HomeMy WebLinkAbout2014-00128 - mechanical CITY OF ORONO * 2 0 1 4 - 0 0 1 z e *
� 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2014
' ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 2775 COUNTRYSIDE DR W
PIN : 04-117-23-12-0016
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 9,000.00
NOTF.: 1 GOODMAN NAT GAS HEA7�[NG SYSTEM
1 GOODMAN 1.5 TON AC
APPLICANT MECHANICAL ll2.50
STATE SURCHARGE MECH (VALUATION) 4.50
RIGHTMARK LLC
P.O. BOX 343 TOTAL 117.00
BUFFALO, MN 55313- Payment(s)
CREDIT CARD 4704 117.00
OWNER
MURLEY,TODD& MARY
2755 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permil is issued shall be performed according to
[he approved plans and specitications,applicable City approvals,and the
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 la�vs 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 wi[h the State E3uilding Code.This pennit may be
revoked at any time for due cause.
�1 / /
Applicant Permitee Signature Date Issued By Si ature ,�/� Date
G�C:+ 1� �
Feb 13 14 03:01a RightMark Plumbing LLC 763-682-3456 p,1
FOR CITY USE ONtY
� City of Orono �
/ �ONO P.O.Box 66 Dale Received: Pennit#
� ` 2750 Kellcy Parkway —
Crystal F3ay,MN 55323 Approved By; Amount$:
�, Pi�oRe(952)249�600 Pax(952)249-4616
� �
F ,�
��kcs fio¢�'v C1TY OF QRONO—MECHANICAL PERMII'
(All Com��iaroitil permils must be appmved by the Building Of�icial or Inspector andlor Fire Marshal I)
GENERAL INFQRMATION
]. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit wiN be issued within hvo working days.
2. Permit cards wilt be sent by return mail after a review is completed. PERMITS ARE NOT
VALID liVTIL YOU RF.,CENE A PERMTT. WQRK hT[JST NOT BEGIN UNT[L THE
PERMIT CARD IS POSTED OA1 THE JOB SITE.
3. Mechanical Desi�ns—Cornplete calcutations, details and specifications are required for each
heacing,ventilation,humidification-dehumidification,and air conditioning iastallation includir�
heat loss/heat gain ca�culation,design temperatures,equipment ratings 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.
S. AI1 work must be done in acwrdance with the Uniform Mechanical Code/State Building Cade
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
Chec�c All That A l
�Residential ❑Commercial(Approval Rcquired)
❑ I�ew �Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
�
Site Address: ��7:J C v��c yS,'�� �J,��,� (,{,d,
Owner_�F�dd �'?��'le�/ Mailing Address:
.�"___
City: Q��L Zip=
Home Phone: Alternate Phone:
Contractor Information:
Contractor: K� 'c.�,+pqr,�L � Contact Person; j ��1rK
�--
Address: �'-���'t� ��� State Bond#: �'� fj�,� ���
City: ��"��L� Zip;���I� Expiration Date: � " �^
Phone: ��Z~1S� 6a,3] AlternatePhone: � ��"�9�'�34�
❑ Insurance—Current:
1 ���j�P
�� 3 ���
��
Feb 13 14 03:01a RightMark Plumbing LLC 763-682-3456 p,2
' MECHANICAL SYSTEMS BEING INSTALLED
Note: Ail Geothermal Systems will now require a Site Pfan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �o
NEATLVG SYSTEMS
Quantity: �
viake: Cl;�!"(i��
Model: �l"l�T�.�L'���..�D� _
PueL- /1/���
.� ��i
F1Ue Size:
[nput B'i'Us; 7��'�L�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: � ---
Make: th�d M11�
ModeL C��X � �J� �L' � -- ---
Tons: I YJ �v^'�
N.Power
FiREPLACES
❑ Gas Factory Fireplace Brand Name;
❑ Wood BurninL Fireplace
❑ Wood Stove Model No.: __
❑ Wood Siove with Flue/Masonry
VENTiLAT101�T
❑ TEo. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct ouYside) cfin
❑ T�o. Other Fans: Locations_ _ ��
FUEL STORAGE (Must be approved by F'i�e Marshall efproposing to aba►edon tank in place.)
❑ Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑Inside ❑Outside
LP Gas __ gallons
4ther;
GAS LiNE ONLY
❑ Outdoor Grill ❑ Other/List V4'hat&Where:
�
Feb 13 14 03:02a RightMark Plumbing LLC 763-682-3456 p.3
PERMIT FEE CALCULATION(S)
BASED O�'�-2002 STATE STATUE
� Yes,this section applies
The replacement of a Residential fia�ture or anpliance that meets all three ofthe following requirements:
1. Does not require modification to electrical or gas service.
2_ Has a total cost of$500.00 or less; excludine the cost of the fi�ture or appliance:and
3. Is improvc�,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ ]5.00
Sta�e Surchazge $ 5.00
Mail-In Fee(If Applicabie} $ 2.00
Total Permit Fee $
PERMIl FEE CALCULATION S -70BS OVER$500.00
If above does not apply;follow�uidelines below:
1. CONT'RACT PRICE * is].25°/a of contract price with a(Minimum Fee of�SQAU)
� �
�L��� x A125$ ! � L.J�
(dontract price) (minimum S50.M1)
2. STATE SLRCHARGE C� ���!
x.0005 $ �=S�
contract p�ce)
3. POST.4GE&HANDLING(Only on I�fail-In Applications) $ 2.00
Oii
./
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ � �
� * C�NTRAC"I' PRICE or J�B COST means the acival or estimated dollar amount charged for the
permi�ted work including materials,]abor, profit,and other fixed costs. It is the amount to be charged
to the custamer for the work done. If any material, equipment, labor or installations arc fumished 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.
MECI�ANICAL PERMIT APPLICATION AGREEMENT
The undersigtted hereby appiies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ord'anances of the City and the regulations of the State of
Minnesota, and certifies that al] statements made on this application are complete, true and
correct.
Applicant's Signatore: �'�'��"�G Date: ��f I y��
3
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.?d�'S�'Qsl�� COMPLETED �/.t i
ADDRESS oZ 7?5 Ca�...-r.�.s� ,p�- !iJ _
OWNER TELEPHONE NO.
CONTRACTOR �P����� LGC-
>; DESCRIPTION ��� -
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING �.�tIECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. G�-FQLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a �W�.. t� �dl�e r Tdi�� �G�4 �l r a r 4
0 7/�r4 G �rls����ia%._ �
�.
�
0
�
W
�
Q )
� f C!�K� � IZa Nl.�2vG��1,2/ — /� �t 4J G [�
Z �
W ���' 9�f1 ��I�'l,r�v � sGf� �L� //lS�� r
�
j
GW ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�"�NSeECT10N REQUIRED.CALL TO ARRANGE ACCESS.
v
Call forthe next inspection 24 hours in advance. (952) 249-4600
Owne ntractor on site: 7`6��
i
nspecto �^—
White Copyilnspector's Ffle Canary CopylSite Notice
�D��"D v �p15✓" " � DATE TIME �
CIN OF ORONO CALLED IN
�
INSPECTION NOTI �c HEDULED s�� �
PERMIT NO.o�4� `��0��`�coMPLEfED
ADDRESS a � 4�Z�JCJS'�'
OWNER ELEPHONE NO. �5 Z 7S� �vZ3 7
CONTRACTOR �- LG C-
� DESCRIPTION ������ �°'� � � ��
�
� ❑ FOOTING ❑ P UMBING AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ FRAMING �❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
W �MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
Z a.
J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 `OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
J �
O �J
�
O
�
W
�
Q
� � /
W
�
W
�
�
J ,
d
� ORK SATISFACTOflY:PROCEED ❑ PROJECT COMPLETE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance�(95 ) 249-46��
OwnerlContractor on site:
Inspector.
� ,
White Copyllnspector's File Canary CopylSite Notice