HomeMy WebLinkAbout2016-00617 - mechanical CITY OF ORONO * Z 0 1 6 - 0 0 6 1 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/0112016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1405 REST POINT RD
PIN : 07-117-23-33-0013
LEGAL DESC : SBDV OF LOT 14 REST POINT
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,500.00
NOTE: (1)HP SYSTEM-MITSUBISHI-MODEL MUZ-FH12NA
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.75
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 53.75
(763)428-3677 Payment(s)
CREDIT CARD 4334 53.75
OWNER
CAVENDER,COLLINS&BARBARA
1405 REST POINT RD
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 Yor on►y the work described and does
not grant permission for additional or related work which requires separate
permits. AII 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. ` -
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Applicant itee Signature _ Date Is ed Signature Date
� From:j�,sinke Fax:(612)444-3627 To: Fax: +1 (952j 2494616 Page 3 of 5 06l01 I201&7:12 AM '
O�t �USG ONLY
� ,�O^ r City o1'Orono � � � �
1 yO P.O.Box 66 Date RscCiv / Permit�
2750 Kelley Parkway '„""—
Crystal Dny,MN 55323 Approved Dy: ^ Amount$;„_,"��„�.
Phone(952)249-4G00 Fax(952)249-4G1G
y�l.sx�s�o���'� CI`TY OF ORONO—1VIECHANICAL PERMIT
(All Comrneraial permics must be epproved by the BuiJding Official or Inspector and/or Pire Marshall)
GENERAL INFORMATION
l, You may apply t'or mechanical permits by�nail or in person at the Caty offices. Applications will
be reviewed and a perinit will bc issued within two worlcing days. '
2, Permit cards will be sent by retum mail after a review is compleTed, PBRMITS ARE NOT I
VALID UNTIL YOU RECEIVE A PERMIT, WO�MUST NaT BEGiN UNTYL TIiE
P�RMTT CARD IS POSTED ON THE,TOB SITE
3. Mechanical Desi�ns—Complete cAJculations,details and specifications are reqt�ired for each '
heating, ventilation,humidification-dehumidifcation, and air conditioiiing instaliation including '
heat loss/heat gain oalculation,design ternperatures,equipment ratings and identification as to ,
type,marwfacturer and model, Data shal]be presented on form provided.
4. When any new const�uction or remodeling is involved,a separate building permit must be
obtained.
5, All work must be done in accordance with the Uviform Meclianical Code/State Building Code
requirements,
6, A13 work must be inspected(rough-in and final), Cal](952}249-4600.
(24-48 hour notice required)
7. House Heating Test Record must 6e submitted before fmal,
� T'YPE �F PERNITT
(Check All That A 1
�•Residential [] Commercial{Approval Required)
❑New �Addilional ❑Repairs ❑ Replace
Job Si#e/ Owner Information: I
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Site Address: I`�OJ`� � '���- �C1�+r��-- �(�
o��r� Mailing Address:
Clt�: ZIp:
Home Phone: Alternate Phone: '
Contracfor Information: ---�
Contract���TING &CnOf..I�1G 1'WG 1NC. Contact Person:
MEtple Qr4ve, MN 653ge-9231 v
Address: __._(- 3 �28-3G77 State Bond#; ,�
www.heatcoo 2.00m
City: Zip:_� Expiration nate: ;
Phone; Alternate Phone;
❑ Insurance—Current;
1 '
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. Prom:,je�sinke Fax:(612)444-3627 To: Fax: +1 j952�2494616 Page 4 of 5 06J0112016 7:12 AM ,.
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� ��.HANICAI,SYS"T�1vs��':$�TI�ICr`1N�TA�.L . . . .. :;'a.' �,
Note:.AIl Geotl�ermal Systerns will now require a Site lsn&Review by pur Building Off'icial.
IS THIS GEOTIiERMAL? ❑Yes j�No
HEATING SYSTEMS
Quantity:
Make:
Model;
Fuel;
Flue S3ze:
Input BTUs; - —
Output BTUs:
CFM;
�5���6�NG SYSTEMS
Quantity: �_
Mafce: `�`�,:.��b�$ .
Model; m Jz� �fi
� .r�
Tons;
H.Power '
FIl2E,_PLACES
❑ Gas Factory Fireplace Brand Name;
❑ Wood Burning Fireplace
� Wpp�g��� Mode1 No.:
❑ Wood Stove with Flue/Masonry
yENTILe�TION
❑ No. Kitchen Exhaust duct recirculating cfna '
❑ No. Bath Exhaust(must have duct outside) �� '
❑ No. Other Fans: T.ocation�s �� ',
FUEL STORAGE (Must be approved by Fire l�Iarshall�J'propas�ng to abandon tank ln place.)
❑ Installation ❑ Removal
Fue1 Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
(] Outdoor Grill ❑ Other/�,ist Whpt&Where;
2 '
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❑ Yes,this sectioo applies
The raplacement of a Residential fix re or a liance that meets ail three of the foliowing requirements:
1, Does not reqnire modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixtw•e or appliance; and
3, Is unproved,installed or replaced by the homeowner or licensed conn•actor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ S,QQ
Mail-In Fee(Tf Applicable) $ 2,pp
Total Permit Fee $
. pF,�zT FE���t;cuz�'�'�o� =3�0��� o ' r���soo:�ao .; ': ,
Tf above doas not apply;follow guidelines below;
1, CQNTRr�.CT PRICE *is 1.25%of contract price witl�a(Minimum Fee ot'$50.00)
���f� �
_ '.�'`'�-�-•-- x,a 125$
(conYract ptice) (minlmum$50.00)
2. STAT�SUItCHr+�RGE
x,0005 $
(contract price)
3. POSTAG�&I-TANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT F�E(Add Lines l-3 Above) $ � �-��
■ * CON7"RACT PRIC� ar JpB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,pro�it, and other fixed costs. It is the amount to be charged
to the customer for the work doue. If any material, eguipment, labor or installations are fiuvished by
the owner, tenant or any other party, the reasonable market value of such items rnust be added to the
estunated 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 of a signed copy of the actual conb•act,
�Iv.�ECHANI�AL P��IT,APP�IG -'��t��1�A ���N`I' � �;�
The undersigned hereby appiies to the City for issuance of a Meclaanical Pennit, agrees to do aIl
work in st�-ict accordance with tl�e ordinances of the City and the regulations of tha State of
Minnesota, and certifies that all statements made an this applicatian are complete, true and
correct,
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Applicant's Sig-��ature: ��v R� Da��; �''l'f�p
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CITY OF ORONO CAILED IN - -I ��
INSPECTION NO�J����D� EDULED � - � �_
PERMR NO. O4J PLETED
ADDRESS � S � �
OWNER TEL P NE NO a' S-SI��
CONTRACTOR �'
� DESCRIPTION ��2' �
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �"
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WO D BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_1�
y COMMENTS;
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W� O WOFiKSATISFACTOFi1P:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP OHDER POSTED.CALL INSPECTOR
.�N�PECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. (g52) 249-4600
OwrrerfContractor on site:
Ins
WMte CopyAnspecMr's File Canary CopylSite Notke
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�� DATE TFAAE�
CITY OF ORONO CALLED IN ,6'/h S/� �
INSPECTION NOTIC �CHEDULED �" d7�
PERMIT NO. ��/ cornP ED
ADDRESS � S ��C�; �-
OWNER � TE PHO fi NO. z—���r��7,�
CONTRACTO �' -�`���" '
j DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL i��BING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �-�`�.F-0NNUATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL � �"
Q OWNERICONTRACTOR TO MEEi YO : YES_NO
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c�.� COMMENTS: �� � �
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� �CORRECT VYORK&PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J 2 Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO DATE T��
CALLED IN �—��
INSPECTION NOTICE �s CHEDULED �
` PERMIT NO. ���/coMP ED
J ADDRESS l OS
OWNER TE PHO fi NO. 2'��'�1—�j�7,6
CONTRACTO �r
� DESCRIPTION �
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Qet ❑ POURED WALL /%�gING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI
Q ❑ FRAMING ❑ SITE INSPECTION
MECHANICAL FINAL ❑ RATED WALLS
J ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YpU:_y�_N
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED
PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT VYORK,CALL FOR REINSPECTION
V BEFORE COVERING TEMPORARY
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. PERMANENT
INSPECTORWILLRETURN �PNOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �9 2 4g-46��
Owner/Contractor on site:
Inspector:
White Copyllnspector's Flle [:anarv!`nnv/CNa u...:..s