HomeMy WebLinkAbout2015-01298 - mechanical � �' CITY OF ORONO * z 0 1 5 - 0 1 2 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015
ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 965 EDGEWOOD HILLS RD
PIN : 02-117-23-14-0001
LEGAL DESC : REG. LAND SURVEY NO. 1098
: LOT 000 BLOCK 000
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,220.00
NOTE: ADDITIONAL GAS FACTORY FIREPLACE(HEAT N'GLO)
APPLICANT MECHAN[CAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.61
FIRES[DE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.61
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.61
OWNER
BJORK, ROBERT&BETH
965 EDGEWOOD HILLS RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIYT
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
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 with the State Building Code.This permit may be .
revoked at any time for due cause. �l�� �
' � � � ` L' `7
� ��� � � �- ��� -� �c��_ � d-� ._; ��-�� � � � rs
Applicant Permitee Signature Date Issued By Signature Date
�0-06-'15 16:30 FROM- T-329 P0001/4044 F-628
f �. �� (�-�c��� �l ���a���
�a������s�o��,�
(� City pf Orpno
�`-'�� P.Q,8ox 66 �CFdtC RqCeIYPd �,�L�'�'pernut N��.�t���'�` • C'���_��
2750 Kdlcy Parkway ' ,(� '`' '' �
Crystal Ciay,MN 553�3 ;Appr�vad�y ��'" AlfibunS� ,`���'' '
phone(952)249-�i6U0 Fa�(952)2a9-4616
.t >,
� �
`��.r,��.s�.io��u CITY OF 4RON0—MECHANYCA�,PE�2MYT
(All Commercial pm,nits must be approved Dy the 6uilding OfGcial or lnspector and/or Fire Marshall)
CiENERA�INEORMATTO� '`' '
l. You m�y apply for mechanical pcnnits by mail or in person at the Ciry offices. Applications will
be reviewed and a permrt wili be issued within hvo working days. ,
2. Permit cards will be sant by return rt�arl afrer a review is completed, PERMITS ARE NQT ,
VALID UNTIL YOU RECEY'V�A PEEZMCT. WO1tK MUST NOT BEGIN UNTiL'rH� ,
PE}2MCT CARD IS POST�D Ol�T��,�0�SYT�. I
3, Mechanical��sicn�—CornpleCe calculations,details and specifications are required for eAch �
hcating,vcntilation,humidif'rcation-dehurnidifcation,and air conditioning installation includrn�
heat loss/htat gain calculation,design temperatures,equipment raCings and iclentification 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 rnust be
obt�intd.
5. All work musC be donc in accordance with the Cln'rform Meehanical Code/State Building Code
requirements.
i
b. All wark must be inspected(rough-in and fnal). Ca11(952)249-q600.
(24-48 hour notice required) '
7. I-Touse I�Teating Test Record must be submitted before final. %
i
� �` TXp��QF PERMI'P �
(Check All Th'at App1Y) .._..
slt�s►de,�tial�� Q,Gotntpe�c�at(Appra�al ReqUired).'
❑New� Add�C��n.�l� Q Kepairs' ❑iReplace�
rpb',S�fe/Ovvnei:Y�iformatio�'` ..;` '.'
Stte'Address'; ��_ �� (��✓t 1't I �, t� ���_
,Owner: ��C�i"t ��,��l����- IvIa7l�t�g Ad�r�ss:,' C� Q �u�J ,
c;ty: '�c����U''�,t� ,zi�; `����-! I i
� _C/
T-�omE�hone ��� ��� �r��Alternate phone: �
i
Contractor Yriforanat�on:� '
Contractor: FIRESIDE HEARTFi&HOME ContacC Person: Leah �
i
Address: 2700 Fairview A�e N State Bond#:BC662656, MB662572, PC662571 i
i
C�ry; Roseville, MN �ip.55193 �xp'rration Date: `
�
nl�one: 651-633-2561 Alternate Phone:Leah#651-63$-3312
❑ Tnsurance—Cun•ent:
l ..
I
�
i
�0-06—' 15 16:30 FROM— T-329 P0042/0004 F-628
�
A+�^�.�C. � a�. �'+,2�1 .}�.z ,��b� F .��,� °b�Y'.��. �. �; tw.
Note: All Geothermal Systems will now require a Site Plan KY Revie�,by our�3uilding Of�cial. :
YS T�TXS G�OTHERMAL? ❑Yes ❑No
Y��ATyN�S'YST�MS
Quantity: ,...�_. .
Ntake:
Modei:
Fuel�
f-7uc Si2e:
Ynput BTtJs: _,-__.,..�..,� �,
Output BTUs: �
CFM:
COOLIIVG SYSTEIVIS
QuanYity: � j
i
Make:
• 9
Model:
'T'ons:
�-1.Power
FI�;PL'AC�S .,.
� �Gas Fa�corp,.F�r�pl�cc; �rand Naxrie � �
❑ VVoticl Y3unitng�'ir�place��
❑ ,�Voo.d Sta�(e' .Model�Io,. ;� �' '�-��
❑ W�iid Stove w�th Flue./M�Sqt�ry;;
V�NTTY.ATION
❑ No. �Citci�en�xhai�st __ duet recirculating efm
❑ No_ Bath Lxhaust(must have duct outside} cfin
[� No. OChtr Fans: Locations __� cfm I
�CJ��,STO�iAG� (l�fpst be ap�rove�l by Fire Marshal[ff propnsing to nbnmlon tpnk i�t pince.)
�] 1nst�llaSion ❑ Rcmaval
Fuel Oil: ��11ons ❑ Underground ❑Cnside �Outside
LP Gas: gallons I
Other: i
i
GAS LI�`E ONT�'Y �
I
❑ Outcloor Crill Q Other/List What�Whcrc� �
�
2 �
i
�
10-06-' 15 16:34 FROM- T-329 P0003/0004 F-628
�
��C���ty,�fl�r�"�Y���,����rn'?���4'���^F ��j ��' � � /y�7c�,��,`r`�y � ,� �lf,�j"�c�'��� J�Y� ji 7)A�i d{-C�i+ '� '
j77 n�ly��r3�"�Y�i Gv S ��ns' °yh rl 'W��` t"Sx h(:s����*�p'��;'X�'� aa ca�+� it��t+�'S{�`�,�cn3R��'�-:�'�r"'��S�e"'AZ> e� y ��''�����' .
q h, �f?�`r j!"r,A����i'P�t"'Na t�n�!'�����''� ^�;�` , $ '?(�(� #��P � � � •(� �y ✓i a � y n �'I ��f�i�X.,.�1�� ���-.
� _�,r, h�,......�.Y? r. s'h:.i:�s'S..�,ru,r�?��!�-1����,.n7;��q1!.\i,�j„�-L�!'.+.�.��';1����;l�J�.ni *i.�3,±`..,7.r�� ,.4'r, e$ t,.i-.rC
❑ 'Yes,this section applies
't�he 1'e�lace►nen[of�Residential fixture or,a�plianCe thAt meets all three pf thc following requirements; ,
1. Does not require modifieation to cltctrical or gas serviee.
2, Has a total cost of$500.OU or less;exeludin�the cost of the fixture or appliance:and �
3. ]s improved,installed or replaced by the homeowncr or licenscd contractor.
Sicip next section,if thrs applies; Cost of permit $ ]5.00
State Surchargc $ 5 OU �
Ma'rl-rn Fee(If Applicable) $ 2.OD
xotal PcrmiC Fee $ �
���:SY�'��.�����9��� �����+ti.����,rf�+*l;.l%6�\�'.�.ce�e�IiS:;C?;�.07�5,7C�k'lAl.;{..r!:��(nS�lln�"C`�°r���i t�� .
1f above daes not apply;follow guidelines below:
1_ CONT�tAC'1'pYiYCE * '►s 1.25%of contract price witli a(Mp�imum Fee of$50.00)
/�/ �,� �C / ��C'� z ��. AFY �`y i'�
I��1 ��{N'Q��.S,.�"I�b� �JC. �t'i 1 �-.>, t. �;•2r ��
���9�I,t�"�F4 n[ifi�1 (�i1f12.[u��t�.'F512:S?!�)''
�
2. STATE SURCHA�i�� ��r� �� (�(
� .,�,,.>•���, � I
� �c�;00Q3.'ti:�:s �.
.�9�)l�.t:��t'lRricz}J ' ;
3. POSTAGE&HANDLING(Qnly on Mail-Cn Applications) �$��tQO�$�u=?,��-���;�
4g , �.rK�,,.
4. TOTAL PERMIT�'��(Add�,ines L-3 Above) �$;�;.k„',�.�� �t,,. ,�•�,;�2�s�,�`'�
■ �` CQNT�2ACT' P121C� or YOB C�ST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,&nd oCher fixed costs. II is t}1e amounl to be charged
to the customer for the�vork done. If any material,equipment, labor or installations are furnished by
the owner,tenAnt or any other party, thc reasonable market viilue of such itcros must be zdded to thc '
estimatcd cost or ca�tract price for permit fee purposes. In the event that there is a disputo on the
amount of the job cost, the C;ty may request the submission of a signed copy of the aetual eontract. �
�
.!_� �7�.. l: �i��.?:7.�.� `r ,3���.Y,";����rr°"r�i�.`.�."'����T�e:E..�,. ��.4bd� J� �����^�2��"��C� ��+'f '
I
The undersigned hereUy applies to the City for issuance of a Mechanieal pem�it,agrees to do all F
work in strict accordance with the ordinances of the City and the regulations of'the State of i
Minnesota, and certifies that all statements made on this application are complete, true and I
correct. �
1
c�s�,G� r�e-t�r�� . . :.,ry � ���� ;
Applicant's Signature: w_ �pa��s_� �
l
3
�
/� "1
DATE TIME �
CITY OF ORONO ALLED IN
INSPECTION NOTICE O�Z�,� SCHEDULED � l�
PERMIT NO. 21��5— COMPLEfED
ADDRESS � �� � �-
OWNER TELEP ONE NO. �� 3�'�� �
CONTRACTOR 6 rE'_S i� •.�-�� �
� DESCRIPTION ��► r�i� l cx.cc.�— 2j�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
� OWNERICONTRACTOR T EET YOU: YES_NO
c�., COMMENTS: �
� �Q r! t . C �� �ri�tC.Q.S —
�
J
O . _
� /� � -
o� ��C�— ` `,4 �/ "l G
O
� . .
Q i0v��c f /� � ,�-- �
2 rov<p � ��. � �7 � �� ��a
� S tL�c
W
�
j
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILI REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site: (l i� yG'
Inspector. �--- ��
White Copyllnspector's File Canary CopylSite Notice
Y
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �0/5�" ��a��COMPLETED �'13' /S�
ADDRESS yl�,S L-��tt wcr�Q ��<�,s ��•
OWNER TELEPHONE NO.
CONTRACTOR �'�$�+►� N����(.'�- ��'''�,
� DESCRIPTION F'P` � Z � �'� �"�` �•'' � �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
�
a 1/��� �u . /!f��s�e�- T��
�
J
O '
o -�,�/fl�-T s /.�,;�, �7 7�"�S �, wt P�
�
Q /��io v c GG �i 'y'� ��rl t� � 'u'� �c s�—
�
2
W
�
W
�
J
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
��RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
.
Inspector
te Copyllnspector's Ffle Canary CopylSite Notice
v � ��
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N I _D/�G�CHEDULED i�s
PERMIT NO. � COMPLETED
ADDRESS
OWNER ELEPHON��Ps�- .33-�
CONTAACTO i2-�-G � It�L�!��
�; DESCRIPTION � "� ` ���%�'��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
� (/�c //rl2 Q�r t/c�stL— h�/G�i-t� _'
O � �
� Gd D�P,✓ ��e� '
0
�
� ��� ��it _ lc�f� .r��.TBt`.d4�ia.,.,
Q
�
z
W
�
W
�
j
W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
c
Inspector. �,
White Copyllnspector's File Canary CopylSite Notice
Y
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 6/��SCHEDULED
PERMIT NO.�.laCS COMPLETED 3`�—.C�
ADDRESS y6.`J—�oPssdac� �r L�s �� •
OWNER TELEPHONE NO.
CONTRACTOR ��i'e s�t ''�-�-- �"{•
� DESCRIPTION ���` tt �L-
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
o �/� !�6/K �'v rc.o���� ��c�S
�
�
0
�
W
�
Q
�
2
W
� �
` �.�i -f/�+�
J
W ❑WORK SATISFACTORY:PROCEED �'�ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS_ p pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector: � w-�
White Copyllnspector's Ffle Canary CopylSfte Notice