'ector Bathtub Laundrv Trav Siio�ver Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Siilcocks Misc(list) ,� - PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance 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 nert section; Cost of Permit � 15.00 State Surcharge � .50 Maii in Fee � 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 � of job with a Minimum Fee of ($35.00) _ la vv. �� X .0�2� � (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 � (contract price) �minimum � .�0) 3, Postage and Handling (Only mail-in applicationsj � 1.�0 �. 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 fixed costs. It is ihe amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonabie 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 reyuest 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[nspection 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 that all statements made on this application are complete, true and correct. Applicant's Signature: �cr,��_�,�,,;,,, Date: 3�'�-r�