HomeMy WebLinkAbout2015-00968 - mechanical CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 07/30/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2335 GLENDALE COVE LA
PIN : 34-118-23-33-0066
LEGAL DESC : GLENDALE COVE
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 18,126.00
NOTE: (1)CARRIER NATURAL GAS HEATING SYSTEM-3"PVC FLUE- 120,000 INPUT- 114,000 OUTPUT BTU'S-2200 CFM
(1)CARRIER A/C 5 TON A/C
(1)KITCHEN EXHAUST-300 CFM
(5)BATH EXHAUST -300 CFM
(3)GASLINES STOVE-FIREPLACE-DRYER
APPLICANT MECHANICAL 226.58
STATE SURCHARGE MECH(VALUATION) 9.06
FLARE HEATING&AIR COND MAIL-IN FEE 2.00
9309 PLYMOUTH AVE N
SUITE 104 TOTAL 237.64
GOLDEN VALLEY, MN 55427 Payment(s)
(763)542-1166 CHECK 63803 237.64
OWNER
Advanced Home Exteriors Inc.
1161 WAYZATA BLVD E
SUITE 167
WAYZATA, MN 55391-
AGREEMENT AND SWORIY 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 l80 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.
) o �� 7 ��,/s
Applicant Permitee Signature Date Is ue Signature Date
� �5�}J►o^�
`2,3��'y
FOR CIT USE ONLY
, � �,�0��\ City of Orono '!
j�0 . O`;;
P.O.Box 66 Date Received:��i �J Permit# �
� ;. 2750 Kelley Parkway
�� 71`"X �.� Crystal Bay,MN 55323 Approved By: Amount$:
� ��;'���;},o�,�` Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mashall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
,�Residential ❑ Commercial(Approval Required)
� New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �335 ��--`c.►J UH�`� ���"c-
Owner: AJJA►.i��.�� �ocr��.s Mailing Address: II 1c I t,i�taZa,i i-� 13�v�J ����z�- i��
City: '��?�i <.R't � Zip: 5 J3�--1 I
Home Phone: �I��-��1q�j- I53� Alternate Phone:
Contractor Information:
Contractor: ��-���- ��`�-�+i i N�� A�� !��x- . Contact Person: -1os H S��►►�D���
Address: �13�3 P�'/tno��H i v�� N State Bond #: ������U.�-�
City: ���tc.►������`�Y Zip: ��yZ3 Expiration Date: �- �1- 1�
Phone: �[���-IZ- i\lol� Alternate Phone:
❑ Insurance—Current: 1�C�a2p- Ai`�AC,�{�tip
1
k .
� MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �]No
HEATING SYSTEMS
Quantity: �
Make: �,ARRi`��
Model: Sq5G5A 1Z�J
Fuel: �����'��-
Flue Size: �3��(�1�L
Input BTUs: I 2-0�oo O
Output BTUs: ��`�� ,b 00
CFM: zZa�
COOLING SYSTEMS
Quantity: 1
Make: �.AR��4-2
Model: Z�I I�6g3�dJ
Tons: 5 �o�t�
H. Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. 1 Kitchen Exhaust duct recirculating 3� cfm
No. S Bath Exhaust(must have duct outside) 360 cfin
No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsl:a!!if proposing to abandon tank in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
Nla,n� �Lo�,Z S�Juw
� Outdoor Grill � Other/List What&Where: "s.lv O Ft.x�2�D�-H w'�
'(�A��U��.a�2 -F�rL`t��l,A�`t�
2
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PERMIT FEE CALCULATION(S)
I BASED OFF - 2002 STATE STATUE
❑ �"es, thi;�ection applizs
The replacement of a Residzntial tirttire or appliance that meet�all three of the followin� requirements:
I. Does not require modification to electrical or�as service.
'. Has a total cost of��00.00 or less; e.rcludino thz cost of the fixture or appliance: and
3. I�improved,installzd or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit � 1�.00
Statz Surcharge $ 1.00
�tail-In Fze(If Applicable) $ 2.00
Total Permit E'ee �
' PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
It above does not apply; foflow�uidelines belo�v:
1. COrTR.aCT PRICE * is 1.?�°o of contract price with a(�Iinimum Fee of��0.00)
f$ , +Zl��� r .oi�s � �ZZ�o , 5g
(contr�ct pncei (minimum��0.00)
2. STaTE SI;RCH_�RGE o�
Ia, ►Z.� r .000� � � .OZo
(contrac[pricz�
3. POST�GE& H:�NDLI'�i 1G(Only on Nlail-In Applications) $ 2.00
-t. TOTAL PER�[IT FEE(:�dd Lines 1-3 Above) � Z3�• ��
• * CONTRACT PRICE or JOB COST means the actual or zstimated dollar amoun[ char,ed for the
permitted work including materials, labor, profit, and other fised costs. It is the amount to be char;ed
to the customer for the work done. If any material, equipmen[, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such itzms must be added to the
estimated cost or contract price for permit fee purposes. In thz event that there is a dispute on the
amount of the job cost, the City may request the submission oF a si�ned copy of the actual contract.
� MECHANICAL PERMIT APPLICATION AGREEMENT
The undersi;ned hereby applies to the Ciry for issuance of a Mechanical Permit, a�ees to do all
work in strict accordance with the ordinances of the City and the reQulations of the State of
Minnesota, and certiFies that all statements made on this application are complete, true and
correct.
Applicant's SiQnature: Date: � Z'�`ZO1�
3
.
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2335 Glendale Cove, Orono
I
HVAC Load Calculations
for I
Advanced Homes
, �
��� R�SIDENTIAL I
H4�A� Lo.a��
� Prepared By: I
Josh Schindele
Flare Heating &Air Conditioning
, 9303 Plymouth Ave N
I Golden Valley, MN 55427
' 763-542-1166 I
Monday, July 27, 2015 I
'�IRhvac is an ACCA approved Manual J and Manual D computer program. �
; Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
'�_ J
, -- — -- - -_ _ _ _ _ __ _-_ _-- -- - — �
� Golden Vallele MNC55427-37 oommercial HVAC Loads � Elite S2� Gle�nda el CovenOrono ,
t
' _ ___ Y, — - -- - — __- _ _ . ___ __ _--_ _ _ _ _ __ Pa�-.
', Project Report _ _ _ _- - _ ___ — --- - _ _ _ _ _ _ _ , �,
�General Project Information � i
� Project Title: 2335 Glendale Cove, Orono
j Designed By: Josh '
Project Date: Tuesday, May 05, 2015
I Client Name: Advanced Homes �
Company Name: Flare Heating &Air Conditioning j
' Company Representative: Josh Schindele
Company Address: �9303 Plymouth Ave N 'i
Company City: Golden Valley, MN 55427
, Company Phone: 763-542-1166 �
I Company Fax: 763-542-3101
ICompany E-Mail Address: jschindele@flareheating.com '
Company Website: www.flareheating.com
Desi n Data —. -- -- —__.�
9 �
i Reference City: Minneapolis/St. Paul AP, Minnesota
Building Orientation: Front door faces East
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 ft.
Altitude Factor: 0.970
I� Outdoor Outdoor Outdoor Indoor Indoor Grains
Drv Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference
I Winter: -16 -16.32 n/a n/a 72 n/a
Summer: 93 71 34% 50% 72 22 i
! ---- ---- - — - -- - —. —_------- -
Check Figures � I
I Total Building Supply CFM: 2,124 CFM Per Square ft.: 0.469 '
Square ft. of Room Area: 4,529 Square ft. Per Ton: 987 j
� Volume (ft')of Cond. Space: 43,142
i Buildin Loads__— _ - - -----_ -._ -_ ----__ -- - - -
9 � I
Total Heating Required Including Ventilation Air: 107,646 Btuh 107.646 MBH �
' Total Sensible Gain: 45,721 Btuh 83 % I
Total Latent Gain: 9,371 Btuh 17 °/o I
Total Cooling Required Including Ventilation Air: 55,091 Btuh 4.59 Tons(Based On Sensible + Latent)
'' ' Notes
, Rhvac is an ACCA approved Manual J and Manual D computer program. I
Caiculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensibie and latent loads according to the manufacturer's performance data at
your design conditions.
\\flaresbs\company ...�Advanced Hom ... d, Orono.rh9 Monday, July 27, 2015, 7:54 AM
� ' • . . - . -.._ . __ _-...-- - ----- ___.--- -� - --- - --� �-� -�
Go den Valele d MN a5542 g37 oommercial HVAC Loads � Elite Software Development,Inc.
� ' �
I Flare Heatin &A/C Inc. 2335 Glendale Cove,Orono �
_ - y' _ _------- _ - - -- -- - - ------- Page 3''
___ _ - - - -_ __
_ - __ _- _--
� Total Building Summary Loads
_ _ _ _ _ - -- -- __- - -- -
- - -- - -- - -- -- _-- -- -
� Component Area Sen Lat Sen Total �
Description Quan Loss Gain Gain Gain
---- - - --- - -----__-__- - -- -
, 2A-v-o: Glazing-Double pane low-e (e =0.60), operable 734 22,607 0 17,133 17,133 �
window, vinyl frame, outdoor insect screen with 50%
� coverage, light color blinds at 45°with 50%
coverage, u-value 0.35, SHGC 0.36
11 N: Door-Metal - Polystyrene Core 38 1,170 0 426 426 �'
12F-Osw: Wall-Frame, R-21 insulation in 2 x 6 stud 3779.5 21,618 0 5,232 5,232 j
cavity, no board insulation, siding finish, wood studs
15B0-15sf-4: Wall-Basement, , R-15 board insulation to 264 1,162 0 130 130 I
floor, no interior finish, 4'floor depth
I 15B0-15sf-8: Wall-Basement, , R-15 board insulation to 704 2,603 0 0 0 '
floor, no interior finish, 8'floor depth
' 12F1-Osw: Wall-Frame, R-21 open ceil 1/2 Ib. sprayfoam 289.5 1,656 0 400 400 '
insulation in 2 x 6 stud cavity, no board insulation, ,,
siding finish, wood studs
16B-44: Roof/Ceiling-Under Attic with Insulation on Attic 1765 3,417 0 2,174 2,174 j
I Floor(also use for Knee Walls and Partition
Ceilings), Vented Attic, No Radiant Barrier, Dark j
I Asphalt Shingles or Dark Metal, Tar and Gravel or
Membrane, R-44 insulation I
21 A-20: Floor-Basement, Concrete slab, any thickness, 2 1382 3,284 0 0 0 I
, or more feet below grade, no insulation below floor,
any floor cover, shortest side of floor slab is 20'wide
i 20P-30: Floor-Over open crawl space or garage, Passive, 383 1,180 0 214 214 I
R-30 blanket insulation, any cover �
Subtotals for structure: 58,697 0 25,709 25,709
i People: 6 1,200 1,380 2,580 I
Equipment: 683 3,430 4,113
Lighting: 0 0 0 I
Ductwork: 4,262 301 1,053 1,354 I
Infiltration: Winter CFM: 458, Summer CFM: 414 43,050 5,987 9,280 15,267
Ventilation: Winter CFM: 83, Summer CFM: 83 1,637 1,200 391 1,591 j
' Exhaust: Winter CFM: 480, Summer CFM: 480
I AED Excursion: 0 0 4,478 4,478 i
Total Building Load Totals: 107,646 9,371 45,721 55,091
- - -- -
' Check Figures -- __-__ - - �
Total Building Supply CFM: 2,124 CFM Per Square ft.: 0.469
Square ft. of Room Area: 4,529 Square ft. Per Ton: 987 j
' Volume (ft3)of Cond. Space: 43,142
- --- - _ - -
_ _----- ---- -
! Building Loads l
----- --- - ---- ------
Total Heating Required Including Ventilation Air: 107,646 Btuh 107.646 MBH �
Total Sensible Gain: 45,721 Btuh 83 % I
Total Latent Gain: 9,371 Btuh 17 %
' Total Cooling Required Including Ventilation Air: 55,091 Btuh 4.59 Tons (Based On Sensible + Latent)
, Notes ---- -- -- -- -_- - - - _� I
� Rhvac is an ACCA approved Manual J and Manual D computer program.
, Calculations are performed per ACCA Manual J Sth Edition, Version 2, and ACCA Manual D. !
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions. ,
I
\\flaresbs\company ...�Advanced Hom ... d, Orono.rh9 Monday, July 27, 2015, 7:54 AM
�� e
� ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
�� 7/22/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT D0bb12 Bledsoe, CIC, AAI
NAME:
Apollo Insurance Agency PHONE (3ZO)ZS3—ZZZZ F� No; (855)927-6655
622 Roosevelt Road nooa�ess:debbieb@apolloinsurance.com
Sll1t@ Z4O INSURERS AFFORDINGCOVERAGE NAICp
St Cloud MN 56301-6363 INSURERA:UI71tACj Fire & Casualt Co. 13021
INSURED INSURER 6:SFM MLttlldl Insurance Com an 11347
Flare Heating & Air INSURER C:
9303 Plymouth Ave N INSURER D:
INSURER E:
Golden Valley MN 55427 INSURERF:
COVERAGES CERTIFICATE NUMBER:15-16 Master REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR NPE OF INSURANCE ADDL SUBR pOLICY NUMBER MM/DD/VEYYY MM/DDMlYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,OOO,OOO
X COMMERCIAL GENER.4L LIABILITY DAMAGE TO RENTED ZOO�OOO
PREMISES Ea occurrence $
A CLAIMS-MADE �OCCUR 60444566 4/1/2015 4/1/2016 MED EXP(Any one person) $ 10,000
X CG7201 PERSONAL&ADV INJURY $ 1�OOO�OOO
GENERAL AGGREGATE $ 2�OOO�OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2�OOO�OOO
X POLICY X PR� LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident 1 000 000
A X ANY AUTO BODILY INJURY(Per persan) $
ALLOWNED SCHEDULED 60444566 4/1/2015 /1/2016 BODILYINJURY(Peraccident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS Per accide t $
Underinsured motorist $
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,OOO,OOO
A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,OOO,OOO
DED X RETENTION 10,00 60444566 4/1/2015 4/1/2016 $
$ WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOWPARTNER/EXECUTNE� N/A EL EACH ACCIDENT $ SOO OOO
OFFICEWMEMBEREXCLUDED? 60946201 4/1/2015 4/1/2016
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500 000
If yes.describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POIICY LIMIT $ SOO OOO
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
(952)24 9-4616 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cit]7 Of OL'OIlO ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 66
27SO Kelly Parkway AUTHORIZEDREPRESENTATIVE
Crystal Bay, MN 55323
Nate Cotter/APODt� ����
ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved.
INSfI?5 r�n�nnsi ni Tho A((1RIl n�mc�nrl Innn aro rcnic4oro`I mar4c nf Af'(1Rfl
, Minnasota De�artment of Labor and Industry Licensing and Certification Services
Construction Codes and Licensing Division Phone: 651.284.5034
443 Lafayette Road �! Email: DLI.Licsns�@state.mn.us
Saint Paul, MN 55155 N�ebsite: w�.vw.dli.mn.gov/ccid.asp
NOTICES
P�OT TRANSFERABLE FLARE HEATING & AIR CONDITIONING INC
CHANGE YOUR BUSINESS STRiJCTURE 9303 PLYiV10UTH AVE N
SUBh11T A NEW APPIICATION FOR NEW ENTITY GOLDEN VALLEY, MN 55427
STE 104 ,
RENEW OR REPLACE INSURANCE POUCY GOLDEN VALLEY, MN 55427
SUBNIIT NEW CERTiFiCATE OF INSURANCE
NOTIFY THE DEPARTMENT OF A CFiANGE IN YOUR BUSINESS.
Fa�lure to do so, subjects you ta administrative penalt�es of u,p to $10,000.
15-Day Notice Requireme�t—Forms available online at www.dli.mn.qov/CCLD/LicUpdate.asp
• Change in business'physical address,mailing address, phone number, or email address _
- =- — -
• Change in ccntrol, owners,officers,'directors,members, partners
• Change in business'legal name and/or assumed name
• Loss of or change in RESPONSIBLE INDIVIDUAL
• Change in general liability insurance or workers'compensation insurance coverage
Immediate Notice Requirement—PJotification to DLI in writing
• Judgment Debtor. A licensed contractor has 15 days to provide written notice of the finding that it is found to be a judgment
debtor based upon cenduct requiring licensure.
• Bankruptcv Petitior Filed. A licensed contractor has 15 days to provide written notice that it filed a petition for bankruptcy.
• Conviction Notice. A licensed contractor has 10 days to provide written notice that it has been found guilty of a felony, gross
misdemeanor, misdemeanor or any comparable offense related to the license, including convictions of fraud,
misrepresentation, misuse of funds, theft, criminal sexual conduct, assault, burglary, conversion of funds, or theft of proceeds
in this or any other state or any other United States jurisdiction.
YCUR CERTIFICATE IS SELOW THE PERFORATION. SHOW CERTIFICATE WHEN OBTAINING PERMITS.
�._ .
��.;:� MINNESQ7ADEPARTMENTOF i���CHANI�AL COfVTRACTOfi SO�fD .
. LABOR& INDUSZ"RY
�
Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St.Paul,MN 55155
Website: www.dli.mn.pov/ccld.asp Email: dli.license@state.mn.us Phone: 651.284.5034
This is to certify that the certificate holder is registered as a N(ECHANICAL CONTRACTOR BOND in the state of titinnesota and is in compliance
with Minnesota Statutes 326B.197, and has filed a$25,000 mechanical bond to perform gas,heating,ventilation,cooling,air conditioning,
fuel burning,or refrigeration work in all areas of the state during the registration perioa;provided the work performed complies with
the State!�techanical Code and the certificate holder maintains compliance with the required bond and workers'compensation laws.
Registration : MECHANICAL CONTRACTOR BOND �
RegNumber : M8005424 FLARE HEATING & AIR CONDITIONING INC �
Effective Date : 08/14/2014 3303 PLYMOUTH AVE N B
Expiration Date : 07/31/2016 GOLDEN VALLEY, MN 55427 �
STE 104 T
GOLDEN VALLEY, MN 55427
VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFO AT www.dli.mn.qov/cctd/LicVerifv.asp (ENTER NUI�I6ER).
�� C-��� �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N rICE SCHEDULED '
PERMIT NO. COMPLEfED
ADDRESS �J �� C (eI�GL-f� COf,� 44
OWNER TELEPHONE NO. °�+l���
CONTRACTOR `�
� DESCRIPTION �
41 ❑ FOOTING ❑ DEMO-FINAL j �� ��F�AL
Q ❑ POURED WALL �
❑ PLUMBING RI 1�' XCAU/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � TREE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FIN ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
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c�., COMMENTS:
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W O WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 24J-4600
OwnerlContractor on site: u
Inspector.
Whit opyllnspector's File Canary CopylSite Notice
� � (^�i�/, �
�TE TIME
CITY OF ORONO CALLED IN �'
INSPECTION NOTICE SCHEDULED -$ � :<3U
PERMIT NO.�LS—���vK COMPLETED
ADDRESS � �� ��-�� �
OWNER � � LEPHONE NO�(�3��_�
CONTRACTOR
- y�'L�c-�---� �-�:�',.-� '
�, DESCRIPTION
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