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Home My WebLink About2013-00676 - mechanical CITY OF ORONO * 2 0 1 3 - 0 PJ 6 7 6 * " 2750 KELLEY PARKWAY UATE ISSUED: 07/18/2013 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 265 BROWN RD S PIN ; 03-117-23-24-0009 LEGAL DESC : BYFIELD : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 8,650.00 NOTE: 1 FURNACf�: 1 2 TON AC DUCT WORK DRYF;R VGN"I' GAS LINL?"1�0 PURNACf�: APPLICANT MECHANICAL 108.13 HEATING & COOLING DESIGN INC STATE SURCHARGE MECH(VALUATION) 433 ]0830 ABLE STREET BLAINE, MN 55449- TOTAL 112.46 (612)328-7172 OWNER LLC, RESTORE TO FORM 565 MONTCALM PLACE ST PAUL, MN 551 16- AGREEMENT AND SWORN STATEMENT Che worh for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and Ihe State E3uilding Code. "l�his 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 commcnced within 1 d�ys of the date of issuance,or if construction is suspended for a peri d of 180 days a[any time after work has commenced. The appli • �s res onsible Ybr assuring all required inspections are reque� d in con� r ance hvith the State Building Code.This permit may be revo ed at any tim for e cause. 7/ /� 113 / l App � ermi 'e Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . Y a FOR CITY USE ONLY • �-r"Q~�:� City of Orono �i � � �ti P.O.Box 66 Date Received: Permit# �f�' �`� 2750 Kelle Parkway � �; Y ('�., �'� ��, . �{'�r Crystal Bay,MN 55323 Approved By: Amount$: �i�ti�+��;��%�/ Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commeroial permits 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 RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,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 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 A 1 ) �� Residential ❑ Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs ❑Replace Job Site/Owner Information: � Site Address: ��'� � bi�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � 1� '' � � �:��'�� Contact Person: � �G� �� Address: 0 ��-� '' State Bond#: �f"� City: �g��i� Zip:� Expiration Date: Phone: �GI L L`1 G-(;>"1`-F`/ Alternate Phone: ❑ Insurance—Current: 1 MECHANiCAL SYSTEMS BEiNG INSTALLED Note: All Geothennal Systems will now require a Site Plan& Review� by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: �-1.�v1 k� \ Make: ��r Model: Fuel: Flue Size: Input BTUs: � �U�`� Output BTUs: CFM: COOLING SYSTEMS •+- C.'l.�'f u'�Y� Quantity: � 1 �- � t d�vyx�-- �� .} Gl 4� �'l�'�' Make: ��'��— .� „(,��,�''-.c- C` Model: Tons: � H.Power FIREPLACES ❑ 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. 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 ❑ Outdoor Grill ❑ Other/List What&Where: . 2 , �. . � PERM�T Ff�:�`CALCULf1TION(S) � � � BASED OFF - 2�02 STATE STATUE � � ❑ Yes,this section applies The replacement of a Residential fixture 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;excludine 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 $ FE: �:" `' ; C�1�A'�`�+�l�l' S -:��5 OVER$500,{1�., „R If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �J �5�1 � �c x.0125 $ (contract price) (minimum�50.00) 2. STATE SURCHARGE 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 for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other pariy, 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. 1�IECHAMCAL PERMIT APPLICAT��:��`'r�,EEMENT 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. Applicant's Signatur : Date: � ' � � � � _._.w:/ Reset Form 3 / �� C �� DATE TIME W CITY OF ORONO CALLED IN ��' �3 f 3 INSPECTION �OTICE `SCHEDULED �� — � � �i�r�-ia1 PERMIT NO. - �� 3~ ��7F COMPLETED �-- —�r 1�"� `_�j / /`�'! ,� �— ADDRESS ��'��::�'J OWNER TELEPHONE NO. �'��-��/�„I CONTRACTOR "�7CZ�7/7/7��1/��_ ' .J � DESCRIPTION ��C�,�f/�'7� I�� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPT FINAL � FOUNDATION/REMOVAL 2 OWNER/CONTFiACTOR TO MEET YOU• YES_NO c�.� COMMENTS: � W � � J O �. � O � W � Q � 2 W � W 2 � J � �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE w O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. -'�,,4,,,, ��7',O White Copyllnspector's File Canary CopylSite Notice � '� `�— " -DAT�,�- TIME�� CITY OF ORONO CALLED IN -z�=1-�L INSPECTION I�,O��F _�}��CHEDULED —� �� PERMIT NO.�� J ��v PLEfED ADDRESS ��J —S OWNER T EPHON�NO�-� Sg 7 CONTRACTOR � � � DESCRIPTION L-�J 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � ��ONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O � � " O � W 2 Q � 2 W � W 2 � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑COHRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g -249-46�� OwnerlContractor on site: Inspector. _ White Copyllnspector's Ffle Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO��r��-- �'��E COMPLETED _J—�-/5 ADDRESS �E�.S' ��:..v,1 .��,� S. OWNER TELEPHONE NO. CONTRACTOR ��xz�� %'�.>`�� ; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON S�P,B ❑ WATER HOOK-UP ❑ PROGRESS ��IAL ❑ SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ✓�\'FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL lJ HARO'eOVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /� .� a /'C�rvr� � ��,/��- �s �� l��p /l ,i � � �i'.�%J �,rl s/��z'�io:.t � 0 � W � � Q z b a n e �n� w ' ��5 P c�� dro�s cr��; �� i-! � '�# ,��c.��lP � �/�tt I /�S.o ecr4�--� - � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ✓�l�ISPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advan . (952� 249-4600 OwnerlCo ctor on site: Inspecto ` White Copyllnspector's Ffle Canary CopylSite Notice