HomeMy WebLinkAbout2015-00347 - mechanical � CITY OF ORONO * Z 0 1 5 - 0 0 3 4 7 *
' � f 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2100 SIXTH AVE N
pIN : 27-118-23-31-0024
LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $2,000.00
NOTE: 2 LENNOX UNIT HEATERS FOR GARAGE,LF24-3QA/LF60A-60-RUN GAS LINE TO GARAGE THROUGH HOUSE
APPLICANT MECHANICAL 50.00
BA DORWEILER SERVICES STATE SURCHARGE MECH(VALUATION) 1.00
1809 S.POINT DOUGLAS RD MAIL-IN FEE 2.00
ST.PAUL,MN 55119- TOTAL 53.00
(651)731-9757 Payment(s)
Minnesota State License#:mech-MB005673 CREDIT CARD 3245 53.00
OWNER
Orono Woodlands
2100 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfoaned 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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.l'his 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 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 Perm�tee Signature Date Issued Signature Date
FEB-15-2011 07:52 FROM: T0:9522494616 P.1
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FON CITY U5L UN[.Y �
f'ity of nronn '�r� 3
��N P.O.Tiox 66 Dute Receiv��J�P�mtit 1!�'+��"
� 2750 KeUey Parkvwy �2 .,Q
Cry9tal tluy,MN SS]Z] App�vvaJ By, Aminud S. Jy_
Phooe(952)249�Ci00 Fux(757.)7A9�W l6
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�t.�K�SH�a,�L C�TY U��RUIYQ—ML'C�IANICAL PERMIT
(A!I Comn�'Cirl F�M�„��u�u�l.K:+y�En�rvcJ l�y 11ic BuiWiug Olrrlal or tnH�;la wi�i/or P've Msrshatl)
G�1�RA,�.TNFORMATiQN
1. You may apply for mechanical permitc by mnil or in p�rson nt the Ciry nffieer. Applieatians will
be revicwcd anJ a pormit will be issued within two workinR dnys.
2. Permic�prds will bc sent by return nu�il ufter u review is completed. PERMIT5 ARE NOT
VAI.ID UNTIL YOU RECETVE A PERMiT. WnRK M S'I"1V07'A�CTN UNTII,THF
PF.RMiT CAAD I4 POS7'�;ll QIV'��iF�JOB Sl'fE,
3 Mcxhanical De.cignF—CAmplrlr es�lculations�details and specifications are rcquired for each
hceting,ventilatinn�ht►miditir.afic+n-dchumidification,and air conditioaing installntion including
ha�l lo�s/he:it gain CnIC�1�AtiOn,dcai�n Cemperah�res,equipment rntings and identificntion os ta
typc,manufacturer tuld model_ D�ts shall bc prc.cented on form pmvided.
4. Whcn any new consWetiun or rcmodeling ic invnlved,a reparnte huilding�rmit muht be
obtxincd.
5. All wnrk muct be dane in accordance with the Uniform Mechuniaal Cada/State Ciuilding Code
rcquircmerits.
6. All work must be inspxtcd(rough-in and f npl). Cnll(952)249-46UU.
(x4-48 hour notler reyutred)
7. House Heating T�t Record must ba submirted bci'oro final.
TYPE OF PERMTT'
Chcck All TE�at Apply)
[]Residentiul ❑Commerciul(Approval Requirexi)
[�Ncw (�Additional ❑Rcpain �lteplace
1ob Site/Owoe,r lnformation:
Site Address: � � � ✓1 �- �
Owner: (.J Q�� .,(J.����5 Mailirig Address: .��1C� �cac.,v�+x �Zc� �
�Nc
c��►: 121��o z��: S 5 3,�5�
�ome Phone: � � QS Alternatc Phonc:
ConcraCCor Informa4on:
Contractor: �- �w��%.,r ��,,r v��ontact Persun: �j,4� ¢� r
h�s�c�r t,✓ 1 1�
Address: /f�'O�'�'� ,;,,i- ,�,��St�te Bond#: 00,5�
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City� ��,�� Zip:5s rrq Expiratior, nacc: /0��2 p1(�
Phnne: ��-'�31�,Y,'� Altcrnate Phone: �5 f�3 3 G1-��� �
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(� insurancc—C'unrent:
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FEB-15-2011 07:52 FROM: T0:9522494616 P.2
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MECI�ANICAL SYSTF.MS AEING iNSTAI.I..F.n
Note: All Cieothermal Sysl'ems will now require x Sice Pian&R�.>viGw by our Suilding Ofticial,
IS'�'FiiS GEOTHERMAL? ❑Y�s [�J No
HEATING SYSTEMS �N��o t I f�"� � `� �� ���� S
G��,g Q.. S��c_.e..s
Quanriry: � -��r
Make: �.,�[�`rt
Model: �.— � "��� ���
Fuel: � �y�( �f�_
Flue 5ize: �} �� �"��
Input B'T'Us: �d � �'�
(hilput BTUR: I� ��4 �
GFM:
COUT.ING 57C8'1'EMS
Quantiry:
Make:
Modal:
Tons:
H.Yower
F�RF.PLACE.ti
❑ Ga.�F�cEory Firtplacc Bntnd Namc: �
❑ Wood Burning Fircplace
❑ Wood Stuvc MQdel No.:
❑ Wood Stove with Flue/Tulosonry
VFN7'[I:A7"ION
� No. „„ „ _ Kitchcn Exhaust duct recirculstting cfrn
❑ Nn_ _, _� Bath�xhaust(must havc duct outside) cfm
❑ NO- Otf1Cr FA08: LOCaGUhB CfRI
FU FL,��'ORAGE (Ma�!be appruved by Flrc Mars6qp ifprnposut,�ta aAandan lenk in p/ace.)
❑ instatlpl'1un ❑ RCrrwval
Fuei Uil;� gallons (] Undcrground �Inyide Q Outaide
1.�'Cit►s: }�Allons
Uthcr:
GAS LiNE,QNLY
[� C)utdnor Grill � Other/li�t Wh;�t&Where:�Jj�h �. �i �/Y��
z ��rv /���S �
FEB-15-2011 07:52 FROM: T0:9522494616 P.3
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FFRMiT FFF.C'Ai.('l.II�ATJ()N(S)
�3A5E1)UFh -2002 STAT�:4'I'ATUF�
❑ 'Yes,this sectiun spplics
The�plscemcnl of s R.�i�rnti��fx�g q�nen��pe thut meeta all threc of thc fallowing rcquir�ments:
l. Does nut require modificstion t�eleetrical ar gas service.
2. Ha!t a�,tal cnwt nf$SOl1_OQ or less;�x 3u ina the coFt of the�xture or appliance:and
3. l�improved,installed or rerlaced by the hpmeowner or IicGnxed cunhraetor.
Skip next section,ifthis applies; Cast of Perrrtit $ 15..4�
State Surcharge $ 5.00
Mail-in Fcc(IfAppiicabla) $ 2.OU
Total permit Fee S,.,_„�,
PFRMTT FFF CA1,C:ULATi()N S —JC)�iS()V�R�50n.U0
Tf Above does nut apply;fullow guidclines below:
I. CONTR�ICT PRICF, •ix I.25%of cxmtract price with a(Minimum Fee of SS0.0(1�
x.0125$ � '
a�nRact�rico) (nilnlmum SSOAD)
2. STA,�+'�,URCAARC� Q(�
x.UOUS $ � -
(conauct prico)
3. POSTAG�8c I-iANDLiNG(Only on Mail-1n A,pplications) � . .. _..2,04
4. TQ'I'Al.PFRMIT FEE(Add Liucs 1-3 Abovc) S ���
■ w CONTIZACI" pRIGE ar JOB GOST means the Actual or estimpted dqllpr wnount churged li�r tht
permittted work including ma#erinis,labor,proftt,and othzr fix�i co�tc. It i8 thC umuunC tn bc ehurged
ta the cuatomcr far nc�work done. if any rrtaterial,cquipment, labor or insGiltations,uo fumishod by
dtit�wncr, tenant or any other pwty, the rtasons�blo m�rkot valuc of�uCh itarru� muaC be addod to thc
�tunated cost or convact price for pertnil !cc purposes. ln thc cvent that thcrc is a dispute on thc
amount of the jab cort, thc City may request the �ubmission of n aigned copy of the uctiu�l contract.
MCCHAN1CA.la.!'ERMTT APPI,IGATInN AGRFi:MF,N'T
7'he undersigned hereby applies to the City for issuasace of a Mechanical Permit, agrees to do all
work in strict accordancz with ehC ordinanc�s of the City and the regutntions of the State of
Minnesota, and cortihes thut all statementa mAde on this applic�stion urc cornpletc, true and
correct.
Applicant's Signaturc: bate: ?j� 5 J,S
3
�� �"1-'I.3�� v'� T E
`J a� CITY OF ORON(�� CALLED IN r�''
`��J INSPECTIO C SCHEDULED � �� �
PERMIT NO. — 3�1 COMPLETED
ADDRESS lOO �'t�
OWNER TELEPHONE NO.��-��� '9��
CONTRACTOR g� ��-<<�✓
� DESCRIPTION - � �►`�'
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �M�CHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY �
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WFLL RETURN
O STOP ORDER POSTEO.CALL INSPECTOH O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site•
Inspector: � /�-. �
White Copyllnspector's File Canary CopylSke Notke
\L/\ DATE TIME V
v CITY OF ORONO CALLED IN
INSPECTIO `���(„�� SCHEDULED � '�� �
PERMIT NO. COMPLEfED
ADDRESS Z- CC� SVc.:S�. G-W� � .
OWNER TELEP7ONE NO. ���33� �c7��
CONTRACTOR � �'� ��ie r
j DESCRIPTION ��`r ��' �-►� L''�1''
4~i ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑,.,., P/LUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a�
4 " �j4J. /�i1.�. �✓ oZ �14'��y� �lG4 t'C.^f�
J ��,� �7��Q✓ � c�7��id' �/Ks ' i2U '�i�ii/��rs
� Or Cart�el���•�s - 4�r v��s� �5 !r�ld1►K�
° � 3o�s� s,K« ,3 - a� - �� -
Q - /�n�s .�r� �4 6�-�,e,p
2 �' V'e r���K S �'o� jl�ot�ers • Ol� �
� " f do� r1¢ks no� .•;, ,plac� 0 Y-�,�'
�
j + ,,�i.. - o/1 S.�'�- �..s�4.,: ��•s
r !/s•1.6,.�s - rC '� LLK R lGTi
��.l�SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t inspection 24 ho�lrs in advance. (952) 249-4600
O �tor on site: �a' � �
Inspector.
White CopyAnspector's File Canary CopylSNe Notice