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HomeMy WebLinkAbout2016-01404 - mechanical � � CITY OF ORONO * z 0 1 6 - 0 1 4 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 1U04/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 865 FERNDALE RD W PIN : 02-117-23-44-0006 LEGAL DESC : AUDITOR'S SUBD.NO. 184 : LOT 104 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,000.00 NOTE: RUNNING NrW INFLOOR HOT WATER TU[3ING FOR TH�ADDIT[N AND HOOKING UP TO TH�EXISTING BOILD. NO NEW EQU[PMENT. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 HUBER PLUMBING CO LLC MAIL-IN FEE 2.00 2751 LAMPI-[ERE DRIVE NEW HOPE, MN 55427-8 TOTAL 53.00 Minnesota State License#: PLUM-58913,mech-5901 N�Yment(s) CREDIT CARD 0387 53.00 OWNER ERICKSON& SHARON NESB[TT, STEVEN 865 FERNDALE RD W ORONO, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State I3uilding Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. Ail provisions of laws and ordinances governing this type of work shali be compied with whethcr or not specitied herein.This permit will expire and become null and void if construction audiorized is not commenced within 1 AO days of the date of issuance,or if construction is suspendcd 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 die State Building Code.This permit may be revoked at any time for due cause. L�,G`."-'�,L.G�. ��P / / Applicant Permitce Signature Date [ssued Signature Date To: Page 2 of 7 2016-11-04 15:31:02(GMT) 17632262450 From: Randy Huber � , _.�' d dT 1.`SL�ill+iLY _ � f�IfV tif f)i'4131t! � T �� :�> ���� ���: �i �-y , t'.CJ.�ac�x lr4� I7a1�2�r�ri�rd l Fetrs�it i:oF/� ���� ,�.P tl � 3�;i�}?:r�i4"�'F�@It�<N'S�' � . . . . f • C;����:ai 13;,4,M1�iN SiT2"s I'pgroced hSy. �1mc�unt 9;: ca � ! k't�o"e��152}�9E3-#6(ld F�x i952�2=l9--tb'.n _ ...-- --._ �._ _ .... .._��� 4�' �� �� � / ` F �''f' ��'�'�'��,}�+'���.�1�---���;�$4s���,�iL ��'.'.�1�`��`�' � �k f5 k(�'lZY�% '` __� (Afl Cummwcint p�:ni�rf.,j�st E,�:�pp�ov�u liy t.�e I31u1rlit�$<.7£fiCia;pt Ftl6pCwW;au(1'ur Firo Marsballj — --- — ------ --- ----� � ''r�7}"��i�(�� �F���1�1��'��� ��` ! �.�._.. �._._._. . .._,_.—,_.�... � � . . . . . . . . .� ._� - 1. �c'c�u 3u�yn}�}i�y fu�iiiecl�ai,ical pei:�i;a U,y�nlai�o� iii p4rsotz a�ttsc��;if.}�offices. ��p;�.i�s;titit�ns v�iil bc reti•iewed at�ii a k��.h•rnit tivill!�e isst�ed�a�ithii�Muo woz-3csiag cia�y�s. �, i'eeinor,cai�ds lvill�c scr�t by reiu:n il�ail afier�t�ey i�w is�urs��l�tc�k. k'LI�tI��I-i`S AkZt�:VO T VAI.I1�tJ:�''!.(L XU�J I2ECE:�'P�;:��'FR�t4T�': �'4TfDItI�Il��IS'�'N(A'D'3��t;IN C:ltilt'L[1'f�iE: . � ��ca���vt�T t".�ra����,��r�d��s�s�H�,ra€��i��������;.rtr�;;t���:.� � � � �. �����.Tv9e��haflic�i Ir4.���rig—C-o�€�plece s�ak�ui,a�,��us,d�r:�ils�n�3 specifications are�re�tsiri;�t fiir�ach �� �c;ntr��,vent�lario�7,hur:iic,itic�i�io��-�3s:;l�ia;z�idi��,at#�,��,and�iP cuii�fitfvniyz;�tls:�ll�ytic,n�xcl�udir�� � ' lieai�osslh��t g�in�alculuuoa2�d'esi��tcrt��eratu�es,equipment���tings aud'sdc:titificatian as� ' �pe,r��anufactu���-aaid s�cid�'. Da�a Shali be presetxicd a.n torm�i•c�vided. 4. Whcni any uekv constructi�t�oz��slrodrlu�a is uzr%o1���r1,a��:�arni�:buif��perit�il cirust€�e `. ` . nF�txrf3ed. S; AU v��t�.i�1,c int��c�ie nnr�e tr��.icwr�llnc c wiCl�.E�e Li:�i�urrn I���chai�ical Cc,ct�lS�rat�i,i�iildifa,s�,Cnd� rcquitem�t�ts: 6. � �,�Il u�oxk nal,st€��inspecte�(��oug�lz-in and final�. G�:ll t`��2j 2,4<3-�6tIC1 ' � ���:� ��(24-�R lY�ur nn��e���rc;ca��ixccl"���� � �� �� � � 7. �Ioiose��e�t�nF Tesi Recrarci must he�ubn,itted be�:c�re Tinal. �:) ZFS,_.C:r�l�{ 1 L'.�EL.iV.i�R .��, _ __ ':._..—.- ,_.--"""'--.-"--....:-i . . ` ���1CC� �1��! �T}lcl�f�j�j7�V'} _._._._____._._i [�R�sidenEial �C;on�rn�i�;i�l{,a�s�raval�tec{uiErci) �l3ac�sftnw 1)�vice��,�I�'i� �PVt3J Q New �.��Eitit;c>fiat Q P�epai.rs Lj.lFeptaec .._._ _.,,. ,. .. __.. ..� .-,__ __.......,�.r .�Ub Szfe r'C:}��i��r Infarmats�t7. r �ritc�cidres�: 5365�erniiale �.c�!?V _...:..: .....m. ;�..._..,.._.,_.�__ . �wt��;r: i1�Tailxr,g t4ddres�• City: �rc�no .,,.:_...._._....___ �rp:` - H�n�e Pl;c�nc;: rl�wcnlats P�to��.e: �i�,�:f�nt-���a�;t€�r�rzforr�a�tioia._ � _ : �___ _.._..._...,.�.__._.�_.---_ .. C'or���artc�r: �-ie�l�er P?unzC,it�g�,o ��.C' ('o��tact�'ct•sc�z�, i2araclq I�uber. __. _.:..._. , Acldress: �751 f_.�r��3h�-r�:�r ��ai.^:�3ntad�: �i�3t��}j901 �.., . ._.-.T �'ily: Ncvtt�c��e _�..r �ip:5;427 .�x�iratron llate: C�s-;3£1-2131s� 1'}tc>r��: 7£�3-231-C329S t�,ltcmacc�hone: hI�-599-5�35, - - [3� Tri�urance---C;itr��nt: ye� - ;: l - To Page 3 of 7 2016-11-04 15 31:02(GMT) 17632262450 From: Randy Huber . , . ;�� 1�7F,�':`�-1��IC'�.T,:���`�11�f��3��t�T�'�,���'A�L.�� Y! � w.,� '�pte: ,��1 CrLt�therttta�tiy:;t�n7s�,:�r(f n�1��rwqr:ii�u�z 5if�l'l���a�ti: }t;:vicw by c�ur Builciii�g�fiici�l. �S T��GEO'�'IiEEF�1��.�L? �Yes .��' No �ATING S��T.�!rf.S �tz<�n�;.ry: Riinin�»es4 int�,o�r�ot�n at�r tiibia���or che:��d�litian anc��ic�okin� �z�tc�tlze��istin�hc�tler,� ' Makc: �'�I«��ew��{��:���r�ea�t-�---..� ��� ,_..,_..._ . .. ._ _ Moaei:: : , . FueL : 1'lue;5ize: _ _ _ : _ TnFzn;F3T'iTs: , ----- _�_.w__ tAitpur.i�'l i;�: : ` , L'FSvi: €:v(3��6"dU:��'.�'"B"3:�'I4 ; Quantst,y,; _ Ma1�c: Tvfodcl: _-.-- _ :_ _ _ -..—_...-� � Toiis: ' -., ` `:. IT.Poavee '�t12�:PI:r��F S [� fias E�acti�r4•E-'ire��acc Bran�d Nan�e: ❑ Vi-'txid Biti¢�iu��ircpl2ce [� �'ood Sto��e Tv�c�t3cl 14�.: : : ❑ �`c�c�d Stc�ti�e witli Fi�e`Mc+onrv , �rF;'�TII:ATIOI�T ❑ Na. _ .(`itctaeai F,x(�;�r3yt dt��t .,:---_---recu'cnlatiz�� ... ..._. ciiif . . �, ��_ .<_ _._. _ ❑ No. Ratli t�xl�aust(mnstitave�uct otitsicie..} -..__....etin ❑ Nn. (,7ti�cr}�una; C.o4atiu.�a5____--- _ cf�n _ F'[;IEL.S;1'(DR.3G� (�LfusF be�,P�Srm,e�+�6y�ir�!Hf«P:slae�Il if`prn��rsirag to aharedt�n tnnt�xt�p�laee.) ❑ I:israLi:ar,itsn � �terc�o����l Fucl L)il. _ �allans :[� tJ.ncier�ro�uid ❑l�as.ide []t7utsid,e . LI'G�s: ' gs�llc�ns s)i lie�-: `: C:.iti l.,x:ti�,E3�iY.�' ; � C7ut�aur{:'re�ll �] �tJ�er/Iast'�1Tk�at c5';'4'Jiiere __ .� To: Page 4 of 7 2016-11-04 15:31:02(GMT) 17632262450 From: Randy Huber . : > � ; ���i��_�`I:�Ll����*L:1��!��� �� I: (;�N`I'i2AC'i'P32iC'�: *is 1_25a;o uf�:i�;7trac;t}sa•zce w�tl1 a(ii��iriimuatt&�'�e nf�5i�.U0) -?o�� X.0�7,� . ___._�o.oa -_ � �� � � � � ,:crniaac:(;nnee) � �rnioimun�:e���.H�}�� � � � `` ' 2. ST:1TE S�R�}IARG� ?(�OU :� .O00� ;s 1.00 _. - ...:�. - � . .. � � � �{c.a��n;wCrn'i.3e; � . � . �. . ._ .._ 3. PQSTf�GL&I�tL?LING{flnly ctn Mai}-In�4��pl;cations) $_ 2.t?�7 4. 7'�9TAL P�.it141�I'l��':�,(,1c1d l,r�es l�:3 Al��vcj S 53.00 � * Ct�Tti'rF���CT PR,C;E r�r If.�Ii C�ST a�aeai�s lh� acTsaii «r asti�z3,�ted dollar ata;4i;nt cl,arged for tlle ����itiittcd wc�rlt ir�ciitd�ng in;�tezt:�l;�,:labc�c,pr�£�4,aud ot�acr iixctI cnsts. Tt i�L§�e�n�ount to k�s:char�cd �Yc,�Yh��custorner�fr�,�t13e w�'k d�ne. Ii as�v inat�naf;�;qnupznent;{ab4�flr in4tal:12:inn�are t�cmi�hec3 by 1�he � � a��ner, ter,an�� cr an�'�r�ther�arty, �he�r�as�nabi� rs�2t�:et z�nlue�.of such�iteans�inusi be���added i�3 tl�e � � � c�tinla�c�cc�st ut•��-crn�r�c�pric�;(o�p�nnil Ipe,purpuscs,���In�tlae cv�ei�t t�dt tl�erc�5 a+1.is�t�tc�r���ihe�noun� o� fhe job� cc�;�t_ the City ;n�y i�cc�ticsz thc suhm;t,�iun �f�a� sz�;res� copy �of ihe acltt�l r.�+rrtract �rc����.�.���r�����'���r����rc��i�����.�r��_...�_ ' --� �.�..�.:_ - The uncica�si�necl herz�,Y apPl��s to ihe:City for Fs�tiance o�'a ��ec6�_inica? Pertrfir. a�*reea u��i+� ni[ ��r��vz'k ii�'��stria;ti�acc�ruauce �v�ih ltzr €rrdiiiauccs�o£�11e �t'i�v��a��d the-�`��ufaCi�yxs qf tl�e State Ut� T4fi7xn�sata,ancd ce�•tifies t3�� �11 statcrncr�s ir�ad�_on r, �s a��vlicatiotl are ci7�npleie.trvc and c�€�nr�ct. � � _ �' ` � ..���:�' ���.. - t)ate: 11-�#-IC? Ap��icant's Si�iiac�r�: :' ..���.� �; ;�� -..-. . . . .... 4_.: � . ��� . . .:.-' .:.... J