HomeMy WebLinkAbout2014-00393 - mechanical CITY OF ORONO * 2 pJ 1 4 - 0 0 3 9 3 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2685 COPPER VIEW DR
PIN : 33-118-23-43-0018
LEGAL DESC : ROSCH ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 2,000.00
NO"I'E: I KI"I'CHGN EXHAUS"1�
MOVING SUPPLIL-;S AND RFiT�URNS TO DIFFEREN'T LOCATIONS
1 GAS LING TO STOVE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 1.00
C,EWIS HEATING AND AIR TOTAL S1.00
1371 144TH STREET
NEW RICHMOND, WI 54017- Payment(s)
(612)940-4565 CREDIT CARD 5225 51.00
Minnesota State License #: mech-PC671215
OWNER
TURKBAS, MR.& MRS. JAY
2685 COPPER VIEW DR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issucd shall be performed according to
the approved plans and specif�ications,applicable City approvals.and the
State Building Code. This permit is for only the work described and does
not grant permission tor additional or related work which requires separ�tc
permits. All provisions of laws and ordinances governing this t��pe of���ork
shall be compied with whether or not specitied herein.This permit���ill
expire and become null and void if construction authorized is not
commenced within 180 days of the date oY issuance,or if construction is
suspended for�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
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued gnaturc �(� Date
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. FOR C1TY USE ONLY ��
�O^ rO City of Orono [��
1 V P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay.MN 55323 Approved By: Amount$:
� Phone(952)249-4600 Fax(952)249-4616
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��KESHo��� CITY OF ORONO —MECHANICAL PERMIT
(All Commercial 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGW UNTIL THE
PERM[T 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 instaliation including
heat loss/heat gain calcu(ation, design temperatures, equipment ratin�s 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 Apply)
�Residential ❑ Commercial (Approval Required)
❑ New d Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: ;�� �� �C'C�rr �;� r�` � �� •
Owner: �C���►Y. � Mailing Address: � rl��
City: �� �Yl z Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: L.C"�v�S ���c�C.��*�� ��� �Contact Person: ,.�elr�K`
Address: ��7� �t���� �� State Bond#: �� � �C3�G 5��
, �yCJ�7 /
City: /�,�C'(� /'��ip: Expiration Date: � !.-)��%�,
Phone: �. ���` C��G -`,`� �`� Alternate Phone:
❑ Insurance —Current:
1
.
MECIIANICAL SYSTEMS BE1NG iNSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. "
IS THIS GEOTHERMAL? ❑ Yes ❑ No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION rhav�n� s����es `� ��ns � �,_`-. �OG�� ��
�, �-��l,c t�_ f
� No. � Kitchen Exhaust_�__duct recirculating �CU cfm .�.,�
No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approvecl by Fire Marshal!if proposing to ubundon tank in p/uce.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What& Where: 5�'/���•c
2
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 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; excludina the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractar.
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 $
PERMIT FEE CALCULATION(S)—JOBS OVER $�00.00
lf above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00)
��.,���C�C.CC� X .ol?s $
(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 for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
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
Miilnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature:���,� �� ;�� Date: � ������
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CITY OF OR NO CALLED IN ��
INSPET ON�I�O�I�E �q�j�� SCHEDULED �L_C�-:%� --�' '_
PERMI O�`U//`� ���� COMPLEfED
ADDRESS �� � � ,/��, "��,���
OWNER EPH NE NO��a—97U— �"��
CONTRACTOR �L" `��
�; DESCRIPTION � C G � �1it GL
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Q ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWEfl HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
O CITATION ISSUED
❑STOP ORDEA POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952 9-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
,iJ`� ATE TIME V
/�N OF ORONO CALL �
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INSPECTION NOTIC scHEou�Eo �
PERMIT NO. � �conn LEfED
ADDRESS � � ��' •
OWNER TELEPHONE NO. ��
CONTRACTOR � �
� DESCRIPTION ' � "
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
Q OWNERlCONTRACTOR TO MEET YOU: YES_NO
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V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C inspection 24 hours in advance. (952� 249-4600
Own Contractor on sit • hn.
Inspector._, �.•�
White Copyflnspector's File Canary CopylSite Notice
DATE TIME .
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �
PERMIT NO. �O/4-�3�3 COMPLETED ��
ADDRESS � � � 5 ��/�,Gt� r L�f F'�� „�YI:-.
OWNER TELEPHONE NO.
CONTRACTOR ��-'�•� i s �� � .���'
�; DESCRIPTION �F'✓�'f���'C
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Q � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �q� ❑ SEWER HOOK-UP p COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. �.EOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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� ❑WORK SATISFACTORY:PROCEED JECT COMPLETE
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WlLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME,��
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ti"`'
PERMIT NO. �r�/� -L�=�(� COMPLETED ...,�� -/�—
ADDRESS v�j���`� �c����rY.�� ��_
OWNER TELEPHONE NO.
CONTRACTOR L �� S �v '�t ./f r/'
>: DESCRIPTION �� `������ l
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lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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Q ❑ 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. �1'FAL•LOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA�
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector.�� i �
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White Copyflnspector's File Canary CopylSite Notice