HomeMy WebLinkAbout2015-00367 - mechanical CITY OF ORONO II I I I 1111 I 1 II I I II I II III IIIA *
IIII
2750 KELLEY PARKWAY DATE ISSUED: 03/31/2015
•
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 625 FERNDALE RD N
PIN : 36-118-23-11-0021
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,876.00
NOTE: HEAT-N-GLO FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.44
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.44
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.44
OWNER
GLAD,CARSON&KAROLIEN
625 FERNDALE RD N
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 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.
Applicant Permitee Signature Date Issued By Signature Date
CITY OF ORONO I*I I 1111i I S IIII 1 11111 II 1311111 I I*
2750 KELLEY PARKWAY DATE ISSUED: 03/31/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS FERNDALE GREEN / 2 5 F:e rnc4 u ed Q v
coydica„ „t--
PIN : 36-118-23-44-0026
LEGAL DESC : FAIRWAY HILLS ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,876.00
NOTE: HEAT-N-GLO FIREPLACE
Or` lam"
APPLICANT ECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.44
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 53.44
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.44
OWNER
LAPERRE,TIMOTHY&NANCY
65 FERNDALE GREEN
WAYZATA,MN 55391
AGREEMENT AND SWO' STATEMENT
The work for which this permit is issued sh. be performed according to
the approved plans and specifications,app'cable City approvals,and the
State Building Code. This permit is for o y the work described and does
not grant permission for additional or re :ted work which requires separate
permits. All provisions of laws and or. nances governing this type of work
shall be compied with whether or not .ecified herein.This permit will
expire and become null and void if co struction 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.
j2_yu_x_"t_ �.� / 3 / i /.5
Applicant Permitee Signature Date Iss d By Signature Date
03-30-'15 16:58 FROM- 1-667 P0004/0007 F-825
l WA r ` T 7311*;.
c VSt;,OIYTLY
A} City of Orono ,r7 L{M' c40/5'� 3• W
DateRecaitett IY
2750 Kelley Parkway 5
Crystal Bay,MN 55323 Approved By: - Amount$: •
Phone(952)249-4600 Fax(952)249-4616
.rCITY OF ORONO-MECHANICAL PERMIT
(All Commercial permils must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL'INFORMATION _ .
1, You may apply for mechanical permits by mail or in person at 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 NOT
VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including i
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must 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-in and final). Call(952)249-4600.
(24-48 hour notice required)
7- House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
esidential ❑Commercial(Approval Required)
MAC: ■ Addif ! Repairs ❑Replace
'Job Site./Owner Informat' n:
Site Address: A~46r0& Q, (6330k, c )
Owner: , _, , . :0 5Mailing Address:
\c6(\2. ACL
N 1
City: �l 1n1�� 1 /ccA.). 1 Zip: c3L
Home Phone:qc3L 4 -"I`` qq Altern te` (C{one: �5(t51 � � V
Contractor 1tlformation:
HEARTH et HOME 'ECHNOLOGIE . ) , I .-i, (61-112 (b'
23317
Contractoslba FIRESIDE HEARTH & ROME Contact Person;
Lic SC662656
Address: 2200 FAIRVIEW AVENUE N State Bond#:
R , 5113
City:
651.633.
City: Expiration Date:
Phone; Alternate Phone:
❑ Insurance-Current:
1
03-30—'15 16:58 FROM— 1-667 P0005/0007 F-825
�4•?�.r�::xlY+.`��i,;_ °�N�> l7��,��''QQ�r �Y%�� ' �i � �1p'y-.�,Tr 7'��[t �^y��rP.� 7-� �,�,�� `�(�,1`� r!' .,h.
� t.1 ��} i !�Ml ',.iY.�l! �\!� !.7., ���-iL"iL`1�,!�4♦`Jk��Yu-��+�{�
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes []No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: _ w
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H_Power
FIREPLACES
Gas Factory Fireplace Brand Name: 'Cr��C r�r6(0
❑ Wood Burning Fireplace
'W •� �
❑
Wood Stove Model No.: �� T(.
(] Wood Stove with Flue/Masonry
VENTILATION
❑ No, Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
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
O Outdoor Grill ❑ Other/List What&Where:
• 2
03-30-'15 16:59 FROM- 1-667 PO006/0007 F-825
ry h:"'wi ,`; 1Y.'b a1/4aI F;°`Gj sttm 14,fit 47
yz :',6'.:11/111:1'‘
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' �+ },1 i 1& ,�I��yy�� t�� 6�((1�r1� !� yt r
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0 Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a Kral cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
P�'iS: n41T4PF4_ r`:. r i S• t Rg F> a t✓
If above docs not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50. 0)
(1.in ► x.0125$
(contract price _.(rt►Irtirnutlf O O)
2. STATE SURCHARGE 'l 1 (`"(C}:4)
U/ x .0005 $ I 1
(contract price)
3. POSTAGE&.HANDLING(Only on Mail-In Applications) $ ( /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3
4
V * 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 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.
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. / I
Applicant's Signature: 17._ 1/41 Date:
3
DATE TIME 1
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2045-' 3b7 COMPLETED I/'7-45—
ADDRESS 4,16- Fee rL Ale R N,
,
OWNER TELEPHONE NO.
CONTRACTOR Are/fora-, "s"1•4"4 fi01 Q..
DESCRIPTION / flgt F' r
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 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
, ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
IC '2 WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. (3 / 1__. 5164/.
White Copyllnspector's File Canary Copy/Site Notice