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Home My WebLink About2015-00320 - water softner ' CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 5 - 0 0 � 2 0 * DATE ISSUED: 03/18/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1645 BOHNS POINT RD PIN : ]7-117-23-11-0007 LEGAL DESC : REG. LAND SURVEY NO.0565 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOTE: WA"I'ER SOFTENER VALUATION OF PLUMBING 750 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.38 RICHARD'S CUSTOM WATER TOTAL 50.38 6121 EXCELSIOR BLVD.#206 ST. LOUIS PARK, MN 55416- Payment(s) CHECK 13506 50.38 (952)920-1200 Minnesota State License#: BUIL-WM061456 OWIYER CHURCH,JOHN& KLERISSA 1645 BOHNS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked at any t � for due cause. � � / � �/�� L/ =� ��'/, � (.�_ � i /�'i /5 � Applicant Permitee Signature Date Issued Signature Date ' � FOR CTTY USE ONLY � �O ,� `O City of Orono 1 V P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax y�' �` CITY OF ORONO—PLUMBING PERMIT ��k�SHo��' (All Commercial Permits Must be Approved by the State Priar to City Approval) htt :Uvv�i�w.clli.mn. av/CCLD/PDF/ e lumb 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. Permit 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 permit 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) �sidential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior anproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: �� s� � � Site Address: �D/✓.� � %✓a/� d'� � �c � Owner: �J �/��J �/l��l��`� Mailing Address: City: �� G"`/� Zip: Home Phone: Alternate Phone: Contractor Information: /lti/�' � C--' ��Ti�lra'- �(' Contractor: " ,w� �'5��; Contact Person: - Address: �a l,�l �XC'l'JL.��G�1 /�.% �� State Bond #: City: �i'�� Zip:J�f�I�� Expiration Date: Phone: �')�� `��fZ�'�� Alternate Phone: ❑ Insurance— Current: 1 � . c PLUMBING FIXTURES BEING INSTALLED 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 Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , . � , PERM�`I'FEE CALCULATION S —JOBS OVER$500,00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) -� �� . b / � U x .0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE 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 permitted 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ardinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. / � Applicant's Signature: � � Date: �' ��i -� / 3 DAT � TIME � CITY OF ORONO CALLED IN ' � INSPECTION NOTI E � sc ULED � PERMIT NO. � c � o ADDRESS / OWNER TELEP/'H�O E N . — ��'�� CONTRACTO M w�r � DESCRIPTION � � tl� ❑ FOOTING ❑ DE O F L EPTIC FINAL Q ❑ POURED WALL ❑ PL ING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � J d W� ❑WORKSATISFACTORY:PROCEED �I7 PROJECTCOMPLEfE � W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in�a�► ce. � ) 249-46�0 OwnerlContractor on site: inspector. White Copyllnspector's File Canary CopylSfte Notice