HomeMy WebLinkAbout2013-00526 - mechanical • CITY OF ORONO I loll 111111111111111111 IN 11111119H
2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 5 2 6
DATE ISSUED: 06/19/2013
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 : $ 11,500.00
NOTE: (2)BRYANT FURNACES-NATURAL GAS-2"PVC
(2)BRYANT AJC UNITS-ONE 2-TON AND ONE 3-TON
APPLICANT MECHANICAL 143.75
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 5.75
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 149.50
(763)428-3677 PAID WITH CC# 9282
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.
Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
JU,"/19/2013/WED 10:26 AM Heating & cooling FAX No, P. 002
FOR Cl
Cit o ;:. ,'.,, $�.. .. .: ,... . .
Y f Orono
1+ U ONLY
P.O.Box 66 q
2750 Kelley parkway
ti Crystal Bay,MN 55323
t �c� (952)249-4600 r Approve4 By.
CZT)( OF ORONO 6V
(All •
(Ali ContmerCial perrrtiits n1Ust be approved by the Building Official or lnspctor�d/orxFire Marshall)
1. You may apply for mechanical petnlits by mail or in person at the City offices. Applications will .
be reviewed and a permit will be issued within two working days.
2. Pcrrtut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK lYlUST NOT 1E GIN UNTIL THE
I'ERIl�lIT CARD IS POSTER ON THE JO$SirTE.
' 3. Mechanical Desi �Com Eete.
p ealculatiorss,details and specifications are required for each
heating, ventilation,hurriidification-dehurziidification.,and air conditioning,installation including .
heat loss/heat gain calculation,design temperatures,equipment ratings and identification l to
i
4.
type,manufacturer and model. Data shall be presented on form provided.
When any new constmctign or retnodelizng is
obtained. involved,It separate building permit must be
5• Allwork be done
requirements,
in accordance with the Uniform Mechanical Code/State Building Code
rents.
6. All work must be inspected
(24- hou ,(rough-in and f nal) Call(952)249-4600.
7. House se r notice required)
Heating Test RerQid must be submitted before final.
k X11 That A pi -
Residential El Commercial(Approval Required)
❑New ❑Additional
❑ Repairs _-kRcpiace
Job Sire/ Owl�er LfoTnation:` -
Site Address: 1C�
Owner:
—�� .Mailing Address: A M r
City_
—. Zip:
Home phone: 9 S ;9 S$ 0L,7d
Alternate phone:
,.Contraetor�Ii��forrrlation;�` '
Contraetoiuma&COOLING TWO INC,
Contact person:
Address: r. Maple ' MN 28-36779-9231
State Bond#:
City:
Zip: Expiration Date:
Phone:
Alternate Phone:
a "ulrance–Current:
JUIN/19/2013/WED 10:32 AM Heating & cooling FAX No, P, 004
Dec-04-2012 12:43pn From-CITY OF ORONO +9522494618 T-805 P.001/001 F-403
I.V 011
IrTs LEM
0 Yes,this section applies
The replacement of a Res' tial flxnae or a Tian a that meets all three of the following requirements:
1. pgcs noc require modification to electrical or gas scrvlce.
2. Has a total cost of$500.00 or less;excluflin the cost of 1114 fv:ture or appliance:and
3. is improved,installed or replaced by the hoTntowner or licensed contractor.
Sldp next section,if this applies; Cost of Permit
Store Surcharge .50
Mail-1n Fee(If applicable) S 1.50
Total Permit Pee $
If above does not apply;follow guidelines below:
1. CONTACT PRICE "i;1.25 Ya of ContraCtprlcc wills a(Mitsis+um]E00 of 535.011)
x.0125$_
( nu-aa�f1cd) (a.;aitnum$31.00)
2. S'1'ATR SC7RCITARGE * Add the Stare Bldg Coat Div.Surcharge(IM111mum Fee of 5.50)
X'0005 S_
(conte:t price) (ri,inimum 3 .50)
3, POSTAGE&HANDLING(Only on Mail-In Applications) S
4, TOTAL PERIYSTT b'EE(Add Lulea 1-3 Above) $—_
• CONTP ACl' PRICE or JOB COST ratans the actual or tstimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the anlotuit to be charged
to the customer for the work done, if any•tna.eria L equipment,labor or installations are famished by
the owner, tenant or ally other party,the reasonable Tnarket value of such items must be added to the
t;srimated cost or conuact price for permir fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request rho submission of a signed copy of the actual contract.
*•Ilie STATE SURCVARG1r is.0005 orthe Building Dtpartrnent at(952)349-•1600 for the price.
The undersigned hereby applies to the City for issuance of a Mechanical ptTrnit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all scaternents made on this application are complete, true atld
correct. f
Dace. '�✓ ~ � ;
Applicant's SigTnature: — 13
3
JUAN/19/2013/WED 10;26 AM Heating & cooling FAX No. P. 003
HEATING SYSTEMS
Quantity;
Make: 1
Model:
Fuel: N�'r
Flue Size:
Input BTUs: 0
Output$TUs:
CFM
COOLING SYSTEMS
Quantity: I 1
Make: --------
a
ake: J rr
Model: 1 1 1
Tons: �, Q .
H,power
F'1R.E�„ES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Namrie:
Model No.:
VENTILATION
❑ No. Kitchen Exhaust
❑ No- Bath)J �-duct, recirculating ofnn
Exhaust(must Have duct outside)
❑ No. �_ Other Fans; Locations u cfm
EUEL STORAGE(MUST BE APPROVED BY FIRE M'ARSR kLL)
❑ Installation Removal
Fuel Oil: gallons
LP Gas: L gallons Underground ❑Taside ❑ Outside
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/hist
What&Where:
2
DATE /TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.dOn - aG 674A COMPLETED
ADDRESS L�j G[J�: �C a✓: �.
OWNER TELEPHONE NO.
CONTRACTOR Ga e�•u &.10
3: DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
% ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP Lj9QQLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
j
W
ac
Q
W
uj
Qc ®o%mac z✓ A
Z)
LU ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY
p ❑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 hours in advance. (952) 249-4600
Owner►Contractor on site:
Inspector. 0^—,
White Anspector's File Canary CopylSite Notice
J CITY OF ORONO CALLED IN 9. 06. 1C °M
INSPECTIOOTICE SCHEDULED —�� —
PERMIT NO. 13" _P COMPLETED r,
ADDRESS I 4S WVnJ n-ery
OWNER ,5kL/f G' l TELEPHONE NO. � �' �
CONTRACTOR C a�1
3: DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
H ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
El FRAMING MECHANICAL FINAL ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
W
O
Q t ,� 1 C �- C� �.' w 'A- 4-u
r-- + A r f— t lc.•C� GI
a
WW ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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: n
Inspector. —
White Copy/Inspector's File Canary Copy/Site Notice