HomeMy WebLinkAbout2013-00241 - mechanical ' " CITY OF ORONO * Z QJ 1 3 — 0 0 2 4 1 *
2750 KELLEY PARKWAY ppTE 1SSUEn: 04/1U2013
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 : $ 3,000.00
NOTE: REMOVE BASEBOARD HEAT AND ADD(2)HYDRONIC TOE KICK HEATER
600 CFM RANGE VENT WITH PASSIVE MAKEUP AIR
GASLINE TO COOKTOP
MOVE(2)A/C HEADS
APPLICANT MECHANICAL 50.00
METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 1.50
16980 WELCOME AVE SE
PRIOR LAKE, MN 55372 MAIL-IN FEE 2.00
(952)447-8124 TOTAL 53.50
OWNER
LISLE, STEVE&ANGELA
3460 B1RCH LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he 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 tbr 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
revo d at any time for due ause.
i / i l i
App icant Permitee Si ture Date ssue y ignature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
Hp��SE ONLI
�� C.Ity'S�{)��c�il0 � U/�� �3 Permit�lko`-��
������� P-Ci_8c,x66 DatefZcccivc —
2750 Kclley Yarkway Amounl$:
���"� �� Approvcd E3y-
ll �1',3 Crystal I3ay,MN 5532.i --�
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��� ''����:�,•,�yo�% Phune(952)249 d600 i�as�9��;�d�l-dGl6
``�tssxo��'
c���v oF o�tol��d�- MrcHaN�ca� PcizMiT RECE►VED
(All Cummercial pennits mnsi he appro'.ed by the[3uilding OfCicial or Inspector and/or I�ire Marshall)
GENERAL INFORMATION _ �PR I � [�jj
I. You may ap��ly i�,r mechanical per:nits by mail or in person at the City officcs. Applicalions�J�fl'N QF QR�N�
be reviewed ao�d a.i pe��::��t will be issued within two working days.
2 Permit cards will be sent by return mail after a review is completed. PERMITS nitl�NO"1'
VAI.ID UN'1'IL YOU RECEIV�A PGRM(T. WORK MUS'1'NO'I' I3EGIN UN"['IL�I'HG
PGRMI'T CARD IS YOSTED ON THE JOF3 SCCE.
3. Mechanical Desi�ns—Coinplete calculations,details and specifi��ations arc rcquircd f<�r each
heating,ventilation,humidifcatio�7-dehumidification,and air conditioning inst�llation including
hea�loss/heat�ain calculation,design temperatures,equipment ratings and identitication��s to
!���c�, �;��;,._�r_��urex and��,ade!_ Data sliall he nresented on form provided.
4. When any new construction or remodeling is involved,a separate buildinb permit must be
obtair.•
5. All work must be done in accordance with the Uniform Mechanicll Code/State F3uiiding Codc
requirements.
(. All work must be inspected(roug';�-in and final). Call (952)249-4600.
(24-48 hour nofice requie•�d)
7. House Healing Test Record musf.�e submittcd before tinal.
;YPE? Of� PERMIT �
� (�4ieck All That Apply) _
`� Residential �_. :';�+nmercial (�lpprovll Required)
❑ New �JD Additional ❑ Repairs ❑ Rcplacc
Job Site /Owi�er Information:
Sitc nddress: ��� (-� � �r- C�', � �, n�
Owncr: � �� �.._ _ Mailing Address: ���aC� � � ,..i���,� f�
��;�y: �r �=:� � . _ ��n� S S� G �
I lome Pllone: ____ niternate Phone: � ��:- S��'��S��
(�C���ntractor Information: �
L_ -- ----
Contact Persoil: �" �ah�Y� � � �=�,� �-
�"o��tractor.�IIETRO�A�-��— — �-�
'l6g80 We!come Ave. S.E. State Borlci #: � ��� S �0�3 �
Addcess:Prior ta14e;M�V 55372
Cit Zin: E;cpiration Date: V �' ` ����
y:
� �METRO� 1NC.'". Alternate Phone: ��� -���, S ��1`��.
{ hone: 952�i�4! '
�eX: 952-447-8126 ❑ Ins�n�a��cc --Curc�nt: —
i
MECHANICAL �YSTEMS BEING 1NSTALLED
Note: All Geotherrra::' S�:�',�ms will no��� reyuire a Site Plan 8z IZeview by ow' [3uilciin�Oiiicial.
IS THIS GEOTHEKMAL? j_; 4'cs �]No
IIEA"TINC� SYSTEMS
Quantity: _ —_. _ ___
��take: _ ___—_ _ __ _—
Model: — —
I��uel: -- -- -- —_
Flue Size: _ — —
Inpul[3"I�Us: _ _ --- — — —
Output BTUs: --_____ _ — —
CI�NI: _ ___ _ --- —
COOLING SYS'I'EMS
Qua�llity: ___--
Make:
ModeL• — —__
"Cons: _— �
_----
� �� ' fi ��, k;�k � �c#t-�
tt. ►�u��c�� '�'�t'�0�c.�-,��b c 4-d���}a c�a� ` �c�--v n��
--� �� r� 2�,.,5�. v ��-� -���, �,�,s`� v t r��, �k �p F�-;�.
i��a��,���,Ac�s c��.5 \, � 4� �.��1.-h�p . ��UL � � C, 'h���d�
❑ Gas P'actory Fireplace Brand Name:
❑ Wood Burning f ireplac�:
❑ Wood Stuve Model No.:
� W�od St;�ve with C'lue/ Vlasonry
Vl�:N":(LA'I'I^R'
� Na � Kitchen I�,xhaust duct rccircula�ing ��__cfm
---_ ----
❑ No. __ [3�1h L,xhausl(musl have duct oulside) _ ����»
❑ No. Olhcr Fans: Locations cfin
f�UGL S"I'ORACG (NL�st he npprui�e�l bP Fire Mnrsl�nl/if�proposing to rrhanrlon trurk iu pince.)
❑ Ins!:Ilntion ❑ Removal
Fuel Oil: _g sllons ❑ Underground ❑ Inside ❑Outside
LP Gas: _ g=ilons
Olher:
GAS LIIVE ONLI'
[] Outdoor Grill � Other/List What&\Vhere:��j_S_-._C ��—'�-+��_
2
PERMIT FEE CALCULATION(S)
�ASED OF F - 2002 STATE STATUE
� Ycs,this section applies
"['he replacement of a Residential tiatur�e or an Iinp ance that meets all three of the followir�g requirements:
I. Does not require m�xliticaCioi�;o electrical or gas service.
2, Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and
3. ls improved, installed or replaced by the homeowner or licensed contractor.
Skip nex'se�ri:;;:, ifthis ap�lies; Cost of Permil � 15•���
State Surchargc $ 5.00
Mail-In Fee(If Applicable) $ 2•��
Total Permit Fee $
PERM[T FEE CALCULATION(S)—JOBS OVER $500.00 �
IPabove does not apply; follow guidelines belo�v:
I. CGN"Ti:f'�CT PBa10E * is 1.25`%�of contract price with a(1Vlinimum Fee of�50.00)
'� C" `�/
�0�`� / — �v- ----
x .0125 $
(contract price) (mininnun.9'i50.011)
z. s�rnT� su�ict{A�ic:�. �� � S�
�3 v�� � x .000s � '-`------
(conlract pricc)
3. POS"1'AGE& HANULING(Gnly on Mail-lu Applications) x 2•��_ __
4. "I'OTAL PERMI'1'a�H:�:(Adcs Lines I-3 Above) `�
5 3 S%
■ * CONTRAC'I' PKICE or J013 CO�'�"(' means the actual or estimated dollar amount char�ed for lhe
permitted work including materials, I�bor, profit, a��d other fi�ed costs. It is the amount to be charge�l
to the customer for the work done. il'any material, equipment, labor ur installations are I��n-nished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estima�ed cost or contracl price for permit fee purposes. ln the event thal there is a dispute on the
an�ount of the joh c�st, the City may request the submission of a signed copy of the aclual conU-act.
M�C�IAMCAL PERMIT APPLICATION AGREEMENT
'fhe undersig��ed hereby appi+es to tl�. City {or issuance of a Mcchanical Permit, agrees to do all
�vork in strict accordar.�ce, with the �,rdinances of tl�e Citv and the regulations ofi thc State oi�
Minnesota, and re:,t�iic�s ti�at all st���_ements made on this application are coiT�plete, U�ue and
:•i>����ci.
. . � � �-1 -`�-1
Applicant's Signatu�c. _ ��� Datc:____�
Reset Form
�
� r� �� A E TIME �
CITY OF ORONO CALLED IN �
INSPECTION I�OTICEJ� SCHEDULED ���
PERMIT NO.o•�� ��-�/ C PLETED �
ADDRESS ��
OWNER EL�PHONE NO.�� �7 8`�T"
CONTRACTOR
�: DESCRIPTION �•'`'' `�
�
� ❑ FOOTING ❑ P M ING FINA ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ ANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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-FINAb ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAI
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �O CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on site:
Inspector. � �
White Copyllnspector's File Canary CopyiSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�OTICE SCHEDULED
PERMIT NO. �j + � COMPLEfED /� '�/�
c�� -�>��y y
ADDRESS '��•� •2 � -=� /-
OWNER TELEPHONE NO.
CONTRACTOR ��'��'E`' ���' ���'
� DESCRIPTION
�
tL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ��LLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerfContractor on site:
Inspector. �--�
White Copyll�spector's File Canary CopylSite Notice