HomeMy WebLinkAbout2011-00647 - water heater CITY OF ORONO PERMIT NO.: 2011-00647
� 2750 KELLEY PARKWAY
• ORONO,MN 55356- DATE ISSUED: 07/14/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4740 NORTH ARM DR W
PIN : 06-117-23-23-0009
LEGAL DESC : UNPLATTED 06 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
VALUATION : $ 5,900.00
NOTE: WATER HEATER
APPLICANT MECHANICAL 73.75
TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.95
3508 SNELLING AVENUE TOTAL 76.70
MINNEAPOLIS,MN 5540Cr
(612)729-5646
Minnesota State License#:066835
OWNER
HEDBERG,JOHN&JANICE
4740 NORTH ARM DR W
MOUND,MN 55364
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 dces
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 permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By S' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
97/13/2611 10:48 6127246656 TEAM MECHANICAL INC PAGE 91
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CYTY Ok' OItONO � PLU1VxBING PERMIT
(All Commcrcia) Permits Must be,A►,�proved by the State�rior to City Approval)
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1. You may appty for plumbing permits by mail ar in person�t the City ofiices. Applicallons will be
reviewed�nd a permit will bc iasued within two working days.
2. Permit cards will b�sent by retum mail after a review is completcd. PF.RNlITS ARE NOT
VALID UNTIL YOU RECE�V�A PERM.IT. WORK UST NOT�EGIN iJN'I'IL THE
P���CA�tD IS POST'1�D ON TNF JOB SIT�.
3. Plumbing permi�may be issued ONLY to licensed plumbing contractors�nd to property owners
residing�tlie dwelling.
a. When any new construction or remod�ling is involved,a separate building permit must be
obtained.
5. Ail work muse be done in accordance with State Code requirements.
6. All work ruust be inspccted ar►d air tested bcf�pre it is covered. Call(952)249-4600.
(z4q8 hour aoticc rcquired)
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�1:
�Residenti�I ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �.Rcplace
❑ ln Accessory Structure7
"You w�ll nccd nrior a�ncov�l and may need CUP.(Per Orono City Code,Chapter 78,Article[�
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Site Ad.dr�ss: '`�!yQ ,�Oi2r� �i2+at �r�
Owner: ns� I���3�it 4� Mai��xn.g Addxess: '��Y� ,C �w►�r �n,
City: �i2m�+a Zip; �.s'3���
Home Phone: 9s�- �7�" 33G� Aiternate Phone: ----
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Co�tractor: �i�t ��'c-�t,�g�r��G Co�.tact Person: �c�r�� (�
,A,dd�ress: S'� Na �� St.�.te Bond #: . wfS'ao�o�YG�
City: �l's Zxp:���vb Expi�at�oz�Aate; /�/31��a10
Phone: �=7� '�'"'y'� Alternate �'k�one: �'3 -���9�
❑ Insurance—Current: ��S
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07/13/2011 10:48 6127246656 TEAM MECHANICAL INC PAGE 02
FIXTURL BSMT 1 2 OTHER I�TXTURE BSMT ] 2 OTH�R
TYPE FJ. FL TYPE FL r[.
Wat�r C�oset Floor Drains
Lavatory Sewer Ejector
Bathtub i.aundry Tray
3hower Wagh�
Kitchen Sinlc Water Ncar�r �
Disposal Water Sofi�cncr
Dishwasher Wet Bar
Sillcpcks Misccllaneous
❑ YeS,this section applies
The replacement of only one,R�se ide�iti�l fi�ture c�r appliancc thst maets ail three of the following
requirements:
1. oes ot requirE modification to electrical vr gas scrvicc.
2. Has a al co of$500.00 or less; lu i the cost of the fixture or appliance:and
3. Is improv�d,installed or replaced by the homeov►m¢r or lice�ised piumbing contraetor.
Skip.next section,if�this applies; Cost of Permir $ 5.04
State Surchargc $ 5•00
Mail-Tn Fee(If Applicable) $ z,pQ
Total Pertnit Fee $
(Permit Fees Continued On Next 1'agc)
2
67/13/2011 10:48 6127246656 TEAM MECHANICAL INC PAGE 63
Tf above does not apply;follow guidelines below;
1. CON'fRAC�'P'1�ICE "` is l.25"/0 of contract price with a(Mioimum Fee of$50.00)
:5 g�'7 G� x.0125$ �7.� ��
(contract�ricc) (minim��m SSp.00)
2. STATE SiJ�C�1.9,RG�
x,OODS $ r�( 9'�
(cenUect�tticc)
3. POS1'AGiL&HANDLING(Only on Mail�ln ApplicaCions) $ �.09--
d
4. TOTAL PERIV�T FE�(Add Lines 1-3 Above) $_ '�?(0 7�"
■ * CON'�RACT PRiCL� or JOB COST means the actual or estimated dopar amount char�ed for the
permittcd work including materials, labor,proflt, and other fl�ced costs. lt is the amount to be charged
to the customer for the worlc done. lf any matcrial, equipment,Jabor or installations are furnish�d by
the owner, tenant or any other party, the reasonabae market value of such items must b�added to the
estimated cost or conbract price for permit fee purposes. In the event that thcre is a dispute on the
amount of the job eost, the City may request the submission of. a signed copy of the aeh�a] contract.
The undersigned hereby applies to tl�e City for issuance of a Plumbing Permit, agtees to do all
work in strict accordance vaith the ordin�nces of the City and the regulatiorts of the State of
Minnesota, atid eerti�cs th�t all statements made on thi9 application are complete, true and
conect.
Applicant's SiLznalvtc: ��� Date: ?�/3 �/
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