HomeMy WebLinkAbout2015-00688 - mechanical ' i CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 6 B 8 *
DATE ISSUED: 06/OU2015
ORONO,MN 55356-
. 952 249-4600 FAX: 952 249-4616
ADDRE S : 3160 SUSSEX RD
PIN : 04-117-23-32-0008
LEGAL ESC : FOX BEND
: LOT 002 BLOCK 001
PERMI TYPE : MECHANICAL(<$500)
PROPE TY TYPE : RESIDENTIAL
CONST UCTION TYPE : FIXTURE
NOTE: ATER CLOSET
APPLICANT MECHANICAL(<$500) 15.00
J&J ME HANICAL INC STATE SURCHARGE MECH(<$500) 5.00
811 8TH REET,UNIT 11 MAIL-IN FEE 2.00
FARMIN TON,MN 55044- TOTAL 22.00
(651)724 973 Payment(s)
Minnesota State License#:mech- CREDIT CARD 0479 22.00
OWNER
CHENITZ RICHARD&PATRICIA
3160 SUS EX RD
LONG L ,MN 55356-
AG EMENT AND SWOR1�1 STATEMENT
The work for which this permit is issued shall be performed according to
the approved lans and specifications,applicable City approvals,and the
State Buildin Code. This permit is for only the work described and dces
not grant pe ission for additional or related work which requires sepazate
permits. All rovisions of Iaws and ordinances governing this type of work
shall be com ied with whether or not specified herein.'Chis permit will
expire and be me null and void if construction authorized is not
commenced ithin 180 days of the date of issuance,or if construction is
suspended fo a period of I80 days at any time after work has commenced.
The applican is responsible for assuring all required inspections are
requested in nformance with the State Building Code.This permit may be
revoked at an time for due cause.
�'�-t.,�..0 � d � � / /
Applicant P rmitee Signature Date Issued S ature Date
,
R �T�'Y U5�U1��;X
City 0�0�'ono Date RecoiveA,' �s Psrar►it#�`5+
��� P.O.Hax 6b
� 2750 Kclley Parkway
Crystsl Bay,M�d 55323 .A:ppraved By: . ` Atnount$:�„
(95�)249�600�Main
►; (952)249-4676—kaM
�� �� C�TY OF 4RON0—PLUMB�NG PE�T
�
'�"��sr�d& (AU Commercial�er�t�its Must be A,pproved by tb�e State Prior to Ci�ty Approval)
htt :/Iww�vv.d��.mn. ov/CC A/PD�I e �u�ou laureva . df
GENER.AX,iNFORIv�,P�T10N c �
l. Xdu may apply�or plurnbing pe�rr�its by mail or in pezson at the City p�fces. Ap��zca�ions will be
reviewed a�d a pernut will be xssued withun two vuorking days.
2. �ermit cards wi��be se�nt by retiu�n mai�a#�er a review is conapleted. PERM��'S ARE N�O'�
'VALID UN`�,Y'OU RECEI�A PBRAIITF. W O�K 1�I[J,S�'NO'T�'�EGIN UN'��T.T�IE
PE CARD IS�O D UN THE JO 57TE.
3. �tumbing�e��ts may be issued ONT�Y to licensed plumbing contractors and to property awr►ers
residiing ir�the dwelling.
4, When any n,ew cons�ction or iemodeling is involved,a separate buildang permit must be
obtaiu�ed.
5.. All wark must be done in accordance wxth State Code zequiremen�ts.
6. . ALl work znust be insp�ted aztd air tested befo�e it is covered. Ca,li(952)249-4b40.
(2�}-48 teour notice�eqoired) .
. .
; TYPE OF PERII�IIT'
�heek Al��� 1 .
,�Residential �Commercial.(.A,p�rova!Reyuured)
�,]New ❑Additional �Repairs �Replace
❑ In Accessory Struchue?
� *Xou�will necd p�rior annroval and may need CUP.(�er Orono City Gode,Chapter 78,.Asticle N)
Jqb Site/Ov►mer Ynformatzo;�:
� Si�e Address�
Ow�er:�C���t� I�� N�ai,lir�P�ddress: �I�O SI/� � ,
City: �j Zi�: ���� —
Home Pk�at�e: ' ^�Jo-'Alternate Pk�4ne'
Confractor Informatiozz:
Contractox: t,��:.) ��t/l Cll�Gu �n.C• Contact Pe�rson: �e,,���
�ddress: ������G�� ,1� State Bon;d#;
City: ��S[� Zip:��O Ex�irat�on Date: (� � �
Pk�one: ���„'�1� ,AJ.ter�ate Phone;
/' � -
❑ Inswra�nce-Curren.fi �
1
��� +
FI7�.TURE BSN�'T' 1 2 4T�,R k�,X'�'CJRE �SMT 1 2 O�'R
'�'YP� F�, FL TYPE k'� FL
Water Closet ` Floox�rains
I
Lavatory Sewer�jector .
�ath.tub �,aut�,dry Tray
Sfaower Wa�her
Kitchen Sink Water Heater
Disposal Water So�beme,t
Dishwast�er � ��$�
Sillcoc�Cs ������
� Xes,this section appiies
The replacezbent of only on.e Residen�iai�xture 4�a�pliance tlaat z�eats all three vf the£ollowing
req,uirements: �
�, 17oes not res�uzXe modification to eZectttical or gas sexvxce.
2. Has a tatal east o£$500-00 ar tess;exclu � tt�e eost of the£'iucture or appliance: and
3. Is improved,ir�stalled or replaced by tbe homeovvne�or licenaed plunabi�zg cor►tractor.
Skip next sectzon,if this applies; Cost of Penmit $ 15.Q4
State Surcliarge $�„„�
Mail-Tn Fee(If,A,pp�icable) $ 2.00
T'otai Per�ait k'ee �
(Permit Fee�Continued On l�iext�age)
2
��above does not apply;fotlaw guideliiaes below:
#. CONTRACT PRiC� *is 1.25%o�f contract price with a(Miuivawaa Fee of$50.00)
� �.OX25$
(�na�a�;�) (�;m,�$so.ao)
2. STATE SURCHA��GE
x.0005 $ ,
(cvrat�act price)
3. POSTA(�E&HAND�LIN.G(O�l:y oz�Nzeil-ln Applications} $ 2.00
4. TU�',A,I��E�iMTI"�'EE(Add Lines 1-3 Abo�ve) S
■ * CONTRA.CT P�C� or JO� COS'� means the actual or estaxnated dqllar amount charged £or the
permit�ed work includiz�g miaterials,labor,�rofit,and other�xed costs, Xt is the amout�t to be chaxged
to the custo�ez�o�the work done. If any materiaT, equipno,en�labor or instalTations are�umished by
t�e owner, tenant or any other party,the zeasonable znarkec value of such iterx�s naust be added to the -
estimated cost o� co�nbract�irxee �or pe�xnit fee purposes. ��tk�e evez�t t�iat there is a dispute �z�the
axaouzzt of�the job cost, the City mary request tt�e submission of a signed copy of t�e actual contra�t.
'I'he wadexsigned hereby applies to ttae C�iy �'az assuance af a Pluznbi�g Permit, agre�s to do al�
wor�c in st�zct accordar�ce with the ordinances o�tk�e City and the regu�ations of the State of
7vlinnesota, a�d certi�es that all statem�nts xx�ade oz� this a��iication are ea�pnplete, true and
correct.
,A,pplicant's Signature: Date�c�-R '�
3�