HomeMy WebLinkAbout2014-00874 - mechanical , �
CITY OF ORONO * Z 0 1 4 - 0 0 8 7 4 *
2750 KELLEY PARKWAY �ATE �SSUED: 08/12/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3535 CHRISTINE DR
PIN : OS-117-23-12-0019
LEGAL DESC : BETZ ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE -GAS
VALUATION : $ 3,560.00
NOTE: 1 fl-;A"I'-N-GI,O GAS FIREPL,ACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.78
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVB
ROSEV[LLE, MN 551 l3 TOTAL 53.78
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.78
OWNER
NELSON, ER[C
3535 CHRISTINE DR
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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. l�ll 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.
I'he applicant is responsible for assuring all required inspections are
requested in conformance with the Statc Building Code."I'his permit may be
revoked at any[ime for due cause.
�� l G-C_ ���i�� 8' i/�- l/`7�
Applicant Pennitee Signa ure D e Issue y Signature Date
0�-11-'14 16:31 FROM- T-840 P0001/0407 F-932
FOR�-Tf X Lf�E p�L]^ � �
City of Orono � �� , � , � ' ,i `
�a�Q : � � �: .
P,O.Box 66 F}5t�l�cslytd ` �'�[�1tr[� �
275U TCelley Perkway 1�' � ��`'''-- ;� � i
CryS[al Hay,MN SS323 ApprRvcd,�3y �r, AinoUnt'� ':�� '�`.'� �
Phone(952)249-4b00 F�x(952)2k9-4616 ' ' � "'�' +°•' ' �"� ����.
y ,
`�cq �,�.�� CYT'Y' OF ORONO-�MECHA��CAL PERMIT ;
k�5 r�� (All COmmercial paflnil3 01Ust be approved by the$uilding Oflici2l or Inspocio�andlo�g��'e Marshall) '
,.�ENERA�:YN��1��VI�TTON � ` �
1. You ma�apply for mechanical permits by mail or in person at the City o�ces. Applications will �
be reviewcd and a permit wiU be issued within Cwo working Aays. i
2. permit cards will be sent by rcturn mail after a review is completed. PEFM[TS ARE NOT �
'VAC.YD UNTTL YOU RECEtV�A PEIZMTT. VVn�2li MCJST NOT BECIiV TJI�TYL 1�� E
p�YtMCT CARD IS POST$b O1V TH�r��SYTE.
3. Mcchanieal Desi c��s—Complete calculations,dtlails and speeifie:ltion5 are required for each
hzatin�,ventilation,hwnidification-dehumidification,�nd air conditioning installation inclucSing
heat loss/heat gain calculation,design ternperaturas,equipment ratings and identrficatiot►as to
type,manufaCturer and model. l�at3 shall Ue presented on form pro'videci.
4. Whon an�new construction or remodeling is involved,a sepasate building per�nit must be j
obtained.
5. AI1 work must be done in accord�nce with the lJniform Mechanical C�delState Building Cocle �
�'equireanents. �
6. All work mus[be inspzcted(rougi�-in and final). Call(952)249-�b00.
(24-48 hour ttotice required)
7. House T�eatii�g Test�tecard must be submitted before final.
T��o�p����r� ' ' �
, ' ` , ` '
�
� � >�� Che�k All Tt��at.A ����1 " �i`� :� � `
� �
esidential ❑Commcrcial(Approval l�equired) I
❑.New []Additional ❑Repairs ❑Replace {
. . � �
�Tob',�Site;/Owner�:InfQrm���on,. '�`��� ����
;
Site Address: ��� G`� �� � �I �� ��� ��'���3�� '
� 4 d i
owner: I�IUYU C�}� J�+�`1eS �bYIS�, �'V (� i
_ Mailing Address: � ��
;
-�ti��
c�ry: � ����1n z�p: . ,�..���3�'1
Home Phone: ����+��"�1 , �7��� Alternate Phone: �J) - �D��� �+�� �
� f
�
��ontr�ctQr!Irifot'r�t�tiotl :�,
�
ContracCor: Contact Person: I.._.C,c7�� ��!� �1U����� ;
W�K����F� f�k�f��'1�'��CMN�L(�GI�S �
Address: dba��Tp��& HOMf�ta��gpnd#; �
27QD �AI�tVY�WQ1/ENUE N �
City: —��aSE�ILL�, M�fl�l-1� E�cpiration Date: � �
651.633.2561 �
1'hone: Alternate Phone: �
HEARI H & HON1�7ECNfVO�.UGiFS i
dba FIR�SIDE H�AR'�M &NOM� ❑ Xnsurance—Current: ;
i.ic BC6626S6 1 �
2700 FATkVZEW AVENUE N �
ROSEVILI.�, MN� 551�3 'I
��1,F3� 2�5�1. �
,0�-11-'14 16:31 FROM- T-840 P4042/0407 F-932
b�� '� ^��-: sr r' ,F' �1�{ 1!�}� Ar--J�(��o�]�y r. y, �r�h�; G rJ{,��,{,{t� � r .
�,�xo r �� �,�{.I'�i Pl1�T+ F�x�l��d� �r'A�w�s� S�M�f�`�� �` i:,
Nofe:All Cseothennal SysTems will now requirc,3 Site pkan�Review by our�3uilding Official. ¢
TS"rHTS GEOTH�RNIAL,? ❑ Yes ❑I�o
�-T�ATiNG SYST�MS
Quantity: �
Iviakc: y,,,�.�..,,_„_,.. :
Model: — _ „ �
. — - �
Fuel� i
Flue Size: �
� ,
�nput BTUs: , _ y_��_
Oucput�TUs: � _ �_,,
CFM:
COOY,yN�C S`NST�MS
Quantity: _�
Make:
� �
Model: F
�
�
�
To��s: ,,,,,�. `
�
H.Power _�
F1R�pY,A.C�S ,
[� GAS FACtOfy Pireplacc Brand Namc: �f��r � ��' �p '
d Wood Bt�rning Fireplace � -` �
❑ Wood Stvve Model No.: �Vo�i�� �j���, �
❑ Wood Stove with Plue/Masatry
j
'V�NTILATION
❑ No. 1Citchen Exhaust cluct recirculating �Cfm j
❑ No. ^ Bati�Exhatist(must have duct outside) ��cfm i
❑ No. Othcr Fans: T,ocatio►is r„ cfm
�
FUEL STORAG� (Must be appruved by l�re MarshRll rf proposing to atrundon tank in place.) '
❑ fnstallation ❑ Rcmoval
F»el Oil� gallons ❑ Underground �]Tnside ❑Outside
C.1'Gas: ��gaUons
Other:
GAS LINE QNY.�'
❑ Outdoor Grill ❑ Othcr/�,ist�What&Whcrc _
2
, ,Og-11—'14 16:31 FROM— T-840 P0003/0047 F-932
�
6
--�- - z �—'r '_'�'��-}—� �"
,V� Y.y� �y �{'.)� � 'q 'r 61:'S�R���S��p
`{''�°'V���}k"b���, k"''4'L�,�.,k.}c�Z °�k'Nry� �'2, Lf'�'9� .��'4i a}�� � 1'��tk �y���� �
ru��§�7;fi+'�������� �n'af�';��������'(~� j�y� rM ^� ^Y�� � � ����„ A `�f � �'
s n �- i , Fj 1 1 �4�47��..C?� �� �(Y �'� � q
n L',�N ,! �c, 4t > �,,_ � > . f�y �," .� .;,.,r�.�, k{,�,r: ti�, `�.�t� `�
[] Ycs,chis section applics
T'hc replaeement of a Residential fixture or a li� anc�that mects all three of khe following requirements: �
!
]. Does not require�3�odifiea[ion to eiectrical or gas service.'
2. Has a�gta!cost of$500.00 or less;exeludin the cost of tiic fixture or applianee:and ;
3. Is improved,installed or replaced by t��e homeowner or licensed contraetor. a
5kip next section,ifthis applies; Cost of permit $ 15A0 �
State Surcl�az�gc $ SA(1 °
Mail-in Fcc(1f Applicable) $ ?.�� �
1'otal permit Fee $ �
i
�„yy. '` �rM � � ` �.�r�r�'�`'�`� �4".l .R'.✓.67�"",�»�� .n � 5-� �+ A�
h .g��P.,�B�.��?���l ,���4�� c.,�,�, . '4� . ...�_ `/. r�.� .�. '.�,�. A'N�r� i
_ �
�
Tf abovc does not apply;follow guidelines bclo�y:
1, CONTRACT P�C�, * is 1.25%of contract price wifh a(Minimun�Fee of�SU.00)
��tU�� x.0125� �,j �y
contract price) (minimum$50.1}0)
2. STAT�S�YiCYiARGE ,n`1 '��j
����1 V�� a.aoos $ � �
(contr�C[priCe) f
3. POSTAC�E&HANDLING(Only on Mail-In Applicatio�ts) $ �^`�� �
f
4, TOTAL PERM�7'FF:E(Add Lines 1-3 Abovc) $ �1 ` '}"� i
■ * CONTTtACT P�2.CCE or JOB COST means the actual or estimatcd dollar amount charged for the �
permitted work including materials,labor,proCit, and other fixed costs. It is t}te amount to be eharged �
to the customcr{'or the work donc. If any material, equipmenC,labor or installations are furnished by t
4
the owncr,tenant or any othcr party,the reasonablc market value of such itrms must be added to the �
estimqred cost. or contract price for I}ermit fec purposes. Tn the event that there is a dispute on the �
�
amount of the job cost, the City may request the submission of a signcd copy of the actual contraet. �
i
'R.u��nvP.u.Y.,.A)��'S.W�� !Tf ��,,, S�Ju4.t ��t� \M- S���1'��S� . Y � n� S ,FT�1V' '8. ' �? '� � - II� I
The t�ndersignec!hereby applies t� [he City for issuancc of a Mech�nical Pem,it, agrees to do all
work in str�ict accordanee with the ordinanees of the Cit� and the regulations vf the St�te of
Minnesota, and ceitifies that �II statements macie on this applieatior� are complete, irue and
correct.
I �� �% ' ��� /
Applicant's Signature: ���' T _ nate:�I �
3
`��/�`" v (�� / TIME ✓
CITY OF ORONO c,a��LED IN b
INSPECTION NOTI E SCHEDULEO
PERMIT NO. -DOS7� COMPLETED
ADDRESS 3S3 S ���'� t-�e r��
OWNER TELEPHONE NO.
CONTRACTOR ��y���-�
� DESCRIPTION / P �-�
�
� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: � , ,
a I��✓►'��K.� �a✓ 4t f �, ,/�� r KS e�� �.,,
j , ` `
o ��,c5�r,rc ✓Y1�Sb���i oert.S. " l/��t'i.�s ts d�r
>.
� `�.��5
� - ¢S �r?C , 15 S t � � � � I16 ,.- �c
W •t�f'••rc G
� � 12�rnav e a -� � !E �•�.s�.G ,
Q
2 '�ro� Ct r a a,•c� Y�rC t d c0 c ' ��S� �t �i S e
� O d -Ca•� a, tt l -�
+ti / GG
�
j C Ot r c.� � V^K ��- !�c- 4�
GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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. (952) 249-4600
OwnerlContractor on site: �o��
Inspector. ^
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN _�
INSPECTION NOTICE SCHEDULED �
PERMIT NO.���(�G`� 7y COMPLETED /-/o? -/�,
ADDRESS 3�3.�`— �"fir�s��he R��' �
OWNER TELEPHONE NO.
CONTRACTOR ���'CS��-c t��-'��t ,t �o�Q
� DESCRIPTION G kf �'� t v t� � r'�
ly ❑ FOOTING ❑ DEMO-FINAL ���L ❑ 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 �,pQ�CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION V❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ,�`OLLOW-UP
kJ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a 7�. 5 ��s i,.1'� -��5��� 6 � �- a 3- fs
o �— �� s S. �r O K. `� ,,,�T�•�•"t
� - e�[�/5 - G6U G�
O
�
W . �
� _1��r�` ��� ,M,Z i rv�l�0 B ✓1 /�/L! ' �5 GJ/�
Q
z _�.w h��y_ 8�,.�:r -# a��v- �y�y � � c.�,w
� ,
W
�
j
� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLETE
w ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. l"�
White Copyllnspector's File Canary CopylSite Notice