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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: �aA dp �dv � 1 � 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 nl 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 a J O cc O w cc Q z W w QC d ' 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 O cc O 1L r Q 417 f z W W cc J 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