HomeMy WebLinkAbout2016-00256-voided , CITY OF ORONO * Z 0 1 6 - 0 0 2 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 03/18/2016
, � ORONO,MN 55356-
� (952)249-4600 FAX: (952)249-4616
ADDRESS : 515 KOKESH FARM RD
PIN : 31-118-23-14-0009
LEGAL DESC : KOKESH FARMS
: LOT 001 BLOCK 001 `,`V
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL �y
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE �
VALUATION : $ 22,800.00
NOTE: NEW: 1 HEATING SYSTEM(BRYANT), 1 COOLING SYSTEM(BRYANT), 1 KITCHEN EXHAUST,5 BATH EXHAUST
GAS LINES: 1 RANGE, 1 DRYER, 1 BBQ, 1 FP
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APPLICANT MECHANICAL 285.00
STATE SURCHARGE MECH(VALUATION) 11.40
HEATING&COOLING TWO INC. TOTAL 296.40
18550 COLJNTY ROAD 81 Payment(s)
MAPLE GROVE,MN 55369- CREDIT CARD 4334 296.40
(763)42&3677
OWNER
LITECKY,MARK&ANITA
515 KOKESH FARM RD
MAPLE PLAIN,MN 55359-
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 tt►e work described and dces
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 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 P itee Signature Date Issued By Signature Date
MAR/18/2016/FRI 06: 00 AM Heating & Cooling 2 FAX No, 7634283677 P. 002
FOR C177t U3E ONLY
" � City of Orono (�
P.O,Box 66 Date It�ived:�Rermit# �"L���'i--
, �' �O C 5 tat B�a Y 1vA1 ey . � G�� Z c���
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���qk� o��.��� CI'Y"Y'UF URONO—MECHAIVICAY,PERMIT
s� (AJl CommerCial permits must be epproved by the Buildiag O�ciai ot Inspector mid/or Fire MsrshalQ
GENERAL INF4RMATTON �
1. You may apply for mechsnical permits by mail or in peraon aX the City offices. Applications will
be reviewed and�permit wiII be issued w4thin tvvq working days.
2. Permit cards will be sent by return mai?af�r a reviev�+is completed. p�RMXT3 AR�NOT
VALID UNTII,YOU'�ZEGEIVS A��RMTT, WORK MUST NOT BECC]N U1V',1`IL'TY�E
PE�T ARp T�S PO$'I'ED O T�IE B SITE.
3. MQ�hanical besi,g,n�s—Complete calculations,details and specific�ions are requ�ed Por esch
hea�g,ventilation,humidificatiou-dehumidificatioz�,and air condition�g instaIIation includ'mg
heat Xoss/heat gain ealculation,desi.gn teznperatures,equzpment ratings and identification as to
type,man�ufacturer and model. Data shall be prese�nted on form provided.
4. When any novy consixuction or remodeling is'rnvo�ved,a separate bui�diz�g permit must be
obtaioned.
5. All v►vor1�must be donc in accordance with the Uniform Mechanical Code/State Buildrng Code
requ�ements.
b. All work must be�nspected(rough-sn and fnal). Call(952)249-460�.
(2,4-48 hour notice reyuired)
7. Houso Heating Test Rocord must be submatted before fina1.
� � TSc'PE OF P$R1�,IT �
Check All Tl�at A 1
Reside,ntxai ❑Gommercial(Approva]Required)
�New Q Additional ❑Repairs ❑Replace
Sob Site/Own�r T�formation: �.
Si�e Address: J ' � a0���� �'/L� ��
�
Owne�: , _ 1Vlaili�g Address:
City: _ _ 7�p;
ome one: ternate Fh,one:
Contractor Info 'an:
. w ` �
Contractor: � �a Conta.ct Person: �
Addxess: ��J � a State Bond#:
�
City: � Zi •�Expir�.tion Date:
Phone: ���� � Altern.ate Phone:
[� Tns�ran.ce—Current: � .
1
MAR/18/2016/FRI 06; 00 AM Heating & Cooling 2 FAX No, 7634283677 P. 003
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' � - :-�x�uc.�.:�sY:��s}��.n��'�s��L�:: :�. .
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Note:.AIl Greo#1lermal Systez�,s will now re re a Site�lan& eview by our Building Official.
. YS TffiS GEOT'HE�YIA.L? ❑�1'es o
HEATING SY5TE1VI5
Quantity: � �
Make: T
Model; �,���''�
�'uel: /�
Flue Size: � t/ ,�
Inptrt�BTVs:
Output BNs: ���' -
C�'M: ��-�`�,.
COOLI1�iG SYSTEMS
Quantity: / _�
Make: � /
Modei: � ��
,r;
T�]S: � .
H.P�wer
FIREPY,ACES
�
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
� Wood Stpve Model No.:
❑ Wood Stove with Flue!Masonry �
'V�NTII�TYON
No. ( Kitchen Exhaust duct. recirculating cfrn
❑ No. Sath Exhaust �us't av uct outs� e � .
❑ N'o. Other FaAs_ Loca.tions _ ��
FCJ�L STOR�+�(Must be approved by F�re Marshall�proposing w abandor�tarek in place.)
❑ Instailation ❑ Rsmoval
FueI Oil: _galIons ❑ UndergroLmd ❑ Tnside �Outsidc
LP Gas: �gallons
Other;
GAS LINE Q�'Y'
❑ Outdoor C3ri11 [� Other/List What&'oVhete:� � f'�
.
2
MAR/18/2016/FRI 06:01 AM Heating & Cooling 2 FAX No, 7634283677 P. 004
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❑ Yes,this section applies
The replacement of a esidenti or a Ii ce that meets a1�three of the follovvix�g requirements:
1. oes not requixe modification to elecirical or gas service.
z. Has a otal cost af�SQ0.00 or Icss;excluding the cost of the fixture or appliance:and
3. Ts improved, installed or replace$by the homeo�wxaer or licensed cantractor,
Skip next section,if Chis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Pee(If ApplicabIc) $ 2.04
Total�ermit Fee $
. � ,p.�T'�' �:�CALCU'�;��.3'��� — ���►:#��._.:�'. �.�':{�(2"., � :�; .
Tf above does no€appl�;follow guidelines below:
1. CUNTRACT PRICE *is 1,25%of conlract price with a(Miuu➢mum Fec o(�50.00)
��' ��a � x.0125 S ��°�
(co tract prtce) (aolntmum 550,00)
2. S ATE SXJYLCHA�GE
?�� b0. �t� x,p005 S� •��
(conuact pHca)
3. POSTAO�&�iANDLIN'G(Qaziy on Mail-Tn Applications} $ 2.pp
4. TpTAL PERMIT FE�(Add�.unes 1-3 Above) S��! �, �Q
■ '� CONTRACT pRICE o� ]QB COST means the actual or estimated dollar amouait charged foz the
parinitted work inclrxdmg materials, labor,proflt,and ot3�er fixed costs. It is the amount to be charged
to tha customer for the work donc. If any material, eyuipment, labor or installatioas are fiu�nished by
the ovvnez,tenant or an� other party,the seasonable m&rket value of such items must be added to t�e
estimxted eost or contract price for permi�fee purposes. Tn the �vent that th�re is a dispute on the�
amount of the job cost, the Ciry may request the submission oP a signed copy of Che actual eonGract.
.F. ��.i�'�v�b�l l' .��`,�F „\'.i�l:'� •�� ,aii $ � `� ' „`�.
����:��:.�i-�':xE��;:•;'i�;!,,:.:��:.
The undersig,x�@d hereby applies to the Ci�y for issuanee of a Meehanical Permi�, agrees to do all
work in strict accordance with the ordinances of#he Ci�y and the regutations of tkte State of
Mxqnesota, and certifies that all state nts e on is application are couxplete, true and
correct.
AppIicant'sSignatu Date: �—�� �� �
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` CITYOFORONO * 20 s - a � 25s �k �
?� �� 2750 KELLEY PARKWAY DATE IS5UED: 03/18/2016 i
. ORONO,MN 55356- 4
� r 952 249-4600 FAX: 952)249-4616 _ �
�
ADDRESS : 515 KOKESH FARM RD • �
PIN : 31-118-23-14-0009 ' � !
I
LEGAL DESC : KOKESH FARMS ( (
: LOT 001 BLOCK 001 ` � j
PERMIT TYPE : MECHANICAI. � " I
PROPERTY TYPE : RESIDENTIAL �O '
� / i
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $22,g00,00
NOTE: NEW: 1 HEATING SYSTflM(BRYANT), 1 COOLING SYSTEM(BRYAN'1�,1 KITCHEN EXHAUST,5 BATH EXHAUST (
GAS LINES: 1 RANGE, t DRYER,1 BBQ,1 FP �
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APPLICANT MECHANICAL 285.00
STATE SURCHARGE MECH(VALUATION) 11.40 �
HEATING&COOLING TWO 1NC. TOTAL 296.40 '
18550 COUNTY ROAD 81 payment(s) '
MAPLE GROVE,MN 55369- CREDIT CARD 4334 296.40 '
I
(763)428-3b77 '
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OWNER
LITECKY,MARK&ANITA �
515 KOKESH FARM RD �
MAPLE PLAIN,MN 55359- i
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AGREEMENT AND SWORN STATEMENT j.
f
The work for which this permit Is issued shall be performed according to ;
the approved plans and speci£cations,applicabla City approvals,and Uie '
State Building Code. This permit is for only die work described and does i
not grant permission For additionai or related work which requires separate �
� pumits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pumit will
expire and become null and void if conatructlon authorized is not !
commenced within 180 days of the date of issuance,or if conswction is (
suspended for a period of 180 days at any time atter work has commenced, �
The applicant ie responsible for assuring all required inspections are
requested in confoanance with the State Building Code.Tl�is permit may be �
!
revoked at any time for due cause. �
�
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Appltcant Permitee Stgnature Date Issued By Signature Date �
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•Rachel Dodge
From: Pennie Miller[PennieM@heatcool2.com]
Sent: � Monday, March 21, 2016 10:23 AM
Trs: Rachel Dodge
Subject: 515 Kokesh Fram Rd
Attachments: 20160321_085349.pdf
This address has been double permitted. We pulled on permit on 3-2-16 (2016-00210)and then
again 3-18-16 (2016-00256).
Please credit us for one.
Thank You
Pennie Miller
Receptionist
18550 County Road 81
Maple Grove, MN 55369
Phone: 763-428-3677
Fax: 763-428-3682
Direct: 763-657-3091
www.heatcaol2.com
Ask me about Aeroseal
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��'�ES HO�'�.
March 21,2016
Peter,
Attached is a refund request from Heatin�&Coolin�Two Inc., for permit#2016-00256 located at
515 Kokesh Farm Rd. Per the attached letter they will not be doing the work on this project.
They would like a refund. Roger has agreed to refund the cost of the entire permit,since this was a
duplicate permit issued within the same month to this address.
Please refund Heatin�&Coolin�Two Inc.$296.40 for the cost of the entire permit.
Thank you,
RachP.L�Qd�
Rachel Dodge
Administrative Assistant
Send refund check to:
Heating&Cooling Two Inc.
18550 County Road 81
Maple Grove, MN 55369