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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: � W a � Q,1 r .p 0 �. � � / 1 n � 4 ,r� /�/� � ti W , � -�' w �� _�_ Q � Z W � W � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 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 � ���L !�t s�����o'.. o � �o�- o�ois - �. � � ho on� /r��,�c � ��s•t.s� �s sl Q �lt�KO Gr�k � !C 7� S���,��c�: < �,�G 2 Ir/s �b�. O� �i,Fj�, �.�rt t<<a.� � � �S�f� ' �/�`���d�•�c� - W � � d 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 — j - — ` . o ��c.� s� �u�s /�u� �. � � wo�� �� ,�,���e - W � Q zJ¢�G �^eD�. - .��' e/ec��t�.�cL rc-Can n ec�`- W ` ��rXiSbl,w� ���wSo� leKz - 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