HomeMy WebLinkAbout2015 - 00786 - mechanical CITY OF ORONO 111111111111 111111111111111111111111 I
* 20 1 5 - 0 0 7 8 6
2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2740 WHITE OAK CIR
PIN : 04-117-23-42-0019
LEGAL DESC : REG. LAND SURVEY NO. 1447
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,500.00
NOTE: INSTALL(1)REZNORGARAGE HEATER AND GASLINE 70,000 INPUT BTU'S
APPLICANT MECHANICAL 50.00
PERFECTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.25
1770 GERVAIS AVE MAIL-IN FEE 2.00
MAPLEWOOD,MN 55109 TOTAL 53.25
Payment(s)
CREDIT CARD 7179 53.25
OWNER
BERRELL,ROBERT&KAREN
2740 WHITE OAK CIR
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.
( d- ,� /Y//-5-
Applicant
Y /SApplicant Permitee Signature Date Issue ' .ignature 1) Date
imamimartinsemmuteratmouragiammitersimartuassusimorsolastx , p i
4. /8-i 5 4:. ...4.-.)
0E11R/7019 Prv,ft.4 '45 22,4•44I.A -:,1 T 7c 'TP"I'i') I PA(E' ffil 0 7
0 -r117'USE ONIA
--,-„,
stip i ,,,,,, City of Orono if4 g /5 Penearic2) /5-, 78b
, *lvd\\\ 27°5011eKell166ey Parkway), ooptiotwat(9
a2y)2.‘4‘61.9 4655,11112);tx 067)249.0,16 L::::sv A73011111$ •
CITY OF ORONO -- MECHANICAL PERMIT
'<,..,1ktstiov• ,/
wi comilisersits winks meti be ithythere tit,the Beititivg OtTiost or trispeetei thatw.ift MS•••10)
... _ _
GENERAL INFORMATION
t You may apply for mechanical permits by mail or in person st the City offices Applications will
be reviewed and a permit will be issued within two working days.
2 Permit cards will be sent by return mail after a review is completed. PERMITS ARE 140T
VALID UINTTIL YOU RECEIVE A PERMIT. WORK ,v US 0 :ECM U. • . ,,,Y.
° 'R .1, , ,„ ;„„I ' *:at '...D ON th.s a : tn.
1 Mechanical Denims—Complete calculations,details and specification are required for each
heating.ventilation, hurriidification-dchumidification,and air conditioning installation including
heat loss/beat gain calculation.design temperatures,equipment ratings and identification as to
type,manufacturer and ntodel. Data shall be presented on form provided,
4 When any new construction or remodeling is involved,a separate buildmg permit MAISt be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code:State Building Code
requirements.
6. All work must be inspected(rough-Li and fund; Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must he submitted before final,
t
TYPE OF PERMIT
(Check All That.....A..2thti_
—1
Residential El Commercial(Approval Required)
0 New 0 Additional Li Repairs 0 Replace
- ,
[ Job Site/Owner Information: l
S;te Address: 2 114 C) ( ii-
,
±
b • . -
owner t - ,a - ret 1 Mailing Address: .,,,fity-lc. _...........
City: Zip-
Horne Phone. Alternate Phone: _
...
I Contractor Information:
i .
Contractor: P Tec, *- - 11.11/1 .toAnta'ret Person
, ,......)
Address: I 1erveus AVState 6
Bond.#: .' * 60 I 2.2
City. CI' e ' '-' 9 ' .
--4, 0_64_71p..5,5ia Fx tration Date. .
Phone: 6 51, -7 7 7.'7 6) ID Alternate Phone:
Li Insurance Current: A LkivOP)fUf—._---
11„.
/40
1
I
4 4
g
., 6
'I, a
L./
" ,..] sArt‘
-
ttri -
EIDLI DOE.ILI ,,,,-) . (:.I. .•
tl tr: W
K -0
9 . 9 r Zi 5 *4* , .z-z c,
0 0 0
0 0 0
,... ,
1 ,
C .
.. ...
4. ,.7 6 6 2 0 I
1: my
< < ,.•, el
E 1, 4 1 11 es s's ..r.-
4 5 1 06
'a .. 0....4, P ,... r.
.r gi
13 C) tO 3r. 1.- -r: i i
i "t IP
^,t -r
. . ....
—,,
" ' ° 4
44 F, . 0, Er!
1,
,p, E Into 1
.•,. m
C I ,
0 a
`t
'a a =
a a x IF
0 .
I
Pt- 0
Fr Clt.... ...:
3 *
....,
a a i
ii".1 tl. 3
OR 04 n
a .
. ,i.
... ,,,
li tt.
Itt I P 5 r‘ 0,
I
(.. „ o
4 *1
0 f
1 cr §
a tz -tV4
L'i a
a si
1. ... wit
4 oo— CC I I
a it
.z 1
0 1L 0
1.7i- a
,t, rt cl flt
1 I S a -,
L-, ...,
1 ft
-`". '' ..,... _I
a'
----
Z> ,4
.i. f
I
....v.m.surp.inosai.kmemeatemisoneanmenitiewieourvoatimssoiasutinNINIZNIIIMI4VIIIINIIIIIIRRYSMINIllilliglialliiii...111*.1111111.1
. &,711.,i,12f119 i" :04 44.5,'2,-....:,i4;1; -.',I.1'`. 7,.: -JP'II^i-t PAGE 05/ri7
_
PERMIT}TEC• - ' I:101`4(S) i
ElmEz opP.260i:STAIktrAITIE i
..,... —
E Yes,this section applies
The replacement of a gLesidgmialimAre_ouppliance that meets all three of the following requirements.
I., Dots-not require modification to Clettical or gas service,
2. Was a total cost of$500 Co or less;eathding the cost of the fixture or appliance:and
I. is unproved,installed or replaced by the hyrneowner or licensed contractor.
Skip next section, if this applies; Cosi of Permit S ISA()
State Surcharge $ , 5,OQ
Mail-In Fe{(If Applicable) S 2.Q
Tout Permit Fee S
, 1
PERMIT FEE CALCULATIO ' -JOB$°VIM i 1;00•
If above does not apply; follow guiticlines below,
I. CONTRACT pfkIcE * is I 2 %of contract price with a(Minimum Fee of SS0.00)
2,50 0.0 C) x 0125$ 12 56,60
icontracl pr,ce) (rliirtimbei S50.00)
2 512iTE,11,a4gliliZE.
S t ,26
ttosiratsci poet
3 POSTAGE&liANT)LING(Only on Mail-In Applications) S_ La2. 0
4. TOTAL PERMIT FEE(Add Lints 1-3 Above) S .57. 2$
• . CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. it is the amount to be charged
to the customer for the work done. If any material,equipment, labor or installations are finished b)
the owner, tenant or any other party the reasonable market value of such hums must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the Job cost, the City may request the submission of a signed copy of the actual contract,
,,N112OHA/41CAL Pflaitir . -LICATIdN t• t..ilr
The undersigned hereby applies to the City for issuance of a Mechanical 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 statements made on this application are complete, true and
correct,
d.....42*.
Applicant's Signature: : 4 ' 9/ -4r
Date, — /„6...._1 ,
,.. .
A
>S - yok9f/� cr./.
CITY OF ORONO CALLED IN IP
INSPECTION NcT to /�� SCHEDULEDCarEM a
PERMIT NO. �
rCOMiteETED
ADDRESS 7(70 OX4/e /g)//[-ee
OWNER �-l'/[ A TE -HO O�-5 -7 -7,.24
CONTRACTOR % !• , 4,1.)2______-
3.".- f
a -�Q• (J O
DESCRIPTION ` �� - i 1_--.i
W ❑ FOOTING 0 DEMO-FINAL ■ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
'cr 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ,-,❑ DEMO-SITE 0 SEPTIC I STALL 0 FOUNDATION/REMOVAL
Z OWN •NTRACTOR T%MEET YOU: YES NO
oy CO ENTS:
WQ.
Cj45 ` , rta, cc,of 94" 2e - -
' ' ' 4 4,a.st" /5 x--a....s S,-,,
cr
7- L . /5 -
o — / Fp KC, Kva-s Car',-' i t '. lih e
Q .
5. I,�av �C�0.✓.",;0 J a' n.?
zVelit' '05 • OK - n
q ,LE, ✓Q,ct..tat -' SA 6P - dr- vd 4Ot (I <(
Lti tfra„ya,!• h-7-4 a.. rt Ai.- 4,,he s7p
cc
d 14.) i K ac) /aft
LU 0 WORK SATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED �/❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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.
- or - n: ' • - ion 24 hours in advance. (952) 249-4600
Own. • • -- • • sites- a
Inspector. i� / /
White Copyllnspector's File Canary Copy/Site Notice