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Home My WebLink About2014-01000 (Mechanical) � CITY OF ORONO { 2750 KELLEY PARKWAY * 2 B 1 4 - 0 1 0 0 0 * DATE ISSUED: 09/04/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1404 BALDUR PARK RD PIIV : 08-117-23-34-0018 LEGAL DESC : BALDUR PARK : LOT 014 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 28,500.00 NOTE: 2 COOLING SYSTEMS,DUCTWORK,4 GASLINES TO FIREPLACE,5 BATH FANS, DRYER VF,NT,2 GASLINE TO STOVE, GASLINE TO DRYER,2 GASLINES TO F3E3Q, APPLICANT MECHANICAL 35625 STATE SURCHARGE MECH (VALUATION) 14.25 HEATING&COOLING DESIGN INC TOTAL 370.50 10830 ABLE STREET BLAINE, MN 55449- Payment(s) CHECK 4132 370.50 (612)328-7172 OWNER MILBRATH, BENJAM[N 2909 WEST DAYTON LANE SPOKANE, WA , 99218- AGREEMENT AND SWORN STATEMENT 'I�he 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 separatc permits. All provisions of laws and ordinances governing this type of work sha►I be compied with whether or not specified herein.'Chis 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 app(icant is responsible for assuring ail 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 * 2 0 1 4 - 0 1 0 0 0 * , � ' 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1404 BALDUR PARK RD P[N : 08-117-23-34-0018 LEGAL DESC : BALDUR PARK : LOT 014 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT(ON TYPE : MECHANICAL-MULTIPLE VALUATION : $ 28,500.00 NOTE: 2 COOLING SYSTEMS, DUCTWORK.�3 GASLIN�S TO f�IRI�PLACE,5 BATki 1��1NS,DRYER VP.N"1',2 GASLINE TO S"COVG, GASLINE TO DRYGR,2 GASLINES TO F3BQ, APPLICANT MECHANICAL 356.25 STATE SURCHARGE MECH (VALUATION) 14.25 HEATING& COOI_ING• . 5��PIL-' TOTAL 370.50 18550 COUNTY ROAD 81 payment(s) MAPLE GROVE, MN 55369- (763)428-3677 CHECK 4132 370.50 OWNER MILBRATH, BENJAMIN 2909 WEST DAYTON LANE SPOKANE, WA , 99218- AGRF.EMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfbrmed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "I'his permit is for only the work described and docs 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 whe[her or not specificd herein.This permi[will expire and become null and void if construction auUiorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of),$0 days at any time after work hzs commenced. The applicant is responsible for assuring all required inspections are reqt�stedil�.conformauce with the State Building Code.This permit may be re.doked at an'x time fdr due cause. 7' i ! _'' �/'� (/ � �� (/� /r i;` r` ;�.. � .i'\ ` � t � i ��1 �;' � ��4� �f I�'- C�'Y� C i i ; Applica�nt Per ' e Signature ate �- Issued By Signature Date i �� FOR CITY USE ONLY �� City of Orono P.O.Box 66 Date Received: Permit# � , 2750 Kcllcy Parkway � Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 � a , ;, f.. ,, f` � ��h£5H�`��'`' CITY OF ORONO—MECHANICAL PERMIT � (All Commercial permits must be approved by the Building OCficial 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 1S POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-debumidification,and air conditioning installation including 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 Unif�rm 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 A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 1 � �``�" �G�I G�f v ✓ E��'1 v1C. l�� Owner:��h,�;r�� L CL^r Mailing Address: i:�,�,��,'��.,.� City: Zip: Home Phone: Alternate Phone: Contractor Information: � , Contractor: ��'t�� -�.i•� '�r�i '�Ul�,-. Contact Person: � � �- ) Address: i U4�� GIkU ✓1— State Bond#: M�l��1�' � P>>��ti��,r. ��c, City: Zip: `�� Expiration Date: Phone: 'I�J�"L�� 1� ��'�`� Alternate Phone: ❑ Insurance—Current: 1 � r ; 1��[�+1`�C�1.��`�'T'�A��ING INSTALLED Note: All Gcothermal Systems will now require a Site Plan&Review by our Building Official. �1 V `'�' �`' IS TH1S GEOTHERMAL? ❑ Yes [�„No ��J�"��`'`� HEATING SYSTEMS � L� I� Quantity: ��v`� Make: �v r��`� � , Model: �� -��'�,�Fuel: �„ 5 �� U�� Flue Size: Input BTUs: �- �,Mcti ��r-�- Output BTUs: � ��1�� wt:�!� CFM: COOLING SYSTEMS � l`M`j�'1�1J�1 (r��( Quantity: Z � Z ''��N�/' � Make: (�� ,f-�-p��., Model: � �0'i V,y1T� �'G Tons: d�� H. Power � �U`' �i�!� ��: FIREPLACES �y�`��' ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTiLATION �] No. .� Kitchen Exhaust duct recirculating cfm � No. S Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsha[l if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fue]Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY �'] L Outdoor Grill �. Other/List What&Where�C;(?-� `,,,,�,. '}v S�V'�'� � 2 I��o-� ��^ � �1��•- `t C�U-, `�v�n i-J -fiy.�.��j�tv� �`'��/ 1 ,� , �� PERMIT FEE CALCULATION{S) � BASED(JFF -2002 STATE STATUE ' ❑ Yes,this section applies The replacement of a Residential 6xture or appliance that meets all three of the following requirements: 1. Does not require 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 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 $ � PERMTT��E C:�LCL7LATIt71V(S)-JOBS aVER$SOQ.€?4 If above does not apply;follow guidelines below: 1. CONTItACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) '`�i�� x.0125$ (contractprice) (minimum$50.00) 2. S'�ATE SURCHARGF. x.0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 parry, the reasonable market value of such items must be added to tkie esCiinated 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. MECHANICAL PERMIT APPT,,ICATI(7N A+�REEMENT ` The undersigned hereby applies to e City for issuance of a Mechanical Permit, agrees to do all work in strict accorda yvith t e or�inances of the City and the regulations of the State of Minnesota, and cert' ies tha al state� ents made on this application are complete, true and correct. Applicant's Signat re: Date: � � 3 �-�l ./L��' DATE TIME � CITY OF ORONO CALLED IN _�_ INSPECTION TIC '� SCHEDULED PERMIT NO. ��-��'"C /� COMPLETED ADDRESS � �� t /-�G"-c t.! � �i� �� nl OWNER TELEPHONE NO. ��Z-Z�� '�7y� CONTRACTOR a-� � '� � DESCRIPTION�-'��'l-' C� �/h c?J ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECH ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL � ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:� YES_NO v�i COMMENTS: � n a /''rd v�.� � C�Gs /.ZG !'�o�ta- t j o v�t e� ��K.L � � ° Cavt��,��r wt�c7� /je � s.�'� � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �SEECTION REQUIRED.CALL TO ARRANGE ACCESS. ✓ Call for the next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. �G �-- �` White Copyflnspector's File Canary CopylSite Notiee � `� � DA TIME " CITY OF ORONO CALLED IN �C7— � INSPECTION NOTIC SCHEDULED - PERMIT NO. O� co ED ADDRESS OWNER EPHONE NO. ��` 3��7 CONTRACTO �' � DESCRIPTION ��C��( � � ❑ FOOTtNG O PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL t�MECHANICAL I ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGHESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �ti - �'lao- �� .- a� -� �3-� �'lf_ j ,�' ' O � � . � r.- � C$� — l ��t 0 G O � W � Q � 2 W � W � � J d W� �S'M40RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice � � �_--� DATE TIME � .�ITY f��ORONO CALLED IN g — INSPECTIdN NOTIC D/Oo0 SCHEDULED g- - f�� PERMIT NO. � " �� co PLETED ADDRESS ��"�r ��'�/�� C�l.�- /Cdv� OWNER ELEPHONE NO - � 3� CONTRACTOR �s•� � � DESCRIPTION `��vv - . � W ❑ FO TING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/ ILLING � ❑ URED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z. ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � � ,. () ��R � .�- � � O �� F ° J l � G�,�, W � Q � 2 W � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL REfURN • ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance. 249-4600 OwnerlContractor on site: ' Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice