HomeMy WebLinkAbout2013 - 01296 - mechanical 11IIII1111 11Il111.11111.
CITY OF ORONO * z PJ 1 3 - 0 1 296 *
2750 KELLEY PARKWAY DATE ISSUED: 12/16/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 830 WINDJAMMER LA
PIN : 07-117-23-11-0009
LEGAL DESC : PIRATES COVE
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,500.00
NOTE: (1)BRYANT FURNACE AND(1)BRYANT A/C UNIT
APPLICANT MECHANICAL 143.75
COUNTRYSIDE SERVICES STATE SURCHARGE MECH(VALUATION) 5.75
6511 H WY 12 MAIL-IN FEE 2.00
MAPLE PLAIN, MN 55359 TOTAL 151.50
(763)479-1600 Payment(s)
CREDIT CARD 9617 151.50
OWNER
STRASSER, MARC&JANIS
830 WINDJAMMER LA
MOUND, MN 55364
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.
/24,A3 Le uota.vc._ /Z/ /
Applicant Permitee 3t nature Date ISignature
PP g ssue�y Date
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 12/16/2013 14:45 #880 P.001/003
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Phone(952)249-4600 Fax(952)249-4616 _;,
tsrlot � CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits mist be approved by the Building Official or Inspector and/or Fie Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permit' by mill or in person at the City offices. Applications will
be reviewed and apemmit will be issued within two working days.
2. Permi cards will be sent by return mail atter a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TUE JOB SITP..
3. MechanicalDesigns—Complete calculations,details and specifications are required for each
heating ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temp eratires,equipment ratings and identification as to
type,manufacturer and model Data shall be presented on form provided
4. When any new construction or rernodeling is involved,a separate building permit must be
obtained.
5. All work Haut be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and gyral). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final
TYPE OF PERMIT
(Check All` at:Apply)
ISZi Residential 0 Commnercial(Approval Required)
D New 0 Additional 0 Repairs Replace
Job Ste/Owner Jr:0xmahon:
Site Address: $ c \i r tv a W\VLA\A-L LGA CLC--
Owner:Mark:(ugh'_ Ccs Maims Address: Z
City: MOLL Yla Zip: 6 -' 6L/
Home Phone: 6g, 's ,7C-r3-6 Alternate Phone:
Contractor Inloxmatton:!.
Contractor: ecttkti _.
s;C ' �sSQcVI CL1 Contact Person: / PI klGt 1 VI t1
Address: C - tStade Bond : C_^�
Are City: Peel;11 Zip-63-- Expiration Date: 6/:';0/4 0/I/
Phone: 7i,-. -47"I • i 6 00 Alternate Phone:
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 12/16/2013 14:46 #880 P.002/003
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Note: All Geothermal System;will now require a Site Plan&Review by out-Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quartiy:
Make: a,„�. / q
Model: Cfg& ji')b6lcc0/
Fuel: ;\(- 6-
Flue Size:
Input BTUs: ECC 00
Output BTUs: 9 7 000
CFM:
COOLING SYSTEMS
Quantiy: 1
Make: Ri tiel1a11
�I
Model: f , /ArAC �
Tons: /e�-.
H.Power /!!
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove ModelNo.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfn
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
.
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 12/16/2013 14:46 #880 P.003/003
" $ F 6 r ,anis+ `�70,I ' p r"F t F d' ..f a^a,�
� Y -P E E v.. �� Y�� � �
0 Yes,this section applies
The replacemert of a Residential fixture or appliance that meets all three ofthe following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exchidina the cost ofthe fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip neet section,if this applies; Cost ofPermit $ 15.00
State Surcharge $ 5.00
Mail-InFee(If Applicable) $ 2.00
Total Permit Fee $
-rzgaie :4
If above does not apply,follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
c x.0125$ r7/? •7
(contract price) (mini um$50.00)
2. STATE SURCHARGE f x.0005 $ .17 /0
(c cnmract pr=e)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4, TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /57. ,3 )
El * 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 furnished by
the owner,tenant or any other party,the reasonable market value of such items mist be added to the
estimated cost or contract price for permit fee purposes. In the evert 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.
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The undersigned hereby applies to the City for issuance of a Mechanical Penni, 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.
Applicant's Signature: Date: /;?-/4 /3
3
/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 3 -647% COMPLETED A2-3—4e
ADDRESS g 3 0 lt1/A,Ik1if-4'K- ,- Z-4--
OWNER TELEPHONE NO.
CONTRACTOR o�n�-v(.7S c h $v'L arrs-
DESCRIPTION f'U r„ - .4- i8/C re-pi.
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❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
' ❑ FRAMING i>I,1�CAECHANICAL FINAL ElTREE REMOVAL
Z I=1INSULATION CIWOODBURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
I, 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J• ❑ DEMO-SITE ❑ SEPTIC MAINT. 2110W-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
✓• CIPLUMBING RI CISEPTIC FINAL ❑ FOUNDATION/REMOVAL
It Z OWNER/CONTRACTOR TO MEET YOU: YES_NO -
y COMMENTS: A"0;4 ,CO. . .1e40 A—C4,if
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
` NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
/ Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con for on site:
Inspector. <<._. ]i
White Copy/Inspector's File Canary Copy/Site Notice
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ktDATE TIME
CITY OF ORONO CALLED IN `
INSPECTION�Q TICE SCHEDULED (7 - 2 � 1 :(30
PERMIT No)/3-6)/ i� COMPL ED,
ADDRESS 2_36 Le ,
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OWNER
_...11_.:h '-OWNER A/.Ala .4 1 - PH' ' •ima a 4.5-C69,L
,
CONTRACTOR / Al d h
>; DESCRIPTION
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LW ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
H ❑ FRAMING MECHANICAL FINAL 0 TREE REMOVAL
Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
Z
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
r 0 DEMO-SITE 0 SEPTIC MAINT. FOLLOW-UP
Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL / ❑_HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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CC s re oia 449
IQIDWORK SATISFACTORY:PROCEED XeILF.6YCOM PLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
IQO
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24hoursin advance. (952) 249-4600
Owner/Contractor on site: M 4( FC 54 V 4-S 5Cf/
Inspector. `
White Copyllnspector's File Canary Copy/Site Notice