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HomeMy WebLinkAbout2015-01326 - mechanical CITY OF ORONO * z 0 1 5 — 0 1 3 Z 6 * 2750 KELLEY PARKWAY DATE [SSUED: 10/13/2015 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 CASCO POINT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD.NO.265 : LOT 007 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULT[PLE VALUATION : $ 10,000.00 NOTE: REPLACE 2 HEAT[NG SYSTEMS(TRANE)&2 COOLING SYSTEMS(TRANE) APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH(VALUAT[ON) 5.00 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS, MN 55343 TOTAL 132.00 (952)933-1868 Payment(s) CREDIT CARD 3543 132.00 OWNER BASKF[ELD, MICHEAL& SHARON 2755 CASCO PT RD WAYZATA, MN 55391- 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 permi[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 goveming 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[he State Building Code.This permit may be revoked at any time for due cause. /�p_� Y c / , �c� ��--`� � l 0 � 13 � i S Applicant Permitee Signature ate Issued By Signature Date 9529331869 15 33 42 10-13-2015 2/�1 _ �OR C[TY OSE ONLY ,�O�� City of Orono 7 �� �O P.O.IIo�66 Date Received: ��emiit# 2�4 • � 3`� / 2750 Kellcy Pa�:�vay � G�O l Crys(a l IIay,t v f N 5 5 3 23 Approve d Byi �Ainoun t y: � � � �� � Phone(952)249-4600 Pax(95?)2=19-�616 si � �� , `�� �� CdTY OF ORONO—1VIECHANICAL�'ERI�IIT �"FS1�10\l \'��-- (A!I Commercial permits mus�hc approvcd by dx;Building 0lficial or[nspcctor ancVor Firc b1ai51�a11) GENERAI.INFORMATION 1. You may apply for mechanical permits by mail or in person at tha City offices. Applications�vil[ be reviewed and a permit will be issued tvitl�in two working days. 2. Permit cards will be sent by retum mail after a review is completed. P�RMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERIvIIT. WORK MUST 1VOT 13GGTN DN'I'IL THT P�RI�IIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Com�lete calculations,details and specifications are rec�uired for each heatin�,ventilation,humidiftcation-dehumidification,and air conditioning installation including heat foss/�ieat gain calculation,design temperntures,equipment ratings a��d identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodelin�is involved,a separate building permit must be obtained. �. All wor{c must be done in accordancc with the Uniform Mechanical Code/State Buildino Code rec�uirements. 6. All work musc be inspected(rouUh-in and final). Cai(952)249-4640. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) �,D Residential ❑Commerciai(tl.pproval Required) � ❑]�ew ❑Additional ❑R�pairs V Repf�ce Job Site/Owner Infonnation: �� Site Address: v�7 t���v �FC�.��C��: ��C:, �r '�_i_. E��t. � > � ` ' ('-r� k-.� �-c�_ ` ���<<r �-; �� `' ��� �- T'�:���� i._. ,...� � �C`�� � I?C:;;� 11 ��. Own�r: '�� 1`�<'. Ivtailin�Address: ����� CIIy: �,_i\ •�)S\�` Zl�: 4_��_).J�_� � C,C. ,��� �, ��,`, Hon�e Phone: �-�-�'��'-��- '��=�� t Alternate Pl�one; Contractor Info�mation: �� , � r. � , i�, � � � Contractor: I' 1�V:L\ICC��\ 1.,S�C'S��i�Cont'act Person: �-C-t� I ����� L;l.iSI`�i' ��� � Address: ���'�',S-I-�i?� `�������� ��:'..'�C_ �.-���. State Bond#: ���� �� L�C�':"��-���� � �.J ,, Ciry: `�=��C`i��l.� �4,���� Zip���l�,�r�Bxpiration Date: `_.! � j_.j� ���' Phone: �'i�J'��C .J`�,�` �� �.c��7 C� { � AlYernate Phone: ❑ Insurance—Cucrent: L(' ��� � 1 9529331869 15 33:59 10-13-2015 3/4 MI:CH�I:NICAL SYSTEMS SEING INSTALLED � Note: All Geothennal Systems will notiv require a Site Plan&Review by our Building Official. IS THTS GEOTHERMAT.? ❑Yes�i No � HEATING SYST�MS Quantiry: � �— - -- f —Y ^ _,,t-- Make: � I V (.:i� �<�, 1 4��,L.f 1��. —� Model: 1 lA l-i L..�'jl.,�,!..�r}{;��i,:..JL.I� �I L� {`i�7�')�i(t�;��i��`�,�:1 l,'�� _ L--� c_ 1=ueL C.;Cl---- ('� � F'lue Size: �� !`�-` ��,ly ��� � IC lil-lii �L. In�utBTUs �' �i`, ��U, C.?�'°{�E � �� � ,U C_,. W - -- — __�._� O«t�utBTUs: �,(�` , C! C,e�� (f-�(%, ��U�.i __�_. ,, cFA�: �'�C�.. 4� ���.�� __ _ l�l.�.;� ('1��::;�.'' -- COOLlNG SYST�MS QuantitY� � � _ �__ ,--- �, �` Make: � � l.�,�r��, � }' (,i,ti' l�`_. -----_--__ . ;. -. � -. ; Model: '--��I� �( �Q�%��,� �`j" ��;��,_�..,�._%��� � � .�--f � �0�� �.�;�t�. `,(��(�1f[.. � �1 � Tons: ,,.�F Z - � � �- — I-I. Power FIREPLACGS ❑ Gas Factory Fireplace Srand Name: _� _ ❑ Wood$urnin�Fireplace ❑ ��ood Stove Model No.: ❑ Wood Stove�vith Flue/Masonry V�1V'I'CX,A'fION ❑ No. Kitchen Erhaust duct _recirculatin� cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Otl�er I'ans: Locations cfm R[l�L S"f012A(y� (ILfrest be approve[I U��Fire Marshall if proposing to abu�rdon tunk ia place.) ❑ (nstallatio❑ ❑ Removat Tue(Oil: ;allons ❑ Underground ❑Inside ❑Outside LP Gas: �allons Other: GAS LIN�ONLY ❑ Outdoor Grill ❑ Other/List What&Where: _ _ � 9529331869 15 34 12 10 13 2015 4!4 P�RMIT�'EE CALCULATION(S) BASED OFF-<2002 STATE STATUE ❑ Yes,this section applies The repfacemeot of a Residentiai fixiure or apoliance that mee(s all three oPFhe following requirements: 1. Does not requir�modification to electrical or gas service. 2. Has a total cost of�500.00 or less,excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeo�vner or ticensed contractor. Skip nexI section;if this applies; Cost of Permit $ 15.00 State Surcharbe $ �.00 Mail-Tn Fee(If Applicable) $ 2.00 '1'otal Permit I'ec .Fi �� � PERMIT FEE CAI,CULATION(S�—JOBS OVER$SU0:00 If above does not apply;folio�v buidelines below: 1. CON`�'RACT PRICE *is 1.25%of contract price with a(i�linimu�tx I�ee of�50.00) `�'��1,'��;�+1',, ��'�- x .0125� � �1_,�'�� �-�-�.; ----�'----__.._......__. (contract price) (minimum$$0.00) 2. STA'1'E SDRCHARGE ;_:�� �,��, I���C%�_�;. C�,���. x.0005 � (COntr,fCt pfiCC) 3. POSTAGE&HANDLiNG(Only orc Mail-Cn Applications) $ 2_00 =t. TQTAL P�R1�11T r�E(Add Lines 1-3 Above) $ ���7'"' -�._.%�'' ° * CON�I�R.ACT PRICE or JOI3 COST me2ns the actual or estimated dollar amount charged for the permitted�vork including materials,labor,proTit,and other fixul costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumislied by the owner, tenant or any other party,tl�e reasonable market value of such items must be added to the estimatecl cost or contract price for permit fee purposes. In d�e event that there is a dispute on tlie amount of the job cost, the City may requesi the submission of a signed copy of the aetual contract. MECHANICAL PERMITAPPLICATION AGREEMENT "I'he undersi�ned hereby applies to the City for issuance oY a Meclianical Permit, agrees to do all work in strict accordaf�ce ��rith the ordinances of the City <uid the regulations of die State of Minnesota, and ceF•tifies that all statements made on this application ai�e complete, true and p con•ect. � / —� '� � A •. i `� � ' 1 ( J Applicant's Signature: /('�'-;z��1�f,Ct�'�_ ������`� -�1,��� Date: � � ` ( ��- ��� J " / � G` 3 ,�� �� � c �--- DATE TIME CITY OF ORONO CALLED IN `' � INSPECTION N TICE SCHEDULED �I� PERMiT NO. -3�6 co PLETED ADDRESS a�.SS GD �� �C� OWNER T PHONE NO.`��� 3 � CONTRACTOR. rQ �` C ��'Y� � DESCRIPTION ��-`K� ly ❑ 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 �=A4�CHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO � COMMENTS: 07 Fit✓vl�r!e /'e/p/���.,r�c�.ct� _ a � �jcr�✓�cr.25 SES /�r<�S � � �� J O _ o� L•L- /'r�o.Pt G- �f N �,r�s'� /KS 5�r�/.�r ° d ro��rn s � bc..f�i ,� W � Q 2 l,,/o l6c �j rvt�/,�P — W � � ,�B�va.� �',��1�� j � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE w ❑CORRECT VYORK 8 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 REW IRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: `--�1� �--' � White Copyllnspector's File Canary CopylSite Notice �� �-�D / CITY OF ORONO CALLED IN _�ATE TIM�/, INSPECTION NOTI E SCHEDULED j�� �� PERMIT NO. o� s-D/3�coM LETED ADDRESS � 7J�S C-d �f d OWNER TELEPHONE NO.��� ���/��5�� CONTRACTOR �� S �LLS � DESCRIPTION � ��� ��-�`�l. ly ❑ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � e � a G.�� ,f/.�� Q•� ��S� ��l�K� � . � - ° � _ .L ' � - . ��t� ! evc� � o �' 4r�j - � '' 1'c�c�6c r�bc,r.ys - Q � z � ��� wa.« �o�ol.�.� - � ,�Jed v+z•i� .�;K.��P ', W ❑WORK SATISFACTORY:PROCEED J CT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. Wh e Copyllnspector's File Canary CopylSfte Notice C �� -�-""" �(� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT�CE SCHEDULED � PERMIT NO. G C��Syb/3Zl,�OMPLETED ADDRESS `� � � � C' � `'.C� /'7` �r� �/�- z z� -�z�3Z OWNER TELEPHONE O. - CONTRACTOR �a- C� � �' � DESCRIPTION /�� C�-lG1 /��- lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O �. � O /19y,/ ,o� W � Q � 2 W � W � J W�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. � 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice