HomeMy WebLinkAbout2016-00711 - mechanical - AC ,
• CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 7 1 1 *
DATE ISSUED: 06/20/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1955 SHORELINE DR
PIIv : 10-117-23-42-0024
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 2,107.00
NOTE: ADDITIONAL COOLING SYSTEM(BRYANT)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.05
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COLJNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 53.05
(763)42&3677 Payment(s)
CREDIT CARD 4334 53.05
OWNER
KIRKLAND,DAVID
1955 SHORELINE DR
WAYZATA,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 Building Code. This petmit is for only the work described and dces
not grant permission for additional or related work w6ich requires separate
permits. Ail provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit wil(
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 1 SO 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 h�„
revoked at any time for due cause. ����J
( � � :� ��`�� � � Zc� �(o
Applicant Permitee Signature Date Issued By Signature Date
JUN/�0/2016/MON 08:52 AM Heating & Cooling 2 FAX No, 7634283677 P, 002
FOR Y73�ONLY � � I' �
City of Orono � �\ (
��/-� P,O.Box 66 I�t�Rac�tved� � cmrit# �v `
V 2750 Kelley Perkway . �
f.Yystal Hay,MN 55323 Appraved By: Am,wint S',�_`/ "
Phono(952)249�600 Fax(952)249-4616
�, 'L''
`�t,���s�o4�,°` CY'I"SC OF QRONO—MECHAI�TICAC.,1'ERMTT
(All Commarcial pertnits awsi he approvcd by tha Bnilding Offfael or Inspector and/or Fire Macshal!)
G� YNFORMATIQN � �
1. Yau may apply for mechanical permits by mail or in person at the City offices. Applicat�ons wii2
be reviewed a�ad a permit will be issued within two warldng days.
2. Pezmit c�rds will be sent by ret�vn mail after s mv�iew is completsd. PER1vfYTS AR�N'OT
. - ---._��-V:4L,�TL72QT�T;Y'OURE'CETVE���R�T1:''WORI�'1VxUST NOI BE�Il�i-UN�.'IL—`�Y��----- _—...___. .
PEAMTT CARD IS POSTED ON T13E JO�SIT�,
3. Mesh ical besi�ns—Complete calculatioz�s,details and speeifications are required for each
� heating,ventilation,humidification-dehuznidi�ic�tion,and air conditioning installation including
hcat loss/heat gain caleulation,design tamperat�u�es,equipment ratings and identification as to
type,manufacturer and nnodel. Aata shall be presented on form provided
4, When an�now construct�on ar remodeling is involved,a separate builc'�ng perznit must be
abtait,ed.
S. All work must be done in accordance with the Unifozzn Mtc�anical Code/State�uilding Code
requirennonts.
6. A1l�vork must be inspected(rough-in az�d�nal)• Call(952)249-4500,
(24-48 honr notice required)
7. House Heatis�g Test Rca4rd must be submitted bePore finaI.
� TYPE OF P�1�.vII"t �
Clieck All T��at A �1 �
��tesidential 0 Comnaercial(Approval Required)
�]N'ew ��°►dditional ❑Rapairs ❑ItcQlaco
r0�SitC�•�WI1�'�31fOT1'Yla$tOYi:
s��,�a��s: 1�}55 ��-0 1��. � tZ .�
Owner:,�"� �E.C� � Mailing Address:
City: Zip: - �
Home Phone: Alternate Phone:
Co�#'a�tor Tnformation: �
Contractor: H�+TENa &C�O�INo TWO iNC. Contact Persox�:
Maple Grove, MN 65369-923i S#,ate Bond#:
Address: (��a28-3677 —
www.heatcoal2.com ,
C�ty: Zip: Expiratio�Date: � ,,,_
Phone: Alterx�ate Phone: ,
❑ Insurance—Curre�at: �
1
JUN/20/2016/MON 08:53 AM Heating & Cooling 2 FAX No, 7634283677 P, 003
,,: ..
� � ,;. fi,Ai.;.SY'�'I�M�='$�����T�.���.?�_. ;��:_�'�:�`*�::�s:
Note:,All Geothermal Systems wilY now require a 5ite Plan di Review by our Building Official.. ,
iS TFiIS GEOT�RMAi,'� ❑"Y'es �No
�ATING SY5TEMS
Quantity: � �
Make: �Y , -- .
Modak;
,
-�--�-------- ._ _.-•---..._...._.._. _...._...._.... - --�----� ---�-------��--��-----____._.—._._.--------------.__...__.
- � �lacl; .
. . _..._..__......_..._....
F]ue Size: �. — �
Input BT'C.Ts:
Output sTUs:
CFM:
COOY.ING 5YSTEMS �
���: �
��: , � _
Model: �� ���d
ToIls: �..,�..� r.
�I.Power
F,�REPLA�
❑ Gas�actory Firoplsce Hrand Nam.a: �
[] yVaod$urning Fireplacc
❑ Wood Stove Model N'o.:
❑ Wood Stove wath�'Iue/Masonry
V'ENTII.,ATYON
[] No. YCitchen�xhausf duet, recixculating efm
� I•7o, Bath�xhaust(must Iaave duct outside) ��
❑ No. _ Other Fans' T,.ocations c�n
. F'TJ��,STORAG�; (Mr�st be approved by FIIre Marshal!'tf prapos�g to abarndon tarRl�Fia place.)
❑ lnstauation ❑ Removal
F1ze1 pi1; gallons ❑ iJndergFozmd Q Insidc ❑Outside
LP Gas: ,�,.,�ons
pther:
GA8 LINE ONLY
❑ Qutdoor Cxrill [� Ot�aer I List What 8r Where:
2
JUN/20/2016/MON 08:53 AM Heating & Cooling 2 FAX No, 7634283677 P, 004
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i.,y4i��i..:4G. :(-. <y-i�" '.U� ��� .•'�'N"�.lie •��R+'.�'�'
� Y'es,this section applies
Ths replacxn�ent of a Ra i 'al r a lience that meets all three o�'th�following requiresnents:
1, boes not require modification to el�trical vr gas service.
2. Has a total cost of$500.00 or l�ss;exeludine�e oost of the fixiure or appliance:and
3. Is improve.�,i.nstalled o�r rtplaced by the homeowner or licensed contract�r.
----- --��---------- - --..__--�---------� �
- --_ ...__._.__...__ —�-----
Skip next section,if this applies; Cost of Permit � 15.00
Scats 5urchsrge $ 5.00
Mail-In Fee(If Applicablt) $,, 2 90
'T'otal Permit Ree S
Y� �r . . ,. . .. . . .,:
�? ;�`��r�:�;%?�JiL��.'' �."i` �' :,."; `;;':; ;;�:r�.,
�...:. .•i. ,�1..,�f� •'7:�r.'„
If above does not apply;follow guidelines bolow;
1. CONTRACT PRYCE * is I.25%of contract prico wi'c1��(Minimam Fce oi$SU.00)
� � �� /.._ x.0125$
(coutreat price) (aoinimam 550.00)
2, STAT�S�7YtCHAYtGE
x.000s � .
(Contreatpdce) ---
3. P�STAG�&HANALING(Only on Mail-In Applications) $ 2.0�
4. TOTA,L��R1vx�T k'E�(Add Lines 1-3 Above) . $
■ * CONTR.ACT P�C� or rOB COST moans tho actual or estimated do)1.ar anaount char�ed for the
permitted work ineluds�g materials,labor,profit,and otl�er fixed costs. Tt is the aanount to be charged
tp the customer for the work done. If any material, equipment, labor or installarions�e fiusxished by
the owner,tenant or any o�her party,the reasonable marlcet value of such items mnst be�ddod to t�e
estimated cost ar conCract price for permit fee purposes. In the eve,rit that t�aere is a dispute on the
anc►aunc of the job cost, the City may request the submission of a sig�ned capy oP the actual contrae�
�!r-. .,�r�t.tti'.;`�' 6 z g�7 �-:-'` /�,,�T �} �� � '�`��;'.' .'�"+ . ( fE1.
�•yi>'� �yr.-S�I'r,v�?�`'�. �, 1U�.�+�'1 t + aF:'Jt:..,. vf�,�'.:.�"•��ii�''�!e%tYi�.:
The undersigned heraby applies to the City�'or issuance of a Mechanical Permit, a�rees to do all
work in strict accardance with the ordinances of the City and the regulations af the State of
Ivlitinesota, and cortifies #ltat aIl statements made on this application ara complete, true and
correct.
� . �
A,pplicant's Signature: Date. � o�.� ��
. 3
..,�� � _
f J ��-.
DATE IME 4'
CITY OF ORONO CALLED IN
INSPECTION NOTICE{ �'�� SCHEDULED � �
PERMIT NO. '7�:-� l� � COMPLEfED ����
ADDRESS I ��J J�'l�'� 1�� (�� h 'U Y C�
OWNER TELEPHONE NO. �� � � ��
CONTRACTOR � It
� DESCRIPTION � � $ ��'
tu ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADI /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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: (�� ( - �� n �_ G � � �
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W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CARRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho rs in advance. 249-4600
OwnerlContractor on site:
Inspector.
,
White Copyllnspector's File Canary Copyl te Notice