HomeMy WebLinkAbout2018-00180 - mechanical CITY OF ORONO * 20 18 - 00 180 *
2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018
ORONO,MN 55356-
(952)249-4600 FAX: 952) 249-4616
ADDRESS : 305 WILLOW DR S
PIN : 04-117-23-14-0002
LEGAL DESC : AUDITOR'S SUBD.NO.229
: LOT 006 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)AMANA HEATING SYSTEM
(1)AMANA COOLING SYSTEM
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
DEAN'S PROFESSIONAL PLUMBING MAIL-IN FEE 2.00
7400 KIRKWOOD CT
MAPLE GROVE,MN 55369- TOTAL 93.00
(612)817-0438 Payment(s)
Minnesota State License#:BUIL-62187PM CREDIT CARD 8163 93.00
OWNER
CARPENTIER&ALEX CARPENTIER,ANN
305 WILLOW DR S
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 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.
C� xz�'l/U
Applicant Permitee Signature Date Issued By Si ature Date
JG
Z- 10
S1t ONLYCity of Orono V 040
P.0,pox 66 ��v De1c RccdPenglt�1
2750 Kelky Parkway
Cryust dray.MN 55323 Approved By AmcW S. 0T
Phwa(952)249.4M Fa(952)249.4616
CITY OF ORONO-MECHANICAL.PERMIT
(All Cot vnmial pamits must be approved by tho 1} ichog 001kial of ImV vior"or Pim Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by trail or in person at the City o s. 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. PERM S ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT.
PE Mrr_CARD JAMSTED OX THE JOB_SITL
3. Modu ical Design—Complete calculations,details and specifications are Muiredforeach
heating.ventilation.humidification-dehumidification,and air conditioning h stallation including
heat loss/heat On calculation,design temperatures,equipment ratings and ii leatification ars to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building p.,rmit must be
obtained.
S. All work must be done in accordance with the Uniform Mechanical Codc/st 4tc Building Code
requirements.
6, All work trust 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 OF PERMIT
Check All That A l
..Eilidentiaf ❑Commercial(Approval Required) [Backflow Device: AVE ❑PVB]
C
New ❑Additional ❑Repairs Replace
1
Job Site/Owner Information:
i
Site Address: Y'
Owner:&f'1_OYl Mailing Address:
City:
Zip:
Home Phone:� 1? "?(0 Alternate Phone:
CorrttBctox Inform ilwo :
Contractor G9 t0iC1Y1U.�Contact Person:
Address: �D ' r LCAMOA & State Bond
City: Zip:%&q Expiration Date: \2J13-L 1 1�
Phone. �� Alternate Phone: �G [�� -?Atc1.Q
i
❑ Insurance-Current:
I
i
__ _ .,�iz3-°cc_ �^��', '`: '4 3". •'� 'a,�'y';Y+?�- ` r' i'g"." �'a,
i`;ofe; All Csetitltcrrnal Sy+ste.ri1S rr'i.il tra>ry require a Site t'lan&Review by our Building001cial.
IS THVS GEOTHMNIAL? [I Yes No
tit A,risNiG SAC'S 1 k;1115
Quantify.
Make: w\Cx-
1
l`IUet.sive: ^�'7
CF14:
COOLING SYSTEMS
(quantity;
Makc: 4A
Model: C ___. .�......,...,.,,,.. ... ,..m..,.,................�..w,,.,,,,,.
'crus:
11,Power
1JUL,U
Gas.FactoryFireplacc Brand Name:
❑ Wood Homing Fireplace
❑ Wood Stove. Model No.: _.._____._..._._....__._....._._._._....._.
❑ Wood Stove with Flue/lrta.sonry
❑ No. Kitchen l:xlrtust tlt.rrt. recirculating cfin
❑ N.o. Bath Exhaust(must!rave duct outside) _ �ofm
❑ No. Other.Fttars: Locations .� cfna
1=LI>yt,_,ti`!'()t�,A�:i': (:t.�rr,c�f h�>urr��rar+rrl by,Clre NFarslralf if prol�o,Nirc,�w altundnrr trxnk'irr�lacr,3
❑ Installation ❑ Removal
Fuel ail: gallons [�.Underground ❑Inside 0 Outside
Other; --- -- -- -----
(.A,h DINE.QNLY
® Outdoor C'irill ❑ Othar/List What&Where:
2
r'S
-
�wY�w'MIIw�('�wl.`'-M.M1.nMr.rrir...wn�
I C`(7N7`RACT 1'MCE is 1.25%)of ec)ntr tet priec.with a(.i Ihiliaum Fee of$50.00) ..........
(ctan(ruct 1)ricc;t (minimum Sta.Oli;l
2, -STA'f.C_SURCIi.A. ,
A. POSTAGE&IIANni..iNO(Orllg i..MMait-•tri Apptic,16665). . S 2,00 � .r
4. '!"U`i`AJ 3'V-l2t't�tl"1' i^:i,(Atld l irtcs f t'llfecsvc) $ i
w * CCyN-{R CT .Pr a.-,.oi. f(_).1:3 cos,i'.aaacans the actual or estimafod dollar a riount charged for the
perrnittM work including materials,Iftbor,profit,rand other fixed costs, it is thc.'amount.to Isar.charpd
to the customer*11.the work,done, 11"4111y miaterital,equipment,labor or instrallaatioils are f°eirriivlied by the
mtncr, tC7awit Or otherany party, the re asotiaable lal arkei.vattte of such itCr'ri5 4n(avt be added it) the
Cstinint.ed c'tas'to r contract price for he nil it fee purposes- In tlat�C't°(`1at.#lu'tt'thcrc i'S ii:(iitil]I:lt'!�(]ii'tl}Cy anaollnt
"pf the, job com, the. City .may requcct the :si bmitision or a signed copy o1" (lie actual contract. .
The,kindersigned.hera:by applies to ttie.(Ity fbir imia.nce.of a>t7ech:ttiia tat.Permit;trees to do all:
word in $triCi'i3CCt?a(taatac@ llltli. tllc C?i'dlla:aiaC4S' CI't" t �at.y and tlae re�ttlatiuni; of the State of
lt7 iltnrrsnta,:►iad certifies thatall Statements c'vittth'/..sap 1 i,.tticm are complete,true tinct comet,
,r ppl i cant`s sigtaiatur� ,° '. '' w.. I ii3t4:_s !"� ~
_ 3
V
ITY OF ORONO CALLED IN
qT � TIME
INSPECTIONN pT1 SCHEDULED
PERMIT NO. D MPL
ADDRESS0� S'
OWNER EP ONE NO. Z
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING Cff M HANICAL 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 ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
�iSCUA/ice �O4E„ � Gs,/S •b/uywAD
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cc
4�0 KILO. - c Hwy K c �e,S A7s .F
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All k
W
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W ❑WORKSATISFACTORY PROCEED AdAWECT COMPLETE
Qc O CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V
BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnwrAx tractor on site:
Inspector.
White CopyAngmtors File Canary CopyWe Notice