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HomeMy WebLinkAbout2014-00417 - mechanical , � CITY OF ORONO * Z 0 1 4 - 0 0 4 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2655 NORTH SHORE DR PIN : 09-117-23-42-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,505.00 NOTE: (1)BRYANT FURNACE NATURAL GAS INPUT BTU'S-60,000 OUTPUT BTU'S-55,000 (1)BRYANT A/C-2 TONS APPLICANT MECHANICAL 168.81 STATE SURCHARGE MECH(VALUATION) 6.75 HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 18550 COUNTY ROAD 81 TOTAL 177.56 MAPLE GROVE,MN 55369- (763)428-3677 Payment(s) CREDIT CARD 4334 177.56 OWNER VAN RIEMSDYK,JAMES 2655 NORTH SHORE DR WAYZATA, MN 55391- 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 / / Applicant Permi ee Signat D te Issue y Signature Date MAY/07/2014/WED 09: 20 AM Heating & cooling FAX No, P, 002 4 �C . . S�.ON�.Y /_� N City of Orono �+�s - ' i/� ���� 27050•Ke1l66Parlcwa DateReceiVed� r � Pdmlt#C.=�� ��y/ �Y Y Crystal Bay,MIN 55323 Approved By: Amount$� . • Phouo(952)249�4600 Fax(952)2A9-Ad16 � � . � � �t'�k�sHo��'G CTTY OF ORONO^N�C�NYCAL P�RMYT (All Commereial permit5 must be appraved by the 9uilding O�cie(or Inspector m�d/or Fin Mershell) GENERAI;.INF�OI�ATION � � 1. Ypu may apply for mechanicai permits 6y znail ar in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wiJl be sent by raturn mail a#ter a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WO1�K MYJST NOT BEGYN UNTYL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and speci�ications are required for each heating,ventilation,huinidification-dehumidification,end air conditioning installation including heat Ioss/heaf gaiu calcul�tion,design temperatures,eguipment ratuigs and identificaCion as to type,manufacturer and model. I7ata shall be presented on form provided. 4. Whe�any new coust�ctian.or remodeling is involved,a separate building pernait must be obtained. S. All work must be done in aacordance with tiae Umiform Mechanical Code/State Ruilding Code requiremenu. 6. A13 work mttst be ins�►ectad(rough-in and final). Call(952)249-4600. (Z4-48 hour notice required) 7. House Heating Test Record must be submitted before final. .::..,,. .... . ........... : . . ... . ..,... . . �; :::, . .; .. .,,.. , . ='�`YPE�.C� :gET�II�" . . . . . . ,. . . ; .. . .. . . . .: ,. .:;� ;. . ::.:.. . . . .. . :.::.� � '��lieclt:��.1�:��t';A '�Residential ❑Commercia](Approval Required} ;�New ❑AddationaI ❑RepaQs ❑R,eplace �:J'oli S�e/;�c�ner 7nforr�ation:; ' . Site Address: ��0� IVd� �� ��, , Y Owner:���� �o�� Mailing Address: City: Zip: Home phone: Altemate phone: `•.Contractor�Information; . . � Contractor: H�AT1Na &C�O�iNG 7Wo 1NC. Contact Person: 18550 ounty . 81 Address: Maple Grove, MN 5�369-9231 ��te Bond#: www.heatcoal2.com Gity: Zip: E�cpir�tion Date: _ _ Phone: .4lternate Pk�one: ❑ �asuxa�ace—Current: 1 MAY/07/2014/WED 09:20 AM Heating & cooling FAX No, P, 003 , . . ,., ._ :.,. . , ; :.: . , . ; .,... .. ..,.... , , . _. �-. , , . .. . . . .: , . , .,y . .... . .,. ; ,., . ,. .., .. . ....� .. : . ., ,:.:..;: , � - . • ... :.�.. �... . ....:. .• . ` : ° .::�,� � G SYs�vis'., , .::: � . . ..:, ......�N ...... ,, � ..� . . . - ' . . ����ri: �l , , - � ,:::; � . . , - , . . . .. Maket . i. :.: � . �: . _ - . „ , , , „ . ... .. , :.., . , . ,; .:,.: . . ;. � . , . .. ,; :.. , .. , . _ . ,. . . ..: . . . .. .. ... .: ,.. ,.: . � ., . . . , . . . ., .. ,N1ade1: . : . : . . :�<.,... ,. , .. . .. . ,. .. . . .. � .., . . . ; , .:� .. . : . . _ , � . , .. . . .. ;, , ..,. ,..: � „ ...... ..: . :..,. .., ,,:. . ,:. . .:. . .. .,,. ,:.. .: :. ... .:' . ... F1io1� ... . � ,.... :;. . .. . . . . , ,,. ., . . .. . .,.. ..>:,� - - : .,, . ..:. . .,. . . .:.. . . . .... ' � .. : . ,., . . � . . .;; „ ... . ,. . . ,. . . . . ...,_ ; . „ . ... . , , . . .,...,.. .. , � , ;.. .Flue S�e. .. .. . ..: �� ' � , ,. , ;;:. � . . ... � � �.: � :: o�a0 '. . - ..;.,., , : ,., ,, ,. . , . . .. . .. ,.. ., _ .. , . ... , ut$TUs: ...;. :� , ,......... .� . ,.. � � -:. � :,,. . , . . ... .::� - — ---- . . , ... . ..... _...... , ... . ;:.: . 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CES : : . ..:.. .,, . . ,. � . .;.: :. . : . . . 0 �G�a Fagtory Fire�ilace � , .,. � � WoQd$�g Fireplade . . � �Wood Sto�+e � '�. ' ' . . '. . [] Wood,Stnve Wifh Flue '. .. . .. . , % Brand Na�e:_ _. . , . � Model No:. . . .. � :.. , . ... . , . , . V��LI7LA'ITON � : . ; . _ , : " ' 0 No. � T�.itchen$xhaust . duct ' ' rec�rc�ulahng �� c$n � . . . �[,� No. � Bath Bychaust(zz�ust have duct outside) . . . ' ' ,ofm - � � . �No. � Qtk�erFans: I;ocations . ' cfm . � � �'CJ�L STORAGE(MU3T BE AFPROVEb BY k�MARSHALL) _ � ' � ❑ , Tnstalla�ian . � Rein,oval � � . � �'ue1 OiI: galloirs Q Undczgraund ❑Inside �Outsido ' ' , LP Gas: gsllons ' d�cr: . GAS LWE ONLY � � . � ❑ Outdoor Gri11 [] Other/List What&Where: 2 MAY/07/2014/WED 09:21 AM Heating & cooling FAX No, P, 004 . • ` �i. ... .�. ci. '>t.K..,i .... ... _ ..'h " ;`'d:y�,,.`1S''}j��,:Y7w..: � r,.. " `. ,I.k."`.x'�,.. y. •ti? �i r�,�' �� f. ,' ' F v s_r r�h'�'a�,•,M �,L .�,c��j t�., . G� .t�� .2�r. �' ^ .� .i.�� �A+' 1,'X.5 ..a�%� �`� $,.+�;,; �.'�Kiy�S',,o-' '` A (' ': r� ��.'�,�'�,��s't�'.,� �A..' �',Y•�''. e." 11.�",._ i',.5;������. •�. ,.1����"f���ii;,�'t1�4�'�'�`�:.}:�T�`i�lv�i,� _ ... , , { � . ,�,;. . . . . • . c . .� . ... � ..... ..,....� . .... :..�a :..,:.,.. . '.�.,..��. .�_.. ' hYla .T .,. f...�Ie..rr.�.aEi4.w. �5:5,5�:`y.-•.^ ❑ Yss,this section applies The replacement of a Residential fixture or appliance that meets all thrte of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a t co of 5500.00 or less;exciudine the cost of the fixture or appliance: and 3. Ts improved,installed or replaced by tha homeawner vr licensed cantractor. � Skip next section,if this applies; Cost of Permit � 1��Q State 5ureharge $ 5.00 Mail-In Pee(lf Applicable) � 2.OQ Tpc�►�����t�� s �� �.� J�,L... .4. i+e � �4A � ..���.�.Y.P.�„p�' ):.. R:..��1, M. If above does not apply;follow guidelines below: 1. CONTYtAC"T PRTC� '"is 1.25%of conaact price with a(Minfmum T�ee o!$50.00) � x.0125$ Contraot pri ) (minimum 550.00) 2. S�'A,TE SURCHARGE x,0005 $ (ca�ect price) 3. T'05TAGE&�TANDLING (Only on Mai1-In Applications) $ 2_00 4. TOTAI.PERMIT��(Add Zines 1-3 Above) � ■ * CONTRAC�" PRZCE or JO� C05T means the actual or estimsted doIlar amount chiarged for�he penn7ued work including materials,lahor,profit,and other fixed costs, It is the amount to be charged to th�e customer for the work done. If any material, equipment, labor or installations are furnished by the owner,tenant or any orher party, the reasanab�e market value of such items must be added to the estimated cost or contract price for permit fee purposes. Tn the event that there is a dispute on the amount of the jeb cost, the Gity may rec�vest the submission of a szgned copy of the actual contract. . ., , _,.. . . , �, . . : �. .. ... .. , � �� . , , . :. . . ....,.,. � � � - , . .. . . .. ,� ��� The undersigned hereby ap�lies ta the Gity for issuance of a Mechanical Permit, agrees to do al] work in strict accordanoe with the otdinar►ces.s of the City �nd the regulations of the State of Minnesota, and certifies that all st&tentctlts madt on t ' pplication are compiete, true and coT'reCt. % Applicant's Signa'tur . Date: � 3 .�i �Dl�T TIME J CITY OF ORONO CALLED IN /� INSPECTION OTI SCHEDULED _��� O i PERMIT NO � G��5�� ADDRESS OWNER T EPHONE NO.��z�3 �S�7 CONTRACTOR � Pa^r � DESCRIPTION �� � ❑ FOOTING p PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL �ECHANICAL RI ❑ IAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO ti COMMENTS: � � j o . � 0 W � Q � W � W � � � � d W� RK SATISFACTOFlY:PROCEED ❑PROJECT COMPLETE W RRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COWERING PERMANENT O CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours i advance. (95 249-46�� OvvneHCor*tractor on site: Inspector: i White Copyllnapector's File Canary CopylSite Notiee ��� eC�� p �/ TIME v CITY OF ORONO CALLED IN � �� '�T INSPECTION N ICE ,�„/ �SCHEDULED �� _ti, _� PERMIT NO. -w`f���COMPLETED ADDRESS • �� �j OWNER TELEPHONE N07 3 �g �/ CONTRACTOR ' . � DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS H O ❑ FRAMING �1ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ 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 c�., COMMENTS: � a — ��sr,rteL`�r is /�o���wr ' � � h4t� �Q.� - �� 0 � 0 � Q _��6( � o� C'o wrl�/eL`� � � z W � w - �' � �G�f �b� � t�1G�G� j � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca r t t inspection 24 hours in advance. (g52) 249-46�� OwnerlC ntractor on site: Inspector. h"' White Copyflnspector's File Canary CopylSite Notice