HomeMy WebLinkAbout2014-01047 - mechanical CITY OF ORONO * 2014 - 01047 *
2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 3955 WATERTOWN RD
PIN 32-118-23-32-0004
LEGAL DESC UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 12,675.00
NOTE: HEATING SYSTEM 1 BRYANT&COOLING SYSTEM BRYANT& 1 KITCHEN EXHAUST,5 BATHROOM EXHAUST
APPLICANT MECHANICAL 158.44
HEATING&COOLING TWO INC.
STATE SURCHARGE MECH(VALUATION) 6.34 18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- Payment(s) TOTAL 164.78
(763)428-3677 CREDIT CARD 4334 164.78
OWNER
BUTTERFIELD,LOREN V
3955 WATERTOWN RD
MAPLE PLAIN,MN 55359-
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 does
not grant permission for additional or related work which requires separate
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 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. n
Applicant Permitee Signature Date Issued By ignature Date
SEP/17/2014/WED 07:04 AM Heating & cooling FAX No, P, 002
:FOR Cri'Y'US]E-OM.,Y
City of brand
P.O.
�V P.O.Box 66 ;Dat Received; PeimitW
2750 Kelley Parkway T
Crystal Bay,MN 55323 Approved By.. Amount:$:
Phone(957)249-4600 Fax(952)249.4616
ssHa�wG. CITY OF ORONO—MECHANICAL PERN11T
(All Commercial permits must be approved by the Building official or Inspector and/or Pire Marshall)
GENERAL_INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction.or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE aF1rRIvliT
(Chelic -PPlye
Residential ❑Commercial(Approval Required)
'®aNew ❑Additional ❑ Repairs ❑Replace
ab"Site/::,p�vrier Infarrriatioia:
Site Address: tA) Zf1
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor. -Information:
Contractor:HEATING &COOLING TWO INC. Contact Person-
19550
unty 1
Maple Grove, MN 55369-9231
Address: @'�2g_'� - State Bond#:
www.heatcoo12.com
City: Zip; Expiration Date:
Phone: Altercate Phone.
] Insurance—Current:
1
SEP/17/2014/WED 07:04 AM Heating & cooling FAX No, P, 003
HEATING SYSTRMS
l
,���
ttty: 1'
Make I
todelc lM44100sdj
Fuels � .
77
'Flue'Sixc: ='
,•Input�TUs, '
Output BT[Js _
`COALING SYSTUds
t oty
r ,
RdAp;�)'�
H.Power
FIREPLACES Y
❑ Gas Factory Fireplace
.❑
❑ r
• , ... :71. tove -
ood�
S .; • r
❑ Wood Stove With Flue
Brand Name ' Model No.:
-VLNMATIOht .
❑ No, Kitchen Exhaust duet recirculating cfm
0 No, Bath Exhaust(must ve duct outside) --_ efM
❑ No. Other Fa-4s: Locations c&ci
FUEL STORAGR(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons . ❑ Underground ❑Inside ❑Outside
LP Gas: ..�gallons
Other:
CAS LM ONLY '
❑ Outdoor Grill ❑ Other/List What&Where:
2
SEP/17/2014/WED 07:05 AM Heating & cooling FAX No, P, 004
Q�A-''. •' 7 •.'._:.i _ ' 1.� •F.' .y.;..
-5 -
FEW_W- 1 i .teay
a k'yi�y
::I..
Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exclus4ng the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
b (�J ' ��l�'A 1•
If above does not apply;follow guidelines below:
1. CONTRACT PMCE *is 1.25%of contract price with inimum Fee of$50.00)
/�
_ 1 7 x.& 0125$
(contAct prioe) (minimum 550.00)
2. STATE SURCHARGE
X.0005 $
(oonnet price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
A. TOTAL PER.MJT FEE(Add Lines 1-3 Above) $ 1(OLa'(Q
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner,tenant or any other party, the reasonable market value of such items must be added to the
estimated 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 contract.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
work in strict accordance with the ordinances of the City gpd7the regulations of the State of
Minnesota, and certifies that all statements made o. thi a lication are complete, true and
correct.
0
Applicant's Signature: Date: ! `
3
SEP/17/2014/WED 07;04 AM Heating & cooling FAX No, P. 001
* FAX COVER SHEET*
T0:
DATE:
FAX #: -g2 l
# OF PAGES: (Including Cover Sheet)
FROM:
HEATING &-
. � COOLING TWO'
18550 County Road 81
Maple Grove, MN 55369
PHONE: 763.428.3677
FAX: 763.428.3682
www.heatcool2.com
COMMENTS:
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DAT TIME
CITY OF ORONO CALLED IN /2 �`� /�/
INSPECTION ICE -�CHEDULED
PERMIT N _ /CO;�ETED /�-
ADDRESS -� G) iZl&T,/ 7- f( �
OWNERT LEPHONE N -
CONTRACTOR
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DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL Ll TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
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cc
Q
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W
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QC
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w ❑WORK SATISFACTORY:PROCEED CiAPROJ£CT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hoin in adva :52) 249-4600
Owner/Contractor on site:
Inspector_
White Copyllnspector's File Canary Copy1Site Notice
SEG TIME
CITY OF OR CALLED IN
INSPECTION,bjO I E SCHEDULED ^
PERMIT NO.e( COMPLETED
ADDRESS Zti
OWNER TELEPHONE NO - ✓
CONTRACTOR 's57(A-7
DESCRIPTION A Qtnj� _IJ!�,LCa YA444d
W ❑ FOOTING ❑ PLqWNG FINAL ❑ EXCAV/GRADING/FILLING
El POURED WALL ElCHANICAL RI -1 LAKESHORE/WETLANDS
y
O
El FRAMING ECHANICAL FINAL [:1 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"j ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
tul ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
W
a
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cc
O
1L r
Q 417 f
z
W
W
cc
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W ❑WOR ATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�� ❑C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O RRECT WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
t ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ours in advan 2) 249-4690
Owner/Contractor on site:
Inspector.
White Copy/inspect.,.File Canary Copy/Site Notice
�1 DATE TIME /
CITY OF ORONO CALLED IN y
INSPECTIONOTI E r r SCHEDULED
PERMIT NO. "1G`4� COMPLETED
ADDRESS
OWNER TELEPHONE NO.(O
CONTRACTOR cddv,�_r Iwo
I r
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE El SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W --
cc
a
J
O
O O
W
cc
Q
2
W
Z
W
CC
J
W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
acW
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (952) 9-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
P-2. 5� - .1
CITY CITY OF ORONO CALLED IN D�E TIME
INSPECTION NO�T, ICE/ ,,,`a 'CHEDULED 75/
PERMIT NOv«� �_�rJJ / C MPLEED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ P MBING FINAL EXCAV/GRADING/FILLING
ElPOURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Zi
ElDEMO-FINAL ❑ SEPTIC INSTALL ElHARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
Cc
W
a
az A
J '
O
O
W
Q
W
W
Cc
W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
QC ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WELL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours ip advance. j 9-4600
Owner/Contractor onsite: TV/,I
Inspector.
White CopylInspector's File Canary Copy/Site Notice