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Home My WebLink About2014-00944 - gas furance CITY OF ORONO "2014-00944* 2750 KELLEY PAI2KWAY DATE ISSUED: 08/25/2014 � ` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 KELLY AVE PIN : 21-117-23-23-0026 LEGAL DESC : REG. LAND SURVEY NO. 0891 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 9,100.00 NOTG: LENNOX 1 GAS FURANCE APPLICAIYT MECHANICAL 1 13.75 STATE SURCHARGE MECH (VALUATION) 4.55 GV HEATING&A[R, INC. MAIL-IN FEE 2.00 5182 W. BROADWAY CRYSTAL, MN 55429- TOTAL 120.30 �� Payment(s) CREDIT CARD 7420 120.30 OWNER KAVERMAN-GESELL, DREW GESELL& K 2755 KELLY AVE EXCELSIOR, MN 55331 AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issued shall be performed according to the a�Sproved plans and specifications,applicable City approvals,and the Statc 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 eYpire 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. ` � c� , �. App icant Per itee S�gnature Date Issued By Signature Uate � � City of �rono 2750 Kelley Parkway Orono MN 55356 cti'r OF oRONo 952-249-4600 275b kELLEY PARKWAV Receipt No: 3.011642 Aug 25, Zp�4 ��N��tAKE, MN 5535s Merrhar;t IIi: �61k+ GV Heating & Air Inc Ref �I: �j�?�� Previous Balance: Permits .00 2014-00944 2755 Kelly S�],e Ave 113.75 101-3253U Mechan i ca 1/Sep t i c/Other �;R�;�,N�,Ka�i;��;`�2E� Permits 2014-00944 2755 Kelly rlsh Ave 4.55 ��iCi iM'ri�iu�; Ma�iudi 101-20802 Due to govts-State Permits tpt�i; $ i�r, .�� 2014-00944 2755 Ke 11 y 1[t�,� Ave 2.00 101-34440 ��?��1� � �� Bldg Permits-mail in fees ll,�,�,r�? Totai: ------------ irJ �; i�u��Y� nNN� �OUr; uai�ui 120.30 Credit Card -�---`-'-'�___ �NN�'vd; ui�iifir �di�iho �iri�,��j Check No: 7420 �JS CadF; NO MA1CN I; Payor: 120.30 G�/ Heating & Air Inc Total Applied: 120.30 Change Tendered: -`�- .oo �UStOiiiei' ��p� OS/25/2014 11:41AM===--___-___ '�i{N�' ;�n;,� ,. , ;�: . ;,� � 08/22/2014 15:27 7635354379 GOLDEN VALLEY HTG PAGE 01/03 , f FUR CI"IY USE OiVLI' ,�� City of Orono P.O.13ox 66 Date Kecei�nd: Permir q 2750 Ke11ey Porkwuy Crystal Bny,MN 55323 Approved By: Amuunt E: Phone(952)249�600 Far(95Z)249�6�6 �" ��q'� SHOR�G� CYTX QF OIZONO—NIECHA,N�CAY.PE�2MIT (Ai]Commercial permits must yc a,pproved by Ula�uilding ORcinl oi InspeCtor and/or F't�e Marshall) GENERAL TNFOk�A`I'TON l. You may apply for mechanieal permits by�nail or in person at the City offitcs. Applications will be l�eviewed and a pe�ti;t will be issued within two working days_ 2. Permit cards will be sent by return mai)after a review is completed. �ERMiTS ARE NOT VA.LID UNTI�,XOU RECEIV,E A PERMIT_ WORK MU OT BE UIVTIL PERMIT CAitD IS POSTED ON THE JOB SITE. 3. �(eChanical besip�g,Co�plete calculatians,details and speeifications are required�or each heating,ventil'atipp,humidificat�on-dehumidificatiotl,�td air condiraoning installation including heat aoss/heat gai�►CalCulation,design temperatures,eyuipmen�t ratings and ideqt�fication as to type,manufacturer at�d model. Data shall be preseqted on form p�ovided. 4. When&ny new construction or remodeling is iqvolved,a separate bailding permpt must be obtained_ 5. All work must be dope in accordailce with the(Jtzxform Mechanical Code/State Building Code requireme�ts. 6. All work must be ittspected(rough-in a��d final). Call(952)249-4600. (2Q-48 hour not�ce required) 7. House Hea�t�qg Tcst Record must be subtniited before�nal. TYPE OF P�RMiT (Check A!(That A 1 �Residential ❑Commercial(Approval Roquired) �New ❑Actditional ❑Repairs ❑Replace Job S�te/Owrter�nformati4n: Site Addr s: � / �� '� �(�.�� Owner: `�' t��'�� rif� a�hng Address: �=ri: ,.. ��: �5 3 Home Phone: �� - � ��Alternate Phone: Co�tractor In�oa�mation: Contractor: �. . � ��r��Person: • Address: $��EST�NC��Ynd#: b City: _7�i ��cpiratio�pate: Pho�ne� Alternate�hone: \ ❑ Insurance—Current: 1 � 08/22/2014 15:27 7635354379 G�LDEN VALLEY HTG PAGE 02/63 ........ .......... ..::........:.:::.:::•.:�.::::::::::::��;:::�:::-... _ ,..... ,.......,.,: ,,;,�:;:.,:�,:,�., .;;;;,;;;:�,;,;,;_..• ,,::,,•;::� �,:� , .. � . , . .. ,. ; ,.., .....:..... ...:. � ,�,. , . , ; ,,, . ,,, . Note:Atl Geothermal Systexns will now rec;uire a ite n&Review by our$uilding�fficial. �S THIS GEp�T�-IERMA�,? ❑Yes�o I�EATING SXSTEMS Quantity: � Make: (i�. ' Model: � (,�(-f U � Fue1: �'lut Size: In�ut B'Z'LJs� �U,�� Oucput BTUs� CFM: COOLING SYS'I'�MS Quantity: r Make: ,.(� Model: �`�-' -��Q - Tons: �. "�j #�1.Power �P�.ACES ❑ Gas Factoty Firoplace Brand Namc: ❑ Wood�uming Fireplace ❑ Wood Stove Mode)No,: ❑ Wood Stove with Flue/Masonry VENTILATI0�1 ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath�xhaust(must have duct outside) �� ❑ No. Other Faos: L.ocations cftn �IIE1,,STQRAGr (Must be�pproved by�'ire ll��rshal!if proposlitg to abnndoH tahk in place.) Q Installation ❑ Removal Fuel Qil: �galtons ❑ Underground ❑Inside 0 putside LP Gas: gallons Ofher: GAS�.IN�ONLY Y ❑ Outdoor Grilt � Other/�,ist What&Where: 2 , , 0P�22/2014 15:27 7635354379 GOLDEN VALLEY HTG PAGE 03/03 . . ........... ,. ,,..:. ,�.,�:• •::. �� ., :..... ....... ::.:. '�E T;��c _. .. �,; ;�;;; ;�z��, `'`r�o9��Sj; _... .,...,.. ....,.,,,,;.. , , ,;;. ,.,.... ,,.,�.,. �.... ,., �.. -- . ,-�. ,, .... ............... .. :�:'.::, _ . ; , ,,, ,. .. ...... , ,, . 's . ��► ��"�o��:�-,�oo��,sr��;;�rAr�i� ❑ Yes,thi5 section applies The replacement of a Resident a �ixture or a that meets a�l three of the following requirements' 1. Does not xequ'tre modificatiot7 to eiechical or gas Service. 2- FIfls a total cost of$500.00 or less;e cludin the cost of the fixture or appliance:and 3. Is improved,installed or z�eplaced by the ho�eowner or licensed contractor. Skip nexc section,itFthis applics; Cost of Permit $ 15.00 State Surchazge $ 5.00 M�il-In Fee(If Applicable) $ 2,00 Total Permit k'ee $ „ ..... ,....,,:...;; ,.;,....:�. ,. ,,F ........ ....:...:....:...:... . ; .....,,. , :, ..:�Rl� �:�.. �,CULATIdN fl ,�,,��,�-,-.,...,.,,�,�„�„��:,,:.�� ,. , . , �...... ��. ,,�;J �.�a"C)YER��$�;b;0:0p If above does no2 apply;follow guidelines below: 1• �Q]VTRACT P�CCE '�is 1.25°/p of co�ntract price with a{Minitnum Fee of$50.00) � x.0125$ (contract price) (rtrinimum 550.00) 2, STATE SURCHARGE �. � x.0005 $ (contract prlce) 3. POS�AGE&1iANDLING(Only on Mail-ln Applications) $ 2,00 4. TO'�'AL PERMIT F��(A,dd Lincs 1-3.A,bove} $ / a, �D ■ � CONTRACT PRICE or JO� COST means the actual or estimated dollar amount charged tor thc periltitted work including materials, labor,profit,and other�xed eosts. !t is the amount tv bc charged to the customer for the work done. If any material,equi�mtnt,3abor or installations are fumished by the owner,tenant or at�y ptber party,the�reQsonxble market value of such items�ttust be added to the e5timated cost pr eontract price �'or pertnit fee purposes. In the eva�t tbat there is a dispute pq thc amount of the job cost, the City may request the submission of a signed copy of the actual contract. . ..:..: �;,... ; .::. ... :: �.. ..`;:;�:,:: ��C�1: CAT�,� ��'T:7?�PP[.. � ' Ca4:'T�O�I�;A�:.� .�il1�ENT The unders�gned hereby app(ies to the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict aceordance with the ordinances of the City and the regufations of the Statc of Minr►esota, and certifies that all statements rtaade on this appli�ation are compleee, true and correct. � / i' � �„' Applicant's Signatur : r � � Date: ' V�'�t- �.�.5 �� l3� o`�o! 0� � ��C� ll� DATE TIME Y CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ao�Y'ooYS/Sl COMPLETED ��"3 / ADDRESS 2 7S� l��lly �j�. OWNER TELEPHONE NO. CONTRACTOR G� �� -F/p�' .�,�� • � DESCRIPTION � � ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: `" �er►�.,,�t /i�laQ��' �4•feD Z�S Ca �l �ar � �i�G � j ' � �i?S/J �i.,..�. - - -- �. o� O n� bA�- `ie�� - W � Q 2 /%s� L� /� C�� s� 6FdH.d � . . �+ _ � S�,CiL?s�� d }i K�,� / KS�t�G7i�o.-� L�//f'�w. j Q e� 6� � , W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT 1NORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT VYORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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) 249-46�0 OwnerlContractor on site: Inspector. White CopyAnspector's File Canary CopylSke Notice � qq��►►TE TIME CITY OF ORONO CALLED IN �-'L�� INSPECTION NOTIC SCHEDULED ��-� � PERMIT NO.aO COMPLETED ADDRESS �7� ��1 GC�1 OWNEF��•�'Y�7 �,��'/'�'N�-!? TELEPHONE N�. �'�"�7�" 7� CONTRACTO�' �� g✓��1�s�'z�D � DESCRIPTION <�y�� ` -��- �� /�' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING Q ❑ POURED WALL iC�HANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING CHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a� W a � J O � O � W � Q � 2 W � W � � 4�j ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � �CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (95 ) 249-4600 OwnerlContractor on site: Inspector. Whits CopyAnspector's File Canary CopylSite Notfee