HomeMy WebLinkAbout2015-00584 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 5 8 4 *
r ` 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1080 BROWN RD N
PIN : 27-118-23-42-0013
LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,215.00
NOTE: (I)DAIKIN A/C-2 TONS
(2)DAIKIN A/C- 1 TON EACH
APPLICANT MECHANICAL 90.19
STATE SURCHARGE MECH(VALUATION) 3.61
COMFORT MATTERS HEATING&COOLING MqIL-IN FEE 2.00
11238 RIVER ROAD NE TOTAL 95.80
HANOVER,MN 55341-
(763)208-6471 Payment(s)
CREDIT CARD 5989 95.80
OWNER
PASZKIEWICZ&DANIELLE SCHUETTE,JOHN
1080 BROWN RD N
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 goveming 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
,
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Applicant Permitee gnature Date Issue y Signature Date
05/12/2015 11:25 7634987618 COMFORT MATTERS HTGE PQGE 02/04
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��� City of O�•opo � �j� �- � ¢//
�»., Y.O.Box 56 , Date Recet�zd:� etteit�,Grs f✓ , ' o T
V 2750 Kel�ey pa.rkway
Crystal Bsy>IvRd 55323 App�ovpd IIy' Airibdnt,$.l��
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Pho�e(952)249-=1600 F�c(9�2)249-4616 ,.'
� csrs� �"�� C�'X"St OF OROlYO—MECI�,A�NZCAL _ „,y .
�� �
! K � PER��T
�.,_.. (lall Commeic�al peKtt�ats mcst be approved by the Building Offecial ur Ynspector sttd/ot'k'ire Msrshall)
G�,rv�:,�L�c���.�r�o�r M. � �� '�
�. You may ap��ay for meeha���caJ.pe�-inics by�xza�Z or in person at tlze City of�iees. ;1,pplications w411
be reviewed and a�ermit wi11 be zssued within two working days.
2. �emiir oards wi��be sent by retuzz��nail after a review is completed, �ETiMITS.�R�NO-T'
VALID UN'�Z.YOU RECE�[V,E,A,PERMiT. WORY{iVliJ " B�GiN T�E
pER IS P �N THE. SITE.
3. Mec a �ca�Desi�ns—Co�plete c�leulatiorts,details and specz�cations are required for each
heat�ng,ventilation;�w��dification�de�uzn�dificfltion,and air Cotlditioning i��stallation includz�ag
heat loss/��eat g�in calculation,<lesign tez��peratu��es,equipznent t�Atings and ide�nt��catton as to
type,n�anwFactw•er and model, �7ata shall be p�esented on foz�nn a�z-ovided.
4, When any��ew construction or remodeling is znvolved,a separate building perzn�f rnast be
obtained_
5. Ali wox�k must be done in aecordarxce with the Uniform N�eehanica]Code/State Building Code
requi�eanents.
6. AII work zxaust bc inspected(zou$h-in a�d f��a�). Ctill(9�2)249-4600.
(24-48 b�our no�ice requi�•ed)
7. House�eatiaag Test Record anust be submztted before final.
"i �Y'f'E O�'�E�NIIT '' �
- ' {Cl�ee�All'TY1at;A �lv
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�.Resade�atial ❑Co�nnme�•cial(,Approval Required)
�New Q Adclitional []�tepairs ' ',1rZc lace
P
J�b,�rte/i?wnerl'I�;£q,��aatian: ' ��:.:J
Site Address' � ��� �(� ��
Owzxea�:��'N_x� �2. ; �t,��C.z� Mai�irag,A,ddress: �08(� w� �,��.�
CitY� L,t �� Zip: �✓���
HoI�e�k�one: ��2� �7Sr (`-,���G1 Alternate P�oa�e:
�'ox�t�zcto�;Infc�ni�atxt��:'', `' " ' ..
Contractvz; �
f'YL�-�t�a �-C�,f . .
�! Conta.ct Person.
� Actc�ress: I 1 d3 ►�✓ l�r� 9-�� State Bond#� i�1'l�'�OC�4��Gt
City; Zip;�3�( Expirat�or�Date: ��� f ��
]Phone: �Eo� 0�08 ��47 � Alternate�hone:
❑ Instuarace—Cuirenl�
1
05/12/2015 11:25 7634987618 COMFORT MATTERS HTGE PAGE 04/04
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.� _ e_.
'_V"ote: AIl Geothei7nai $y-stems will ntow require a ite Pl� & view by our�uilding O�cial.
�S THIS G�OTHERII�„�,�,? ❑Yes ,�No
I��,A�'�ING SYS'��1145
Qua�tiry:
Make�
ModeZ:
Fuel;
Flue 5ize:
Input BTUs:
outpur B7f'[7s:
Ck'M:
• COO�,�'G SYSTE��S
Quantity: �,
�ake: �ci� �C'�, �d,� I`
c rxs�a�vsu —
Model: �J��S �,l.{N��
�'ons: c� / �.
H.Power
FIR�
❑ Gas k'actory�ireplace Srend Nat�e:
❑ Wood�ua�ning Firepaace
❑ Wood Stove l�iodcl No.:
❑ Wc�od Stove with Flue/�asonry
v��vxxZ,ATION
❑ No. �.itCtlen EahauSt duct tccirculatz��g cfm
❑ No. $afh Exhaust(must have duct outside) cfm
❑ No. OtherF�ans: Lacations �cfm
FUEL S'�O�t,AGE.(Must be a,pproved by Fire A�ursh�ll ifprnposing to abr�fadon tank in pl[�c�}
❑ Ii13tal�at�OX1 � �ea�OV�
k'nel Uil: gFillons ❑ Underground ❑Inside ❑Ouxside
�.�Gas: gallons
4the��,
�S I,TNE ONLY
[� Outdoo�-Grif1 ❑ Other/List UVk�at&Where:
2
05/12/2015 11:25 7634987618 COMFORT PAQTTERS HTGE PAGE 03/04
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❑ Yes,this section�pplies
'�e�epl�ceme��t o;Fa Residcntial fixture or a lnn iance th�t meets all three of the�ollowing requicements:
1. Does�ot requue modi�cation to elecbr�cal or gas servzce.
2. Has a otaI cost o�$SOO,OQ or less;e c udin the cost of the�:�t��re or a��pliance:and
3. Is i�np�roved,installed or replaced by t}�e:homeo�vner oc licensed contractoz-,
Skip next section;i�'tk�zs applies; Cost of Pezznit $ 15.00
St�te Surcl�arge $ 5.00
Mail-Ia�k'ee(If.�.pplicable) $_ 2.00
Total�ermit Fee $
If above does not appky;folaow gaidelizaes be:low:
1. .`TRACT CE *is 125%of contract price with a(Minimujm�'ee of�50.00)
']dIS �,o12s$ R�• l�l
(contract price) (minimum$�0-00)
z. sT�,�r�srrxcx.�RG�
`��1� ��.0005 $� ��.�1
��o�,u����;r����
3. �OS�'AGE&H,�ND�;TNG(Or�iy oz�Mail,In Ap�lications) $ `2-�g�
4. TOTA�,:P�RNIIT FEE(,A,c�d Lines 1-3,A.bove} $ ��• 6�
• * CONTRACT �'�CE or JOS COSx means the actual or estimated dollar amount charged for the
pez�z�itted vrork izacludu�g materials,aabor,profit,a��d otlaer�xed eosts. �t as the�nount to be charged
to the customer�or the work done. ��any material, ec�uipmen� Iabor or znstali�tions are fUrx►ished by
the otvner,te��a��t or any other parry,the re�sor�able market value of such itenis must be added to the
estimated cost or eontract przce for permit ;fee pua-�oses. In the event that there is a daspute on the
amount of the.job eost; the City rnay rcquest the submission of a siga�ed eopy of t]ie actual eontract.
The ut�dezsigned hereby a�pl�es to the City fot'issuance of a Mechatazcal k'ennit, agrees to do a(1
work in stt-aet aceordance with tk�e ordinances of the Czty and the regulations o£the State of
IVliz�r�esota, and certifies tktat all statements zz�ade on tlus �pp��catxot� are complete, true and
correct.
,A,pplica��t's Signatuxe: Date: � l �,�
3
/ �/ �
� -
� DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE�OSS� SCHEDULED
PERMIT NO. '7�% COMPLEfED
ADDRESS � �g � �� rnu%h � `� � '
OWNER TELEP ONE NO. 7��� �� ��-~j
CONTRACTOR �U Vln-�-��Ll'���
� DESCRIPTION ���C-' � �� �� � � , �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMB G FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M ANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINA� ❑ RATED WALLS
� ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ WATER HOOK-UP ❑ FOLLOW-UP
W S BUI -SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL
�
❑ DEM -SITE ❑ S PTIC INSTALL
OWN ONTRACTOR TO MEET YOU: YES_NO
c., OMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED IS E CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
O 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 urs in adva �. 49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice