HomeMy WebLinkAbout2013-00449 - mechanical CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 3 - 004
9
DATE ISSUED: 06/05/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1025 TONKAWA RD
PIN : 08-117-23-24-0003
LEGAL DESC CARLWOOD
LOT 002 BLOCK 001
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 8,000.00
NOTE: (1)BOILER HEATING SYSTEM
NATURAL GAS
INPUT BTU'S- 125,000
OUTPUT BTU'S- 118,750
APPLICANT MECHANICAL 100.00
OC MECHANICAL INC STATE SURCHARGE MECH(VALUATION) 4.00
16008
DUNKIRK STREET MAIL-IN FEE 2.00
HAM LAKE,MN 55304- TOTAL 106.00
(763)286-1340 PAID WITH CC# 1577
OWNER
ANDRDA MESSINA,HUGH NEESON&
1025 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
revo d at any time for due cans . //nn
Applicant Permitee Signature Date /
ssue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
'Y to omy
Cky of Oram �/� Q
P.O.Sox 66 bsEa 1� & `="��`
2754 Kdky Padcway
O"W aq,MN 35321 Approved 8y: Amoft f: /�0,
ro
Pkaw(952)240A00 Pax(952)2"16
.y
CITY OF ORONO--MECHANICAL PERMIT
vi cosi per,mot ,approved ty die Bwlfag offia■t a baptaer�Fire Mian)
(
GENERAL YNFORMATION
1. You may apply for mechakal permits by mail or in person at the City oit'icce. Applieatiobs will
be reviewed and a permit will be issued within two woddng days.
2, permit cards will be seat by rbtrun marl after a xview Js Completed. PERMITS ARE NOT
VALID VNTlL YOU RECMVE A PERMIT. Z=MI7ST NOT BZM'C MIL THE
gE$1M11 CARD 13 POSTED UN 173E JOB SITE.
3. AMechamcal RUJOs—Complete calculations,details and apcci#Mtions are required ser each
halting,ventilation,h ddi&ation-dehumidWe%tion,and air condidooi og installation including
heat loselheat gam calculation,design temperatures,eggipumA ratings and idmtifieatiom as to
type,manufacnm and model- Data shall be presented on form provided.
4. When any new cansbuction or remodeling a involved,a separate building permit must be
Obtained,
S. All woalr must be done in soeowlance with the Ut»fait Mechanical Co&Atate Building Code
requiretuents.
6. All work must be hupected(rough-in and&W). Call(952)249.4600.
(24-48 Mut'notice required)
7. House heating Teat Record must be submitted before final-
TYPE OF PERWr
Cheek All ThatApply)
❑Residential ❑Commercial(Approval Required)
❑New Q Additional ❑Rr4nairs ❑Replace
Job Site/Owner lt&mat :
Site Address: loaz: fR
Owner." Mailing Address; — —
city: Zip:
Hom Phone: Alternate Phone:
Contractor IalSoa andon:
Contractor: OLM �` umct Penson: VLra YiS��
Address: IUVWiM L�(_S� State Bond
City: 4WtLWA Zip6WFxpinW0n Date:
Phone: �-j -13 — Alternate Phone:
[] Insurance—Current:
l
EO/10 39tid ONI -lGOINdH03W 00 61ZZOEV69L bZ:60 EZOZ/90/90
Note:All Geothermal Systems will now requim a Site pLan& v e by our Building O#lxcisL
IS TJM GEOTHERMAL? ❑Yes 0o
HEAMG SYSTEMS
Qom-
Melee:
Madel 7
Fuel: C
Flue Size:
hvut B7ils:
or
�rl.ra: 1 SCJ
CFK,
COOLING SYSTEMS
Makm
Model: µ`
Tons:
Ii.Power
FIBEPLACS5 ,,,,,
❑ Gas Factory F=PS ]Brand Name.-
wood
ame:Wood Bw=g Fireplace
❑ wood Stave Model No..-
Wood
o.:'Wood Stove with Flue/Masonry
VENTILATiAN
No, Kitchen Exhar:st duct recirculating cfm
No. B&Exhaust(meet have duct outside) cfm
No. Other Fans: Locations Qfm
I'M STORAGE (Must be q rmwd by PYre M&mh g#'pnVmoiWg to�rbap don aanit ho pl=L)
❑ Installation ❑ P- move
Fuel Oil: gallons [] Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
SEAT LINE ONLY
❑ Outdoor(hill [] Other/List What&Where:
2
E0/Z0 39dd ONI -ldOINdH03W 00 6TZZbEbE9L t1Z:60 ETOZ/90/90
❑ Yes,this section applies
The rpplaeemmt of a R 'a'12110 or app,0 that meets dl thM of the following requirements:
l• >�ergnire modification to elocniea!ar gas seevice.
I Has a tom of$500.W or less;"ging Ste cost of die fixture or appliance:and
3. Is improved,im"ed or neplaeed by the homeowner or licensed contactor.
Skip nut sectioey if this applies; Cost of permit S 15.Q0
Stare Surcharge $ S.
Mail-In Fee(If Applicable) $ 2.00
Totel permit Fee 5-
If above does not apply;follow guidelines below;
1. CPPLMRA CE •is 1259�e%of conu*a price with a(Minb"U Fee of SM.00)
`-' Od x.0125510D• 30
(conb.ctpace) (adulwuuo i'30.i69
2. STATIE MM MGE CW0eY0
X.0005 >;
(aonoacxyrioe)
I POSTAGE&HANDLING(Oily on Mail-It,Applications) S
4. TOTAi,PE1tMT FSE(Add bines 1-3 Above) S
• CONT A.CT PRICE or j0B COST means the actual or estimated dollar amount charged fur the
permif6ed work inhaling materials labor,profit,anal other Sued coats. A 18 the ameuut to be charged
to the Customer for the work done. If any material,equiptoenk labor at ins#allatiores are Mnished by
the owvaar,tenant or eery other parry,the reasonable arlret value of such ite+ma umst be added to the
estimated cost or coakaet price for permit lice purpom. In the event that theme is a dispute on the
atnaunt of the job cost,the City may request the submission of a signed copy of the actual contreeet.
The undersigned hereby applies to the City fox issuance of a Mechanical pwtnikto do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, ane certifts that all statements made on this application are complete, true and
correct.
Applicant's Signature 5 Daft.
3
£0/£0 39vd ONI -IVDINVH03W 00 6iZZb£b£9L t1Z:60 £Z0Z/90/90
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMfrNO. ,201,7-,001149 COMPLETED
ADDRESS 199o?,'57" 0632-
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION �Di/ter .`�sftL.
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING 4'JB-M6CHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v ❑ FINAL ❑ WATER HOOK-UP , &EOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERN:oNTRACTOR TO MEET YOU:_YES_NO
COMTS:
T. -.
_
W r r ,(,0', y
5 0C go
j
Q
Z
w
j
LAJ ❑WORK SATISFACTORY:PROCEED ,B-PROJECT COMPLETE
cc
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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
OwnedContractor on site:
Inspector.
ZyAnspectoes File Canary CopylSite Notice