HomeMy WebLinkAbout2015-01170 - duct work � � CITY OF ORONO * z � 1 5 - 0 1 1 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 09/14/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2755 CASCO PO1NT RD
PIN : 20-117-23-23-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 265
: LOT 007 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 1,500.00
rroTE: �ucTwoR[c: uEr.ocATE�i�sia Arr��i�iva
GASLINE FOR EXISTING FIREPLACE
APPLICANT MECHANICAL 50.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 0.75
4342B SHADY OAK RD MAIL-IN FEE 2.00
HOPKINS,MN 55343 TOTAL 52.75
(952)933-1868 Payment(s)
CREDIT CARD 3543 52J5
OWNER
BASKFIELD, MICHEAL& SHARON
2755 CASCO PT RD
WAYZATA, MN 55391-
AGREEME1vT 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 wi[h 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
(�.-P/ � ~E%'�../�i�---CJ / /! �
Applicant Permitee Signature Date Issued By � nature Date
Sep, 11, 2015 3: 37P1� No. 4698 P. 2/4
o �cx orrz.x
� City of Orono / / �
� N P.O.Bax 66 Date Rec ' q�fl. Pe�mtr#5��� " �` � �
� 275U Ksllev Pa�icwav
GYysral Bay,MN 5>323 ,Approved Sy: Ameunt�^
Phone(9�2)249..4600 Fax(952)149�616
r� a.
y,� :
`,,��SHo�-�` cr�o�o�aNa-r�c�c�r��xrr
(All Commcrcial pcJmiu must be approved by thc Bailding Officisl or InSpccta�and/oT Fjrc�all)
GENERAL IIVFORMATION
1. You may apply for mechanical permits b�mail or in person at the City offices. Applications will
be zeviewed and a p�nmit wiil be issued vvithin tvvo warking days.
2. Perniic cards wzll be sen.t by recuna mail after a revievv is completed. P�RMTTS ARE NOT
VALID UNTIL YOLr�tEC��VE A F���T'I'. WO.�.US�10��G1�T�.�'�
PERNII'T CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�&—Complete calcul3tions,dctails and spccifications arc rcquued for cach
k�eatiz�.g,ventilarion,humidification-dehumidi�ication,and air conditioning installation including
heat loss/heat gain calculatioR design tempeTatures,equipmeut ia�Ilgs aad 1den�ficarion as tp
type,manufacturer and model_ Data shall be p�esented on form provided.
4. When any new construction or rcmodcling is involvad,a separate building permiY must be
obtained.
5. ,A11.work must be dono in accordance v�irh the CJniform Mechanical Code/State Building Codc
reqvirements.
6. All vc�ork must be inspected(rough-in and final). Call(952)249-4600.
(Z4-4$ho�r notice required)
7. Hause Heating Test Record must be submitted before final.
TYPE OF PERMPT
Check A�T7aat A. 1
[�esidential ❑Commercial(Approval Required)
�New ❑Additional ❑�tepairs �epIace
Job Site/Owmer�afozmatiom:
Site Add.ress: Z.�SS C.PLSKO �1�1T F.�F�� � ����MN �J"r.5�g��
Orxmer:MlGk�tAEL�,SNAF.,Ot�1�� Malling Address: �'�55 CASKl�'PCS►�'RD
Czry: OROI�lp ,Mt�.l zip: 5�'39i
�Tome phone: {,°,�2,�2q2��Q�� Alterna,te Phone: ��A
Contrdctor 7nfOrm3tiou:
Contractor: S Contact Person� SNRR �1��AD
Addr�ss: ��2�►S�RF�I QAK RD Sta,te Sond#: ��6�0�I O^
City: H(1P�h1 N� Zip:�3y3 E�piration Date: �q-l l��l(D.,
FP�x� ��s2�
Phone: (�L.��933-l$�o� �P�e��_ 9�3�l$(n�
❑ Insurance—Ctiu-rent:
1
, .
Sep, '� 1, 20'S 3 ; 37PM No, 4698 P, 3/4
:��'rl�][I✓ti���:� r�' t�.V'��, '�,.L l��',�• "', '�i�M�������^ti���P r"��i�d k\,'.,.h i�� � '�`� � �)
,�4>w."��',�, h �j;
Note:All Creothermal S�stems�,+ill now requirc a 'te 1 & ��w�by our�uz�divag O��cza�.
YS xHYS G�dT��'VXA�.? []Yes �o
HEATING SYS'Y'�MS
Qllantity:
Make:
Model:
Fuel:
Flue Size:
Input B'CCJs:
Output BTUs: _
C�'M:
COO�.�YG SY'STEMS
Q�h�':
Make:
Model:
Tons:
H.Powei
FIREPLACES
❑ Gas Factory FuepIace $tand Name:
❑ Wood Sumu�g Fireplace
❑ �Wood Sto�ve Model No-:
❑ Wood Stove�x�ith FIuc/Masanry
VENTILATION
❑ No_ Kttcl�en Exk�aust duct reeirculating cfrn
0 No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans� Locations cfm
�'CT�L STORAGE (Must be approved by FSre Marsfiall f p�oposing to abaralon tank in place.)
❑ ID.staUatiov� ❑ Rc,moval
Fuel Oi1= gzllo�l5 � Underground ❑Inside ❑Outside
LP Gas: gallons
Othcr:
��,S�.XN�ONT�'Y
❑ Outdoor GI1x1 � Other/List What&Whexe: �(�,rjT�{�G �«�,�
2
Dt�'CW oR 1�: ��c,�"� �. ��P� �, �- ��PL
Sa��. 11. 2015 3; 31PM No, 4698 P, 4/4
, �?`,r pEZtLVIL'���E,CALCi}�.,A;�",lo� 5 , " �� ,, � "
,.���� r �.�
. , �a W _, � �_ �' ' ;�s+ ' ",�.r;;
,, .BASE.D t�.EF:';2(��2'=S`�'A7'�.�T�� r ' , � ��
`� ,-� �;>
❑ Ycs,this seciton appl�es
The zcplacement o�'a esidcnti e or a 1� ce that mcets all three of the followi,xig requircments:
1. 17oes not require modificati.on to eIec�ica�oz gas service.
Z. Has s total co of�500.00 or less;exclu " the eost of the fixtvre or appliance_and
3. Is improvc�,�izlstalled or replaced b�the bomeoWner or licensed eonh-actor.
Sldp neact section,it'this applies; Cost of�emut $�S,pp
State Surchatge $ 1.04
Mail-Tn Fee(If,Applicable) $Z.00
xotul Permit�ee �
pER����c�r,.,�:aT�r��s =:ro�s Ov�t:��oo:� ;.,= ir; „ N , , ,,
Tf above does not apply:follow gtude]i1[ies below:
1. CdNTRAC7f pRICE *zs 1.25%of co�n;traet price witb�a(Mi.nimum�ee of$50.Op)
� ���� �� x.0125� ��•�
(oonvacc PT+��') (m�aima►n SSo.00)
2. SxATE SURC�ARGE � �,G n,.� '�
`��� x.0005 $ Q.� '�j
(contiad pricc)
3. POSTAG�&HANDLZNG(Only o�Mail-In Applzcations) $ 2.
4. TOT�iT.,PERM�T 1�EE(Add Lines 1-3 Above) $ �Q•��
• * CONTRACI'PRTCE or JOB COST mea�s the actual or estimated dollaz amount charged for the
p�t7rtitted work including materials,Iabor,profit,and other fzxed costs. It is the amount to be charged
to the customer for the work done. Tf any zz�aterial,�quipment,labor or installations are furnished by
the owncr,tenant or any other pazty,the reasoztable market value of such items must be added to the
estimated cost or contract price for per�nit fee purposes. In the event that there is a dispute on t}ze
amount of the job cost,th�City r�iay raquest the submission of a signed copy of the actual eontract.
.y;>: , .;:�.�,.��I•`�C.:����.(',��`�'' `'z��x"'���,4�..;�!����'�°i'?„ ���, >�� �.
",�
T�e undersi�ed hereb�applies to the City for issuance of a.Meehauxcal Fermit, agrees to do all
work in sh-ict accorda.nee with the ardanances af tb,e City ar�d the r baulatioz�s of rhe State of
Minnesot� az�d cereifies that aII stateznents made on this application are complete, hue and
correct.
Applicant's Siguatur C� T�ate: Q �� S'
3
/
,
,
DATE T�ME
CITY OF ORONO CALLED IN �,�
INSPECTION NOTICF,. SCHEDULED
PERMIT NO. �4�5 ����� COMPLETED /'o��/�
ADDRESS � 7�� Cas�a � - ��.
OWNER TELEPHONE NO.
CONTRACTOR �/'��« 4L- Sy �.�5
� DESCRIPTION ����o�K'
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING s�ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMIII�cNTS:
W ���,µ,�42�"C �+
a /�� J�'r*Q9�cs �Y r��(ri.T T�C�' �, � ,
0 ��7�5 �i ' /Ei Q /� Q`%���/S'
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� ❑WORK SATISFACTORY:PROCEED L �iOJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site:
Inspector:R
Whi opyAnspector's File Canary CopylSite Notice
�� /�,V �� DATE TIME �
CIT�oF ORONO CALLED IN
INSPECTION N TICE SCHEDULED --���lP
PERMIT NO. '�l`�l S-C�I��OMPLEfED
ADDRESS ���5 C--G���B `� /�/
OWNER TELEPH E NO.
CONTRACTOR -
� DESCRIPTION �'te'� w����1C1_-J
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC IN T LL
2 OWNERICONTRACTOR TO MEET YOU:_YES�
c�.� COMMENTS: lll�'� - -1-$'�S{�eCi- � C lOS-��
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W� ❑WORKSATISFACTORY:PROCEED r�RaOJECT COMPLEfE
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 REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site: �Q ��
Inspector. �/�--- ,7�F—
White Copyllnspector's File Canary CopylSite Notice