HomeMy WebLinkAbout2000-P02269 - plumbing PERMIT
CI�Y OF ORONO
� 2750 Kelley Parkway - PO Box 66 Permit Number: Po2269
Crystal Bay, Minnesota 55323 Permit Type: FiXtUres
(612) 249-4600 Date Issued: 3i3o�2o0
SITE ADDRESS: 500 Oxford Rd
LONG LAKE, MN 55356
P I D: OS-117-23-41-0015
DESCRIPTION:
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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: $ 250.43
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: CULLIGAN WATER CONDITIONING OWNER: A J& S K NELSON
6030 CULIGAN WAY 500 OXFORD RD
MINNETONKA, MN 55345 LONG LAKE MN 55356
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 SIGNATURE SS BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
INSPECTION RECORD
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CITY OF ORONO
2750 Kelley Parkway- PO Box 66 permit Number: po2269
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 3�30�2000
SITE ADDRESS: 50o O�ordRd
LONG LAKE, MN 55356
APPLICANT: CULLIGAN WATER CONDITIONING
6030 CULIGAN WAY
MINNETONKA,MN 55345
Proposed Use: Residential n-----�-��--�- ��--�����water Softner
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Permit Class: Ylumbmg
Permit Type: Fixtures
S�arate inspections required:
Building: General:
Plumbing: I�ough plumbing Fina1 plumbing
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON THE PREMISES ON WHICH THE WORK IS TO BE DONE.
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) Y
Crystal Bay, MN 55323 ,_
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
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 building permit must be obtained.
5. All work must be done in accordance with the State Code requirements. �
6: All work must be inspected and air tested before it is covered. Cail 249-�tb00. 2�+-hour nctice re�uired.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOI�ZPLETE APPLICATIONS WII.L NOT BE PROCESSED. If you have
questions, call 249-4600�.
Please check one: _ New � Addition Repair Replace
_� Residential Commercial
JOB SITE: �l� L'�C-��Yc;�. ��� Zip: ��'�3�J�
Owner's Name: � f� �: �,��t:�,.` Telephone Number: �';�.�y�3•3�t��
Mailing Addr City: Zip:
Contractor's N� ER CONDIT Telephone Number:
Mailing Address: �� LLIGAN WAY City: Zip:
KA, MN 55345 �?/�– �33— '��Z'
�P�B�)EIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wacer i;ioset � F:oor �-ain�
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener 1
Dishwasher Wet Bar
Sillcocks Misc (list)
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� PERMIT FEE CALCULATION
' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 4 �
� ��� `�3 x .0125 $ � ��v��
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(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. X •0005 $ `��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ �") � � `� . �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
wark including materials, labor, nrofit, and other fixed costs. It is the amaun! ta be charged Yo the ;
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
� tenant or any other party the reasonable mazket 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 Cicy may request 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 Jnspectional 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
conect.
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Applicant's Signatur �� Date: � I . l oL