HomeMy WebLinkAbout2013-00408 - mechanical CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 05/24/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 780 TONKAWA RD
PIN 05-117-23-34-0010
LEGAL DESC PARTENS POINT I ST DIV
LOT 015 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 10,759.00
NOTE: (1)BRYANT GAS FURNACE-2"PVC- 100,000 INPUT BTU'S
(1)BRYANT A/C-3 TONS
APPLICANT MECHANICAL 134.49
DUCTWORKS LLC STATE SURCHARGE MECH(VALUATION) 5.38
5320 TRITON DR.
GOLDEN VALLEY, MN 55422- MAIL-IN FEE 2.00
(763)531-0070 TOTAL 141.87
PAID WITH CC# 5807
OWNER
HAUGAN,TODD&TERESA
780 TONKAWA RD
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 separate
permits. All provisions of laws and ordinances governing 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 cause.
' aAj 0 C&
Applicant Petmitee Signature Date Iss d By Signature Date /
'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Ofr t;'or I'rrr b-
'ORMATION'
rN 1,
--------------------- ----------------
.......................
I. Nlou may upply for meclianical permits by mail or in person at the City offi ocs. Applications will
be revieNved and a permitvNill be issued within two workin'g days.
t mall alkr a rovim is completed. PERMITS ARE NOT
Permit c4wds will be sent by returr 11,T
WE
1-.ERMI--CAIW IS POSTED OTN'THF,JOU SITE.
3. ucchatur.Fal�De'igns ('t)jnpjete calculations,details and specifications are required for eacli
vontilatios, and air conditiouixik installation including
lie4tt luss.Jlicat gain c-alcul"16011,design teauperaiures,eqtlipment ratings and identificwdou as,to
type,riajiulztc+urL-r,;tnd;iioi.icl. Data shall he presented on forni provided.
4. When any new construccuon or rcTmxic;ling is involved,aseparate building permit minst be
obtained.
5. All work must N',dcm-z it,ftecordmice with the Unifbmi NIvOtanicsi Code/Slate Building Ck',Je
requirements_
6, AH kvk)Tk.must he inspeved migh-in and final'. Cail(95"")249-.4600.
(24-48 laver notice mquimd)
7. House Hcatinf,,Jest Kewrd must be submhtc(l 1�-Amo final.
....................... ....... ---------
K WIT
TYPE Or, I
(Check All'r 'at_Appty)
------- -—--_--------------—--—
Residential ❑'('03-umexcial(Approval Required)
New 0 Additional ❑Repairs
--------_-_----------
eth LC
Site -C Address: ..........
Ownen Mailin Address: 4w
City: .—l' ez,14L Zip:
Nome 1. .oue: ------- .... ................
.
Coava-ictor Info-miatim
___77....
Contractor: Contact Person'.
----_-_-------
Address, fil exne"�,/41_ Stfite Bond 14:
City: e
.Dec':
Phone: c",
Alternate, Phone:
tylsurance---Current: F m
............... . ............................
Z :02Vd 9T9D6DZZ96 :01 LZ99ZZ9C9L :WOJA WV W60 Ve CT/DZ/90 :4UG9
1JEATING SYSTEMS
Quantity. it ----------
.Mode arN:a :�#C3 E<S�� Y " -----------------_.......
._.
'F () i
FhacSize: x __ ..................--..._....... -- ... .....................
Input BTUs: �; v: ;` ?
(T":1-i: ----------------
COOLING SY'ST)EMS
Make: R iv,9t,
--------------------_____ __.____________-... .._-..--
T•�•� s
ons: ' ......................... .....................
F'll2lLl'L�
Gas T'dctory fireplace Brind`4ame: _�.�... _ .........
[j Womf Boriiing Fireplace
C Wrxx+Stove 1\1(klel Na.:
C Woml Stave uvitit Flue if Mason'),
VEN ILA'T]-OA
[j No. Kuc»en Exhaust _� duct recti>�ulariru; CM)
j] No. i`snul,Exhaust(must have duct outside) -----------cliff'
Q Nu. ................. nther.Fans: .€.*cations--------------------------------------------- efiin
h<E`1"L STORA(;E (Alust be iq-yProved tby.l xre,ytnraHrtt(ij'1)raposing tv dbandnn tray:k in plac:e.)
(� Installation [_] iterr:oval
Fucl Oil: _ _.eailons 'Undergy wind [j Inside Outside
L Gas: .....................gallons
Other:
GAS L.I.NkONLY
G` outdoor izrill [; other i List What.& Where; ....... _.. ....................
i
........... . ....
9T9D6DZZ56 :Oy LZ99ZZ9£9L :W0JJ wv W60 4v £T/DZ/50 : Woo
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1•`es,this section applies
The replace meat of a&aiuc al l mute or a l.ialve thatmeets all thr.of(it;:f:ullowing reef+uiterneuts:.
1. hoes not req: jirc tnodiflcatioll to electrical or gas serv')ce.
2. Flas a fotfll-4kaf of$ i?tl_t}11 or leks:exgluAlp the cost of the livure or appfi3nce: and
.i. f.improved,installed or replaced by Use holFicOlutier or licensed contractor.
Skip next:Section,if this applies; Cost of Permit $ 15.00
State SurO lme $ 5.00
Mail-in Fee(lt Applicable) $..___ a 0
Total Permit Fee $
If above dotes not apply;follow guidelines below:
1. CONT tACT f'.RW 'is 1"'SR»of contract price with a(A-Unimum Fee of$50.00
14. x.01
(wracaprieca (uri9tiauaniSS�,UQ)
ST,AT;�:_SltC'IdRE3 .
' -------------------- x.t}ill15 N
— -
l't>`t'xA<;E,& HANDLINf.i(Only urt i1z<�il l;�Applications) $ ?•iii}}(1
4. TOTAL PFRNUT FEE Ukdd Lines 1-3 Above) S
■ "
CONTRACT PRICE or j011 COST means Ow actuni or esfimated dollar amount charged for the
permitted work including triater.il115,labor:profit.,and other fixed cosis. His the amount to be charged
to the c•ustotner lit the work done. fr arty material,equipr ew. labor or installations are furnished by
the owner: tenant or ai y other party, the reasonable market value of such items must be added to the
Ktintated cost or contract price for permit fee purpou-. Jo Ute event that there is a dispute: on the
amount of the.job cost, the City may request the submission ol'a sitned copy of flee actual contract.
--------------------
I'Yte undersivicd hereby applies to the Cft- for issua:rce of a.Mechanical Portnit,agrmi to do all
work in strict accordance with the ordinances of avte City and the rrgulations of the State of
lrinnesota, and cer:Mies that all statements rnade on this application are complete, true :md
correct.
Signature.
.v ? •F'• .7r r Date,
Sig
Applicant's nature. �.:•�.. ...' ::....,..:;i_ �.�. =
a��d 9T9D6DZZ96 :01 LZ99ZZ9£9L :WOJA WV W60 IV £T/DZ/90 :TUGS
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _
PERMIT NO. 201 `06 y0i� COMPLETED
ADDRESS 790 70444-lz "-
OWNER TELEPHONE NO.
CONTRACTOR Dk5e-ttr VX-5 LLL
DESCRIPTION F4 ✓� • ',r- �Z/G IsgI.-
U ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
h ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
5W4NAL ❑ WATER HOOK-UP Zj.E.QLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
to COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED CM:: L iECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 4 Ji Z �
White Copyllnspector's File Canary Copy/Site Notice