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Home My WebLink About2016-00683 - water softner , , . CITY OF ORONO * 2 0 1 6 - 0 0 6 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2799 CASCO POINT RD PIN : 20-117-23-32-0020 LEGAL DESC : SPRING PARK : LOT 127 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 CROIX CRYSTAL WATER TREATMENT MAIL-IN FEE 2.00 3440 YOERG DR HUDSON,WI 54016- TOTAL 53.00 (715)386-8667 Payment(s) Minnesota State License#: plbg-WC64997 CHECK 15292 53.00 OWNER THEILMANN,TODD 2799 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to 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 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 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 time for due cause. . ; � e c— (i )� ,�rti �ed r"�c, �. .�� i �,�i /� Applicant Permit e Signature Date Issued B � ignature Date • • .�pN City of Orono RECEIVED FOR CITY USE ONLY O P.O.Box 66 Date Received: � ! � � � � 2750 Kelley Parkway a � crystai eay,nnN ssszs �UN 1 5 2016 Permit# � �. ,_; � .- ,1!;� ' .� y�^ �c;� (952)249-4600—Main roVed B �1KfSHo�` (952)249-4616—Fax �P Y- CITY OF ORONO qmount$: '�� '' CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htta:Hwww.dli.mn.qov/CCLD/PDFIpe plumbqlanrevapp.adf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a peRnit will be issued within two wortcing days. 2. Permit cards will be sent by retum 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 cont�actors 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. (2448 hour notice required) TYPE OF PERMIT(Check All That Apply) � Residential ❑ Comme�cial (Approval Required) [Backflow Device:Q AVB ❑PVB) ❑ New � Additional ❑ Repairs �Replace ❑ In Accessory Structure? "You will need arior aaaroval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site / Owner Information: Site Address: a� �� «-�-�-� ��' �� Owner:�� -�m'L-a-�� Mailing Address: �� P9'�-�l'L-�' �`�-' city: CQr��w Z;p: 5 5 3q ► Home Phone: � �� - u �-�— �� Altemate Phone: �`�a -�''� �-b�'i �' Contractor Information: Contractor: c'�� Contact Person: JI N� SGt-��(3�i2 Address: 3�-I��-I�d � �� ' State Bond #: ��'��1'� �J G City: �'��'.��'�'��I Zip: �� Expiration Date: ��r �� Phone: � �5 " ��'"� � �'�'� Alternate Phone: ❑ Insurance— Current: Page f PLUNlBING FIXTURES BEING INSTALLED ' • • FIXTURE BSMT 1ST 2ND OTNER FIXTURE BSMT 1ST ZND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener ' Dishwasher Wet Bar Sillcocks Miscellaneous . ; f2MtT.FEE CALCULATION- 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of�50.00) x .0125 $ �� CJ v (contract price) (m mum $50.00) 2. STATE SURCHARGE x .0005 $ � �,� � (contract price) 3. POSTAGE 8 HAND�ING (Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) S �� L� '` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work induding materials, labor, profd, 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 fumished 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 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 correct. � � l�L�,�'� C�C� � � ApplicanYs Signature: � Date: —��.�, Building Official/ Inspedor: Date: Page 2