HomeMy WebLinkAbout2002-P05766 - water softner PERMIT
CITY �JF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05766
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: io�2s�2oo2
SITE ADDRESS: 1530 North Arm Dr
Mound,MN 55364
P I D: 08-117-23-33-0076
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Water Sofiner
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 1'7.00
APPLICANT: Culligan Soft Water Service Co. OWNER: Robert Veitch
6030 Culligan Way 1530 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.
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APPL[CANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Apnlicant. 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
..
� CYT'Y OF OTt0�0 A�'PLICATION FOR PLUMSLITG PER�1�T
Box 66 (2750 Kelley Parkway)
Cr�stal Bay, M�1 55323
CTENERAT,.LYFOR AT''TOi
I, You may apply for plumbing permiu by mail or in person at the City offices.
2, Permit cards will be sent by return mail after a review is completed. P�1L'v1ITS A.RE NOT VALTl�UNTLL
YOU RECEIVE A p�RVIIT_ WO�MUST NOT AEGIN UNTIL T F PERMIT CARD 1S pOSTED ON
TH�B STTF_
3. Plumbing permits may be issued ONLY to licensed plumbing conuactors and to propeny owners residing
in the dwelling.
4. When aay new construcuon or remodeling is mvolved, a separate building permit mus�be obtained.
5. All work must be done in accordance wirh the: Statt Code requirements.
6. A.11 work must be inspec�ed and air tested t�efare it is covered. Call (952) 249-460a. 24-hour no�ice
required.
Inst�ict�nns Complete all items on this application. Compute che permit fee. Sign and date the
certification. INCO�LETE APPLICATYC)NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addition Repair � Replace
�,Residential __ Commercial
.�OB SITE: � U ��-- �P�_:����_C��
Owner's Name:�/�i�G/-� , /��� TeIephone Nuinber:
Mailing Address: City: Zip:
Contra.ctor'sName: '��'��tiGAN WA7ER CONDi�T'ic�NlN�lephoneNumber:
Ma.ilingAddress: 6030 LIGAN WAY City: Zip:
,
PL�-��v��x�$� sc�:nui.E
FI7iTUR� BSMT 1ST 2i�TD OTHI:R FT�{TURE BSiVIT 1ST 2ND OTF�IER
TYPE FL FL TYP� FL PL
'Water Closet Floor Drains
Lavato Sewer �jector
B���b Laundrv Trav
Shower W asher '
K.itchen Sinlc Water Hea�er .
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (Iist)
PERMIT E CALCYILATYON S ��
20 2 State Statute �Yes, This Section Applies
The replacement of a �tesidential_f xture or appliance that meets all three of the following
requitements:
1) Does not require modificauon 1.o electrical or bas service.
2) Has a cotal cost of$500.00 or less; excl�dinQ 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 Perjnit � r5.00
State Surcharge $ .S�
Mail T� �ee $ 1.50
�f above does not apply, follow guidelines below:
1. C�ntract Price* is .0125 � of job with a Minimum Fee of ($35.00)
x .0125 $ �–'
(coatr;ict price) (minimum$35.00)
2, State Surcharge. ** Add the State Building Code Division a (ilMinimum �'ee of $ .50)
x .0005 $ �— �
(cono•act price) (minimum$ .50)
3, Posta�e and I�andlin� (Qnly mail-in applications) � 1.50
4. TOTAY. PERI�IIT F�E (Add lines 1.-3 above) � � �] - OU
* CD?�TTR4CT PRICE or IOR COST mezns�f�actual or eszima�ed dollar amounc charged for the permitted
work includic�materials, labor,profii, and o�lier fixed costs. It is rhe amount to be eharged to�he eustomer
for the work done. If any material, equipmeru, labor, or installation are furnished by the owner, tenant or
any other party th� reasonable market value of such i�ems musc be added to the estimated cost or contrac�
price for permic fee purposes. In the event thac there is a dispute on the amoun[of[he job cost, [he Ciry may
request the submission of a signed copy of thc accual contract.
** The STATE SURCHAFGE is .0005 of the coiicract price under S1,000,000 or S.50 -whichever is grea�er.
For valuations aver�1,000,000 call the Depanmenc of Inspection Services for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plurnbing Pemut, agrees io do all
work in strict accordance with the ordinana:s of the City and the regulatians of the State of
Minnesota, and certif es that all statements made on this application are complete, true and
correct.
Applicant's Signature; Date: �