HomeMy WebLinkAbout2005-P08520 - water softner �; �
CITY OF OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 Poas2o
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 3nai2oos
SITE ADDRESS: 1570 North Arm Dr
Mound,MN 55364
P I D: 08-117-23-33-0071
DESCRIPTION:
Proposed Use: Kesicientiai
Pemut Class: Plumbing
Pernvt Sub-type(s): Water Softner
Permit Type: Fixtures
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: Culligan Soft Water Service Co. OWNER: Peter Hill
6030 Culligan Way 1818 LaSalle Ave S
Minnetonka,MN 55345 Minneapolis,MN 55403
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
.
� ��� �
APPLICANT P RMITEE SIGNATURE ISSUE BY SIGNATURE
Conies: 1-File(Signitures Required), 1-At�plicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
CTT'Y OF OYtOi�4 A�'PLICATION FOR PLUMBTNG� PERiVII'T
Box 66 (2750 Kelley Parkway)
Cr�stal Say, M;�1 5�323
CT�AT�-�'ORMATTOi�
I. You may apply for plumbing permiu by mail or in person at rhe City offices.
2, Permit cards will be sent by return mail after a review is completed. PEItMITS A.RE NOT VALTY3 UNTTL
YOU REC�IVE A 1'LRtiIIT. W012K MUST NOT BEGIN UNTIL T F_PERMIT CARD IS 1'OSTED ON
T IOB STT__
3. Plumbing permits may be issued ONLY to licensed plumbing conuactors and to properry owners residi.ng
in the dwelling.
4. When say new constnicdon or remodeling is �nvolved, a separa�e building permit mus[be obcained.
5. All work must be done in accordance vcrirh the: State Code requiremen[s.
6. A.11 work must be inspec[ed and air tested before it is covered. Call (952) 249-4600. 24-hour norice
required.
Instr«ctiinns Compfete al! items on this application. Compute the permit fee. Sign and date the
certification. INCO�IPLETE APPLICATTGNS WI�.�. NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: �:/ Ne�v _ Addicion Repair �teplace
�Residential __ Commercial
�OB SITE: C� Zip: JC .� LO`f'
/:��
Owner's Name: �r �/� l/ Telephone Number: �p/� -�f3(� �,�jS3
Mailing Address: /f;!R 1��5�!/� ��-s' City: , /;5 Zip: ,����1%3
Contractor'sName: i';; �° �IGAN WATER CON�►TtnNlt�leph�neNumber:
MailingAddress: 603Q CULUGAN WAY City: Zip:
TONKA, MIV 55345
PL�3:1����t�°�RE SCT�FnULE
FIXTURE BSMT 1ST 2�1D OTH1iR FT�YTURE BSMT 1ST 2ND OTFIER
TYPE FL FL TY�L FL PL
'Water Closet Floor Drains
Lavato Sewer �jector
Bathtub Laundrv Tra
Shower W asher '
K.itchea Sinlc Water Hea�er .
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
. ,
PERMIT E CALCULATYO S
20 2 State Statute Yes, This Sec�tion Applies
The replacement of a �2esidential f xture or appliance that meets alI three of the followin�
requirements:
1) Daes not require madification 1.o electrical or gas service.
2) Has a cotal cost of$SOO.aO ar less; excl�dioQ the cost of the fxtlue or appliance:
and
3) Is impraved, installed or replared by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ T5.00
State S�ircharge $ .SO
Mail Yn Fee $ 1.50
If above does not apply, follow guidelines be]ow:
1. Contract Pri�e* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contr,ict price) (minimum$35.00)
2, State �urcharge. ** Add the State Building Code Division a (IVlinimum Fee of $ .50)
x ,0005 $ �
(con�•act price} (minimum� ,�0)
3. Posta�e and Handling (Orlly mail-in applicarions) $ 1.50
4. TOTA�. PER'�IIT F�E (Add lines 1.-3 above) $ �1 �� . C�� __
* C�NTRACT PRICE or JOB COST means thf:actual or esrima�ed dollar amounc charged for [he permitted
work incl'�din�materials, tabor,pra�t,�d adier fixed costs. It i�:.`�e�.r:.our.c:o�e charged to t��:e custo�e:
for the work done. If any material, equipmer�t, labar, or installation are furnished by the owner, tenanc or
any other party th� reasonable market value of such i[ems must be added to [he estimated cost or contrae[
price for permit fee purposes. In the event rhac there is a dispute on the amoun�of[he job cost, �he Ciry may
request the submissioa of a signed copy of thc actual con[ract.
** The STATE SURCHARG�is .0005 of the coiitracc price under S1,OOQ,Q00 or S.SO -whichever is greater.
For valuations ovcr�1,000,000 call the Depactmenc of Inspeccion Services for the price.
The undersigned hereby applies to the City f��r issuance of a Plumbing Pennit, agrees to do all
work in suict accordance with the ordinane�:s of the City and ihe regularions of the State of
Minnesota, and certifies that all sta[ements made on this application are complete, true and
correct.
Applicant's Signature. � I Date: �GJ