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Home My WebLink About2012-00761 - water softner CITY OF ORONO * 2 PJ 1 2 - 0 P1 7 6 1 * ` 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2660 CASCO POINT RD PIN : 20-117-23-24-0002 LEGAL DESC : UNPLATTED 20 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER SOPTNER 1 REVERSE OSOMOSIS FILTER VALUATION OF PLUMB[NG 2100 APPLICANT PLUMBING F[XTURE FEE 50.00 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 1.05 1519 148TH AVE NW ANDOVER, MN 55304 TOTAL 51.05 (763)434-0445 Minnesota State License#: 61240 OWNER KIMMES, TODD 2660 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall bc performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. 'I�his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformap�e with the State Building Code.This permit may be rev ed at any tin}�fo��cause. ,�'� ii/�,�.n,;i` /�.�� .� i/ — � � � �-}�_ �- � / / /� i ant e ' Signature ate [ssued By S� ature � � ' Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO r � FOR CITY USE ONLY � City of Orono � 4O� P.O.Box 66 Date Received: Permit� ��` � 2750 Kelle Parkwa '�;i,� Y Y ��a ��'�<<"_ �. Crystal Bay,MN 55323 Approved By: Amount$: ��'�{�'�i;�o'' (952)249-4600—Main � ��a'e�so�'� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt�:Uww��.dli.mn.�ovICCLDIPDF/ e lumh lanreva �.�df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE 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 pernut must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT � (Check All That Apply) �Residential ❑ Commercial(Approval Required) 0 New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: � � Site Address`�.�� /� Owner�G-��r�i/y/c� �_ Mailing Address: City: Zip: Home Phone: Alternate Phone: ��-.S�L� -`.3�/ Contractar Information: Contractor: ��A�FT�{ ��/�_ Contact Person: _��!'r� Address: /.S//� ��''�i! ,t��. State Bond#: �--- City: ��%� Zip:�5��j�xpiration Date: Phone: 7��~�.��5' Alternate Phone: ❑ Insurance-Current: 1 T � � . j �' � PLZJMBING FIXTURES BEING]NSTAZ;LED � ,,�� FIXTURE BSMT 1' 2 OTHER FIXTURE BSMT 1 2 OTHER ' TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneo s • �D� �'� � PERNII�I' FEE CALCU�LATION(S) ' BASED OFF - 20U2 STAT�E STATUE �� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of Perrrnt $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � r • `� � w .� a'; PER:MI'T FEE_.��. �� :�� BS�A. a��'�,��, � P�� ` If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� _ x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market 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 City may request the submission of a signed copy of the actual contract. � �,_ ��r�-:��sr ��' �S °��;. ��' ,.. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark in strict accordance with the ord�ances of the City and the regulations of the State of Minnesota, and certifies that all st��einents �de on this application are complete, true and correct. �� ,� �� Applicant's Signatur . Date: � , '�!` 3