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Home My WebLink About2011-01359 - mechanical CITY OF ORONO PERMIT NO.: 2011-01359 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/31/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 840 OLD CRYSTAL BAY RD S PIN : 09-117-23-12-0002 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 28,400.00 NOTE: 2 BRYANT NAT GAS FURNACES 1 HYDRO SHANK ELEC 2 BRYANT AC'S 1 KITCHEN EXHAUST GAS LINE TO BARN GAS LINE TO 3 FP, I RANGE& I DRYER APPLICANT MECHANICAL 355.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 14.20 18550 COUNTY ROAD 81 TOTAL 369.20 MAPLE GROVE,MN 55369- (763)428-3677 OWNER WILLIAMS,JAMES&HEIDI 840 OLD CRYSTAL BAY RD S 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 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 iss ce, .r if construction is suspended for a period• 80 days at an e a' - work has commenced. The applic ' r-:.on '.le for assur •g all re..fired inspections are reques • c. o • ce with the' .to Bui .ing Code.This permit may be rev esat • y ti for due cans* /a /AV 3/ //Z 140 ►cant Permitee Sign.tuu Date Issue. By 41: ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • - / Q�® City of Orono FOR CITY USE ONLY / P.O.Box 66 Date Received: J � 2750 Kelley Parkway Permit# Ijl` s�.- Crystal Bay,MN 55323 f �o` (952)249 4600•titApproved By: Amount$: $a xo8 CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL;INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns—Complete calculations,details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Amply) Py) Residential ❑ Commercial(Approval Required) New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner'Infoiuiation: Site Address: P r Owner:11aP\'r Mailing Address: City: Zip. Home Phone: Alternate Phone: Contractor Information: Contractor:HEATING &COOLING TWO INC. Contact Person: �� /7fili6 18550 County Rd. 81 Address: Maple Grove, MN 55369-9231 State Bond #: www.heatcool2.com City: Zip: Expiration Date: Phone: Alternate Phone: I I Insurance—Current: EcI . E iS B.E G.: - HEATING SYSTEMS Quantity: d-. % Make:( ?YDO ‘ Model: Z Fuel: Flue Size: I✓oNfii. Input BTUs: 7,0 ILA-W Output BTUs: BCP v�-o CFM: COOLING SYSTEMS Quantity: Make: �-- Model: 1 •yf Ir FJREPLACES -- _—_ ❑ Gas Facto!v Fireplace "'cod Pu rung Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. / Kitchen Exhaust uct / ❑❑ No. Bath Exhaust(must have duct outside) recirculating (p c No. Other Fans: Locations cfm cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) • ❑ Installation ❑ Removal Fuel Oil: gallons LP Gas: gallons ❑ Underground [1] Inside ❑ Outside Other: GAS LINE ONLY��jj � l.1 Outdoor Grill ® Other/List What&Where: � G'a.s rtE_ V isa2n 2 't i 4 P$W FECAEE uLA Tl�rr 5 .c„ 'ce h. � .� �is ��, �:Y�, 3';g :��x t3 l . . igal 0 6101MRFATt fes , ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 �j yy Total Permit Fee $ 't'�`�'i � ''`�ihf�7Y v 2.1 1 1 4w. , t 1 ! y� jam. .. <'b i ��...-'� s . : ".` z )..� t.O q 4 t i �,,..�a.. s�41. ;F '1� 4 61 ; it Pia'''i Y a ! ,'',Yl If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$35.00) z..g ,,,,. op x.0125$ contract price) (minimum S35.00) 2. SI ATI.;SURCHARGE ** Add the State Blcl« Cncit- I>Iv. Surcha r *`� (lliaimu��i r- ye of 5.50) x .0005 $ (c0:.,.1,.t JC,CC) 3, POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. • **The STATE SURCHARGE is .0005 of the Building Department at(952)249.4600 for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. ./ Applicant's Signature: ,/ '� / Q Lim Date: ! O Z p I t 3 D•TEE TIME 7 CITY OF ORONO CALLED IN /( // INSPECTION NOTICE / SCHEDULED Aff / �- PERMIT N /I — g 57 COMPLETE ADDRESS 2 ad- f—( OWNER T LEPH , ENO. '4� Aiimms-'•'55 grAgt CONTRACTOR m / ak. N A�A/Y -I .401111111 , r > DESCRIPTION ' all I o /�S iu ❑ FOOTING PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q 1=1 TREE REMOVAL • El INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ 12 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc U R.) r A- rr :'es' KA-8z io O cc S ? ps 0-r s1 tlJCC Fal.z W z W cc . RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contractor on site:r. Li re s Inspector. White Copyllnspector's File Canary Copy/Site Notice