HomeMy WebLinkAbout2014-00044 - mechanical '�` � CITY OF ORONO
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2750 KELLEY PARKWAY pAT� �SSUEn: O1/15/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2515 COUNTRYSIDE DR
PIN : 04-117-23-11-0007
LEGAL DESC : COUNTRYSIDE MANOR
: LOT 003 BLOCK 002
PERM[T TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 450.00
NO"1'L: GASLINE FOR DRYI,R
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.23
WELD& SONS PLUMBING CO INC. MAIL-IN FEE 2.00
3410 KILMER LANE N
PLYMOUTH, MN 55441- TOTAL 52.23
(763)475-0296 Payment(s)
CREDIT CARD 5676 52.23
OWNER
KAHLER, CHRISTOPHER & DELPHINE
2515 COUNTRYSIDE DR
LONG LAKE, MN 55356-
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 the
State Building Code. This pemiit 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 govcrning this type of work
shall be compied with whether or not specified hereia 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�a�ork has commenced.
The applicant is responsible for assuring all required inspections are
requested in confonnance with the State Building Code.'I�his permit may be
revoked at any time for due cause.
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Appli nt Permitee Signatur Dat � Issu By Signature Date
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CtySt�l k3ay,NIN 55323 Appro�cd a9 �'��ilhi 5 a x- �a�^: .�'`
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Phope(9j2)2�t9�600 Pax(952)244}6l6 ` :�^ ° " .;
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d-s s���;��' C�T�.'OF OR��TO�-MECH�11vICAL PE�IT
,__.r'' (All Commcrcial pcm�.it5 ttaust be apptoved by Che�uilding O��cial or Cnspector and/ot Fire Ma�hall)
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1. You may Qpply for mechanical permits by tzl�il or in person at tkle CiEy offices_ A�fplications wi�l
bc��iewed�d a�cmut wi1R ba assucd within two 4r�orking days.
2- �ernut cards w�ill be sent by aeturn rx�ail a�ter a review is completed. P�iZMITS AR.E�1O'�
VA�ID UNTIL YOU�CENE A P�.�MIT. WO ST NOT E iJ1��TIL T
PE ARD IS PO ON THE.T B SITE.
3_ �cchanical Desx�ns—Complete calculat�ons,dehias sztd spccifccation,s arc rtquurd for each
kaeatiug,vcntilatio�z,kzumidifica�on-debu�idif cation,acid aiX eonditioning i.�sta1(ati�n inclvdizag
heat lpss/�1eat gain calculatiot�,desiga teu�perah�.te5,equipment ratiz�gs and edentafcatio�t as to
type;�ztar�ufacturrs and mode�. Aat�.shall be p;resentcd on form provi,ded.
4. When a�,y��w eonstruction ox�modeling is itzvolved,a scparate bu�Idiz�permit must be
obtained.
S. ,All wozk must be done ita aceordance wi�th the Unifonn Meck�azaical Codc/State Bui�diztg Code
requiure�,ep�ts.
6- A.11 work must be uuspected(rough�in and#"�a�.), Call(952)249-4600.
(24-48 hour notice requared)
7. House Heatitag Test Rccord must be submitted before�ps1,
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�R.eside�qtial ❑Comme�rci�al(Ap�roval Requi�ed)
❑IJaw ❑,p�ddition&1 �Rcpairs ❑RepIace
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5ite A.ddxess: _��. _ f,� ��4�� � . � � D 1'
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Q��r: �i � Mailing Address� Lou s, � ��
cat�: —p �-o n a ,_.._ zi�: S '" �
Home Phone: . �5�� `�'z��,�,5'S� Alternate Pk�ox�e:
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Coz�tractor: d-' �a.! Co`h�act Ferson�
Address: .�//��+�iku�- ��[/Stat�Bond#: �'�!� �o�
(;itY: ,�ip:��Expa:ration Date: $`2��-/`,�
phone� ��.r ,�fJ,Z ,6 ,A,ltez'nate Pl�one�
❑ zzasurance-Cuz't-etat: �S
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Note: �,aa Geotlierrr�al Systems will now require a Site Plan& ev'�by our Building Offici�l.
IS TH�S GEOTHERIVIA,L? ❑ Xes �No
HEATTNG SYSTEMS
Quat�,tzty:
Makc:
Model�
Fu�l:
Flue Size:
Input B'T[Js:
Output�T'CTs:
CFM:
COOLING SXSTEMS
Quaz�tity;
MBk�:
ModcL-
Tons:
H.Powcr
FIREPLAC�S
Q Gas Factory Pare�lace Bra��d Narx�e: _
❑ '�Vood Buraing Pixeplace
❑ Wood Stave Iv,�odel No.;
❑ Wood Stave with��uc/Masoruy
V��'Z'�.ATION
❑ No. I{itchezi E7�.17�aust duct recircul,atixag cfin
❑ No. � B�th Exhaust(t7o,ust have duct autside) � cfm
0 No. Other k'ans: Locatiotxs cfm
�TEL STORAGE (,tl�ust be a,pproved 8y Fire Marshall tf proposing to abandon taHk in place)
Q Installataon ❑ ItemovaI
�'uel Oil_ gallons [] U�der�roLuid [f Inside ❑Oatside
Lk'Gas: gallo�e
Other:
GAS�IN.E ONLY
Q �utdoor Grill � Other/List What�Wkxere: 1�
2
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❑ Y es,this section appaics
The replacement of a$esidenrial fixtuKc or app1iaz�ce that meets atl three of tkae following requircments:
1. cs not re�uare modificatliot�to cicctrical o1r gas service_
2. Has a total cost of$�OOAO or less; cludi the cosC of the fixm;re or appliance:and
3. Is impxoved,installed or zeplaccd by t}ae homcowner oc lieetiscd contractor.
Skip next sectian,l�t�i8 applFeS; Cost of�ezx�it $�,�.00
SfRtc Surc�taz�ge $ 5.00
Ma11-In Fee(��A,p�licable) $ z.ao
�'ot�l Permit Fee $
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Xf abovc does t�ot�pply;fol�ow guidelines below:
1. CONTRACT PRICE *as 1.25%of couUract price with a(IVxfnimum Fee of 550.00)
s�
— �.��3 �� x.0125� ��
(contracE price) (minimum SS0-00)
2. STAT�SURCHAItG�
x.0005 S,
(con2xact price)
3. P057"ACr�&HAIVDL�TG(Only on Mail-Zz�,A,ppli�ations) $ 2,00_
4. '�'OTAL PE���'FEE(Add Lines 1-3 Above) $
• '" CONTRAC'�' PktICE or JO� COST means the actual or estimated dollar am,ou�t �harged for the
pe�t�itted work in,c�udattg materials, �abot,�rofit, and otber fixed costs. �t is thc amourlt to bc charged
tn the custozner for the wazk done. If any maCetial, equiprqep,t, labor or insrallatxoas are fur�ished by
the owner,te�,a.ut or any other paxty, thc rcasonable xnarkct value of sueh items�;ust be added to tbe
estixr►ate(1 cost or cq�,tract.�rice for peetzl'tC fe�purposes. In the evept t(�a[ thcre is a dzspute on the
amount of the job cos� the City niay request the submission o�a signed copy of thc actual cot�itact.
'The uzadersigned hereby applies to tk�e City for issua�ce of a MecXaanical Pem�� agrees to do all
woz'�C in striet accordance witb, the ordinataces of the C�ry and the regulations of t�e State of
Mimlesota, and certifics that all statcments made oz� tk�is applicat�orz are comp�ete, true and
correct.
A��licant's 5ig�oature: � � Date: "'��`"�
o. �. �
3
d"'° ^y�TE TIME ✓
CITY OF ORONO CALLED IN q�
INSPECTION NO I SCHEDULED � �
PERMIT NO. T -' D �"� COMPLETED
ADDRESS a5`J� �CLY �
OWNER TELEPHONE NO�IOS �'7�QZ!�c
CONTRACTOR G� ~ S��
� DESCRIPTION �%' "`7�� �� �'�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG
Q ❑ POURED WALL %�HANICAL RI ❑ LAKESHORENUETLANDS
y ❑ FRAMING MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PEFiMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hou ' advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notiee