Loading...
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