HomeMy WebLinkAbout2013-00248 - mechanical ' CITY OF ORONO * 2 0 1 3 - P1 0 2 4 8 *
2750 KELLEY PARKWAY DATE [SSUED: 04/16/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3460 BIRCH LA
PIN : 08-117-23-43-0027
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 019 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,500.00
NOTE: (1)PEERLESS PUREFIRE MODULATING BOILER
MOVE DRYER VENT
MOVE COMBINATION AIR
ADD 180 SQ. FT IN FLOOR AND RELOCATE 1 A/C HEAD
APPLICANT MECHANICAL 106.25
METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 425
16980 WELCOME AVE SE
PRIOR LAKE, MN 55372 TOTAL 110.50
(952)447-8124
OWNER
LISLE, STEVE&ANGELA
3460 BIRCH LA
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 Ihe
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 afrer 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 a[any[ime for due cause.
r a��'�;Y.�J '����:,r �� l I� l IS /���
Applicant Permitee Signature Date
Issu y Signa re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
- OR CfI'1'USE ONI,Y
�__,_,_
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% ����� P.O.Box 66 � ��-��— Pennit ll
�i'Q �� DateReceiv �
� 50 Kelley Pail.��a�.�
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l�'� 1l, r� Crystal E3ay,Mlv 55 '_ n r
6 � µ ��� PP oved liy: Amounl$: j1Q.
��t' `,1�"��.V�y�/' Phonc(952)24946(10 I'ax(952)�49-4G1G — —
`�<'Ot�xoe,�
CITY OF OR(;NO–MECHANICAL PCItMIT
(AII Coinmercial permits musl be,�G�nroved by lhe I3uilding Official or Inspec[or and/or I�ire Marshall)
GENERAI., 1NliC�{tPv1A"f'ION — —�
I. You may apply for mechanical permits by mail or in person at the City otficcs. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by returi�mail after a review is completed. PFRMIT'S nKl3 NO"I'
VALID UNTIL YOU (LECEIVE A PERMIT. WORK MUST NO'I'13ECIN UN'TIL'1'I�IG
YEItMI'1'CAltl) IS POS'CED ON THE J013 S['I'G
3. Mechanical Desi�ns—Complete calculations,details and spcci(icalions are required ior each
heating,ventilalion,humiditication-dehumidification,and air conditioning installation including
heat loss/heat gain calcu[ation,design temperatures,equipment ratings and identification as to
typc, maniaf�tcl«j•er a�ad rnodel. L�ata 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 rnusl be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All �vork must be inspected(rough-in and�final). Call (952)249-4600.
(24-48 hour notice required)
7. House I-leating Test Record must be submitted before linal.
� �t�v��r or �>�RMIT
Check All That Apply)
� Residenlial ❑ Cotnmercial (Approval Required)
❑ New �Additional ❑ Repairs �Replace
Job Site/Owner Information:
s�t� nd�t►��:ss: .3�`�`vtJ �j , � ��, ��n e.
Owncr: �1 S� " – Mailing Addiess: ��'1�� ��� � �,��-c�,� �
c��y: �,� ��rC - _ zi�: S � `� ���ll
Home ['hone: niternale Phone: � � �` S S 4'��S�`'
Contractoi� Inforn�at.�on;_ _�
Cont�•actor:ME AIR INC. � Contact Person: � t'`} �-,/ � � �� -�,� �
16g8�We!come Ave. S. -
Address:prior Lake, MN 55372, State I3ond#: � y S��i 3�
City: Lip: �xpiration Date: � � , � - ,�
METR0-A11�-1NC�
Phone: 952-447-8124 Alternate Ph��nc: �'� �` �}�� _�� ��
�ax: 952-4��-8't�8---
❑ Insurance–('�.irrent:
I
_._' `;�'4�ANICAL SYSTCMS BE(NG INSTALLED
Note: All Geothermal Svstcros will nc;w require a Sile Nlan � Review by ow•13uilding Official.
IS THIS(:EOTHF,RMAL? ❑ Yes �No
i�Ea�riNc sYs�r�Ms
Quantily: �
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Make: P u �r \ SS \hY'��',r�
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0
Ivtode�: �� ` \\rJ �ve�4�`���_7�4�� t�
Q �
I�ucl: 1� .�a ti�'. � �\�� S
I�lue Size:
Input f3"I'Us:
OutpuL B"i�Us:
CI'NI:
COOLING SYSTLMS � � � � �����`f���1�� ����� �U•`'''1�• �� .--
C�1i� l� ��� 5(��� • 1� `1^��r �,_. � �\�l..���'t. � i''� .��l �
Quanlity: �'
Make:
Model:
"fons: ,
[-1. Power
I�1Rl;PLACGS
❑ Gas Faclory Fire�lace f3rand N1me:
❑ W�cd�13urning['ireplace
� W�,_;? : , 7r�:. Modcl No.:
❑ Wooc�Stove wi�q� Flue/Masonry
V ENTILATION
❑ No. Kitchen Exhausl_ ducC recirculating cfin
❑ Na _ Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations _ _ clin
1�UL+'L STORACE (�L'r�s1 be�ips�roned fiy Fire Mnrsl�n[l i/�/�roposing to«bnndon lnnk iii plrree.)
❑ Inslallation ❑ Removal
t�ucl Oil: ___ ___ �allons ❑ Underground ❑ Inside ❑ Outside
I_,PGas ______—�allu�is
Olher:
CAS LINI?ONLY
❑ Outdoqr C;rill ❑ Other/List What& Where:
2
PERM(T �EE CALCULATION(S) �
_________ BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential f ixture or appliance that meets all three ofthe fiollowing requiren�enls:
I. Does not rec�uire modification to electrical or gas service.
2. Has a tol�_al_�ost of'$500.00 e-�less;excludine the cost of the fixture or appliance: <u�d
3. Is imp���.�,����,i, on�;lalfed or repfaced by the homeowner or licensed contractor.
Skip next section, if this ap�lies; Cost of Pennit $ �S.pp
State Surcharge $ 5,pp
Mail-In ['ee(If Applicable) $ 2.00
Total Permit Fee $
PERM[T FEE CALCULATfON(S) —JOE3S OVER $500 00
IPabove does not app{y; follow guidelines bclow:
l. CONTRACT YRICL * is I.25�%of contract price witi�a(Minimum I�ee of$50.00)
( � �� \ �j �S
X � V � � .0125 $ � U � �
(contract price) (minimum$511.1111)
�. s7�A�r�sukcE�.AKcr, � � O � �i — `I a�
X.000s �_ _--------
(contract price)
3. POS�'A:;;:.?: �i'���i�[,ING(Only on Mail-In Applications) $ 2.00
� � � ��
4. TO"1'Al, PI�;RMIT ['EE(Add Lines 1-3 Above) $
■ * CONTRACT PRIC�; or JOB COST means the actual or estimated dollar amo�ml cha�ged for ihe
��ermi(ted work including malerials, labor, protit, and other tixed costs. I1 is the amount to be charged
to the customer fi�r the work done. If any material, equipmcnt, labor or installations are furnislled by
lhe owner, tenant c�E� ai:y other party, Uie reasonable market value of such items must be added to the
estimaled cost i,�� contract price for p�nnil fee purposes. ln the event that there is a disputc on the
amounl of the job cosC, the City may rcquest the submission of a signed cupy of the actual contract.
MECHANICAL PCRM(T APPLICATION AGREENtENT
'I,he undersigned hereby applies to the City 1or issuance of a Mechanical Permit, agrces t�� do all
work in strict acc����i:�,�:��� with the or���linances of the City and the regulations of the State oi�
Minnesota, and cei�tii���s �i�a' all statements made on this application are complelc, U�ue and
co rrect.
�
f1� IicanL's Si nalure: _ � �` � �_�
I P � � Datc: �
Reset Forr�c
3
�1.� � // TE TIME ✓
CITY OF ORONO CALLED IN `7 �� ��
INSPECTION NOTICE � �p- SCHEDULED S��S/3 �
PERMIT NO.��3�a-`E-b COMPLE�ED '� �
ADDRESS �-)� �I Y�L�
OWNER TF�,LEPHONC�
CONTRACTOR �� ,
,
�; DESCRIPTION � ��-�U�I�/�c� v �l`S�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CAIL FOR REINSPECTION ?EMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra r on si :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice