Loading...
HomeMy WebLinkAbout2014-00632 - mechanical �� I T �` CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 4 - 0 0 6 3 Z * �� DATE ISSUED: 06/20/2014 i, ORONO, MN 55356- ! (952)249-4600 FAX: (952) 249-4616 I DDRESS : 3115 SUSSEX RD IN : 04-117-23-32-0015 EGAL DESC : FOX BEND : LOT 004 BLOCK 002 ERMIT TYPE : MECHANICAL(>$500) ROPERTY TYPE : RESIDENTIAL ONSTRUCTION TYPE : MECHANICAL-MULTIPLE ALUATTON : $ 3,500.00 OTE: VENT(1)KITCHEN EXHAUST TEND GAS L[NE TO RANGE APPLICANT MECHANICAL 50.00 CTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.75 4 2B SHADY OAK RD MAIL-IN FEE 2.00 PK1NS, MN 55343 TOTAL 53.75 ( 2)933-1868 Payment(s) CREDIT CARD 0961 53.75 OWNER RY RASKOB, DANIEL DELMORE& � 3 5 SUSSEX RD L G LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT T work for which this permit is issued shall be performed according to th pproved plans and specifications,applicable City approvals,and the St Building Code. This permit is for only the work described and does n rant permission for additional or related work which requires separate pe its. All provisions of laws and ordinances goveming this type of work sh be compied with whether or not specified herein.This permit will ex e and become null and void if construction authorized is not � co enced within 180 days of the date of issuance,or if construction is su nded for a period of 180 days at any time after work has commenced. ' Th pplicant is responsible for assuring all required inspections are re sted in conformance with the State Building Code.This permit may be re ed at any time for due cause. y���� 6?3 � � � zv � � � A icant Permitee Signature ate Iss d By Signature Date , 9529�1869 00:07:42 06-20-2014 2/4 � I �OR ITY USE ONLY � � � �O A, City of Orono \ !� �y P.O.Box 66 Datc R ei Pcnnit#C��+---�-f�— � �750 Kcllcy Parf.tivay � Crystal E3ay,MN 55323 Approv¢d IIy: Amount S:� Phone(952)249-AG00 Tax(952)249-4G1 G a �, �y .L \ �' lt��fSMp��G CITY OF ORONO—MECHANICAL PERMIT � (All Commercial permi�s must 6e approved by the IIuilding Official or Inspec�or and�or Fire Morshall) GENERAL INFORMATTON 1. You may apply for mechanicat pc:rniits by mail or i�i person at the City ofiices. Applications wil! be reviewed and a perniit wi!(Ue issued within two�vorking days. , 2. P�nnit cards�vili be sent by return mail after a review is completed. PERMITS Al2�NOT VAL1D UNTIL YOU REC�IVE A PERMIT. WORK MUST NOT BEGIN UNTIL,THE ' PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specilications are required for each I henting,ventilation,hwniditication-delmmidification,and air conditioning installation iF�eluding heat loss/heat gain calculation,design temperaEures,equipment ratings and ideniification as to type,manuf'achirer and model. Dala shall be presented on fonn provided. 4. When mry new constniction or remodeliug is involved,a sepArate buildina pemiit must be obtained. 5. All work must be done in accordance with U�e Unifortu Mecl��nical Code/State:Buildina Code requiremenis. G. All work must be inspecced(rouDh-in and tittal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be subuiitted bePore fin�l. TYPE OF PERMIT Check All That A 1 �Resicientiai ❑Commercial(Approvat Required) ❑New [��Additional ❑Repairs ❑Replace Job ile/Owner Inf rmation: S o Site Address: � 1 � c, `� c.�--,�-x �r� ` � �✓I � `. Owner: .��a�i e-t rt'-�4`�o-r�_ Mailing Address: .> S�..sS�.,. �� .��- .� City: �%n C �...:��� Zip: > > �S 1n i Home Phone: Alternate Phone: Q 5 � 'j:�c� � `3 y 5 S Cortractor Information: . 1 f Contractor: atiac�tc�►�sirsTeMs Contact Person: �� ���'J� � ��'�`S�h�'�" 43426 SHADY OAK RD HOPKINS,MN 55343 Address: Stare Bond#: ���SCX�3`� ► v City: Zip: Expiration Date: �'? t—] <<� _ Plione: CS� -`��� �" f�L���U Alternate Phone: ', ❑ Insurance—Current: ��-c•�. ���-4"S ��r�uu� 1 , _ _ _ II 9529331869 00:08:00 06-20-2014 3!4 � ' MECHANICAL:SYSTEIVIS BEING INSTALL'ED .. ' Note:All Geothennal Systems will now require a Site Plan&Review by our Building Official. IS THTS GEOTHERMAL? ❑Yes �'No I�EATING SYSTEMS Quantity: Make: Model: Puel: Fh�e Size: Input BTUs: l � Output 73TUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Powe;r FIREPLACES Gas Faeto Pire lace Brand Name: ❑ rY P � ❑ Wood Buniin�rirepince ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masoury VENTILATION ["j� No. � Kitchen Exhaust duct rccirculating 6G0 ctin ,,�/ �u,1�''Y'�'�,���.,L,,.• , fi �� �J ..cz.v ❑ No. Batl�Exhaust(must liave duct outsidc) ctin l ❑ No. Otlier i=1ns: I�oc�tions cfin `�r �'`��`' , FUEL STORAGE (Mrtst be opproved by Fire Mnrshull if proposi�rg to nbandnn tank i►r place.) ❑ Installation ❑ Remov�l Fuel Oil: galions ❑ Underground ❑Inside ❑Outsid� � LP Gas: gallons Other: GAS LINE ONLY I ❑ Outdoor Grill � Other!List What&Where: Y-�S�'"�^�" �'-(���5 �����-�-h''•�'"'�' � 2 I ; _ _ 9529331869 00:08:11 06-20-2014 4/4 ` ; PERMIT FEE CALCULATiON(S) , BASED OPF;=2002 STATE STATUE ❑ Yes,ihis section applies The replAcement of a Residential fixture or appliance th�t meets all diree of the followin�requirements: 1. Does not require modifieation to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina tl�e cost of Uie fixture or appliAnce:and 3. Is improved,installed or replaced by tl�e homeowner or licensed contt�actor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcl�nrge $ 5.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $ PERMIT:FEE GALCULATIbN S)-JOBS OUER;�540.00 If above does uot apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contruct price witl�a(Minimum Fee of$50.00) -� �— , ��- �.`� UG x.0125$ �C� � 6� (co tract pricc) (minimum SS0.00) 2. STATE SURCHARGE � x.0005 $ /� 7� (contrrcl price) 3. POSTAGG&I-IANI�LTNG(Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines !-3 Above) � �J� 7 J • • CONTRAC'C PI2ICE or JOB COST means il.ie actuA) or estimated dollar amount charged for tlie pennitted work including t�i�teri�is,labor,profit,and other fixed costs. It is tl�e amount to be charged to the custonier 1'or the work done. Tf�ny material,equipment, labor or instnliations are lurnished by Uze owner, te��ant or any other paRy,the re�sonable market v�lue of such items must be added fo Uie estimated cost or contract price for pennit fee purposes. In the eve�u that there is a dispute on the amount af d�e job cost,the City may request the subniission of a signed copy of Uie actual contract. 1vIECHANTCAL;PERIvIIT APPLTCATION AGREEMENT The undcrsigned hereby applies to the City for issuance of a Mecl3anical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all scatements made on this application are complete, We and correct. � , ,/ Appiicant's Signature: ���` ��%��-��` '��G` l"Date:� � /7 , 3 �C/] � Df��E/ TIME (/ CITY OF ORONO CALLED IN ��� INSPECTION NOTIC`D/'�? SCHEDULED 7� -I �;L2Z PERMIT NO. �� ��OMPLETED ADDRESS ��lS aSG�-e��� �(� OWNER TELEPHONE NO��a 3�� I�C�Z- CONTRACTOR � �a"�C�-[ �1�'��/J DESCRIPTION /"�(-l�'�- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL �vIECHANICAL RI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NS,tIAy � COMMENTS: � �c�Lac�'�c �� �r K 6 -�i rsn�c — 12alac �e �''4��� �oc�S2 V�•tz -�- 7�I� O�t —�f,�ex�sti�s�!l��t�� �" �I rs S l�1 G .�'i•� -�'cs� �+o C��-�'� 3a/s� s,K� � �- �-f y - `� " caa,�.r — c��t. — 2� .Q�wd�� �6� �lc�-�.a Q�� c,y.t ��p(�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETItRN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner►Contractor on site: Inspector. � White Copy ector's File Canary Copy/Site Notice ✓ � ATE ���� CITY OF ORONO CALLED IN �N INSPECTION TI E SCHEDULED -�Z�-�� PERMIT NO. i�OMPLETED ADDRESS OWNER TELEPHO E NO. U�,� a-�i�"'I.LL�� CONTRACTOR 'r � � DESCRIPTION /"�� �' ��� ��� ���Kr n.�. � � ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FI�LING Q ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 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 J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: o� W a � J O �. � O � W � Q � 2 W W � � W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED IS ERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / :� Call for the next inspection 24 hours in dvance. Q9-46�� OwnerfCo ntractor on site: ����; inspector. . White Copyllnspector's File Canary CopyfSite Notice