HomeMy WebLinkAbout2017 - 01402 - mechanical CITY OF ORONO *I 11120 1 -10 Hill I0 L I II*i
2750 KELLEY PARKWAY DATE ISSUED: 10/26/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 870 WILLOW VIEW DR
PIN : 28-118-23-44-0015
LEGAL DESC : WILLOW VIEW
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,508.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT NATURAL GAS HEATING SYSTEM
APPLICANT MECHANICAL 56.35
STATE SURCHARGE MECH(VALUATION) 2.25
HEATING&COOLING TWO INC. MAIL-1N FEE 2.00
18550 COUNTY ROAD 81 TOTAL 60.60
MAPLE GROVE,MN 55369-
(763)428-3677 Payment(s)
Minnesota State License#:mech-MB003401,plbg-PC691106 CREDIT CARD 4334 60.60
OWNER
WITHOFF,PETER&JANET
870 WILLOW VIEW 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 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.
e3/14;41-LC4
Applicant Permitee Signature Date Issued By Signature Date
From Heating and Cooling Two 1.763.428.3682 Thu Oct 26 14:18:27 2017 MDT Page 2 of 4
City of Orono xOI�C1Ty USEOIEY
(listiLt:\ P.O.Box 66 f�ateRecetvecl' 7 Permtt#t
2750 Kelley Parkway
Y 1 .
Crystal Bay,MN 55323 �i i►vecl Ey Atttolint$
Phone(952)249-4600 Fax(952)249.4616
k OIL1 CITY OF ORONO—MECHANICAL PERMIT
RMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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.
Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB 0 PVB]
[❑New 0 Additional
0 Repairs place
: err' t =rte» `
•
Site Address: ->>�/
n
Owner7ere' ;/-LIQ. / E:767 /4)//
IP/di/ Mailing Address: /(0/l,)
City: 0i2g /..)tG _ Zip: 5,15
Home Phone: Y -� ' 5 � Alternate Phone: /Ir 3 7
CcQLI'lt: 44 Pf'{I.cJtr�:t"6Sr.E + 4
Contractor: ei
� —1 ‘0, . /61 Contact Person: .��'��.�
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Address:j �a
a State Bond#: OO5
City /?Q,'cv j.e Zip: "%Expiration Date: F A9/2(117
Phone: 7L� '"T O'..- 7''7 • Alternate Phone: ee 3f Ste,
J71 Insurance—Current:
1
From Heating and Cooling Two 1.763.428.3682 Thu Oct 26 14:18:27 2017 MDT Page 4 of 4
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE �r
-75o2 O x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ZOO
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 9 •57
■ * 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 and the regulations of the State of
Minnesota,and certifies that all statements made on this application arc complete,true and correct.
Applicant's Signature- �'"ii/,' .;� ; Date: /G
3
From Heating and Cooling Two 1.763.428.3682 Thu Oct 26 14:18:27 2017 MDT Page 3 of 4
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes Nilo
HEATING SYSTEMS
Quantity: / ,
Make: ,Fga
Model: k7R,Mb1.2(2V2V
Fuel: /V// 9/93
Flue Size:
Input BTUs: /Z CVO
Output BTUs: //�.17 �./
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ • Gas Factory Fireplace. Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfni
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall fproposing to abandon tank in place.)
❑ Installation 0 Removal
Fuel Oil: gallons 0 Underground 0 Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I l-LI -fl 1.30 f
PERMIT NO. 2011- 0 t 407- COMPLETED
ADDRESS -(O W4V) \A-CA/1 dor,
OWNER q<- W 1119P-') TELEPHONE NO. "4=-3015
CONTRACTOR
DESCRIPTION TIM CL- ► '
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
JINAL 0 WATER HOOK-UP ❑ FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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CC
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cc
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W
W
CC
W ❑WORK SATISFACTORY:PROCEED )ROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑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
Owner/Contractor on site:
Inspector. 9./41.-'
White Copy/Inspector's File Canary Copy/Site Notice