HomeMy WebLinkAbout2003-P07008 - water softner PERMIT
G�.IT� OF ORONO � Permit Number:
2750 Kelley Parkway- PO Box 66 Po�oos
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 11/14/2003
SITE ADDRESS: 1361 North Arm Dr
MOUND,MN 55364
P I D: 07-117-23-41-0066
DESCRIPTION:
Proposed Use: Kesidenrial
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
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: Culligan Soft water Service Co. OWNER: S W MALCHOW&N MALCHOW
6030 Culligan Way 1361 NORTH ARM DR
Minnetonka,MN 55345 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.
\� ..�►V
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-Auvlicant 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
. .
CYT'Y OF OltONO APPLICATION FOR PLUIVIBIrTCY PERNIIT
Boz 66 (2750 Kelley Parkway) -
Crystal Bay, MN 55323
�i�l��r�!'�RMA��N �
1, 'You may apply for plumbing permits by mail or in person at rhe City offices.
2, Permit cards will be sent by recurn mail after a review is compleced. PEI2MITS ARE NOT VALm UNTIL
YOU RECEIVE A p$ItMIT. o✓Olt�MUST iV0'Y'BEGIN UNTIL 7Hp PERMIT CARD IS POSTED ON
'P 7oB S F.
3. Plumbing permiu may be issued ONLY to licensed plumbing contractors and to propeny owners residing
in the dwellirtg.
4, W6en say new construcdon or remodelin,g is•wvolved� a separate building permit must be ob[a'saed.
5. All work must be dcne in accorda�ce wich t1ie:Stau Code requirements.
6. All work must be inspecced and au tested t�efore it is covered. Call (9S2) 2A9-460�. 24-hour nocice
required.
InstruMi2ns Complete all items on this application. Compute the permit fee. Sign and date the
cert�cation. INCO�LETE APPLICATYCINS WILT. NOT BE PROC�SSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addition Repair 12eplace
Residential Commercial
JOB SITE: � (,� �P� �
Owner's Name: Teiephone Number: ' �-/
MailiAg Address: City: Zip: .
Contractor'sNazne: CULLIGA�1 WATER CONDITiONINC�elephuneNumber:
Mailing Address: �30 City: Zip:
,
PL����:�JRE SCY�:AULE
gp�'TUR$ BSMT 1ST 2iW 07'Hl?R �rXTURE BSVIT 1ST 2ND OT�IER �
-Fypg FL FL - TYP� FL PL
'GVater Closet Floor Drains
���o Sewer �'ector
g�� � Laundrv Tra
Shower Washer -
Ytitchen Sink Wacer Heater . �
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(Iist)
PERMY'r E CALC�I,ATYON S �
20 2 tate Statute �Yes, This Sectioa Applies -
The replacement of a Ttesidential fixture or appliance that meets all three of the following
requirements:
1) Does not require modification 1.o electrical or gas service.
Z) Has a total cost af$SOO.OQ or less; excludina the cost of the fixture or appliance:
and
3� Is impraved, installed or replaced by the hameowner or licenced contractor.
Slap next section; Cost of Permit $ r5.00
� 5tate Slircharge $ .50
Mail Yn Fee $ 1.50
If above does not apply, follow guidelines belaw:
1. Contract Pric�* is .0125 % of job with a Minimum Fee of f�35.Oa1
x .0125 $ �--
(contr;ut price) (minimum$35.00)
2, State urcharge. ** Add the State Bnilding Code Division a (1Viinimum �'ee of$ .50)
x .0005 $ "— •
(cona•act price) (minimum$ .50)
3, Post�e and Ilandli�� �o�y ��-in applications) $ 1.50
4. - TOTAY.PERNIIT F�E (Add lines 1-3 above) $ , � _ a a
* CON'I'RACT PRICE or JOB COST means the:accual or esrima�ed dollaz aznovnc chazged for the permitted
work includic�materials,labor,profit,and od�er fixed cosu. Tt is che amounc to be chazged to the cuswmer
for the work done. If any material,equipmec�t,labor,or installarion are fumished by the owner,tenan�or
any other parcy th�reasonable market value of such icems mus�be added to the estimated cost or contrac�
' priee for permi[fee purposes. In the event tha��there is a dispute on che aunouu�of che jah cost, �he Ciry may
request the submission of a signed copy oP tbc aecust eontraec.
** The STATE SURCHARGE is .0005 of the contract price under S1,OOQ,000 or S.50 -whichever is greacer.
For valuations over$1,000,000 call the Dcpactmenc of Inspec�ioa Services for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinanc�:s of the City and the regulations of ihe State of
Minnesota, and certifies that all sta.tements made on this application are complete, true and
correct. ,
A licant's Sianature: �IJ� � Date: � l�✓
Pp o