HomeMy WebLinkAbout2016-00210 - mechanical, � CITY OF ORONO * 2 0 1 6 - 0 0 2 1 0 *
2750 KELLEY PARKWAY DATE ISSUED: 03/02/2016
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
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 19,500.00
NOTE: (1)BRYATN FURNACE
(1)MODINE FURNACE
(1)BRYATN A/C
(1)KITCHEN EXHAUST
(5)BATH EXHAUST
(2)DRYER FANS
GASLINE FOR FIREPLACE,RANGE,AND GARAGE HEATER
APPLICANT MECHANICAL 243.75
STATE SURCHARGE MECH(VALUATION) 9.75
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 255.50
(763)42&3677 Payment(s)
CREDIT CARD 4334 255.50
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 the work described and does
not grant permission for additional or related work which requires sepazate
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 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.
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Applicant Permitee Signature Date Issued y ignature Date
MAR/02/2016/WED 08.29 AM Heating & cooling FAX No, P, 002
- = �;;: OR::.I7"i'CJSE UNY:y.•;.'.:.<;�.
City of Orono "�":;�:�;: � �
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Phone(952)244�600 Fax(952)249�616 `�%.�:'.''''"����� - `'?��,'`:�.i��r'`
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lak�s�o��`'~ CITY OF O�tON4�-MEC�ANICAL P�RMIT
(All Commercial pcimits muet bc epproved by the Bvilding Of�cisl or Inspecto�t andlor Fire Marsball)
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1. You may apply for mechanical pemlits by mail or in person at the City offiees. Applieations will
be re�iewed and a permit will bc issucd wi�thin t�wo working days.
2. Permit cards will be sent by return mail after a review is completed. pF..KMTTS ARE N'OT
VAT.lD'CJNTIL YOU RECENE A PERMIT. WQ�1�UST NO'x�ECYN YJNT�C,�'�
P�Rlv�'T CAI�b TS pOSTED ON THE JO�STTE.
3. Mechanical Desi�s—Coznplete calculations,details and specifica#ions are required for each
heating,ventilation,humidi�ieation-dchumidification,and air co�aditzoz�i�n.g iunstallation incIuding
heat loss/heat gai�,calculation,design temperatures,equipment ra�ings and idcntification as to
typc,manufacturer and model. Data shala be presented on form provided.
4. When auy new conshuction or remodeling is involved,a separate building permit nr�ust be
obtain�d.
5. All work must be done in aeeordanee rw�ith thc Unifarm Mechanical Code/State�uilding Code
requirements.
6. AIl vvork must be inspxted(rough-in and�nal). Ca�(9S2)249�600.
(7.a�8 b�oar notice reqnired)
7. T-Touse�icating Test Record must be submitted before final.
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�Residential ❑Commarcial{ApproVal Requised)
�Nea ❑Additional �Repairs ❑Replacc
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Site Address: __ �1 � �J 1Gc� ��s!'l �'a,�P�rv� �
Owaaex: ��.4� . �hS� Mailing Address:
City' Zip•
Home�'houe: Altemate Phone:
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Contractor: H�q,�N�t�COOLI(dG 7W01NC.Cozatact Person:
18550 Gounty I�d. Bi .
.Address: Maple Grove, MN 55368-8�31 Sta.te Bond#:
City: ��heatcooZ.�com ��p�,ataon Date:
phone: Alternate P�ioa�e:
❑ Tnsuranee�Gtiarrent:
1
MAR/02/2016/WED 08: 29 AM Heating & cooling FAX No, P. 003
Note:All Geothermal Systems will now require a Site Plar�8r Revietirr by ouz'Building Of�icial.
XS x'�S G�O�'�YtMAY,? ❑Yes (�No
HEATTNG S'YSTEMS
Quantiry: l \ .
Make; ��R,4e'la�� �Oa►ltE�
Model: qo�p rfl�10���� /�b �o
�uel: �� l�ak
Flt1e Size: •
Input B.TUs: _ /00 dO�O �ra ooc7
Output BTUs: � �~ � .
�
CFM:
COOY,ING SY5TEM5 '
Quantity: � .
Make:
Model: � �4
Tons: "�
H.Fowcr , �
FIREPLACES
❑ Gas Factory Pireplace ��and Nazn�e:
❑ Wood Burnimg F�replace
Q 4Vood Stove Model No.: �
❑ 'aVood Stove with�'luc 1 Masonry
VENTTLATION �
❑ No. � Kitchen Exhaust duct recirculating �j_cfin
❑ No. r" �ath Exhaust(must have duct outside) �h•:� �
�] No. �� Other Fans: Lacations 'n'�y� c�
�C�T�STORAGE (Must be approved by,Fira Marshall if,proposiir�g w abandori tar�k r�pl'ac�)
❑ Installation ❑ Removal �
Fuel 0i1: gallons ❑ �LTndcrground ❑Insidc ❑Outside
LP Gas: gallons
Othex:
GAS LINE ONLY
1 (� �
❑ Outdoor Grill ❑ Other/�,ist What&Whcre:��`� i �•``�`��`�'��� ����r
2
MAR/02/2016/WED 08;29 AM Heating & cooling FAX No, P, 004
1. CONTItACT pRYC� *is 1.25%of conh�act price Witti a(Minimum Fee of$50.00)
�i+7 x.Q125� �T���
' aaact price) (min3�uuw SSO-ao)
2. STATL SURCHARGE C` �'�`
l/ /�� x.0005 $ �, ��
�aonhaor pr;ce)
3. POS'�AGE 8t�iA.ND�ING(Only on Mail-In Applications) $ 2.00 T
4. TOTAL PERMIT T�EE Add Lines 1-3 Above ����J . . �
. � )
� ; CONTR.AGT PRICE or 30B COS'�means the actual or estimated dollar amoimt ch ged for the
permitted arork including materiais,labor,pro��and othcr�ixcd costs. Tt is i�c amount to be charged
to the customer for the work done, If any material,equipment,labor or iustallations are furnished by the
owncr, tcnant or any other party, the reasonable �arket value.of such items must be added to the
estimated cost or co�tract price for pernut fee purposes. Tn the event that thexe is a dispute on the amount
of the job cost, the City zz�ay zequest the submission of a signed. copy of the actual contract.
The undersigned hereby applies to the Gity for issuance of a Mec 'cal Permit, agrees to do all
work in etrict accordance with the ordinance f the Ci d regulations of the State of.
Minnesota,and certifies that all statem a o�th' icati are eornpl�te,true and correct.
Applicant's Signature: Date:.��� /�j
. 3
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E TIME �
CITY OF ORONO CALLED IN � �
INSPECTION TIC SCHEDULED ' � �
PERMIT NO. COMPLEfED
ADDRESS -SZ-� � .�-"�
OWNER LeEPHONE NO L���- SS�c/
CONTRACTOR �
� DESCRIPTION �^ ' �W
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SE IC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z ONfNERK:ONTRACTOR TO MEET YiOU:_YE3_NO �
� COMMENTS:_� /�h� �N4M0' �6 `t���f
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W ❑WORKSATISFACTORY:PROCEED ECT CO PLEfE
� �ARRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC04/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS.
Cail for the next inspection 24 hours in advaru�. (952) 249-4600
OwnerlContractor on site:
Inspector:� /��
,
White Copyilnspecto�'s File Censry Copy/Ske Notice
�� �����
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ��Z�SCHEDULED �(� ��
PERMIT NO. ���LD � COMPLETED
ADDRESS d��.� f`�d lG�-�'' �Q �'� �
OWNER TELEPHONE NO. l ���0.3 d,
CONTRACTOR ` ��
� DESCRIPTION � J
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI L
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/G ADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL ❑ TREE R OVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE IN PECTION
Q ❑ FRAMING ❑ CHANICAL FINAL ❑ RATE WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COM LAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOL OW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FO NDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC I TALL
2 OWNERICONTIiACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W� ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECTV1fORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
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. 2) 249-46��
OwnerlContractor on site:
Inspector:
White Copylinspector's File Canary CopylSfte Notice
�'d� 1 /
DATE TIMEV
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �'� �C��N
PERMIT N0.�16-��Z�� COMPLETED � ��
ADDRESS � �� °���-� ��� �
OWNER TELEPHONE NO. 0 �
CONTRACTOR � `S
>: DESCRIPTION ��►^�c-� -{ �c�es� �r'
tu � FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q �RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W O RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in adva e 49-46��
OwnerfContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notiee