HomeMy WebLinkAbout2016-01413 - mechanical � CITY OF ORONO * Z 0 1 6 - 0 1 4 1 3 *
2750 KELLEY PAIZKWAY DATE ISSUED: 1U08/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1080 FERNDALE RD W
PIN : 02-117-23-43-0007
LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE
: LOT 006 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
VALUATION : $ 875.00
NOTE: WATER HEATER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.44
HEATING&COOL[NG TWO INC. MAIL-[N FEE 2.00
18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- TOTAL 52.44
(763)428-3677 Payment(s)
CREDIT CARD 4334 52.44
OWNER
CHUGG, ERROL&TRACY
1080 FERNDALE RD W
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for Nhich this permit is issued shall be perforn�ed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only Ihe work described and does
not grant permission Yor additional or related work which requires separate
permits. AlI provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This pem�it 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 confonnance with the State Building Code.This permit may be
revoked at any time for due cause. �
/ /
Applicant Permitee Signaiure Date Issued 5ignature Date
NOV/07/2016/�ON 09: 11 AM Heating & Cooling 2 FAX No, 7634283677 P, 002
aDl � -oi � l �
�� City of Orono n����pr.'' �E�t��L'i1'�i����Y ` �� �
� P.Q. BOX 66 r�af�BC$fV.�.iC���.Ci`r.a �-�'����i -�. ,�-°;'^„'"'rz`r- � ��..L;
2750 Kelley Parkway �` , �,4 � �"� „*'��,�� �«��.�����
Crystal Bay,MN 55323 s���' �i�'""-`���'�i��''�s � �""�'`�,,� �,
�'stp � ��,� (g52)249�600—Main �� � �4 .� ,� ��'�•�,�� ,�_"' �4�3 �.
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..YMI IA W ��-E'`�`"rz i_`!Y� $YTi.: i+ �.�., ' .�1JrY�.,Gv��$�:F�
CITY OF QRONO—PLUMBtNG P�RMIT
(Afl Commercial Permits Must be Approved by the State Prior to City Approval}
http://www.dll.mn.�ovlCCLD/PDFlpe plumbplanrevapp.pdf
a ' �'
1. You m�y apply for plumbing permlts by m�il or in person at the City oi#ices. Applica#ions will be
reviewed and a permit wil! be issued within #wq wprking days.
2. Permlt cards wiEl be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A�'ERM17'. WbRK MUST NOT B�GIN UNT1L THE PERMIT CARD ES
POSTED aN THE JOB SITE.
3. Plumbing permi#s may be issued QNLY to licensed plumbing contractors and to pr�psrfy owners
residing in the dwelling.
4. When any new canstruction or remode(Ing is lnvoived,a separate bu€iding permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6_ All work must be inspected and air tested before It is covered. Call(952)249�4600.
(24-48 hour notice required)
�� �- �,t� _ �. _ �-yry_�+� [/ d� x �}�r -- � �i1,5
-'?';''�,��,C�'�.:�s��_���{''—��=����-'�-`�..�.�. �`��.�4��a1^V��'...��a����C�.C��.:"Y'r�e'r'�^i�n�eZ ., ;+e��i'�ror��'�_�^c.,�.c�i�.
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�-Residential ❑ Commercial (Approval Required) [backflow bevice:0 AV� ❑PVB]
❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory StrucEure?
'"You wif! need prior approval and may need CUP. (Per Orono �ity Code, Chapter 78,Article IV)
�
Site Address: �(��(� ������ �, �, �
Qwner: ��� �t~ � C��JMail�ng Address: _ __
City: Zip:
Home Phone: Alternate Phone�
P �i
Contractor; Contact Person:
Address: N�A�'4NG &CaO�in�G TW�iNC� Stafe Sond #:
Maple Grove, MN 55369-9231
City: (763) 428-3677 �ip: Expiration Date:
www.heatcoof�.com
Phone: Alternate Phone:
�Insurance—Current: „_
��ga�
NOV/Ci;2016/�ON 09: 11 AM Heating & Cooling 2 FAX No, 7634283677 P, 003
FIXTURE BSMT 1sT 2"o OTHER FIXTURE BSM7 15T 2"D OTHER
TYPE Floor FEoor 7YPE Floor Flovr
Water Closet Floor Dralns
Lavatory Sewer Eector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heat�r
Dlsposal Water Saftener
Dishwasher Wet Bar
Sillcocks Mlscellaneous
1. CONTRACT PRlC� "'is 9.25%of contract price with a(Minimum Fee of$50.00)
(� C � x .0125 $
(contract price) (minimum $5Q.o0)
2. $TATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE 8� HANDLING (Qnly on Mail-In Applications) $ 2.00
4. TOTAL PERMET F�� (Add Lines 1-3 Above) $
� CONTRACT PRICE or JOB COST means the actual or estlmated dolfar amount charged for the
permitted wark including materials, labor, pro#it, and other fixed costs. ft is the amount to be charged #o
the customer for the wark done. If any material, equipment, labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items musf be added to the
estimafed cost or contract price for permit fee purposes. In the event that there Is a dispute on the
amount of the job cost, the City may request the submission o# a signed capy af the actual contract.
The und�rslgned hereby applies to the City for issuance of a Plumbing Permit, agrees to d� aU work in
strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and
certifiies that all statements made on this appfication are complete,true and correct.
Applicant's Signature: bate: /`" �f�
Building Official/Inspector: Date:
Page 2
��� ��
� DATE TIME
CITY OF ORONO CALLED IN �-�
INSPECTION NO ICE � SCHEDULED _L1,L.:��� ���
PERMIT NO. COMPLETED ���
ADDRESS � � I ���i �- t�''1�C?� ��► �r-� �,1� .
OWNER TELEPHONE NO. ��� ���7�
CONTRACTOR ��' �n a � �
� C'c� '�
� DESCRIPTION ��%�� �� ^(�' �-'l
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
r L ❑ WATER HOOK-UP ❑ FOLLOW-UP
� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
�C�!' SITE O�PTIC INSTALL
OMM�NTNACTOR TO MEET Y�OU: YES_NO I'
v�i COMMENT'S: � L � �'L l� �� e� '� �C�'_4�I`�
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED Od/' ISSdE-CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOMERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR NfILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours tn advance. (952) 249-4600
OwnerrContractor on site:
Inspector: �'`^'
White CopyAnspeetor's Fils C�nary CopyfSih Notks