HomeMy WebLinkAbout2003-P06703 - water softner PERMIT
CITY OF ORONO
2�5� Kelley Parkway - PO Box 66 Permit Number: Po6�o3
Grystal Bay, Minnesota 55323 Permit Type: FiXn�res
(952) 249-4600 Date Issued: g�29�2003
SITE ADDRESS: 1422 Park Dr
Mound,MN 55364
P I D: 07-117-23-42-0013
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate pernuts 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: Elouse&Paul Weibel
6030 Culligan Way 1422 Park 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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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
. RF�Fi�F�
. qU� 2
• CTT'Y �F O�20N0 APPLICATION FOR PLUlV�T�i T(���'2D43
Bo� 66 (2750 Kelley Parkway) �Rp�
Crystal Say, IVIN 5�323
(`T�.AT 7NFORMATTOi
I, Yoa may apply for plumbing permiu by mail or in person at rhe Ciry offices.
2. Permit cards will be sent by recum mail after a review is completed. P��'�IITS A.RE NOT VALYll UNTIL
YOU REC�IVE A pER'1�IIT. R/012K_MUST NOT AEGIN LNTIL TH13 PERMIT CARD IS POSTED ON
TH JOB SITp.
3. Plumbing permits may be issued ONLY to licensed plumbins conuactors and to property owners residing
in[he dwelling.
4, When aay new construcdon or remodeling is��nvolved, a separate building permit mus�be obtained.
5. All work must be donE in accordance wirh the: Stau Code requiremen�s.
6. All work must be insgected and air tested t�efore it is covered. Call (952) 249-460Q. 24-hour norice
required.
Instrucri�ns Complete a11 items on this application. Compute the pernut fee. Sign and date the
certification. INCO�TPLETE APPLICATTCINS WILL NOT BE PROC�SSED. If you have
questions, call (952) 249-4600.
Please check one: i ,_ Ne�v _ Addition Repai.r I2eplace
,� Residential ^_ Commercial
�OB SI'TE: J� ' � ' f�lC� ,� ;'�i� �p: �5 �C� ��
Owner's Name: ,�; '� i l� / . ��/�:� _ TeIephone Number: �'i=�:� ����5%D��
Mailing Address: City: Zip:
Contractor'sName: CULLlGAiti WATER CONDITfONINQelephoneNumber:
Mailing Address: 6030 N Citp: Zyp:
, , ,
PL'L��'�U���JRE SCT�I:DULE
FIXTURE BSMT 1ST 2ND OTH1:R �T�'YTURE BSMT 1ST ZND OTFIER
TYPE FL FL TYP� FL PL
'Water Closet F1oor Drains
Lavaro Sewer �jector
Bathtub Laundrv Trav
Shower Washer �
Kitchen Sinlc Water Heacer .
Dis osal Water Softener
Dishwasher wzt�az
Sillcocks Misc(list}
PERMYT �E CALCYJT,ATION(S)
.
ZOQ2 State Statute Q Yes, This Section Applies
The replacemeni of a �tesidential f xture or appliance that meets all three of the following
requirements:
1) Does not require nlodification t.o electrical or gas service.
2) Has a total cost of$SOO.QO or l�ss; excl�dina [he cost of the fxture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next secuon; Cost of Perrnit $ �5.00
� 5tate S�rcharge $ ._50
Mail Tn Fee $ 1.50
If above does not apply, follow guidelines belaw:
1. Contract Price* is .0125 % of job with a 1�Iinimum Fee of ($35.00)
x .0125 $
(contr;ict price) (minimum$35.00)
2. State urcharge. *� Add the State Building Code Division a (IVYinimum Fee of $ .50)
x .00OS $ �
(conv�act price) (minimum $ ,50)
3, Posta�e and I�andling (Qnly mail-in applicarions) $ 1_50
4. TOTAY. PER'�IIT F�E (Add lines 1-3 above) $ � l ��c
* CON`I'RACT PRICE or 70B COST means thf: actual or estimaced dollar amoun�charged for the permitted
work includiq,materials,labor,profic,and o�lier fixed costs. It is�he amoun�to be charged to die customer
for the wosk done. If any material, equipmec�c, labor, or installation are furnished by the owner, tenan�or
any other parry th� reasonable market value cf such i[ems musc be added to the estimated cost or contrae�
� price for permi�fee purposes. In the event chac there is a dispate on che amount of the jab cost, the Ciry may
request the submission of a signed.copy og thc actual contract.
*+ The STATE SURCHARG�is .OQOS of the contracc price under 51,OOQ,000 or S.50 -whichever is grea�er.
For vaivations ovcr $1,Ob0,000 call the Depactmene of Fnspeetion Services for the price. .
The undersigned hereby applies to the City fi�r issuance of a Plumbing Permit, agrees to do all
work in strici accordance with the ordinanc�;s of the City and the regulations of the State of
Minnesota, and certifies that all stacements made on this application are complete, true and
correct. � �
� y ' ^
� � � � � � ' Date: � ��
Ar�licant's Signature;;`\ ' `