HomeMy WebLinkAbout2013-01015 - mechanical • " CITY OF ORONO * Z 0 1 3 - 0 1 0 1 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/27/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2010 SHORELINE DR
PIN : 10-117-23-31-0001
LEGAL DESC : LJNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,700.00
NOTE: (1)TRANE FURNACE AND A/C
APPLICANT MECHANICAL 71.25
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 2.85
4342 B SHADY OAK RD
HOPKINS,MN 55343 MAIL-IN FEE 2.00
(952)933-1868 TOTAL 76.10
PAID WITH CC# 0961
OWNER
HUDSON-WINER,MICHELLE
2010 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 grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 ause.
C � � � � �a�� i3 �a� ��3
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep, 26. 2013 2: 16PM No. 7262 P. 2
'
n c� vs�orr�Y
���0 P.OD KellaO Paykwa ��e Recei Pcrmii b�� I�i5
Y Y
Aystal Ba�y,lvIId 55323 Approved By: Miounl S: �
Phono(952)2a9�d600 Fa�c(95z)249�4616
� ,�
`�� s .a�,�.�' CYTY'UF ORONO—1VYECHANICAL PERMYT
(All Commercfal permils musl be appro�od by the Building OFficiel or Inspector enNarFiro Marshall)
CYENERAL�TI�ORMAT'YON . �
1. 'Y'ou may apply for mechanical permits by mail or in person at ihe City offices. Applications will
be reviewed and a pern�it will ba issued within two working days.
2. permit cards will be sent by refurn mail after a roviaw is completed. PE�tMT�'S ARE NOT
'VAT.TT7 UNT1I,YOU RECENE A PERMTT_ WORYr MU'ST N'OT B�C�YJNTII.THE
PE�TT CAIt�YS pOS'Y'�D ON THE JOB S1TE. ��
3. Mechanical Desig�—Complete calculations,details and specifications are required for each �
heating,'ventilation,humidrfieation-dehumidification,and air condstioning installation including
hoat loss/heat gain ealeulation,design temperaturce,cquipmenC ratings and identifieation as to
typo,manufacturer and model. Data shall be preseated on form provided. ,
4_ Whcn an�new consuuction or remodeling is involved,a scparate building pern�it muat be
obtaincd,
5. All work must be done in aeeordance with the Uniform Mcchanieal Code/State Building Coda
requirements.
6. A!1 work must bt inspecCed(rough-in and final). Call(952)249-4600.
(24-48 hour notfce requSred) � �
7, Houso Hoating Test Record muat be submitted before final.
` TYPE OF pE�XT: .
Check Al1�That A 1 �
�esidential ❑COmmercial(Approval Rtquirec�
Q New ❑Additional Q Repairs ❑Replacc
7ob Site,/.OwnerTnformation, .
Site Address' �`�� rc7�►�'��� �✓
Owner: ����`e w�i� Mailing Address, '
City: �� _ Zip: 'SS 79 I
Home Phone: `�"��-"y�{5�'Csji�_Z_- Alternate Phone: ���-'�9� ���
Contractor Ynformarion:
Kllne Corp Cantact Person:
DBA: Practical Systems
4342B Shady Oak Road Staxe l3dnd#:
Hopkins, MN 55343
952-933-1868 _ Expira�on Date:
�hone: Alternate phnne:
❑ Tnsurance—Glurent:
1
Sep, 26, 2413 2; 17PM No. 7262 P. 4
, . ., ..
- :..: • , .. .--: : =�
� � s.Y�TEMs�B��10 iNSTAi,LBA:;;�
N'ote;All Geothermal Systems will now require a Site Plan�ReyiQ�b�our Building 0£�iCia1.
IS THIS G�pTHE�i]VIA�,? ❑'Y'es �'�Io
H�ATINC S'YSTEMS
Quantity: �
Make: �f`va�rvt�
Madel: TuN(GIoOJ�`��d�
Puel: �
Flue Size:
Ynput BTLI's: I OJ.�o
Output�'T'Y.l's:
C�M: '
COOT.ING SYSTEMS
Qu&ntlty: �. �,�, ��...,,�
Make� �wt,N��
Modcl: ����](pE l�J�O�
T�s: '3�aN
H_Power
FIREPLACES
❑ aas Factory Fueplace Brand Name:
❑ 'Wood Hurning�'ireplace
❑ Wood Stove Modal No.�
❑ Wood Stove vvith�'lue/Masonry
'�IYTII.�ATYON
❑ No. Kitchen Exhaust duct recirculating cfiu
❑ No. �ath Exhaust(must have duct outside) cfm ;
❑ No. Othcr�ans: Locations ofm
i
�'TJEY,STORAGE (Must be approved by FYre MarshalC f pro,posl�:g M abandorr tank ii:plac�) �
❑ Tnstallation ❑ Removal �
�lzel Oil: gallons ❑ Underground ❑lnside ❑Outside
�,P Gras: gallons
Othcr:
GAS�,Y1VE ONLY
❑ OuYdoor Crrill ❑ pther/L,ist Whet&Where:
2
Sep. 26. 2013 2: 16PM No. 7262 P, 3
, ,.��LRh�lTT,��$C�;.�;�;ATSON'(S) I
'� ' .:Bi�$Bb p��=200 STA`TB�TA'I'�UE �
I
❑ Yes,this section applies i
The replacement of a$&�i�ntial frxtua'e or appliance that meets alt three of the following requirements: �
1. �oes not require modrfication to electrical or gas service.
2. Has a�al cost of�500.40 or less;e cI�c uding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeoWner or licensed contractor.
Skip next sect'ron,if this applies; Cost of permit $ 15.00
SCaCe SurChargt $ 5.00
Mail-In Fee(T�'Applicable) $ 2.00
Totel Permit Fee $ �
: . _ ,PE�TT�EB'GAI;GC�';A,TI�SN� .=J B$O'V'�R: 50d;0U:_
$
Tf abo�ve does not apply;follow guidclines bolow:
1. CONTRACT PRICE x is 1.25%of contract prica with a(lV�iulmum Fee of SSOAO)
�,�a� x.0125� ��. �..�
(ConlrflCt priCe) (mfnimum 550.00)
2. STATE SURCHARGE �
S��°� x.0005 � �'��
(cOnlrACt priCe) ��
3. P05TAGE�HANDLFNG(Only pn Mail-I�i Applications) $ �L�OQ
4. TOTAL P'ERMIT FEL(Add Lines 1-3 Abova) $ ��D. `� ^_
■ * CONTItACT PRICE or JpB COST means the actual or estimated dollar amount charged for the
permittod work including materials,labor,profit, and other fixed costs. It is the amount to be eharged
to the customer for the work done. If any mAterial, equipment, labor or installations are fumished by
tho owner,ten��t or any other party,the reasonable market value of such iterns rnust be added ro the
cstimated cost or contract price for permit fee purposes, In the event that there is a dispute on the
amon❑t of the job cost, tha City may request fhe submiss'ron of a signed copy of the actual contract.
.. . . -
. : . . ; . ' . ' -ME�HAI�TTC�T;'FERMTT A�PLZCATI�ON AGRBENiENT�'. = .;
The undersigned hereby applies to the City for issuance of a Mcchanical�ermit,agrces to do all
'uvork in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certi�es that all statements madt on this applic�Cion are complete:, true and
correct.
Applicant's Signature: �C�l�--�,l��J�� bate: /'� ���]
3
ATE , TIME
CITY OF ORONO CALLED IN �� � _
INSPECTION NOTICE SCHEDUIED �'� %�-I� f.�`7-'�
PERMIT NO. COMPLETED
ADDRESS a��� S ,�2�
OWNER TELEPHONE NO. �Z �!� ��9�
CONTRACTOR ��� %"�l�
� DESCRIPTION ��'��- ���— ��~��� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WELL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CfTY OF ORONO CALLED IN
INSPECTION CE .. SCHEDULED
PERMIT NO. ��_0/O/y COMPLEfED 3 /o -��
ADDRESS o'ZD/4 �'Gl r,t� �I�`�
OWNER TELEPHONE NO.
�- .c�G.f s+6�e.�► 4-i 7• /3
CONTRACTOR �1r���..;� s��t a�-�� e.�. - �.�-��"'��—
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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 BUtLT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET Y'OU:_YES_NO
� COMMENTS: ��rMs.� .�a�s v �/�� � �'s6l�o.-t
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Q �lt�KO Gr�k � !C 7� S���,��c�: < �,�G
2 Ir/s �b�. O� �i,Fj�, �.�rt t<<a.�
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O O CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca�1 for the next inspection 2a hours in advance. (g52) 249-4600
OwneNContractor on site:
Inspector: �r ^�' �� _
White Capyllnspector's Ffle Canary CopylSite Notiee
v v ��<N' p TE TIME�
CITY OF ORONO CALLEDIN �%�
INSPECTION N TICE SCHEDULED �3�3� �
PERMIT NO. ��3��Ol� co PLETED /���
ADDRE '��1� �
OWNE � P NO.
CONTRACTOR � �7�'''�� — �'15�"�'�� '
���' v l.G�� � �� � � ��
>; DESCRIPTION c_
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATEFPROOF ❑ 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 �j�LLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �Gt d ✓1.4G-C ✓�G.O��c wc C.c C —
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j _ T�„�ecr/ COxGPe�tS�� ��rt� n�o_.�G�i/,t��o•� !
a Lar�� � P��.K,.�?' ,�
W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE
� CORR RK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
for the next inspection 24 hours in advance. (952� 249-460�
w ontractor on site: �cGlt a G(�
ector. �.��- '1�
White Copyllnspector's File Canary CopyfSite Notice