HomeMy WebLinkAbout2015-01303 - mechanical CITY OF ORONO * 2 0 1 5 - 0 1 3 0 3 *
, 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015 -
� ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 55 LANDMARK DR
PIN : OS-117-23-22-0010
LEGAL DESC : BAYSIDE LANDING
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,500.00
NOTE: REPLACING EXISTING HEATING SYSTEM(BRYANT)&COOLING SYSTEM(BRYANT)
APPLICANT MECHANICAL 156.25
STATE SURCHARGE MECH(VALUATION) 6.25
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COLJNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 164.50
(763)42&3677 Payment(s)
CREDIT CARD 4334 164.50
OWNER
PERKINS,DANIEL&PATRICE
55 LANDMARK DR
LONG LAKE,MN 55356
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. 'I'his permit is for only the work described and dces
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 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. �
i : �' 'L ����"�L P�' / � � � �
Applicant Permitee gnature Date Issued By Signature Date
OCT/07/2015/WED 01 :02 PM Heating & cooling FAX No, P, 002
, Boli CiTY US$O�II,Y
" Ar C�ity of Orpno " �D-7/5 �
P.O.Hax 66 I�Oe Receiveck Permit�i G�'D/�S—(5 �D�
�i V� 2750 Kelldy Parkway �j 5 0
�rysta��aY,MAT 55323 Approved By: � Amoomt S: 6�
Fho�e(952)249-4600 Fax(952)7s19�46]6
���'xesHa��Lfi CITY UF ORONO—1V�C�N�CAL PERMIT
(Atl Cammereial permit�must be approved by tho Huitding Official or Inspector and/or Fira Marshaln
GENERAT,INk'ORMATTQN �
1. You may�p1y for meehami,caI permits by mail or ui person at fhe City offices. Applications wil]
be reviewed and a pe.zanit will be issued within two working days.
2. Permit cards will be sent by retinv mai�after a review is completed. PLTtMTTB ARE N'OT
YALII7 UNTTL,XOU REC.EIVE A PERMIT. V�,_RIi MC1ST NOT�EGZN'�1TIL TH�E
EERIVITT CARD ZS POSTED ON TIi'�JO�STTE.
3. Mechani�pesi�ns—Coxuplete caiculations,details and speoiSca#ions are requirad for each
heating,venti�ation,humi�cation-dehumidi�cation,and air ap�d'ztioaing inst�atian ineluding
heat loss/heat gain calculation,design temperatures,equipment ratings�nd identificatiou as to
type,manufacturer aud model_ bata shall be presented on form provided.
4, �Vhen eny new construction or remodeling is involved,a seperate bu�ldi�g permit must be
obtained.
5. All work�uust be done in accordanee with tlae Uniform Mechan�ical Code/State�uilding Cdde
requirements.
6. All work must be u,spected(rough-in and final). Ca�l(952)249-�600.
(24-4$haur natice required)
7. House Heating Tcst Record mu.st be submitUed b�ore finai.
� � 'I'St'�E OF PERMIT �
� Gheck A71 That A 1
"�Residential []Cornz�aercial(Approval Required)
❑New �]Additional 0 Repairs �Replace
Job Site/Owner�uforma�ian;
Site Address: �� ��m�1'(l��.k� ,.,..
Ownex;�n����e�. ,iC'�1�iA� Mailing Address:
City: -- -- Zip:
Home Phone: Altemate Phone:
Can#ra�tor Informati4n:
Cor�tractar: p�N�ontact Person:
18550 County Rd. Bi
Address: Mapie�rove, MN 55369-9Q3i ��te Bond#;
www.heatcaol2.com �
Cit�y: ,,,` Zip:� Expir��ion Date:
Phone; .A.ltemate Phone:
❑ Insurance—Cu�rrent:
1 . --
OCT/07/2015/WED 01 :02 PM Heating & cooling FAX No, P, 003
. , • . ':�v�I3Aa'IIC14I.�SY�"�1VIS��� � �. < - ,:y-n�,:..: .
; '$EIN.��r''� S.T�. I;�D: -.r: k::-
Note:.All Geothornaal Syst�ms wili now require a Site plan&Revie by our Building O�cial.
TS 1'ffiS GEO'�'�T�'—R1��It�.? ❑Yes �No
FIEATING SXST�MS
Q,u��i�y. �!
Make: � �
Model; �� �
Fuc�: �a� - _
Fiue Size: ��
�,put BTUs:
putput$TUs:
�:
COOL�NG SYSTEMS
QuantitY:
�d: � �� .
Model; � v��
.r,-
���:
H.Power
FYREPJ.,fl,�
❑ Gas Factvey�ireplace Srand Name:
❑ yVqod�inning F�eplace
❑ 'OVood Stove Modol No.:
❑ Waod Stove with Flva/Masonry
VENTII,ATION
❑ No. I{itchan�xhaust duct zecirculatiug �_cfm
[� No, Bath Exhaust(must have duct ou�side) � '
Q No. Ott�ar Fans: Locatians cfm
. Fi7EL STO�(Musr be ttppr�oved by Fire 1kCarshall tf proposing tn abandon tank in place.)
� Installataon ❑ R,emoval
Flxei Oi1: �g�lons ❑ Underground � Inside �Outside
I,p(3as: gallous
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Othcr/List What&VJhere:
2
OCT/07/2015/WED 01 ; 02 PM Heating & cooling FAX No, P. 004
� , . , . : - . A,,��_��;�. � .. . . .
. /• . ,y"r;�'�I� ��', . .
.' : ,.,��+ , . (1 �Y .1� �..,•,
' ' �+-.stiT���1'�'.":�w7�'f".+47����A7'3�T,S'j i'9'L'I' . . . .
❑ Yes,this sectioa applies
The replacement of a R sidential fi e or s liance l�at meets all three of the following requirements:
1. Do�not require uaodifica�io�s to electrical or gas service.
2. Has a total�ost of�500.00 os less;excludine the cost of thc fixture or applianco;and
3. Is improved, installed or replaced by the homeowner or lieensed caa�tractor.
S�p n.ext section,i�this applies; Cost of Pc�rm,it S 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $�
Total peraait Fee S
� � PF:1211�{T FE� �i.�CUT:,A�..: _ B�:: '��.O�:�Q`.; ..
If above docs mot apply;folldw guidelines belpw;
1. CONT'ItACT P1tYCE *is 1.25%of con�act price with a(Minrmum Fee oi 550,00)
/ ��C� x.01255 dt7
(condact price) (minimum SSOAO)
2. STAT� URCI�AA ��/
��Z7 x.0005 � lp i O�
CotltraCt pria) .�..
3. POSTAGE e�.HANbT.ING(pnly on Mail-In Applications) $_ 2.00
4. TpTAL PERM�T FEE(Add Lines i-3 Above) $ ���, �
■ * CONTRACT pItIC� or JO� COST means the actt�al or estimated dollar axnotimt chsrged for the
permitted work includiag materials, labar,pro$t, and other fnced costs. It is the amount to be c�aa�rged
to the cust4mar for the wor�C done. If eny mar.erial,equipment,labor or installations are finnished by
tiae owner,tena�Y or any other party,#he reasonable xnarket value of such itenus must be added to the
estimated coat or eontract price for pernut£ee purposcs, In the avent that thcre is a diapute on the
amount of the job cost, thc City may request tl�e submisaion of a signed copy of the actual coatraet.
ro .:Av.�Ji �11L"ll�ll(!�j�S�� '� y7e� � 'C��•'�iFf�-'�' M r'' "r;�•.";
"�1`!'+4�'. ,.x.. �'. �J, �.y%.;.''��.;.';,...',..:.
.,:+,.w.%-.: , ;,�a.-�:���
The undersigned hereby applies to #�e City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances o:F tho City and the regulations of the State of
Mu�nesota, and certifies that all statements made on this applicatian aro complete, txue and
corrxt.
Applica.rxt's Signature�� pa�•�Q ����
. �
V
��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �--f-�-k5� �
PERMIT NO. ���s L1y-�=��OMPLETED
ADDRESS S.� ��,�x�L�Y�_�,� �� �
OWNER TELEPHONE NO. 52����r�
CONTRACTOR � % ,
'- DESCRIPTION � �
�.
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC 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 �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J - TE ❑ IC INSTALL
OWNERfC TRACTOR TO MEET YOU: YES_NO
c�.� MENTS:
�
W
a
oG��f�i.�G.� �t �G �'@,O�GC��.,ce�c�f —
�.
�
° ^ '�vc�st�c�� c-i�t S �/rlG �
W aK
Q - ve�c�►�� :
Z ' � ��G�/ �!�i�L IrG�G K•Cec b �
W
�
�
j I,tJo✓ l�- ,��i�ltiL�{ �
� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR Will REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on.site:
'--1 s-
Inspector.
�
White Copyflnspector's Ffle Canary CopylSite Notice