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HomeMy WebLinkAbout2015-00618 - mechanical ' - CITY OF ORONO I gill M11111111111100 2750 KELLEY PARKWAY * 2 1 5 - 0 0 1 8 DAT0 E ISSUED: 05/11 8/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1145 WYNDMERE RD PIN 26-118-23-41-0011 LEGAL DESC WYNDMERE LOT 005 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 14,559.00 NOTE: (1)BRYANT FURNACE-NATURAL GAS (2)MODINE HEATING SYSTEM-NATURAL GAS (1)BRYANT A/C UNIT-3 TONS APPLICANT MECHANICAL 181.99 STATE SURCHARGE MECH(VALUATION) 7.28 HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 18550 COUNTY ROAD 81 MAPLE GROVE,MN 55369- TOTAL 191.27 (763)428-3677 Payment(s) CREDIT CARD 4334 191.27 OWNER GILL,F STEPHEN&GRETCHEN 1145 WYNDMERE RD 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 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. Lql'�LA 'At/if 'J� IJ3 1-5- Applicant Permitee Signature Date ss d By Signature Date MAY/1/2015/MON 10:35 AM Heating & cooling FAX No, P. 002 ii , r ;ANS O P.O:Box 66 2750Tte11myPark-ay,r �, > �,. .,,,�, .•• Crystal Bay,.MN 55323 ?cp d"ved �, By.,: � CTt"Y"OF ORONO—NICRAMCAL PERMMT (Ail r$ire lv!sreitaln `.+'- •�`••�M+i REWR .TIO J,'- �•LI l`,.41.�C lI L.�i 1� T l St au may applyo><mechanical permits by mail or in person at the city o£i"ices.:Applications.will be reviewed end$ptrmtt wi11$e issued within two pvorkiAg days 2 Peruut cards'VGill be sent by retuzri>gmia after.a review is completed MITS ARL NOT VALID UIVTII,.You RECEm A P.Mv T,:WORKMUST NOTBEGIN IJ=TIS 777777777 . .. -TERAM CARD I r�f`�_ill Oi4 bk .r0�'kft 'i 3 Mechanical Desiane=Co` p lete.calx ahotts details'and saztications are requ fed for etch heating,vettila#on,humid fixation-dehumii gation;'and air,cond�boz>wg"xnstallation:ipcludin ` heat loas/he'at gain calculation,design temperatures;equipment ratings and iaeutic tion as to.: type,manufacturer and model Data'hall be presented on fozzupiovided 4 When any tiew coxtsuctaon ar remddeltng is lnvaved,a aeparatd bst be obtauaed 5. "A11`work must be done to accordance wah the Uniform Mcclia�ical CddelState Building Code - tequiz'emcnts, • 6 Allwork must be ttispected(rough-in and fitiei) Call(952)249 X00. (24-48 hour notice required) ; 7: ..1louse eating'Test Record iiaust be.subtuitted before final. �y 1. - •.�ll��iat Residential Q CohunetciaY(Approval Required) ❑New ©Additional ❑Repairs Replace .. 1p/}�4m ,:.•,{; :211•- .• ' us Site Address: WV-1 Owner{ Gi Maili:ag Address: City 4 Zip: dome phone: Alternate Phone: .Toatract6f Worrriation Contractor: &COOLING TWO INOContact Person: 18550 County , 81 le Grove, MN 65369-8231 Address: maple S.tate-Bold#: .. . wwrw.heatcool2.com �Git}r Zip: Expiration Date: Phone: ,Alternate Phone: ❑ Insurance—Current: 1 ,MAY/I�/2015 MON 10: 35 AM Heat i..ng & Cooling FAX No, P, 003 I $ ATlNG SYSTEIV�S .t . Quantity: `. -Make- -7-7 alo ° Flue•Size: .�(l :,�•h••Q�'-��tr+{' ` ;InputBTUS.' Output rT if d. /'�� I COOii�T SXSTTuiS ; Y. Motel r i Tons -- 77 i „ .'C :F[RF�ISY.ACES ' [� Gas Factory.Fireplace Wood Burnjug Fireplace El Wood Stove ❑ Wood Stove WithPlue Brand Name Model No. .VENTILATION ❑ No. Kitchen Exhaust duct recirculating Acfm [� No. Bath Exhaust(must have duct outside) cfm ❑ No. Othei k aus: I;ocations cfta... FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation Removal Fuel Oil: -._.-._. gallons ❑ Underground ❑Inside F—I Outside - LP Gas: gallons Other Lee W" CAS LINE ONLY [� Outdoor Grill ❑ Other/List What&Where: 2 MAY/12/2015/MON 02:58 PM Heating & cooling FAX No, P. 002 1 :f Q I es,t4us aectiaa applies ..'r C The replaceruent of aesideiatialfi e or appliance that meets all three of the followW requirements: 1 ,.1. 1, boes'not requiremodification to electrical 6r.-gas seiVico. 2. Has a total cost of$500.00 or les;exclu the cost of the fixture or appliance:and •3,. Is impiovad,iristallcd:or replaced by'the houkeowner or,licensed'contractor. d. Skip next section,if'thisapplies; Cost of Permit .` $ 13.00 SSte$urchare, $ .50 fail-ln 7+ee(ff Appkcable) $ Total Berndt Fee'. S M. Kal If above does not"apply;;foliow guidelines below r 'CONTRACT PRItCE *is 1.25 Yo of contra6t*ice w14a(Muumum Fee of 535.!!0) x 0125 •(9ot�tractprice) (miriimum$35.00) t 2. STATE SURCHARGE «*Add tlse Stae.Bl Code D'v Surcharge(rliaitnttut Fee bf 77 X.008 , (conhs�tpnbC) :(rrun{rltum$ 50)� ;'1 1 3: POSTAG &HANDLING Onl n 1Vlail-In ` p lice E ( ,y a App tions1.5Q f 4.,TOTAL PERMIT FEE(Add Lines 1=3 Above) $. CONTRACT PRICE;oi JOB COST.'mean$tha actual.or estimateddollar amount charged foi;the , ding perwitted work inclu materials,labor,profit,and other fixed costs. It is tfie bmount to be c ged to the customer fox'the wgrk done.' If any mate;ia.,'equipment,labor or instaIlatione are furnished by' the owner,tenant or any other party,the reasonable i a iqt value of such items must.be added to the ' estimated cost'or contract price for permit fee purposes. In the event.that thereis a dispute on the amount of,the job coat,the City may request the submission.of a,signed copy of the actual contract. . **The STATt SURCHARGE is.0005 of the Building Department at(952)249.4000 for the price. 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 are complete, true and correct, Applicant's Signature: ate: 3 /5'� DATE TIME V1 J CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED t_ 1 PERMIT NO. COMPLETED ADDRESS � �L45 t Ow V'Y1V_" OWNER" !)r TELEPHONE NO. f�l CONTRACTOR 1� om- DESCRIPTION J7 AC � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Pr_FINAL [3WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL �j ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc a — rL!enAlG� ✓�l�l4Ge�+t�n�� eitt5tcic lac. lrn� � 0 �/G r��i�y s • leo i k E��aa✓S CO.....Qat! Guess/S " --sGcc 2 VG K tr '!} Q /G rG,�/lt c�•ycc rt 2`i - %GYL�t c z � g5,n � — W z cc W ❑WORK SATISFACTORY:PROCEED �Q1ECT COMPLETE Cr. ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector qW . pyllnspector's File Canary CopylSite Notice