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Home My WebLink About2011-00134 - water softner � CITY OF ORONO P�aM�T No.: 2011-oo13a ` 2750 KELLEY PARKWAY i ORONO, MN 55356- �ATE issuED: 02/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : �I S FERNDALE RD N PIN : 36-118-23-14-0006 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE (<$500) I5.00 COMMERS, INC. STATE SURCHARGE PLBG (<S500) 5.00 91�0 35W SERVICE DR NE BLAINE, MN 55345- MAIL-IN FEE 2.00 (612)780-0555 MISC FEE 0.00 TOTAL 22.00 OWNER GRIFFIN, ROBERT 125 CHEVY CHASE DR WAYZATA, MN 55391- ACREEMENT AND SWORN STATEMENT Thc work for which this pennit is issued shall bc performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not�rant permission 1or addilional iir related work which requires separatc permits. All provisions oY la�cs and ordinances govcrning this type of work shall be compied with whethcr or not specified herein.This permit��ill expire and become null and void if construction authorized is not commenced wilhin I 80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any timc after work has commenccd. 1'he applicant is responsible for assuring all rcquired inspections are requested in conformance��ith tJic State Building Code.This permit may be rcvoked at any timc for duc cause. `;2�2.G�L� �rt- l l l l Applicant Permitce Signature Date [ssued B��S� ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED AB . � � FOR CITY USE ONLY � 040�0 City of Orono P-O.Box 6G Date Received: Permit# � � 2750 I�ellev Parkway Cr��s�ai Bay.MN 55323 Approved By: Amount$: �'��'.�+. ��o�� (957)2�9-�G00 '�eastot� CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) litt �: �'�r��.�Ili.mn.��o��/CCI.UIPUF/ ►e ilumb �l��ure��.i � . �tf GENERAL INFORMATION I. You may apply tor 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 VnLIL� 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. nll work must be done in accordance with State Code requirements. 6. All ��ork must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) C TYPE OF PERMIT (Check All That Apply) [��Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need nrior aADroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Sitc Address: � �`' �`"��'��lLt �!_l /'�!' Uwner: ��i� �r�lr�r/�ti' Mailing Address: =��'�'��C City: u'�C�/'��-� Zip: -__-- `,/`� /, Home Phone: Alternate Phone: Contractor Information: �'-f / i� � ! Coiztractor: ��1/rr�KS ��GiJ��Tlp/�L/� wContactPerson: c �Sj-� �1��/V Address: `%l�C.� i�cJ �'�`�'' `��/�� !�� r State Bond #: J��i �� City: �� -�� 1��—� Zip:�`--��1`�� Expiration Date: Phone: i'� .��`'�-�� '�'% Alternate Phone: ❑ Insurance —C�irrent: 1 \ . PLUMBING FIXTURES BEING INSTALLED FIX�I�IJ[tl? t3SMT I�T 2ND OT�iER FIXTURE BSMT 1� 2�D OTHER TYP1; FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector � Bathtub Laundry Tray Sho�er 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 requircments: 1. Does not require modification to electrical or gas service. �. }�{as a total cost of$500.00 or less; excludin�the eost of the fixture or appliance: and ;. ls improvcd, 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 $ ��°��-' (Pcrniit Fecs Continucd On Next Page) 2 , • . - PERMIT 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) x .0125 $ (contract price) (minimum$50.00) 2. S"I'A"I'E SURCHARGE ** Add the State Qldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ (contract price) (minimum$ 5.00) �. YOS"CAGf�.& HANDL[NG (Only on Mail-In Applications) $ 2.00 4. TO'CAL YERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 fumished by the o�vncr, 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 amo�mt of�the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** '1'hc S"fnTE SURCt�IARGE is .0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hei�eby applies to the City for issuance of a Plumbing Permit, agrees to do all work it� stcict 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. Applicant's Signaturc: _ Date: Reset Form 3