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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