HomeMy WebLinkAbout2016-00722 - mechanical � , CITY OF ORONO * z 0 1 6 - 0 0 7 z z *
2750 KELLEY PARKWAY DATE ISSUED: 06/22/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 941 NORTH ARM DR
PIN : 07-117-23-11-0001
LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHAMCAL-MULTIPLE
VALUATION : $ 3,100.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT A/C UNIT-2.5 TON
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.55
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COLJNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 53.55
(763)428-3677 Payment(s)
CREDIT CARD 4334 53.55
OWNER
JOHANSEN,TRESSA
941 NORTH ARM DR
MOLTND, MN 55364-
AGREEMENT AND SWORN STATEME1vT
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 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 l80 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. ,
/
�vL � ��Z� ;�
Applicant Permitee Signature Date Issued B ignature Date
JUN/21/2016/TUE 09; 38 A� Heating & Cooling 2 FAX �io, 7634283677 P, 002
� '
�o�c us�o��,�
OCity of Orono 1,.;' �, /�� ) �--
/-� P.O.�ox 66 batc Ror.civ���-, '-P�rcrsit t{ `-�`�'�" � ` `'��
� �t./ 2750 Kc31oy Fsrkway j "'
GTystal�ay,MN 55323 ApprQvcd By: Amo�mt$:�
PhOne(952)249-4604 Fa�t(952)249•4616
� �
��
���df-Ip��G� CYT'i' OF�R�NQ-11�1EC]E�ANICAL PERIIZIT
(A.11 Commcrcial permits must bc approved by ttte BniJding O�cia!or Xnspaccor andlor Pirc MarshalJ)
GENERAL INFOiZMATION
1. You may apply for xnackiani.cal pernnits by mail or in persan at the Cit�o�"f"ices, Applications will
be reviewcd and a perrnit vvill be issued within two wozking days.
2. Permit cards will be sent by return mail after a revier�v is campleted. PERMITS ARE NOT
VALID UNTII..X4U R�C�IV�A pERMTT. 'WORK MIJST N�7C BEGYN U�'TIL'��
3_ Mcchanical besigZs—Comple#.e c�lcul�tioras,datails anc�speciflcAtions are required for eflch
heating,ventilation,htunidification-dehumidi�ication, and air eonditioning installation inciuding
heat Ioss/heat gain calculation,design temperatures,equipment ratings and identif cation as to
type,manufactu.re:r and model. D�Ca shall be presented on form�rovic�ed.
4. When any new construction or remodelin�is invoived,�separate building permit must be
obtained.
5. All work rnust bo done in accardanee r�rith the Uniform Ivlechanic�]Code/State�uiIding Gade
roquirements.
6. All work must be inspected(rough-in and�nal)_ Call(952)2�9-4600.
(24-48 hour nvtice required)
7. Housv Nvating Test 1Zecord must be subm.itted before�al.
T�t PE OF'P$RM7T
Check A�3 That A 1
ResidentiAl ❑Car�rnescial(Appro�ral Aequired)
�New �Additional ❑Repa�rs Q Replace
Job Site/qwner Tnformation:
Site Address: �`� � �� � ��•
Owner: �O�SS� �nHAµ�S�`� __ Mai�ing Address: m�`��, rJ- �^'� �/'
City: ���a Zip: 5�,���
Home Ph��.e: .Altern�,te�'hone: ���� 5��- d��o�
Con#�actor Inforuaatio�:
Con�,ractor; ���- �,�l7Ll,��'�J1) Contact Person: �lGL.- �iJi,r,t�w�c/�
Address: �� L`Q. �. �°� Stat�Bond#:
Cit�: .9�� �rf�� Zip:�`� Expiration L)ate:
Fhone: �1k� ���0 <<e �� Alternate Phone:
❑ Insurance--Current:
1
1UN/21/2016/TUE 09;38 AM Heating & Cooling 2 FAX No, 7634283677 P, 003
yyy �rr��` 'pf��''�,,� ,A'�'. . . ..<_ :,,, ..
• 't• .i.*-�'�����S S`iJJ-�lYi�"itJ�r�.F� `�M+`. ' S:'; �y„�y- a.
_ �,.
��'' :� .;r —,.�k_•ae;_4�:� �i�
Note:.All Geo�ermal S�+stems wi11 now require a Site Plan&Review by our Building Official. .
�S TH'YS GEU'�'L�L1R1►KA�,,? �Yes (�'NO .
HEA'1'YNGr SYSTEMS
Quantity: .
Malce: � .
Modei:
Fuel: �
Flue 5iu: - —
Tnput B1Vs: .
Output B'I'C1s;
C�M: -
COO�.TN'�SYST�MS
Q��Y� �
Make: � ��r
Model: ��
rons:
2,� ��
x.power
,F"A�EPY�AC�S
0 Gas�actory Fireplace Brand Name: �
❑ ''OVood Burniag Fireplaco
❑ 'Wood Stave Model No.:
Q Wood SLove with Nlue/Masanry
VEN'I'ILAT�UN
� N'o. Kiicheu F�aust�duct, recixculati.ng cfm
❑ No. Bath Exhaust(must have duct outside) �� •
� No, __ Other Fans: Locations ��
. FUEL ST012ACE (Must be approved by FYre Marshall f proposing ta abar�don tank rY�plac�)
❑ Installation � Romoval �
�el Oil: gallons �] Underground �Insida ❑ dutside
I.P Gas: gallons
Other:
GAS Y,INE O1�TY�Y
[] Outdoar Grill [] 4ther/�ist'What&Where:
2
1UN/21/2016/TUE 09; 39 AM Heating & Cooling 2 FAX No, 7634283677 P, 004
., �7�7� ��+!�y��''/"1.:]� � � h� .� r�Q'�f.; e n_. rYr .� ". r � . �.
t� . ' >> > ���i...Y Y�{.v�'1 . [ � �lA� ����� r ' �
�{� �_�j�� 4! �:j a�.�•1 �r'�y �V;��I�����\ �.S*iY��t�.V„:�a���� �.�+"�ii �X � }'� � �f ' Y.�,
❑ Yes,this section applies
1"be replacement of a Resi�icn,�' ��,x�r or appliance that meets all thrc�of the following requ�rernenis�
1. boes not require modification to electrical nr gas service.
2. Iiss a total cost of$500.00 or less;excludinQ the cost ofL�o fixnay'e or appliance: and
3. Is unproved,inst�lYcd ar rpplaced by the homeowner or licensed contractor.
C'L:.,.,nvt oP6�0&����.e e�p^p^��:o� C4$T Q�P•TSY11f +fa-75 Q�
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Perxuit F�e $
% �:•N. .�+'.i-'i`-`•1`:`�� �. .�f.,.� /���.! � �f .�� ..�:, ��'��' '`�tl'9.,'1`�' ��`.r��;
!
i�'aUove does not apply;follow gu.idelines below:
1. CCINTRACT��dYCE *is 1.25%of con�xct price with a(1V�inimum Fee oi'�50.00)
o�
" 1 dU � �.oi2s$
(c niract pncc) (yn➢hitnum$90.00)
2. STATE SCT�tCHAYtCE � �l�
x.0005 $_
( tract pricc)
3. POSTAGE&HANDLTN"G(Only on Mail�in Applications) $ 2.00
4. TOTA�,P�RMTT k'EE(Add Lines 1�3 Above) � ��' '`��
■ * CONTRACT PRrC� or 70$ COST means the actual or estizraatac� dollar arriount chargcfl £or xhe
permitted work inciudaug mate�lals, labpr,profit,and other flxed costs. Tt is the amount to be eharged
to the customer for tlie work done. Tfi any yrsaterial, equipment, labor or installations are furnished b�
the owner, tenant or a�xy other parry, the reasonable ma.r�value of such ite�.s rnust be added to the
estima.ted cosC or contraat price for permit fee purposes, Tn the event that thexe xs a dispute on the
azuount of the job cost, the CiTy may request t1�e submission of a si�ned copy of the actual conUract.
�.f �.G 'q�(� 4 77�„y�7� . {� �`
. �'.�15 ��.�'.��S �'��.,lY1Li���L�.J.[�.M>.��..�� � ;e..�' �i �..1.�..'t���,...�Tf��'?�.'..` �s.1�•�� �4�,,i�e�� 1 r �F�
J
'�'he undersigned hereb� a�plies to the City for issuance o�'a Mechanical Potmit, �tgrees to do all
work zn strict accordauee with tlle ordinazioes af the City and the reguletions of the 5tate of
Minnesota, and co;rti�es that a11 statem ts m au this application are complete, true and
correct.
Applicant's Sign�ture: bate: 7i
, 3
� �-f� ��- ��
DA TIME
CITY OF ORONO CALLED IN l -yL�C-i-L`
INSPECTION N � _dO, EDULED - - `
PERMIT NO. �MPLETED
ADDRESS �`
�N� TE EPH NE NO�.SI-.Sg�'D3�07
CONTRACTOR � �uJ'D
� DESCRIPTION �-�� ��� �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIO /REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTAL
2 O'WNEWCONTRACTOR TO MEET YiOU:_YES_
ti COMMENTS: O
� �.
� �D
j
�O
�
O
W
�
Q
�
�
W
�
j
d
W� ❑WORKSATISFACTOHY:PROCEED OJECT COMPLETE
W ❑CORRECT VMORK&PROCEED ❑I UE CERT�FICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑(�RRECT UNSAFE(:ONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETIJRN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 rs in adva 49-46��
OwnerlContraator on site•
inspector:
Whifs Copyllnspacta"'s Ffls Cenary CopylSite Notlee