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HomeMy WebLinkAbout2016-00639 - mechanical t CITY OF ORONO , 2750 KELLEY PARKWAY 'K 2 0 1 6 - 0 0 6 3 9 * DATE ISSUED: 06/06/2016 ORONO,MN 55356- 952)249-4600 FAX: (952 249-4616 ADDRESS : 2280 SHADOWOOD DR PIN : 27-118-23-32-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE ACTIVITY . VALUATION : $ 16,000.00 NOTE: 2 HEATING SYSTEMS LENNOX SLP,2 LENNOX AC APPLICANT MECHANICAL 200.00 GV HEATING&AIR,INC. STATE SURCHARGE MECH(VALUATION) 8.00 5182 W.BROADWAY MAIL-IN FEE 2.00 CRYSTAL,MN 55429- TOTAL 210.00 �� Payment(s) CREDIT CARD 7420 210.00 OWNER BEST,WILLIAM&TEDDE 2280 SHADOWOOD DR LONG LAKE,MN 55356- 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 sepazate 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 suthorized 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 aze requested in conformance with the State Building Code.1'his permit may be revoked at any time for due cause. �..� �'""� C�U � /� /�� Applicant Permitee Signature Date Issued By ' ature Date 06/03/2016 15:38 7635354379 GOLDEN VALLEY HTG PAGE 61/04 Cfity of Ozono �R��'SE oZv1(,Y pA_Box 66 Aace�.aCeive$: Pemut# �� z7so x�uey P�.�a,y ; cry�1 sar,MN 55373 APPmved By: nmowut$: Pt,on���sa>u9�eoo F��9sz�z49��6 ��r� ���'� f �' sHo� CITY OF OIt4N0—MEC�CAL PERMTT (All GOlttmerC181 pe[mlts�nuc be epprovad bY}ke�►dmg Q�C181 or[qgpoctor a�/or F1CC Mazyhap} � ���.�,nvFox�.�,rtorr � 1. Xou may appiy fox moc�an;cal pe,rmits by��oz i�n pe�son at the Cxty o�ces. Applicatioms will be reviewed and a per�,it will be issued within two working days_ 2• Peruiit cards wi]1 be ser�t by return naaii after a xeviaw is completed, �ERMITS ARE NOT � V�"���'Y�����N�A.pERMi'f• WORK MUST NOT BEGIN U,NT T'HE �ERMTP�ARD�S�[P �QN 7'�JOB SITE 3• ech ' D i —CompleEe eslculations,d.et�,ils aead specifications ar�xequired£or esch heatiag,ve,nrilakion,hum�idification-dehumidi�ication,and air coztdi�ioni�g installauon including h�at loss/heat gain calculslio�,desiga t�mpezattues,e9tli�rmeut ratings aud idenci5catiax�ss to h�pe,manufacttfrer sw�d mode�, bata shalt be prescated on form�prowided 4• Wh�amy new cotastruction or�emodeling is involvad,a separate buildi�g pe�xreit must be abtained. 5. A,11 wark must be doz�e in accoxdance.with the iTniforna Mechs�Rca1 Code/Srate Building Codo xec;uit'ements. 6- .All aror�c must be inspected(mugh-in aud final). Call(952)249-4b00. (24�4$honr uot�ce t�ec�uired) 7. Hause Heati�ag 7est Zteoord must bc submiteed beforc�_ TXPE OF PERM�,I'�' Check A�1'That A 1 �esidential �]Cott�ercial(Approval Required) , ❑New [�Additional ❑Re aus P � ❑Replacc Job Site/Owner Informataon: Site Addxcss: ��V ,� `� s � r � O�wnes: "t(.LI' l� /'t G Mailing Address: �. 1 C��3'� ,Zip: �iome�hone: �.���.�j �,� Alternate Phone: Contractor Informai�on: Contractor: (�.�„�l�U�iG-$�.Ae�y� Coz�tact Person: (�✓�_ Sf 6a WEST BROApWAY Addxess: :��Nil� State Bond#: Cxty: Zip: Expiratioz�Date: Phonc: Altexn,ate Phone_ ❑ I�nsuta�.ce—Cur�eaat: � ,.. 06/03/2016 15:38 7635354379 GOLDEN VALLEY HTG PAGE 02/04 . � �� �u ; �"�;?�'"�`f��`=., .. :: 1V�ote:All Geott�ezmal Systevas will now require a S'�gg a��Review by our Building Oi�i.cial. IS THTS GEOT,HERMAL? [�Xes �o HEATA�TG S'SCSTEMS �ri�: �.. M�: (�1�.a.c?� ...� �raa��: f� _��� . � �'uel; �'.Q Flve Size: I Input BTT.Ts: � � f� . Out�ut BTUs: �� � Ck'M. ^ COOLZ,NG SYS'�`EM$ ��: � I ��: {^ � �..�if'II?0 Model: ���1 'O��v .��� �o�: �. . � �3 � x.Power �� ❑ Gas Factory Fiueplace �rand Name: ❑ wood Burniqg Fireplace � 'Wood Stove Iv,(odel No.: C] Woad Stave with�'lna/Masonry VENTII.ATION .�� ❑ No. Kitchen Eachaust duct recircu�atiung cfm �] No. �ath Ex�aust(must have duct outside) �.�„ � No. Other k'a�as: Loca#ions cfm '� ' (Musa be approved by,Fire Aiars�all if pro,�osing to a.bandnn tank in pJ�ce) 0 installstiton ❑ Removal �'uel Oil: `��uons ❑ Und�e und Tnside LP Gas: ��jo� � � ❑Outside Other_ G�E ONLX ❑ Outdoor Grill ❑ Or.b�er/List W�iat&Where� 2 06/03/2016 15:38 7635354379 GOLDEN VALLEY HTG PAGE 03/04 '+ , � ' � . .,�� ,,.,,1,... ! y. ,;(r;�;.?�,.�;,t�:: ,< I w� �`:4!1��1/�!�r-"� r;:�,; .{�a�. � ❑ Yes,rhis section agplies I Thc replacement of a esi ' 1 fixture li oc thac z�ueets all chree of t�►c foitowing requ.iiremcnts: i , �• P�-�reQuire nuodiftcalian tn elecirical or gas scrv�ice. ' 2_ �ias a to eost of$SOO.OU o�r less;e c ' the cost vf the fuctuze or applfance:a�ud 3: Ts ux��+oved,installed or replaced by thc hono,eo�,e,r or�acensed eqz�tractor. � S3cip n�,xt geCtion�1£t�lis app��e8; Coat ofPermit S �5,00 StdfC$IICC�1aI$e $-�,.� , Mail�ln Fee(If Ap�licable) $ 2.00 Totat Penoouit Fee $ .:J� ���:"s 'x:�:- — ��'k:}, If above does not apply;follow gu�idelines belvw: � 1. CO CT P *is ,�_25%of coulxact,price with s(�1Tinimnm�'ee of$SO.OU) 0 0 X.0�25$ O�UC� . Dl� ^_ ��� A�) (miaimnm$SO-00) 2_ STATE SU�C�ARGE ^� _ x.0005 $ ��C/ (contacc price) — 3_ �OSTAG�&HAN�I,ING(Only on Mail-in.eipplicanions) $ .�� 4. �'OTAL pER1VIIT�EE(Add I,i�oies 1-3 Above) � �v ■ * COIVTRA�,Ct`PTtiC$ vr JOB CQST meant, tb�e actual ox estimated dollar amou,ot charged for the pezrnitted wor�c incIudiicxg materisis,labor,pro�i�an,d other fxxod oosts. Tt zs the ampuz�t to ba charged to tbe cusDomer�or t11e�vocic dono. If auy Au,aterial,equx�men�lsbox or installat�ons are �'itz�o,ished by ' the ow7ue�,t,Cnsnt oz�Ai1y ot}�ez pA1t}•,t$e xes,qpnable market value o�f sach ite�ms miust be added to the escimated eost or contraet p�nice for pe�it fce p�poses. In the e^�rcnt that there is s dis�ute on #he amouut of tiie job cost,tbe City�oo�ay request t�e subxnission of a sig�aed copy of the actuaI contract -f, •r r.� ,i:�y ��:i!.•���i��t' The undersi.g��od hereb�r app�ies zo the City€oz'issvance of a Mecb�aAical Fermit, agrees to do ali worl� in stiriet accozdance with the ordinanees of the City and the regulatioz�s of rhe Srate of Miuutesata, and e�rtifies that a11 statements made on this appl�cat3ion aze cvmpleke, true and correct. ' 1 /� Applzca.nt's Si�gaature: ' � � T)ate: U/ 3 V DATE TIME CITY OF ORONO cnLLED IN INSPECTIO CE , SCHEDULED «- .3'•�— PERMIT NO� ��3� COMPLETED ADDRESS ZZ 8� S�-aQ�`� C�.Y� S� OWNER TELEPHONE NO. �� �����5 CONTRACTOR�� ��+ � ��a�V � DESCRIPTION '� �C- 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WAIL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ' o � C `t � G � � ` v�r�st�.�-- �I� — 0 � W OC , Q 2 � /�/�i r�o%rQ�.�►ew�s � . � //l���V/G� 8�tG1i r t L4�. N?md Q%�/o�- � .- j �eS� vl� — cb�'�G� �' r►n.•Z�ri.te% W ❑WORKSATISFACTOFlY:PROCEED �RROJECT COMPLETE � �ARECT NfORK�PROCEED �❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a11 br the next inspect�n 24 hours in advaru:e. (952) 249-4600 ctoronsite� ��3�4. � Inspector: �- iM CopyNnspecto�'s File Cenary CopylSita Notiee