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.
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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
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�' 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
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:: 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
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� ❑ 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:
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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