HomeMy WebLinkAbout2015-01133 - mechanical CITY OF ORONO * z 0 1 5 - 0 1 1 3 3 *
` 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2015
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2735 DEER RUN TR E
PIN : 04-117-23-13-0013
LEGAL DESC : N/A
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE
VALUATION : $ 18,500.00
NOTE: 1 HEATING SYSTEM IN HOUSE, 1 HEATING SYSTEM IN GARAGE, 1 COOLING SYSTEM
VENT[LAT[ON: 1 K[TCHEN EXHAUST,7 BATH EXHAUSTS, 1 BALANCED AIR EXCHANGER
GAS L[NES FOR:2 F[RF,PLACFE, 1 DRYER, 1 COOKTOP/RANGF
APPLICANT MECHANICAL 231.25
STATE SURCHARGE MECH (VALUATION) 9.25
CITY WIDE MECHANICAL INC. TOTAL 240.50
12078 253RD AVE NW
ZIMMERMAN, MN 55398 Payment(s)
(763)856-0500 CHECK 15568 240.50
OWNER
N[H HOMES
6840 213TH AVE
ELK R1VER,MN 55330-
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 permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming[his type of work
shall be compied with whether or not specified herein.This perrnit 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 con rm ce with the State Building Code.This permit may be
revoked t an t e f d cause. — ���"�
-3 1��-� ' `'� ���� �'l �- �,
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Appli t Pe itee Signature Date Issued By Signature Date
� FOR CITY U � ONLY `\
City of Orono i � hq�'�
' �-O� P.O.Box 66 Date Received: I� Permit# � �7(
- � 2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:��� �
� Phone(952)249-4600 Fa�c(952)249-4616 ��
��, '�` /1 1(, 1
t�kESH�R�G CITY OF ORONO—MECHANICAL PERMIT `'
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by maii 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT 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 installation including
heat loss/heat gain calculation, 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.
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 fmal.
TYPE OF PERMIT
(Check All That A 1
[�Residential ❑ Commercial(Approval Required)
New ❑ Additional ❑ Repairs ❑ Replace
�
Job Site / Owner Information:
Site Address: �7 3� ,�/�i� Q.c/N 'ri2/�IIL
Owner: NI H ��YVI�{S Mailing Address:
c��y: E�k 2«r� z�p: S-S�� o
Home Phone: Alternate Phone:
Contractor Information:
Contractor: C1'1� wl� rn/1:Gl�b��l�ontact Person: �
Address: � ZO'78 ZS3�f1N�N�tI State Bond#: �,S�39'�9
City: ����''�� Zip: s�98 Expiration Date: 7'-2��2o��O
Phone: ����S�O��� Alternate Phone: �Q�Z"�� r��9
❑ Insurance—Current: q'�U�'f�/
1
MECHANICAL SYSTEMS BEING INSTALLED � .
.
Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. �
IS THIS GEOTHERMAL? ❑ Yes (�No
i '
HEATING SYSTEMS (�pc�s�G (���.�Qq{,�
��
Quantity: �
Make: t�i�`�l�(� ��JO�
Model: �QSGS�/� UD�
Fuel: /V . �/}$ Ni� �/1�
Flue Size:
3" 4`
Input BTUs: I DO�D'� 7S�7
Output BTUs: 1 S,J�� � d�
CFM: ZOUO
COOLING SYSTEMS
Quantity: I
Make: Gl4�.1 EI�
Model: 2 g'���
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
dNo. �_ Kitchen E�chaust_�duct recirculating �� cfin
[.i No. �_ Bath E�aust(must have duct outside) x7 cfin
[� No. I Other Fans: Locations ��►N�f�J �iR ��CNrW�a4t 1SO cfin
FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oii: gallons ❑ Undergound ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
Z—►-'ia,cpU►ut
❑ Outdoor Grill ❑ Other/List What&Where: _ _� � �2yi�'i2
I - G�k�p/R,��t
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;excludine the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Appiicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S -JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��8� 'J�dO � x .0125 $ 23i .ZS
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
18,� — X .000s $ q.2�
(contract price)
3. POSTAC�E&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2 `v'�0
■ * 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 ar any other party, the reasonable market value of such items must be added to the
estimated cost ar 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 far 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
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: ��3'�S
3
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C�TY ■ �E
m E r� i c a 1
C�ertific�te o� Crorr�pie�ion
Duct s�rng F�rfom�ed For:
60D
NI H, 1-IONES
2735 DEER RUN TR. E
OF�ONO, MV 553Ei6
� 4Q0 �
Overall Sealing F�esUlts �
�
a
m
�
Wl�ien we arrived, �
�
J �
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YOUR DUCTS �If1D: �
� 2oa
556.3 CFM of L�k�e, e�ivalerrt to a G �.
105.1 Squat ,�le � �-
nrs«zds�8r�hig�tcrslu��cfa�r�ass e�yharr ,�
�el"11111�fll'IIS�'1� �
Y�R�$ �1VE � 14.6 29.2 43.8 58.4 73
5ealing Time in Minutes
'. �LE"d�� �.I�Va�eflt t0 c'3
:.3 Square Inch Hole ,�-oseal Techr�ia�, JEfF OOF�PE
This oorresporxis to a 98.8%FZeduction in ��io �
Duct Leakage o�eofsed sv��i2o�s
Not� Duct L�erakage results a�e cala�aRed in a�bic ��,.n,p�ription DUC;TWOF�FC IN 6131 SQFT
feet per minute(CF(� measured art a standard �.��
OPERAT1fNG PRESSIJRE af 25Pa
Seal Descriptian DUCTWOF2�K IN 6131 SC1F1'
1-IOINE
Harchn�are F�orr�e.Seal
AER05EAL� � °`��""���
cCSty v�ide Mled,anic� �r�c.
�uct Sealing From Ti�e Inside 12078253rdAv�eNW
.TJn7l'�'CTl"i�fl, N�l�J.S.��
'��''"�'�". Phorte: 76.'i8560.500
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�—� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �a �3 �= a�m�
PERMITNO.'o�015-U11 �� COMPLETED
ADDRESS ���=� T7E��" � ��c � �
'�1NNfA ���- � TELEPHONE NO.��a ' ya���'�
CONTRACTOR � ��' � ��,c_ m�� •
� DESCRIPTION
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ �
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS: � i� � �-G-� '
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W� ❑WORKSATISFACTORY:PROCEED ��ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ' �I ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(� BEFORECOVERINCa PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
he next inspection 24 ho�in advance. (g52) 249-46��
Owner ontractor on ' �e �
Inspector. ^�
White Copyllnspector's File Canary CopylSite Notice
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� TE�� TIME`�
CITY OF ORONO CALLED IN �
INSPECTION NOTICE / SCHEDULED ^/S -�j S /D: dr�
PERMIT NO. v2B� S��` ���COMPLETED
ADDRESS � 7�� , GCfZ- �/��G
OWNER " � TEL ONE 0.���-���`�d��l
CONTRACTOR �
�; DESCRIPTION U� �
�
� ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ,��AFCHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ��❑ MECHANICAL FINAL ❑ RATED WA�LS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
� �%�s�` .�r GoaQ �
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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�,�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
��"/ BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
/�18rECT10N REQUIRED.CALL TO ARRANGE ACCESS.
V
Cail for the next inspection 24 hours in advance. (952� 249-460�
OwnerfContractor on site:
Inspecto . +�-�
White Copyflnspector's File Canary CopylSite Notiee
cC%�v' DATE TIME
ITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED <" ----`�
PERMIT NO. ��L��C C%��� COMPLETED �
ADDRESS �.� � _��'�" C - ��-`�-�l��
OWNER TELE HONE NO. �a �gd ���
CONTRACTOR -t� <�''7
� DESCRIPTION `-- �' �-�� �� •1�
4~j ❑ FOOTING ❑ DEMO INA� ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PL BING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICONTRACTORTOMEETIPOU: YES_NO���`�`��"""l
v�i COMMENTS: ¢ �
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W KSATISFACTOFlY:PROCEED O PROJECT COMPLEfE
� RRECT VYORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hou in adva � 9 249-4600
.�,� -�( � )
OwnerlContractor on site:
Inspector: '
White CopyAnspsctw's Fils C�nary CopylSite Notice