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HomeMy WebLinkAbout2004-07894 - water softner CITY OF ORONO PERMIT NO.: 2004-07894 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/30/2004 952 249-4600 FAX: 952 249-4616 REPRINTED ON 10/14/2010 ADDRESS 270 NORTH SHORE DR W PIN 06-117-23-23-0019 LEGAL DESC IDYLLVALE FARM LOT 002 BLOCK 001 PERMIT TYPE PLUMBING PRE 7/01/08 PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER SOFTNER APPLICANT PERMIT FEE SCHEDULE 15.00 SURGE WATER CONDITIONING STATE SURCHARGE(VALUATION) 0.50 12201 MINNETONKA BLV TOTAL 15.50 MINNETONKA,MN 55305 OWNER TASTAD,JOHN M&KIMBERLEY 210 NORTH SHORE DR W MOUND,MN 55364- AGREEMENT 5364AGREEMENT 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 a' requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITE' OF ORONO PERMIT X1750 Kelley Parkway - PO Box 66 Permit Number: P07894 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/30/2004 SITE ADDRESS: 0 North Shore Dr W Mound,MN 55364 PID: 06-117-23-23-0018 DESCRIPTION: Proposed Use: Residentiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Softner DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: SURGE WATER CONDITIONING OWNER: Lundgren Brothers Const. 12201 MINNETONKA Blvd 545 E. Indian Mound MINNETONKA,MN 55305 Wayzata,MN 55391 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. i' ew K PLICANTRMITEE SI�NAT RE SUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessins, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay,MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249_-4600. 24-hour notice required: Instructions Complete all items on this application. Compute the permit fee.` Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED: If you have questions, call (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: 10 QC) - ��.' Zip: Owner's Name: ,. _An�l?r, � ltu- Telephone Number: Mailing Address: City: Zip: Contractor's Name: Tel pho Number:` S Mailing Address: l i ty: ° �r . ` Zip:_ es�3- PLUMBING FIXTURE SC EDULE FIXTURE BSMT I ST 2ND OTHER FIXTURE BSM I& 2ND OTHER TYPE `FL FL -TYPE T- T FL FL Water Closet Floor Drains Lavatory Sewer Elector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc list - _ i - _ - s w ' 4 } c . 1 C Y �t l �' 1 L'a r 31 1rs i , _4 z " t- f x 5 �,b y s` i find P TT � .�3'L�1f$1 R f 't 'r 'r �' 4 ? i v i 3f - , Th At 02 W z�t�U�`gt� � e$ '�'l�ls SeCbtp1t s w r C a ��.WWAWWQQ:" �. �'1 ' '` a ° �, u wqwr 'Tlae re Iaeern k e chi lure or i t t I� :, c t�►e n g �ernerifis. , � , ; � � t i S -4 f 1 � , r t�� G e L_s i , �� r 1 { i,f 1— L .,`k re fe �Q��tY� `t?t' -s em- l�' t x _ a i> s 5OWWWAM i�sct ce�s� ofa�QQ D0 0 �'► trot the tar aG d - ; 3 jos�,tnpfd�ed Wtafled ar l+ � Z}� ` , me��� yi����I.8d�o�t�racta� ti} °� 11:- INIATT { h1.�11 , a v -J' -� t o S£ - `'r`s " v r ^ a ' 44 1 r s S�aUrerg P F A x '� - 1 J4 f° �.' { e� Nor 1 1 `�1 r�t'C r`t np - 4 - _411; 'iY 3. m A s. f lave, runt r f° k �^ , z. ,� r w ry KA 144 A 1 4/�/�'S3dod .' � � t �17 R_w1iVlU.144c7 UG'{ YY t y' r- 4'+'�` 91 . 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