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Home My WebLink About2014-01111 - mechanical ` � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - 0 1 1 1 1 * DATE ISSUED: 09/29/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 . ADDRESS : 1480 SIXTH AVE N PIN : 26-118-23-32-0008 LEGAL DESC : DOUGLAS ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,000.00 NOTE: (1)TRIANGLE TUBE GAS FURNACE AND(1)BATH EXHAUST-80 CFM APPLICANT MECHANICAL 137.50 STATE SURCHARGE MECH(VALUATION) 5.50 MASSMANN,GEOTHERMAL&MECH MAIL-IN FEE 2.00 27944 96TH STREET ZIMMERMAN,MN 55398 TOTAL 145.00 (763)416-5066 Payment(s) CREDIT CARD 3930 145.00 OWNER GULBRANDSON, DAN&ERICKA 1480 SIXTH AVE N LONG LAKE,MN 55356- 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 sepazate 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 permi[may be revoked at any time for due cause. < � ` � Applicant Permitee Signature Date Iss d By Signature Date � - __ __ _ _ 1 c�r�or o,�6eo 9 � U ��.� � '�+-��/ P.O.Boz 66 F�e � PeRnit M � 2750 Kelley�arkway / Crystal Bay,MN 5532; Approvcd 8y: AmurmtS: ` / Phone(952)249-4600 Fax(�152)24E3-161 b � z `� �.�' CITY OF ORONO-MECHANICAL PERMIT C�KESHOa (All Commercial permics mus�tr�approved by che Building Oflicial or(nspectorandror Firc tviarshall) GENERAL iNFt)RMATIUN 1. You may apply for mechanical permits by mail nr in person at the Ciry offices. Applications will be rati�iewed and a permit will be issued within twa working days. 2. Permit cards will be�ent by retum mail afrer a review is completed. pERMITS ARE NtaT VAL[D UNT[L YOU RECEIVE A PERM(T. WORK MUST NOT BEGI�i tJNTIL THE PERM[T CARD 1S POSTED ON THE JOB�1TE. 3. Mechanic�l Desies�s—Complete calculations,details and specificapoas arc rcquiced for each heatiag,ventiletion,humidi�cation-dehumidificatidn,and air condifioning installation includiag heat losslheat gain calculation,design temperatures,equi�ment ratings and identification as to ttRpe,manuEacturer and mndel. Data shall be presented on form provided. 4. When any new conshvction or rcmadeling is involved,a separatc building pe��rrtit mus�be obtained. S. All wark must be done in aecordance with the Uniform Mechanical CodeCState Building Code requirements. 6. All wark must be inspected(rough-in and final}. Call{952)249-4600. (24-08 hour notice required) 7. House Heatin$Test R�card must be submitted before final. TYPE CaF PERMIT Gheck All Thai A I , �Residcntial ❑Commercial(Approval Rec�uired} �New ❑Additiun�t ❑Repairs ❑Replace ' Job Site I C3wner Informstion: � { -�� Site Address: � ��..t�° _ t�..,�r ��+�� q � {-, (...-, . c{�,� i ��C)v C�.�.�4 Y��1t�a.S�' �c i�.-�_ —.i t"? . � r �t,1�� ° L'� ! Owner:� �.L�l l l '�`��. �t•``-�t.:, a'� Ma�.ling Address: �> �. ��--.7� `�,,. 4�';(..;l.,-� ��,.,i�`�...�'a .��ti, , �� _ � -- , ��1 i"e._:� � ,, City: "�� v' �.;''��l.j Zip_ �, �`� �'"'`�?1,.,�' ,. , �--r?��`=�`� , . �'4,�,��-: � �,�,��s,�+��.= t.t.�� _. , , , _ ' `� � Horta�Phone� 1��ternate 1��►one: "{�.,� `, . _�.,�`'�" ::f t l �- ' Contractor Informaricrn: �� t� � +�� „�, � Y�- iW�d��J�{��.V��'� I �'ontractor�'!�'ti�,��,'��t ti(,��"��°�r�1��GontaGt Persan: �v��i.:E� � Address: ��!-�M-�4 ��k.��`��I�YC�'t �;��State Bond#: �"t�':l:ti� �`�� ity: ��'�'�1'��'1.�..1�1�•�U.1-1 Zip:�?`��Expiration I3ate. �,%1G�� '',�.'�� . Phone: ��`� �'�'`�'��f�-��y�'� Alternate Phone: � Insurance-Current: t � � __ �� _. �_ _ __ _ __ _—� _�_ Note: All Geothena�al Systems will now reqoire a�ite Plan& ev'ew by our Building Of�+cial. IS THIS GEOTHERMAL? ❑Yes �No HEATING 5YSTEMS Quantiry: 1 Make: I f��'�` "'� � �,.. Model: -�C''�G `� �� FueL• f" �� ,.�,: Flue Siae: Input BTUs: �� Output BTIJs: '° CFM: �� CUOLINC SYSTEMS ' Quantity: ��,��1�t.A�. Makr: ModeL Tons: H.Pawer FLREPLACES � � ❑ Gas Fact�ry Fireplac:e Brand Naaae: ❑ Wood Bussning Fire�rlace ❑ Wc�od SCove Modci Na.: ❑ VPood SCove with Fiue 1 Ma�nry VENTTLATION ❑ No. Kitehen E�aust duct recirculating cfm � No. � Sath Exhaus�(must have ducC outside) cfm ❑ Na l7ther Fans: l,acations cfm FUEL STURAGE (Must be approved by Fire Mursha!/if proposfng to abandon tank in plare) ❑ Installation ❑ Removal i Fuei Oil: gailons ❑ Underground ❑Inside ❑Outside LA Gas: �;allc�ns Other: GAS LINE ONLY ❑ Outdoar Crritl ❑ t�ther/List What�.Where: 2 . __.__.__._____.___-.-,-----___.__ . � ❑ Yes,this section appties The replacement af a Residential fixture or a Ipn iance that meets atl three of the following requirecnenrs: I. Does not require m�ificarion to clectrical nr gas serviee. 2. Has a wtal cost of�SQQ.(�or iess; xcl in tt�e cost of the fixturo or appliance:and 3. ls impr��•ed,instatled ar replaced by the homcow�ner or licensed contractar. Skip next section,if this applies; Cost uf F�msit � I S•Od State Surcharge $ 5•00 14fai1-In Fee(Tf Applicable} $ 2.OU Total Permit Fee 5 If above does nat apply;fatEow guidelines below: 1. CONTRACI PEUCE •is t.25%of cantract price with a(MinEmu�n Fee of 550.80) � ��,iJi"i x.0125 S .f�� ,t�t� tcoaaact priee) (�nlntmom S�l.�y 2. STATE SURCNARGE ��f��`'`� x.0005 $ �_JD (contract prics} 3. PC35�`AGE&HAND[.tNG(Oniy on Mail-[n Applications} S 2.pp d. TOTAL PERMIT�EE(Add Licaes 1-3 Abave} S I t/�� • * CC)N'I'RAC"P PRICE or JOB COS7' means the aetual or estimated dollar amouztt charged for the ptrmitted work inctuding materials, labor,profit,and ather fixed costs. Tt is the amount to be charged to the cusromer for the work done. if any materrial,equipment,labor or instaUations are furnished by the owner,tenant or any other parry, the reasonable market value of such items must be added to the estimated cost or contraci price for permit fee purpc�ses. In the event that there is a dispute oa the amount of thc job cost, Che City msy rcqucst the submission of a signcd copy of the actual contract. i ,� . � .. � _,:ffi _ , The undersigned hereby apglies to the City for issuance of a Mechanical Permit, agrees[o do all '' work in strict accardance witt� the ordinances of the City and the re�ul�tians af the Siate of Minnesota, and certifies that all statements made on this application are comp(ete, �ue and correct. ...—.",.' _ �'_---�.. ��'�i� � Apptieant's Signature:�,Jr.�.Y--' _ Uate: � � 3 TE T�Mt CITY OF ORONO CALLED IN � � INSPECTIOf�I TIC SCHEDULED PERMIT NO. O/ � l ` COMPLEfED ADDRESS � � OWNER TELEPHONE NO. ?�Q.3-��Cy d37L CONTRACTOR " /► 1�Lld.i � r �,W�i . �rf' l�!'t7'�'�11wC. � DESCRIPTION � �� ❑ FOOTING � PLUMBING FINAL p EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT `� ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�i, COMMENTS: � � y� �jppr �4�►.,t c ` !�� 075 d5� 4r� o '�CSt " �lQ��t=41��t.�t� �a✓ � �cs�i� ��ir� �ba✓ �/'avu�J-�� ..' - ---- ---- - O � W �� -�— cbv er/ Q � z � w � j ��C�SATISFACTORY:PROCEED �PROJECT COMPLETE � �CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OMmerlContractor on site: Inspector: �""' White Copyllnspector's File Canary CopylSite Notice � C� �3l .T�� CITY OF ORONO CALLED IN � INSPECTIONI�AZI�� 01111 SCHEDULED � � PERMIT NO.r��'f' COMPLEfED ADDRESS ��"� SLx��-� �• OWNER TELEPHONE NO. ��q�� CONTRACTOR �"'�"'^ � �'��'`"�Y�� ,�j�' — � DESCRIPTION ��L�� I "'�^ -\�� t� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ MO-F AL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 RACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: � • � G f�• /�� - :. � � ,� � Y j � O � � /��n O V�GS7c !9� 4G S //�1� N'l�C eri �Q �Ad�dl W r � �1-6 r ��w�l. j`acc,/J tc.�i�e�.. Q � � fl�` �4� �i .�c'��D� -� eJC�i'�a�f W � 1 i'L�i �� " 66� `m Cl�U G�v` J �Ij�114pRK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W � CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwneNContractor on site: �� Inspector: Whita Copyflnspector's File Canary CopylSke Notiee \� DATE TIME � CITY OF ORONO CALLED IN � - �- INSPECTION N TICE SCHEDULED /J-'��/ � PERMIT NO. , �l I MPLEfED � ADDRESS OWNER TELE HONE NOa 37 CONTRACTOR �'��-� � � DESCRIPTION ;� � � � � � � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POUHED WALL ❑ MECHANICALRI � LAKESHORENVETLANDS y ❑ FRAMING �GeAECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTIiACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � ��(s✓ �o✓ /•�. --�� - oQ� r 'f-t gL� �sr' Gct �l�1G - �� . � � UJ�r !C Cbw�,d/�� e �— 4,0��r5 G'� W � Q � 2 W � W � j � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR NIILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca r the next inspection 24 hours in advance. (952) 249-46�0 Owne on gite: � Inspector. Whits Copyllnspector's File Canary CopyfSite Notice