HomeMy WebLinkAbout2010-01020 (Mechanical) . CITY OF ORONO PERMIT NO.: 2oto-olo20
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE Iss[1En: lp/2U20�0
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 2240 ABINGDON WAY �'�'`°~°��
PIN : 03-117-23-23-0009
LEGAL DESC : ABINGDON GLEN
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,775.00
NOTE: INSTALL RADIANT INFLOOR TUBING TO EXISTING BOILER
2 GAS LINES"TO GRILLS
APPLICANT
UMR GEOTHERMAL MECHANICAL 59.69
5115 INDUSTRIAL STREET STATE SURCHARGE MECH (VALUATION) 5.00
MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00
(763)479-6325 MISC FEE 0.00
TOTAL 66.69
OWNER PAID WITH CC# 8993
MUELLER, JOHN& K[MBERLY
2240 ABINGDON WAY
LONG LAKE, MN 55356- � �,�C, (v`�'.D(� �- 03z9�-�
cc. Z . lp� �#' 89�3
AGREEMENT AND SWORN STATEMEIVT
"I'hc work tix which this permit is issued shall be perfonncd according to
thc approved plans and specitications.applicable City approvals,and the
State Building Code. This permit is for only thc work described and does
not grant permission for additional or relatcd work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein."Chis 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 applican[is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due gause.
`�'�'t�'� r'�— / / / /
Applicant Permitee Signature Date Issued By i nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
, FOK CI"1'Y USE ONLY
� ,¢p� City of Orono
<� �;_ p.p.[30�66 Datc Received: Permit#
.�
� 27>0 I�ellcy Parkway
� � �;' Cry�stal Bay_NIN��323 Approved By: Amount$:
�� s �� o•. Phone(9i?)249-4600 F�x(9�2)�d9--1616
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CITY OF ORO'10 — ME;CHANICAL PERMIT
(nll Commercial permits must be�pproved by tlie Ruildine Ofticial or Inspector and/or Pire Mtvshnll)
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 revie�v is completed. PEKMITS ARE NO"I�
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG[N UNTIL THE
PERMIT CARD 1S 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 installation includin�
heat loss/heat gain calculation, desi;n temperatures, equipment ratings and identification as to
Cv'pe� Iliaillli�li:iUiE;i ailU liiG�E:i. t7&i� Si��iii �J2 pI"eS�Il1e'u Oi] i0ii11 NCVVii��ii.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All�vork mtist be done in accordance with the Uniform Mechanical Code/State Buildina Code
requirements.
6. All work must be inspected(rou�h-in and final). Call (952)249-4600.
(2=1-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply) �
� Residential ❑ Commercial (Appro��al Required)
❑ Ne�v 0 Additionll ❑ Repairs ❑ Replace
Job Site/ Owner Information: �
s�te naaress: 2240 Abingdon Way, Orono, MN 55356
oWn��-: Kimberly Mueller ;V(ailin� Address: 2240 Abingdon Way
c,ty: Grono 55356
7ip:
Home Phone: �6�2� 4� g-642S .4lternate Phone:
Contractor Information:
UMR Geothermal, ►n�. Sara Pippel
Contractor: Contact Person:
5115 Industrial Street 929398775
flddress: State Bond #:
M N 55359 08/01 /2011
City: Zip: _ EYpiration Date:
P}lolle: (763) 479-6325 ,��ternate Phone:
❑ Insurance — Current: 8/1 /1 1
1
� � MECHANICAL SYSTEMS BEING INSTALLED ��
�
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Note: All Geothermal Systems �vill ❑ow require a Site Plan & Review by our Buildinb OffiiciaL
IS T�iIS GEOTHERMAL? ( ] Yes No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: _ ____
Outp�it BTUs:
CFM:
COOLING SYSTEMS
Quantity: _
Make:
Model:
Tons:
H. Po�ver
FIRENLACES ��" ' ""`� �`'`-���� �`►�`� �Y�� ��5��J `�'II�
U
Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VEN"T1LAT[O1�1
No. Kitchen Exhaust duct recirculating cfin
No. Bath Exhaust(musC have duct outside) cfin
No. Other Fans: Locations cfin
FUF.L STORACE (�N[tst be ttpproved by Fire Nlarsllcrll if proposi�rn to nba�tdon taitk ii�pluce.)
� lnstallation � Removal
Fue1 Oil: gaflons ❑ Underground ❑ Inside ❑ Outside
LP Gas: �allons
Other:
GAS LINE ONLY
� Ou[door Griil � Other/List What K �Vhere: � �
2
,r.�.
. PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
� Yes, this section applies
7�he replaceriient of a Residential fixture or ap�lia�ice that rneets all three of the follo�viva requireroents:
I. Does not require modification to electrical or�as service.
Z. Has a rotal cost of��00.00 or less; excludin�the cost of the fixture or appliance: and
3. Is improved, instalied or replaced by the ho�neowner or licensed contractor.
Skip next section, if this applies; Cost of Permit � I�.00
State Sw�charge $ �.00
Mail-ln Fee(If Applicable) $ 2.00
Total Permit Fee �
�_ PERMIT FEE CALCULAZ'ION(S)-JOBS OVER $500.00 �
If above does not apply; follow�uidelines below:
I. CONTRACT PRICE * is 1.25%of contract price�vith a(Minimum Fee of$�0.00)
4,775.00 x .o�;s � 59.69
(convact price) (minimum$�0.0�)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�'[inimum Fee of�5.00)
4,775.00 � .000s �2.39
(contract pricc) (minimum$i.00)
3. POSTAGE K HANDLWG (Only on Mail-In Applicationsj $_ 2.00
4. TOTAL PERMIT FEG (Add Lines l-3 Above) $64.08
■ * CONTRACT PRICE or JOB COST meai�s the actual or estimated dollar amount charged fior the
pennitted �vork including materials, labor, profit, �nd 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
esti�nated cost or contrac, price for permit f��e nur^oses. (n the event that there �s a disnute on the
amount of the job cost, the City may request the submissic�n of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .000� times the Contract Price or a minimum of�5.00.
MECHANICAL PERMIT APPLICATION AGREEMENT —�
The unclersioned hcreby applies to the City for issuance of a Mechanical Permit, abrees to do all
work in strict accordance �vith the ordinances of the City and tl�e re�ulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true �nd
correct.
Applicant's Signature: Date:
Reset Form ;
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' �� � LABOR & INDUSTRY Mechanicai Bond Certificate
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'�� ,; Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St Paul,MN 55155
°�'' '" • j!,/l Website: www.dli.mn.qov E-mait: DLI.LicensefrDstate.ma.us Telephone: 651-284-5896
��'� This is to certify that the certificate holder is in compliance with Minnesota Statutes§3266.197 for the period 08/01/2010 through 08/01/2011
�St ' and may engage in mechanical contracting in all areas of the state of Minnesota.
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��x� . . UMR GEOTHERMAL INC Certificate ID: 3275-MB
�`��'� 5115 INDUSTRIAL ST
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��` '' ��\' Bond ID: 929398775 Effective Date: 8/1/2010
;' � WESTERN SURETY CO Expiration Date: 08/01/2011
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CITY QF O�RONO CALLED IN �
INSPECTION NOTICE SCHEDULED ���
PERMIT NO.�0�6—���� COMPLETED
ADDRESS a � b l�1
OWNER TELEPHON O. 95i �s/ 3�5�
CONTRACTOR um� ����m�
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�: DESCRIPTION ` � �!�� /����9 �����
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lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTtON
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ NARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW '�WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on site:
�
Inspector. � / —!�
White Copylinspector's File Canary CopylSite Notice
/� `_ � " ,� TIME ✓
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ITY OF�RONO � CALLED IN ��/��-�
INSPECTION NOTICE / SCHEDULED /���'�'/� �
PERMIT NO.��%�I D'"G/D ZQ COMPLETED "'
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ADDRESS � � '
OWNER TELEPHON� NO. � ` � ��
CONTRACTOR L����� �`�"� ���
�; DESCRIPTION ���`� C�� � �� ��r �S�f
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE/P�T`�IC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOv�//L YES_NO
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� COMMENTS:
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GW�-' WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on site:
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Inspector. �.d L��' �' '3 � S
White Copyllnspector's File Canary CopylSite Notice