HomeMy WebLinkAbout2011-01529 - plumbing CITY OF ORONO PERMIT NO.: 2011-01529
" 2750 KELLEY PARKWAY
'�� ORONO, MN 55356- DATE IssuEn: 12/08/2011
� � � 952 249-4600 FAX: 952 249-4616
ADDRESS ; : 3050 SUSSEX RD
PIN : 04-117-23-32-0010
LEGAL DE : FOX BEND
: LOT 004 BLOCK 001
PERMIT T P� : PLUMBING(<$500)
PROPERT YP : RESIDENTIAL
CONSTRU �O TYPE : FIXTURE
NOTE: DIS VIMAS R
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APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
LINN ST T NSFER INC. STATE SURCHARGE PLBG(<$500) 5.00
9995 W. 9'�H REET
SUITE 1 1� MAIL-IN FEE 2.00
EDEN P 'I ,MN 55344 MISC FEE 0.00
TOTAL 22.00
� OWNER
FEUSS, ES&LINDA
3050 S S$E
LONG Aj�KE 55356-
GI E ENT AND SWORN STATEMENT
The wor f r w i h this permit is issued shall be performed according to,
the appr v d pl s and specifications,applicable City approvals,and the
State B 'I 'ng de. This permit is for only the work described and dces
not gr p rmi 'on for additional or related work which requires sepazate
permits. II pr isions of laws and ordinances goveming this type of work
shall be colnpi with whether or not specified herein.This permit will
expire d�bec e null and void if construction authorized is not
comme c8d wi in 180 days of the date of issuance,or if construction is
suspen ec�for eriod of 180 days at any time afte�work has commenced.
The ap li¢ant' responsible for assuring all required inspections aze
reques d iin c ormance with�the State Building Code.This permit may be
revoke a�an me for�ue cause.
' �'w" � � / /
Appli a�kt P itee Signature Date Issued By gnature .Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
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1HMI 1432 7
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� ��"UR�['A'Y tt��tiNL�� �
p C€ty oPOrann
Q� *�a P.U,t3ox G(i baic Rr.ceived ' Per�nit#
2750 Krlley Purkwny
� z�Jl�r�. Crysts+l Hay,PvtN 55323 A�tpraveci Hy. �lmount T:
����� (952}2A4-d6W-Main
j952)249-46 t6—Fax
CITY 4:F ORON�—PI,UMBING PERMIT
(Atl Co►nttiercial Perniits Must t►e Approved by the Stnte Prior t�City��pproval}
ijtt�:Usv�v��F.d(�,cnn. oF/+CE;I.,I7lP1.)F/�e �lutnk���t:�n�•eva� � . �cti'
GENEREhI,, �NFORMATION
1. You rnay appty for plumbin�perntits by n�ail or in persan ut the C;ity nffices, Applicatians wi1!be
rcviewed 1nd a permit wili be issued�vithin twc�working days.
2. I'ermit cards witC E�e sent by return mAil after a revicw is carnpteted. PERMI"TS ARF NOT
VALtD UNTIL YQ1J R��ECVE A PBRM�t'�'. 1�QRK 1'49C)ST NOT�EGIN UNTIL THE
PERI�'fIT CARll[��'05TEll 4N TH�JOI3 SITE.
3. Alumbing per�nits may 6e issued OI�fLY to licensed plumbin�;conlractors and tn property nwners
residin�in the d�vclling.
4. 1�€��n�ny is�w�ar�structinn nr remodeling is invUtved,a separatc building permit musi be
obtlineci.
5. Al)wark must 6e done in accordancc with 5tate Cade requir�merrts.
6. ,Ail work must be inspectcd aa�d air te�ted be(`ore it is cpvered. Call(952)249-4600.
(24-4�hour naticc requireci}
TYPE O�' P�1�.I�iIT
Check Al1 That A Iv
X xesidential ❑Cammercia)(Approval Requircd)
� �New ❑Additional []Repairs X Repllce
❑ In Accessary Struch�re?
'�You r�ri[I neecl nrior�nnrova[and may need�.(Per Orunn�ity Cpde,�hapier 7$,Article 1V)
Job Site/Owner Infor�nati�n: >
Site Address: 3oso sussEx Ro
CHARLES FEUSS
Owner: Mailing Address:
ORONO
Gity: Zj�y: 55356
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FIt?m� I7h�n�: 952-249-1615 �'{It�C11Ste I�ht7t1C: 612-325-8350
Cran#Cactac Informat�c�n;
LINN STAR TRANSFER CHARLES GABRELCIK
Contractor:
Con
tact Pers
, on:
� 9995 W 69TH ST 063901-PM
I h�ddres5: STE101 State i3ond#:
EDEN PRAIRIE 55344
City: 2ip;_ �xpiratini�Date:
952-942-7644
Phonc: Alternate Phone:
❑ Insurar�ce—Current:
1
PL�ASE SEND PERMIT
T� HOM� OWNER!!
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1 FJML 143237
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TXTCIR� B�MT E 2 OTHER FIXTURE BSMT 1 2 OTtiER:
PE Fl. �'L. TYFE Fl: FG
Watcr Ctoset Floor Drains
LavatorY Sewer Ejector
Bathtub Laundry Tray
Shower Washer
ICitchen Sink Water Heater
Disposal Water SaBener
Dis}�washer � Wct Bar
Sillcocks Misccltaneous
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❑ 1'e�,this sa�tian�Pplies
The replaccment of only�ne Itesidential fixtuce or annliffisee that mcets�1t�of the following
requirements:
1. �ggg„�,Q�rsquire rnodification tn el�lrical or gss service.
2. Has a��cost of��OO.QO or less;�cludina the cost of the fi�ure ar app(iance;and
3. ts improved;installcd or repl�eed by th�c horneowner or licen�ed plWmbin�contrsct�t.
Ski�next sectian,if th9s a}splies, Cost of Narmit $ 15.00
�I State Sutchazge �
s.oa
Maii-fn Fee(If Applicable) S Z.QQ
Total Permit Fee 5�2.00
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(Permi#Fees Contin�ed Qn 1"+le�rt PAgej
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