HomeMy WebLinkAbout2015-00192 - mechanical CITY OF ORONO * 2 0 1 5 — 0 0 1 9 z *
" 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2015
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1340 REST POINT I� �»
' !
PIN : 07-117-23-32-0002
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,765.00
NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM, 1 BATH EXHAUST
APPLICANT MECHANICAL 109.56
STATE SURCHARGE MECH(VALUATION) 4.38
RESIDENTIAL HEATING&AIR, INC. MAIL-IN FEE 2.00
1815 EAST 41ST STREET SUITE A TOTAL 115.94
MINNEAPOLIS,MN 55407- payment(s)
(612)724-1899 CHECK 25906 115.94
Minnesota State License#: mech-003627
OWNER
HOUTMAN,J&K
1340 REST POINT LA
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[is issued shall be performed according[o
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 speciYied 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 afrer 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. � ):�
!�'
'' Y� �.`..t �,c%Z,1..� c i� �� �`�� � �
Applicant Permitee Signature Date Issued By Sig ature Date
� _ ,
w -- FOR CITY USE ONLY
�O A'O City of Orono
'V �'�> ��x���� Date Received: Permit#
2750 Kclley Parkway
Cryslal 13ay,MN 55323 Approved By: Amount$:
Phonc(952)249-4(00 P�x(9S2)249-4616
y �
��q��SF��0.F•G CiTY OF ORONO—MCCHANICAL PERMIT
'�._+__...- (AII Commcrcial pennits musl hc approvcd by the f3uilding Oflicial or Inspector and/or I�irc Marshall)
GENERAL INFORMATION
I. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECGIVE A PERMIT. WORK MUST NOT BECIN UNTIL THE
�ERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatores,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Unifonn Mechanica)Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Tesl Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�esidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs �eplace
.Iob Site/Owner Information:
Sitc Address: 13�l b �., S ir �o.� � L���1�
Owner: Z_,�„ �� �e�c.t Mailing Address:
City: ��o��� 7ip: 55364
I iomc Ph�ne: 6 5 �_ Z�y_ qq6y Alternatc Phone:
Contractor Information: '
Contractor: l�.s���.,� .��� \�4�.•�,� Contact Person: .�n..c_ 1L
nddress: 1$�S 4'_ �+�S' S�- 5���'� � State Bond #: M�'3 0 0 3G Z7
City: �`1P LS 7ip:5S� Expiration Date: q • t 2- 1 (o
Phone: b t L•'1 Lti-tg°� n Iternate Phone: (,,L.�zH -�8 9�
❑ lnsurance—Current: "`��
1
• •
, ��5' � � �;;'���T�iVC,���EIN�G"i1�(�T�"��°� �'�.,� '��'�' ��
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GF,OTHF,RMAL? ❑ Yes [��
I1F,ATINC SYSTF.MS
Quantity: __�
Make: C c.�r r-���
Modcl: S�i Sc.SAt�ys ------
f'uel: _._c�ls.x���
f'lue Size:
Input B"1'Us: __...`_l_D���_
Output f3TUs: _�� D�� — -------- --
Cf M:
------r-- ----- --
COOI,INC SYSTEMS
Quantity: l
Make: �a tr .er ---
Model: 2'tA�3 13 3 l$ -----.-------- ----
Tons: _�_Cj
H. f'ower
FIREPLACES
Op c�S r'actory Fireplace Brand Name: _ _
Wood [3urning Fireplace
❑ Wood Stove Model No.:
❑ Waod Stove with Flue/Masonry
VENTILATION
❑ Na. _ Kitchen Exhaust duct recirculating cfm
� No. � Bath Exhaust(must have duct outside) ��cfm
❑ No. __ �Jther Pans: Locations_ cfm
FUEL STORAGE (Mu,sl be np,�roved hy/'ire Mnr,chnl/if prnposing tn nbandnn tank in place.)
❑ Installation � ❑ Removal
Fuel Oil: _ __gallons ❑ Underground ❑ Inside ❑Outside
I_.P Gas: _—I-- gallons
Other:
----t---- —
GAS LINE ONLY i
❑ Outdoor Grill ! ❑ Other/List What&Where:
2
.
PERMf"['FEr CALCULATION(S)
.
_____BASEU UFF - 2002 STnTE S'T'A'I'11E
❑ Ycs,ihis scction a����lics
'f�hc rcplacement of a Residential fixture or appliancc U�at mcets all Ihree of the iollowing requirements:
I. Uocs not rcquirc modificaticm to electrical or gas scrvicc.
2. I las a total cost of$500.00 or Icss;excludint�tiic cosi of thc lixlurc or appliancc: and
3. Is itnproved, insfalled cir replaced by the hcimcciwner or licenscd contractor.
Skip ncxt sccfic�n, if ihis applics; Cost of Pcrmii $ 15.00
State Surch�irgc $ 5.00
Mail-ln F'ec(If Applicable) $ 2,pp
'I'otal Permit Pce ,q',
__ PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
ff ahovc docs not ap��ly; fallow guidelincs helow:
I. CON7'RAC'I' PIi10E * is 1.25%of con(ract price wifh �(Minimum I�ee of$50.00)
. S �
s�r-�.5 �� � .oizs � ---t_o °t
_ ___ _
(conUacl��ricc) (miuimum$50.00)
2. s�t�nTr sti�tct�nrzcr , y 3$
$Z E�S �� x .0005 $
_ __ - _
--
(c�mlricl�tticc)
3. POS"I'n(�F,&c I InNf�L1NG(Only on Mail-In �pplicltions) $ 2.00
4. 'I'O'1'AL PF,RMI'I'I�I�,I?(Add I,incs I-i nbovc) ,y; �( cj . ��
• * C�)N"I'RAC"I' P(tl('F? or .IOB ('OS"I' mcans (hc actual rn• cstimatcd dollar amotmt chargcd fc�r the
permiltcd worl< including malcri�ls, labor, ��rolit, and oihcr fixcd cos(s. It is Ihc amount to bc chaiged
ta thc customcr for thc wc,rk d�na If any matcrial, cquipmcnl, lahor or installations are furnishcd hy
thc c�wncr, tcnant or any olher pariy, thc reasonable markel valuc of such itcros musl be added to the
estimafed cost or conh•act ��rice (or permit fee pur��oses. In the event that there is a disputc on the
�mcwnl �f thc job cc�sl, thc ('ity may rcqucst thc submission of a signed copy of thc actual crnitract.
MECHAN(�AL PERMIT APPLiCA'1"ION A'GRE�M�NT
"I'he �mda�signed hcreby applics to lhc City (or issuance of a Mechanical Pcrmit, agrecs to do all
work in strict accordance with the ordinances of the City and (hc regulations ot� the State of
Minncsota, and ccrtifics th� all statci��cnts i adc on tl�is application arc complctc, truc and
corrcct.
npplican('s Signaturc: _ Datc: �__�(�—__ 1g_
3
��� DATE TIME�,
l:l l T OF OR NO CALLED IN
iNSPECTION NOTIC�E SCHED
PERMIT NO. 2�`��C�O IQ�OMPL� 3<< ► Q
ADDRESS l ��� �t � � � �`,
OWNER TE EPHONE NO.��Z—�Z��184�
CONTRACTOR ��- • '�
� DESCRIPTION ; � ! �—�-� .�'�-
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
_
v ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL
Z �NNERfCONTRACTOR TO MEET YO�YES_NO
c�., COMMENTS: —f
�
� n y �p r a bai.� �ra,s� �
o - S-. a� 1 �..e` � r���..K. s - D/l
�, ^ ,�` _
� I�/�. ��fi►'L 1/B KY�� d �.s t e��• �+ e/t�.
OO
W - _ / , n �
Q �Cl� �IK�i G��r � `S � /S �Lv/�i��
zs�•u'� $ :a� �t�t- � -a3-i.S -
� " �JOIo� Coeo� ✓ lirt� '_
� !> /� T�-'-GO U¢�/
3
� RK SATISFACTORY:PROCEED ❑ PRW ECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIIRED.CALL TO ARRANGE ACCESS.
ca��ror tl�he ne - pection 2a noursy4 ach►ance. (952) 249-4600
ct�r . �_ /r 4��
Inspectw: --� 7�—
White Copyllnspecto�'a File Canary CopylSite Notke
�� �Z��� DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION NOTICE G SCHEDULED � " � t r'J �
PERMITNO. ��������� I � COMPLEfED
ADDRESS n��-� �
OWNER � � "� - � ��—�TELEPHONE NO. �f�<51=��1-39�cy
CONTRACTOR ��✓����������or1L �n�mS�(�
� DESCRIPTION � " " �h �r��.–,—
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUM G FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION _ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/RE VAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
�--
y COMMENTS: \ ` �L�"�'�
�
W
a
�
J
O
�
�
O _
�
W
�
Q
�
2
W
�
W
�
J
W RKSATISFACTORY:PROCEED G PROJECT COMPLEfE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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 hours n advance 2 249-460�
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��� ���f ✓
DATE TIME
CITY OF ORONO CALLED IN / /� ---'�
INSPECTION NOTICE SCHEDULED
PERMR NO. �?(�� �`��l I3 COMPLETED
ADDRESS /,��/�� �' �� �� /f�� ,,���2
OWNER TELE HP ONJE'NO. �S� ' �I �I-J�q(�/�
I
CONTRACTOR
� DESCRIPTION
�'� i��G� �a��.
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 5F �`/a.�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �'
FC��
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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/R A��
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO EET YOU:_YES_NO �
y COMMENTS: f 2-��
o�
W
a
j '� � ,
O
�
a�
O
�
W
2
Q
�
2
W
�
W
�
j
d
W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advan . (g52) 249-460�
OwnerlContractor on site:
Inspector.
White CopyAnspector's File Canary CopylSite Notice