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2016-01450 - mechanical
CITY OF ORONO * 2 0 1 6 - 0 1 4 S 0 * . 2750 KELLEY PARKWAY DATE ISSUED: 1U18/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 665 FERNDALE RD N PIN : 36-118-23-11-0003 LEGAL DESC : LINPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,600.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECT[ON. REPLACE HEATING SYSTEM(BRYANT) APPLICANT MECHANICAL 57.50 STATE SURCHARGE MECH(VALUATION) 230 HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 18550 COUNTY ROAD 81 MAPLE GROVE,MN 55369- TOTAL 61.80 (763)428-3677 Payment(s) CREDIT CARD 4334 61.80 OWNER BASTIAENS, FRANCISCUS 665 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORIv 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 afrer 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. � 1��%� ���� '� � s,� � I � i 1 (,� Lt_� �� ;,�.� �- �� ��� � c, � �� Applicant Permitee Signature � Date Issued By S gnature Date NOV/18/2016/FRI 07. 00 AM Heating & Cooling 2 �AX No, 7634283677 F, OC2 5,: :'; iy.;�`01R�4�7'��Li �1' :�;, ;:' '�� ���V� `CJ" . ,��� Cfty of Oro�o. ; ` � r x , � � O P.�.Box 66 D�t���e�'clucd, ' � tt,# ' " � �"�, 2750Ke11eyParkwaY '' �''�,''..�"'-:- ���,;,..:,::�'�,'::'-;. �'.;-' •. �r, U �'t�,�'�`r G4ystalSay,MN55323 �hpProvcdBy::i'��� �'Amount;$�i:-.�._�;.'.�_,; � �`� "Ylc, f��a"� C952)249�}b00 : S�,-c,.� : �aen� C7TY�OF ORONO–1VIECHANTCAr, P�RM�T � (AJl Cnmmercial permite must be approved by thc Building Offrcial or Inspector and/or Fire Marshail) `ti����ILLC_ti�L��;.'� 'R��i���,� - - � . . . . �`� '^` '�c:''` ' , . ` - 'x' •'�� � J., You may apply£or rriechanioal pezax�its by znail or in person at the City offices. Applications will bc revie�?ved axzd a pernut will be issued wi#hin two working days. Z. Pezzzu.t carda ivi��.be sent by return ma;il aftcr a review is complated. P��MITS AR�NOT .�.:..�-�...�V.�:LID`U�I'�TT,:.Y.�.�`.I:,$$�F'si; . . . . ... O -MUST NOT B�GTN�UN'�'�X�THE . -�-----:-.:.--___ ._..... .. . ___—..w,.-,------�r� ----�---,--� ..�-. �-�... -� �ERMZT CARD IS POSTED ON T�JOB SZT�. . 3. MechanicaI DesiQzis--Gbmplete calculations,details and specifications,aro raq�iired for eacb . l�eating,�ventilation,kzumidi�ieation dehtunidificatiori,and air conditioxaaug�nstallatiQn incluctiug heat loss/htat.gain calculariqn,design temperatures,.equipment ratii�s and zdentification a�to type,manufacturer�zid model. 17ata sha11 be presented on form provided. 4. When any new construetiori or remodeling is in.volved,a separate buildiug pczmit�must_be. obtain�tl. � _ . , 5. A1l.vork must be done in accordance with the unifb�7nMeahanical Code/Statc�uilding Code � reqiiiz-cments. � 6. A11 work must be uispccted(rough-in and final). Ca11(952)2�#9-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. � : .; r r , :� . -., . � :-> , ;, . : , .. . . , . : �. . . '� ��:�� ���TT, °` . . . � ,.' �� n. �, ,�; Si .f�.,r :��f, S i�i . . ..�,. . ... , , i.i?� .�. .5� :k. '� li.. .7' .'�'� ..�.� ' . . �Reaidential ❑Coxr��ercial(Apprarral Required) ❑New • ❑Additional. ❑Repairs �;Replace �.,.,�. .•;::_��,. _� � �ry7ob`Sa�e���Qwrier;Irii�vxriia�ron:.';;�•:���:.;��,,:�.,, .,;.,,..;;_ _.�.:... ,. , ,. :,�,. �: _ s�t�A�a��s�: . � �. �. �. � _ .. Owner: Mailing Addz'�ss: Ci�Y� -—.. Z��: . I�ome Phone: .Alternate Phone: ::�Contractor'�ornia�ioii,y ' ' _ Contx'actor: Contact Person: HEATING &CO LING O 1NC. " 1855n County Rd, Si --_-.-.•„•---.---- - .Address:............ 9231.. _State Bond#: , , _. . , . . .., . .. ._ ..... _._. . (763) �}28-3677 .. Cit�: � www.heatcool7i�pm Expiration Date: Phoz�e; Alternate phone: ❑ Insurance–Curren�: 1 NOV/18/2016/FR� 07; 0? AM Heating & �ooling 2 FAX No, 7G34283677 P, 003 ' ,�g y a � ;� . - , ���� 9 u . .� .�r. °p ...L�'r•'C? �Y, r� � ,.1� 'I..:�'. ��� �...�: e� `� w �� �.1�' I ii.7��.�1�v��:�' � I�EATTNG SYSTEMS . Quantity: ,� l� l�ake; � `�',...,, Mode�: � Fuel: a� Flue Siz�: _._..._------_-- .-. .Jzaput�'�'Us; \0��� - ----. . ---- - --- --=_- . - Qutput�TUs, - � CFM: COOLIN�SYS'�'�MS .� Quantity: Make: . . Model: , H.Power R�pLACES � � ' ❑ Gas Factory�ueplaca •. ❑ Wood Bunziu�.g Fue�lace - ❑ Wood Stove ❑ _ Waod�Stove Witla FJ.ue . " $rand Narrie: Mode]No.: VENTYLATY�N . � �io, TCitahen Exhaust duct � recirculating � cfin , ❑ No. � �ath�chaus�(rnust have duct outside) cfin � No. Other Fans; L,ocations �cfrn �'CJ�T�STORAGE(MUST BE AP�RdV�D��Y pZRE MARS�IAT:L) - Q Tnstallation � R,emoval ' ' �'ue1 pi1: gallons ❑ Underground ❑Tnside �]Outside � LP Gas: gallons_ _ . ... . _ _. .. .. _.. ...._ . .. ..... .. . .. ..... .. _ .--- . _. . .. Other: . _ GA5 ILINE ONLY ❑ Outdooz G�iII ❑ Otlier/T,ist'What&Wherc: 2 NOV/18/2016/FRI 07; 01 Aifl Heating & Cooling 2 FAX No, 763428367? P, 004 : ,, . . , ♦ av l^a! 9 ,�a t i �t?y('F i b)� a��<<�U&�l'?vl� . ��y i� .��i�il,�tytjf�Q�����$ �'1�' "� -.4, . . f�.�, ,r S �e� a�r-� � ti r � � I� }� S . � . �'r 1 �( y ,t ti,.�1 u . r YS rLtt f� s�' r � "��� ' }r r � ^t r :. c i� i Sa �r k �,����� �(���(��� �� �>����}�- �C��`��'�tl?� i�y ��. � it�' .� � c,�'J z �y t �A y� �j>e> �a j Qr�}��.:,y .�,�; r�t, v r Cr 1 i+` 1 M � �. ����Y i`.4r1-tt:E���zr�,s��.'ri,�! �yr����L).��}�kX(5 ���A3�"'�^CGI-'.��5+'1..a,1'���`� i�:l'„�} °����� i_..,`�( -v'e4��� Z�tw� ���F��I�rik'. . � n. ,r�„n� . �' ...f ,.'�t.i:t �1 .�.,4..�i ' . ' .... . . . . . . . Q Yes,dus section applies •xhc xe�laq�znent of a�Eside.ntial fixture or appliance that me�ts.all'�}�tcc o£the�ollowi�i,g requarements; �� . .. . , , - 1. oes not requue modi�catidn to al�etacal 9z g�s servlcg. � , 2. �Has a total cos of$500.00 bz 1�55; `c ud�� ;t]ae cost of the fixture or&ppliance:and ' 3; 'Is irnpraved,installed or ro,placed by the homeowxier'or lic,ensed contractor.' .�.-.�._ �-_.��f�aa��ct s�.ct�au,�.f'����A�iFs, �,a�.�,�q�.� -� �...� 1�•og _ w � - - � �_ :�_ ___. . . �:-��-��fA`�� = �5' • - . � � I . , .. ' .�. .i..t„�_Y, Mail''In F�e�Tf Applicablc)� $r�1.50 �� 4' 'T'oltal'�'�rniit F�e �$" � 1 r� � . ' ' , �.,r . - .. 1 .C��"e• '� '� !� �� ��� �. �S�S�,r ' � 'S � ' . , , � �, � Zfrabove dbes ziot apply;follow guidelines be�ow ; � y:t: � .�,., „ , . _ i i r .. 1 � � .�. �, ,.i��. ' � �� 1:,1• CONTRACT PI.�CE *zs 1'25%of oontrscc.price Wi�(Miri�mutn b'ee of$35.00) �, � � ' � f -- - , � # ��,�� _ ., �`'�`� '.� . 4� X.�125� i ",�(obntrac,pric�) � (rriinimum�3s.40) e • � . `�;' '� � � , I , ` 2 5TATE SURCT�ARG� '"'"Add tk��State Bldg Gqde Drv Surcharge(Mmimum���qf.$,S9) ' '•-�� - . - , - .. . - i , < � > x A�Q� $ . .. ' , - _.. � tt „ r.:;:� � ' * , . , x ..` s� , � ,(cdntract price)> � � (mmimum$ .�0) � ° t a�: �r ` . , i h � ` �� � 1�, � t '. . . . ��� �� y F r I b� 1 c i.', 3�;;PQSTA�r�s&kiANDL�NCi(�.til.y on 1Vral[Tn,App��,�tto�,s� � .2 59�-� � ,` � �;: � , ' , . ` ',:'� � i ` � � � �,' � t { Z f �,' �a � 4.`TOm�;1I,FERMIT FEE(Add I,iz�ea 1�3 A�dY��'�'; $_ ! �� �, ,�., +,-: V � ri � � a..r ^. � af .,'�... , � .''. . 1r. ,,. '.'- .., .. '.' -. �, ' ..' ■ . * CbNTRAC`I'P�ICE or JO� G�ST,rnea3�s;t�1e act�lal nr e5tuzaated`;dol��r.�maunt;chaxged�ox the: � � ' � �ry ` pertx�tt�d,yvor�C zz}cludiug mater�alst�atjor,p�ofit��az�d o�h�Yf��ice�l�asts.;�t Ys t1i�,ar"nount to'be';;c�iarged` ' , � -' to"the:�ustvhi�r foz the wo�'k�one 'Tf,any rria��r18�� equiprr�cr�t, ��bQr or mstallations�ar�e fiunis�ed by ` � th��owuer, tenant or any other;p�rty, t�i�r�a��n�l�7taark��alue bf such i#ems must_be added to the r � . E ,,. � ,,,: . ., � , , � , _ , ;est�xn&��d cost.bz cont�aGt pTlce �'ox p�r,���'ee, urppses, xn'F�,e��vent tl�at�tlaeTe a8 a disp�.��.on the, � 'amoun��v�f the'�ob'�o'st, the �ity lnay'requests'�he Subri�sSzoz�;.q�,a sigiZed copy of-the &ctua� contraat;. � �' ., , , , . , ., ;,, .., . . � . , . ', • � . ...'/t :. ' 'I \., ,�., . , � � 1': . . . ... . , :� .�. . .. �.: ... ,„" . ,� ..1 . '° � • **The�'STA'x'j3 SIJI�C�ARGB 7s 000�.p£th,e�uildvn�'Department at(9�2)2�T9�,q6pQ�'ar the price, �' ' �1� .�.;�µ, '., ..' �'�'�' r1,. i, i .������ ���"���tti'�. �'` c �. �� • i ' .' . � . :, ,o. _ .... � ...� ... ,. . .� , ,.. . � �.I � ��'. - .,'� �. �, .� ., :. 1 . . .'..,, .I ,. ., . :. ' � '� . ... . _ � . . . . ' � ''� � :�, �� : � .'. . ' , ' ', '. �� , � . : � . . . , . .. . , � '�`I���tnderSl�ned hereby applies,:to the C�t��`Oz'-�ssuanb� of�IY�i�Chanie�l,Permit� agrees to do at�, - � - � r:� �, . ,� •,_ �r, ., � � �,' wo�'��xn stz�.at ac'corc�ance with the ord;nan�e� 4f�the C�ty:az�d khe'regulahons of:the State,'of � �� ' , ;Iyl�nneso�a; and cerfii£'ie.s t�ast�a11 �tateznents.�#z�ad� an �hy.�s :�p�lxcatto� are oortiplete, h-ue an� � ' �.:�'orrect; , , . � � Ap�licant'_s Signature; �2.�,r��F , �Jate,;,�l�� '�� . . .;. , _ . . , .� - . . .. . �