HomeMy WebLinkAbout2014-01436 - mechanical CITY OF ORONO * 2 0 1 4 — 0 1 4 3 6 *
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2750 KELLEY PARKWAY DATE ISSUED: 12/16/2014
ORONO,MN 55356-
952 249-4600 FAX: (952 249-4616
ADDRESS : 1420 SHORELINE DR
PIN : 11-117-23-22-0015
LEGAL DESC : DRAGONFLY HILL
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,200.00
NOTE: 1 HEATING SYSTEM-LENNEX& 1 LENNEX COOLING
APPLICANT MECHANICAL 115.00
STATE SURCHARGE MECH(VALUATION) 4.60
SELECT MECHANICAL SERVICES INC. TOTAL 119.60
6219 CAMBRIDGE ST
ST.LOUIS PARK,MN 55416- Payment(s)
(952)926-4488 CREDIT CARD 8605 119.60
OWNER
FELDSHON,DAVID&ARCHELLE
1420 SHORELINE 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 gant 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 suthorized 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Iss d By Signature ate
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Phone(952)249-4600 Fa�c(952)249�1616 , ? �{"':� (�'" (,
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<,�k�sHo�ti CITY OF ORONO—MECHANTCAL PERNIIT J�''�
(All Coromaciat permits must be app�oved by tt�Bwldic�O�icisl or Inspectorand/a Fi�e Marsfmll)
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� 1. You a►aY apPly for mechsnical permits by mail or in person at the City offices. Applications will
� be reviewed and a pea�tnit will be issued within two working days.
! 2. Permit cerds wt�l be se�rt by return mail after s reviaw is co�npleted. PERMITS ARE NOT
� VAI.ID UNTIL YOU RECEIVE A PERMIT. wnRir�r[rST NOT BEGIN UNTIL THE
; PERMIT CARD LS POSTED ON THE d0B 3lTE.
( 3, �q�cal Desi¢ns—Complete calculations,details and specificatior�s aro required for e�h
! heating.ventilation,humidification-dehumidific�tion,and air c�onditioning installation induding
; hest loss/heat gain calculation,design t�atures,equiPmcnt ratmgs and identiflcation as to
; type,tnanuFacturer and model. D�ta shall be presented on f�m providod.
; 4. When any new canstruction or remodefing is involved,a separate building perroit must be �,��
i obtained. �
� 5. All work must be done in aocordance widi tt�e Uniform Mechanical Code/State Building Code p
� requirements. �
; 6. All wodc must be inspecbed(rough-in and final). Call(952)249-4600. ���
i (24-48 hour notice required)
, 7, FIouse Heating Test Record rnust be submittad before final. �
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Residentisl ❑Commercial(Approvai Required)
�]New ❑Additional ,,�,RePaus �ReP�ace ��°
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Site Address: 1�� Zf7 S s�c��•1�.� �v
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wner: �fi � f �av Mailing Address: IytO s�n,•�! �c. Dr
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(�ity: ,Qr�no __ Zip: �S�'3°► I
I�ome Phone: Altemate Phone:
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�ontractor: �C���r l�a�'r,.�,.� Contact Person: �2�aN K�Jrn�s
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,�►ddress: G� r State Bond#:
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�ity: S�, ��� 17w�� Zip:s�ylfi Expiration Date:
l�hone: (l��L� 7 z v - 3 z.i l Alternate Phone: t�sz� 9a�- Hy88
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� ❑ Insurar�ce—Cnrrent:
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N�te: A.il Geothermal Sysbexns will now require a Site glan 8t evi by our Building O�icial.
I�THIS GEOTHERMAL? ❑Yes �No
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Ii�ATING SYSTEM5
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M�ke: L�Gvf►7 d X
M{odol: �lZyGuN !10
F�►: .v�n�. .�s
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Fl�e Size: YV
In�ut BTLTs: //�,�
O�put BTUs: /e7 fi�t�
C�'M: Z,G�J.�
C�OLING BYSTEMS
Q}�nri: 1
Iv�ake: �tirn no fc
l�adel: �/j —!��/
T�ns: � T17�n
I�.Power
�
i ❑ Gas Factory Fireplace Hrand Name:
� ❑ Wood Burning Fireplace
! [] Wood Stovc Model No.:
❑ Wo�Stove with Flue/Masonry
}�',NTQ.A►TIQN
i
; ❑ No. Kitchen Exhaust duct recirciilating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
'i ❑ No. Othac Fans: Locations �
�
L (Must be appnvvad by FYrt Marskall t.fP�1��8 m abandnn ta�tk 1n pdac�)
; ❑ Installation ❑ Removal
� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
� LP Gas; gallons
i Other.
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� ❑ Outdoor Grill ❑ Other/List What&Where:
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[a] Yes,tlus section applies
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T�o replacement of a.Residentiel flxture or aanliance that meets all ttgee of the following requircmenta:
; 1. �r�quiro modification to electrical or gas scrvice.
2. Hes a�of$500.00 or less;ax 1 ' the cost of the fixture or applience:and
3. is improved,installed or reptaced by the homeowner or licensod contr�ctor.
Skip next sectian,if this applies; Cost of P'ennit $ !5•00
State Swcharge $ 5•00
' Mait-In Fae(If Applicable) $ 2
Total Permit Fee 5
If�above cbes nat apply;follaw guidelines bebw:
� 1. CONTRAGT PAiCF «is 1,ZS°/a of contract price with a(Miai�nnm Fee of�SO.OD)
�� �C7O. �' x.0125 S //S. �
(contract priae) (r�irimn SSO.00)
; 2. STATE SURCAARGE
�T Z�0� � x.0(}OS S �, C�O
; coMract price)
� 3. POSTAGE&HANDLING(Only on Mail-In Applications) 5 2.00
i 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $
•; " CON'1'RAGT PRICE or JOB COST means the actual or estimsted dollar emount charged for tho
; permitted worlc including meterisls,labor,profit, and oiher fixed costs. It is the amount to be charged
i to the customer for the work done. If any mataial,equipmen�labor or installations are fumished by
! the own�,tenairt or any other party,the reasonable marke� value of such items must be added to the
� estirnated cost or contract price for permit fee purposes. In tfie avent that thete is a dispute oa tite
; a�mount of the job cost,the City may request the submiesi�of a sigAed copy of the actusl cflntract.
'l�he undersigned hereby applies to the City for issuance of a Mechanical Perinit, agcees to do all
v�ork in strict accorclance with the ordinances of the City arn3 tha regulation4 of the State of
I�Ii�esata, and certifies that all statements made on this application ara complete, true and
c�crect,
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A�pplicenYs Signature: Date: 7. '
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CITY OF ORONO CALLED IN ��� �� �� ��—
INSPECTIO��I�J� � �� f 3 r SCHEDULED � � ��Q.�_
PERMIT NO.�d��� ��ti �' COMPLETED
ADDRESS � �`-^x�
OWNER TELEPHONE NO. �Z' �� 3a��
CONTRACT�R .Y �� �'�
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� DESCRIPTION �'S r��?�v ��. ��-�d"��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETIANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� `�U1�RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
�ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorttractor on site: '8�'�''��a`''�
Inspect �
White Copyl��sPeotor's File Canary CopylSite Notice
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DATE /S TIME
CITY OF ONO D IN o2
INSPECTION NO ICE ,�/ SCHEDULED � D- __z��
PERMIT NO. �� ��7�-►�COMPLETED �
ADDRESS ��T�" ��������
OWNER TEL'E/P'HONE NO ��-��3�
CONTRACTOR � �/'/ l�
� DESCRIPTION `��`����/�- �����
l~y ❑ 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 �pAECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: ��s� - �
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� ' P.1J«�N f �Gth J�•�LS. �IfrC L!K r , o[�.�G�G�f' �
j1�.b I'Il� CDYNiO«•t - .OB✓v.z�� �.�c�e�
� ❑WORKSATISFACTORY:PROCEED �CT COMPLETE
W ❑CORRECT YYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
rt e next ins ion 24 hours in a ance. (952) 249-4600
rlContractor on si� • �/����
Inspector: +,--
White CopyAnapector's Flle Canary CopylSite Notke