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Home My WebLink About2013-00739 - mechanical r A CITY OF ORONO * 2 0 1 3 — 0 PJ 7 3 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2670 COUNTRYSIDE DR W PIN : 04-117-23-12-0013 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 002 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULT�IPLE VALUATION : $ 9,500.00 �o�n:: �i� i.F�Nox F��1RNnci�n�vi�nic APPLICANT MECHANICAL 1 18.75 GOLDEN VALLEY HEATING& AIR STATE SURCHARGE MECH (VALUATION) 4.75 5182 WEST BROADWAY CRYSTAL, MN 55429- MAIL-IN FEE 2.00 (612) 535-2000 TOTAL 125.50 PAID WITH CC# 7420 OWNER DEVERE, ROBERT&JEAN 2670 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT 1-he work for which this permit is issucd shall be performed according to [he approved plans and specitications,applicable City approvals,and the State Building Code. "I�his 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 wilh whether or not specitied 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 E3uilding Code.'I�his permit may be revoked at any time for due ca�se. C 7� �� /3 y� � ,�3 Applicant Permitee Signature Date Issu� By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ' n �nM+l I�.�,� 7/l�`��t..l �� V1 � •��'�� t1�1 - _ :.jlr,. E�)�Z��_��' �IS�.�)��..�" t ,� c�t��t°or��,� �� 7/ i .2�/ 0 9 �' '� P C� Ho�t,�, Date Kecaivecl.�,3 Pcrini[?! -- � _ �� `' 7,��h Ilev P:�rk�ai< a �,`y �` �i�7 Cr��st�31 Ci�� 1N � '_ APpro��ed t3y: Amoi�nt$:�� a�� .>.:��o"�= Phoncr9>..l>:ty- Cp;l F.��>;��-��-�1615 __.. . "�.;.ar��o. crTY or olzo�vo-Mrc��la�vic�L �FUMiT (All('onunereial pannits mu,i be appro�'ed b��the Buildin�C?fl'icial or Insp�ctorand:ur(�ire Marshall) ( GENERAL INFORNLATION__ � 1. 1'ou ma�� apply for mech�ariical permits by mail or in person at d�e Ciry offices. Apnlications�vill be re�ie��ed and a permit�vill ba issued��ithin t��o��orl.in�da�s. 2. F'ennit cards��ill be sent bv rerum mail aftcr a reeiew is completed. PER�11'1'S ARE\Ol�� V'AI.ID l_A�TIL I�OLI RECE(\�E A PER�11 1. W'ORK VIl'ST NC)`I�[3EG1V� I��IV�l�lt.THE PER�11T C".4RD fS POSTED OV THT..lOt3 SI�fE. ;. �;1ech�nical Desiens Complete calculations;details ancl specitic��ti�ns are requirecl for each hcating.ventilatiun,hun�idifiication-dehumidification.and air conditioning installation includin� heat loss!he�tt gain calculatiotl,desi�n temperatures.equipment ratings�nd id�ntification as Co type,inanuf�acturer and nwdeL Data shall be presented on form provided. -4. ��'hen any ne�� construction or rett�odelin��is invol�ed.a separate buildin�permit ntust be obtained. �. All ��ork miist be done in accordance�vith the Ui�ifonn �lechanical CodeiState E3uildin�Code requiremrnts. 6. All work must be inspectEd(rou�rh-in and final). Call(9�2)249-�+600. i24-48 hour notice required) i. Fiouse Heatin�Test Rccord must be�submitted bef`ore finai. � -- TYPE QF PERMIT (C�I�eck Ail 'i'hat.Apply} �esidential ❑ Commercial(f�pprov�l Required) r ❑ l�'e�v ❑ ,additional ❑ Repairs ❑ Replace Job Site l Owner Information: s�t� ��idr��: ��'� �� ;�.�1,��r�-�`"�ii�`�.-2 > ,11 �'� t i�..t?, �� {'1 � g � IVlailing Address: �%�� 4VIle1': �l.�'��_��,=3.�'' -��=�=— --- Cil�': �.i Y L�l� Zip: Hon�1e Phone:�'�.�� Ci�� . �� /`r1 Aiternatt�Phone: _Contractor Ii�formation: � Coi�tractor: Contact Person: _ --_ C. . � i G &AlR INC. ��:t�%;.;,T `:��YVAY �ddre5s: , ��-�+��4 �t�t a542S - State Bond :: Citv: ?63-5��2�i ��x irati�n Date: --- �''-- � l� Phcme: _ ;1lterrYate Phanc: � ]nsurance —Currcnt: 1 � i41ECHANIC:IL Sl'STEMS BE1NG P.�tSTALLLD � Note: All Geothermal S��stcros ��'iil no«�requirc a Site Plan R, EZevie�v by our E3uilding OCticial. IS THIS Gt�;(J"['HEKI�1AL? ❑ Yes [�o Hr,�Ti�vc SvsTen�s Quaniity: � -- — �iake: �t`,r';�'� ____ . �1odel: ��-�'�,� t � ,i�� `-, _�c; � !�i c� C_ _— — . _---- — Fuel: �i��--' — --— __— ---___ —`J-- -- Flue Sizc: _ ___ _ -- j + i �; Input f3"I�Us: �� 1�'� � Outpirt L3TUs: C:'F�1: CC)OI,ING SYSTEMS Quantit��: t --— -- — – –_ _ r } �/. F' ��'�ii�0: �'V��!t(a� Model: t��J��'�'(�'� _ _... Tons: _��—__ H. Power I'I R�,PLACF:S ❑ Cias l�acton�Fireplace 13rand Name: __ � ❑ �l"ood Burning Fireplace ❑ Wood Stove �lodel\o.: ❑ Wood Stove with Flue 'V�fasonry � � V E'�7'1 L.aT 1 O N ❑ No. Kitchen Exhaust_ _ duct recirculating efm - _ _ __ ❑ No. Bath Exhauct Unust have duct out�ide) _cfm ❑ Nu. Uther�ans: i_ocations ___ _ cfm {�l:EL S1�ORAC E (.�1ltr.sl fic rrpproi�ed l�t'Fire �farsl�al!if prnposing to abn�tdo�t Jcrrtk i��Place.) ❑ lnstallation (� Remc�val Fuel QiL <�allons ❑ �`ndergr�>und ❑ Ir�si<I� ❑Outside _ _ LP Gas: �.allons Ofher: � C.aS LING O�LI � Outdoor Grill ❑ Other i List What& l��harc: � i � � ,�. �� : P�R'v1I"I FEI�CALCL)�L.h1�1 ION(S} � ' � � ��` �� B AS�,D 01=F' - 2�02 STATF �T:�`E'lIE ��. ,� �_ ❑ Yrs,this section applies The replacement of a Residenti3l tikture or appliance that meets all thrce of thc l�ollmm•in��rcquir�ments: 1. L7oes not require nioditicati�n to electrical or gas service. 2. Has a total cost of�+�00.00 or less excludino the cost of thc fixture or appliance:and i. l� impr��ed, installed or rep(aced b}�the homeol��ner or licenscd coou�actor. Skip ne�t section, if this applies: C:ost of Permit S I�.00 State Sur•char�_e S �.UO Mail-In Fce(If Applicablel S__ 3.00 Tot.al Permit Fee S � �PERME�T FEE CALCL1Lt�TION(S)�JOBS OVER �50f}.00__�_ _ � If above does i�ot a�pl}�;follo�c��uidelines belo��: I. ('OV'"I�R.a('1' PRICk� '< is I."?�°,o of contract price�ti�ith a(��linimum Fee of 5�0.00) � � `�* ` �jG.�C% � .oi�5� �� 1 � __ ---_.. (coi tract��riczl (minimuru 5�0.00) ?. 5T,1TE SURCHARGF r/( rl C�c, �; � ./ 1 x .0005 5� —_____. (coi7tract pricc) �. POS�(��AGE K HANDLING (Only on\.tail-In Applications) � '�.00 4. TOT:1l.P[:RM111T FEE(tldd l,ines I-3 .�bovel $ �` '��-- ■ � C'O\TRAC`T PR1CG or JC)6 CpS I� means the actua( or estimated doilar amount char�ed for tise permitted work includin� materials, labor. proht. and uther lixed costs. It is the amount ti� be charged � to the customcr for the��ork done. ]f ai�� materi�l, equipment. labor or instal(ations are furnished b�� the o��ner. tenant or any other pt�rty, the reasonahle market valuc of sueti items must be added �o tl�e estimated c<�st i�r contract price for permit fee purnc�ae�. In the event that thcre is a dispute on the amount of the job cost, t(�ie Cin ma�� request th� submission of 2 signcd copy of the �cxual cnntraeC. MECNANICAL f EKtiII"I'AI'PLICA"I,ION AGREEMEN'� ��l�he undersigned here(�y appli�s to thc Ciri� for issuance of a Mechanieal Permit, a�rees to do all �vork in strict accordance «it1� the orclinance; of tlle City and the re�ulations of thc State of Minnesc�ta, �u�d certifics that all statements made on this applicativn are cornpleCe, true and correct. n ^ � 1 ✓� /��',/� ( 1 I� i 3 A�pli�ant's Signature: ��.��-^�C./'� Date: Reset Form , J � � C-f "�� \ DATE TIME V CITY OF ORONO CALLED IN �'a 7 l�1 INSPECTION NOTICE SCHEDULED �-e��/ '� �D�Dv PERMIT NO. � COMPLETED ADDRESS O� �(� OWNER � �-V� T PHONE NO. �� —�� y CONTRACTOR ' � �; DESCRIPTION � � � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC INAL ❑ FOUNDATION/REMOVAL � NE TRACTOR TO MEEf YOU:�ES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice