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Home My WebLink About2012-01058 - mechanical ' ~ CITY OF ORONO * z 0 1 z — ra 1 0 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2250 FRENCH CREEK CIR PIN : 10-117-23-32-0003 LEGAL DESC : FRENCH CREEK : LOT 004 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 5,000.00 NOTI:: (1)LENNOX 1 II;ATING SYSTEM-MODH;1,GL296UH -GAS -90,000 INPUI'AND 86,400 OUTPUT APPLICANT MECHAMCAL 62.50 GOLDEN VALLEY HEATING&A[R STATE SURCHARGE MECH (VALUATION) 2.50 5182 WEST BROADWAY CRYSTAL, MN 55429- MAIL-IN FEE 2.00 (612)535-2000 TOTAL 67.00 PAID WITH CC# 7420 OWNER AASHEIM & ALMA FERNANDEZ VERDLIZCO, TOR 2250 FRENCH CREEK CIR �VAYZATA, 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[3uilding Code. This permit is for only the work described and does not grant permission for additionai 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 tate Building Code.This permit may be revoked at y it me for due au� lv� l C � G � �1/(,A..—�t� ��l ��'1 / � i�'� Applicant ermitee Sign Date Iss d E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1�/19/2012 11: 50 7635354379 GOLDEN VALLEV HTG PAGE 61/03 _ � For� �T usR orvr.�� 9�'p`�a Cityoi'Orono �j) :�/Q� �0� P.O.Bo�66 Dete Received: Pennil� /�`D�O 8 ; �,,.� �� 27�0 Kallcy Parkway ! �l��`r,;�•. •!1 Cn•sml 6a��.MN 55333 Approved By: Amoun�S: ��•V��6rL� Phone(952)�49-�600 Fp�(95'')2d9•aG I G �� _��d CITY OF ORONO—MECHAN'TCAL PERMIT (All Commercial permirs mus�be approved by the pu�lding Officlsl or Inspzctpr and/nr Fire Mprsh�ll) GEN�R.AL IN�ORMATION �. You may apply for mechanieal permies by mail or in person at the Ciry offices. Applicacions w�ill be reviewed and a permit will be issued within two working days. ?. Permit ca�ds will be sent by return mail after a review is eompleted. PERMITS ARE NOT VAL1D UNTIL Y�U R�C�1V�A PERM(T. WORK MUST NOT 6�G11V 11NTll�THE �ERMIT CARD IS POSTED ON TT�E JOB SITE. 3. Mecbanical De�ig��—Complete caleulations,details and speei�ea[ions a�e required for each I hoating,vcntilation,humidification-dehumidification,and air conditioning ins�allation including � heat Iossfieat gain calculation,design temporatur�s,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form providcd. ; 4. When any new construction or remodeling is involved,a separaee buildiog pe�mit must be ' obtained. 5. All wo�k must be done in accordance with the Uniform Mech�nieal Code/State Building Code ' requireme�ts. � 6. All work musr be inspected(rough-in and final), Call(952)249-4600. � (24-4$hour notice required) 7. House Heatipg Test Record must be submitced before final_ i TYPE OF PERMIT '�� Check All That A I ' �ResidenTiel ❑Commercial(Approval Required) I� ❑New ❑ qdditional ❑I�epai�s �eplace � ' Job Site/Ow�er lnformation: ' _ �Z-5 D �+',�n� l�''��(�� /�- � Site Address: ' �� w��.�.��.,� ' Owner: � Mailing AddXess: ' Gity: Z�p; � Home Phone: �5�� Z`�' � V �� A�ter�nate Phone: Contractor Information: ' Contractor: Contact Pe�rson: G.V. HEATING &AfR INC. , Address_ g182 W �S� BF�OAI�lNAl�tate Bond #: � CRYSTAL, MN 55429 _ City: 763�53�i�Q00 E,;p�ration Date: Phone: Alternate Phone_ i ❑ fnsurance—Curre�nt� 1 � i 1I/19/2012 11: 50 7635354379 GOLDEN UALLEV HTG PAGE 02l03 . � ,Itil.��"f.T�4�l�C,P��; �'rSE'��'S�.�'.A��°lI'J�"T��;;�.`�.`�� Note; All Geothennal Syste�n5 will r�ow require a Site Plan &Review by our Building Official. 1S TH�S G�OT�#ERMAL? ❑ Yes �No HEATING SVST�MS Quantity: f ., . ..._� ... h1ake: !/1✓I )}C ! Model: 17��(�c,(.�I --- -.-..--- i Fuel: Flue Si�e: i ? C�� —-- � Input BTUs: ^� � Output BTUs: V Kf �U � CFM� , COOLINC SYSTEMS ' Quantiry: Make: Model: Tons; H.Power j --- , FIREPLACES I ' ❑ Gas Faccorv Firep(ace Brand Name: _ __ ❑ Wood Burning Fircplace [� Wood Stove Model No.: ' ❑ Wood Stove with Flue/Masonry � VENTlLAT10N I ❑ No. � Kitchcn Exhaust duct recirculating cf►lt � ❑ No. Bath�xhaust(must have duct outside) cfll� ❑ No. Other Fans: Locations � clin I FUEL STpRACE (Mus1 be approverf bti'Fire Mo�shq/!ijproposl�tg lo abR►tdon ta�tk in p/rrce.) ❑ Installation ❑ Removal Fuel Oil: gallans ❑ Upderground ❑ Insidc ❑putside LP Gas: � ___gallons I Othcr: � _._.. . I GA5 L(NE ONLY I� ❑ �utdoor Grill ❑ Other/List V1%hat&Where: �' 2 10/19/2012 14:e3 7635354379 GOLDEN VALLEY HTG PAGE 04/04 . . ct-18-2012 11:50am From-CITY OF ORONO +9522494618 T-T56 P.004/004 F-219 I ❑ Yes,ih,is secuon applies 1bc rcplacement of a Resi�entiel�ixture or�pplia�ce chat mcets a11 three of�e follow�n�requiremenss; 1_ s ot requiro modificetioa to elaCti�cal or gas service. 2. Has a to 1 c of$500,00 or less;axcl � riae coat of the 5xture or ap}�tiance:and 3. Is itnproved,installed o�replaced by�he hameowner ar licenseQ co�vactur. Skip ncxt secaon,if chis applies; Cost of P�ruiit �__ I5.o0 Sarto 3urc3�arge $�� Mail-In Fee(Yf Applicable) $ 2,Ap xotal Permit�'ee g _ '� If abovc does not agply;fallvw guidelines below: 1. CONTRACT P CE s is 1.25°/u af coatra.c2 price wlch a(Minimum�'ee of 590.00) SDC�D,DI'� X.a�zs$__ � � C� (eonttact pricc) p(unimu m SS0.00) ?. STAT��CxARGE /� q,� C �`��,Vv x.0003 $ �� (aonuact price) —- 3. POSTAGE�IiANDC.�IG(Only on Mail_In,q,ppliaeria�) $� 2�p 4. TOTAL P��2MiT fi'EE(Add Y.incs 1-3 Above) $ , �O � ■ * CO1VTFtAC'T PRICB or J�B COS�'�oae�s the actual or esam�;ed dollar amr.unt charged �ox rk,� permitced work inclading ruaTeriels,]abar,profi�,and othet fixed costs. Ii is the sinount ca ba tbarged rn rhe austamer foc the woz�;done. Tf aay mate�ial, equi�meut, labor or installad�ms are fiu�ruished by � owi¢er, r,ei�t or any other pazty,the raasonsble mar�ket vahie of auch iums niust be added to the estimared cost or eon�racs p�ce for pezzaui�fee putposes. In th� evenT rh$t therc �s a dispute rna t�e amount of rhe job cost,t� Ciry may zequast the submission of a signed copy of the actual cop�acc xhe undersigned hereby applies tQ fhe Ciry foc i99uanc� of a M�hanieal P`eraait, agret6 ro do all work in sai.et accordanee wltk thc ordinances of the C�iy and rhe regulario7�s ot rb�e Staie of Minnesota, and cercifies �Iiat all stat�men�s made on this applioativn are cumplete, true and correot � � � ( I1� Applicant's Signature; Date: 3 �� DATE TIME 1� CITY OF ORONO CALLED IN � INSPECTION NOTICE �CHEDULED /I '7�l a- � PERMIT NO.�/vT�D�Q�rJ COMPLETED ADDRESS �� 7�-��wc L��Z-P�� - OWNER TELEPHONE NO�� = — �« CONTRACTOR ` ' � a DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � a W� ❑WORK SATISFACTORY:PROCEED �.�OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. C,f J��Y 5, White Copyllnspector's File Canary CopylSite Notice