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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. ` - , � � � �� , , �_ �, , -� 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$;„_,"��„�. Phone(952)249-4G00 Fax(952)249-4G1G y�l.sx�s�o���'� CI`TY OF ORONO—1VIECHANICAL PERMIT (All Comrneraial permics must be epproved by the BuiJding Official or Inspector and/or Pire Marshall) GENERAL INFORMATION l, You may apply t'or mechanical permits by�nail or in person at the Caty offices. Applications will be reviewed and a perinit will bc issued within two worlcing days. ' 2, Permit cards will be sent by retum mail after a review is compleTed, PBRMITS ARE NOT I VALID UNTIL YOU RECEIVE A PERMIT, WO�MUST NaT BEGiN UNTYL TIiE P�RMTT CARD IS POSTED ON THE,TOB SITE 3. Mechanical Desi�ns—Complete cAJculations,details and specifications are reqt�ired for each ' heating, ventilation,humidification-dehumidifcation, and air conditioiiing instaliation including ' heat loss/heat gain oalculation,design ternperatures,equipment ratings and identification as to , type,marwfacturer and model, Data shal]be presented on form provided. 4. When any new const�uction or remodeling is involved,a separate building permit must be obtained. 5, All work must be done in accordance with the Uviform Meclianical Code/State Building Code requirements, 6, A13 work must be inspected(rough-in and final), Cal](952}249-4600. (24-48 hour notice required) 7. House Heating Test Record must 6e submitted before fmal, � T'YPE �F PERNITT (Check All That A 1 �•Residential [] Commercial{Approval Required) ❑New �Addilional ❑Repairs ❑ Replace Job Si#e/ Owner Information: I � Site Address: I`�OJ`� � '���- �C1�+r��-- �(� o��r� Mailing Address: Clt�: ZIp: Home Phone: Alternate Phone: ' Contracfor Information: ---� Contract���TING &CnOf..I�1G 1'WG 1NC. Contact Person: MEtple Qr4ve, MN 653ge-9231 v Address: __._(- 3 �28-3G77 State Bond#; ,� www.heatcoo 2.00m City: Zip:_� Expiration nate: ; Phone; Alternate Phone; ❑ Insurance—Current; 1 ' _ . __ , _ . Prom:,je�sinke Fax:(612)444-3627 To: Fax: +1 j952�2494616 Page 4 of 5 06J0112016 7:12 AM ,. .. ;.. ; ; ,. � ��.HANICAI,SYS"T�1vs��':$�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 ' � From�,je;�.sinke Far.:(612)444-3627 To: Faz: +1 (952��494616 Page 5 of 5 06l01 J2016 7:12 AM _ . . P�r�r��E c�,cu�;�������;. ,,.. . , : ., , . : , '. BA`S�.QF� ��Qz S'I'AT�,�`��T� .: �.: ❑ 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, � � Applicant's Sig-��ature: ��v R� Da��; �''l'f�p 3 � -? �� ✓ � TE TIME 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; � - . • � /1Gt.J ' �N � 5�!.� �o•� G�.�'t — J O / _ , � G��iev rp s Glcct�c�.l� i,r5.�c�ra 1. "�" �. a/ O - �, � ��' Y��ti s.���.s... W 0C Q � � w � j O 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. V � Call for the next inspection 24 hours in advance. (g52) 249-4600 OwrrerfContractor on site: Ins WMte CopyAnspecMr's File Canary CopylSite Notke i� \ � � F �� � t �� 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 z '� ; /e i� ' c�.� COMMENTS: �� � � W � --_______.-- � � J O �. � O J W � Q � 2 W � W � � d 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 ,� '� (;J��' /�( % 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: , � � j 0 ¢ �O , W � Q � W � W � J d � ❑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