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HomeMy WebLinkAbout2014-00168 - mechanical ., CITY OF ORONO * 2 0 1 4 - 0 P1 1 6� f 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4055 ELM ST P1N : 06-117-23-41-0106 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 009 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 28,500.00 N07'E;: 1 BRYANT NAT GAS EURNnCE 1 MUNCKIN E30ILGR NAT GAS 1 BRYANT 4 TON AC 5 BATH FANS 1 GAS [,INE TO FP APPLICANT MECHANICAL 35625 STATE SURCHARGE MECH (VALUATION) 14.25 HERNKES HEATING&COOLING INC. TOTAL 370.50 419 E. HOFFMAN ST CANNON FALLS, MN 55009- Payment(s) CHECK 5101 370.50 OWNER FRITZ, MATT 9125 LOUISIANA AVE N BROOKLYN PARK, MN 55443- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicablc City approvals,and [he State Building Codc. This permi[is for only the work described and does not grant permission 1'or 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 da[e of issuance,or if construction is suspended for a period of 180 days a[any time afrer work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any tim fbr due cause. 2- 2 -/ � / / Ap I� Permitee Si ture Date Issued By nature Date ! % , FOR CITY USE ONLY City of Orono G, � O � ! �-O�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay.MN 55323 Approved By: Amount$: Phone(952)249-4600 Fas(9�2)249-4616 -a �. y � F �� CITY OF ORONO-MECHANICAL PERMIT lqKES H��� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply far 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 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 Designs—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. Al] 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 reqaired) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) ,�Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �O �S— ��� s7�Y � � Owner: M� 1 R � �Z Mailing Address: City: OfQ^'� Zip: S�S"3 S-'� Home Phone: �ol Z - o o z-� os 3 Alternate Phone: Contractor Information: Contractor: �-(��'�� �{ �f �a�^-� Contact Person: W-t�F ��'�N ►e � Address: �o. T3 0�c � �o State Bond #: f�l �✓ o o�Z � `7 SSo� � l � � City: C�`'^�' o"� �,4C �S Zip: Expiration Date: � , � � Z o � Phone: �'7 - 3� Z - 9�3 �' Alternate Phone: s�� 7 - Z Ce"3 - 83 3 -7 ❑ Insurance -Current:���f=c�...� �•4••.� �'� �,�. S � 1 � ,, l MECHANICAL SYSTEMS BEING 1NSTALLED � Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes QNo HEATING SYSTEMS Quantity: ____�� � a_;���- Make: (��ya..�'L G(�...o c Ic i r� � Model: Fuel: Na� • No-+�. Flue Size: 2 � �`� � `�-�� 1� �G Input BTUs: c�Q,po� �O.o o .� oUtput BTus: 7�/,�,o � yG�� , CFM: � � o o N COOLING SYSTEMS Quantity: T Make: Rr,�� '� Model: 3�� Tons: `� H. Power � FIREPLACES v o-�r(���G� /� p -�m.�L 3 � ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. c Bath E�aust(must have duct outside) �d cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshu/1 if proposing to abandon tank in pluce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill .�- Other/List What& Where: �` R� ��'9''C-t= 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets afl 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; excludin�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 � 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply; follow �uidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) l 2 3,sfl� X .o�2s $ � 5(� . Z (contract price) (minimum$50.00) 2. STATE SURCHARGE � c�,Z� x .0005 $ � (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ Z.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��O • �� ■ * 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 charaed 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 estimated cost or contract price for permit fee purposes. ln 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 for 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 state�nents made on this application are complete, true and correct. Applicant's Signature: —��� Date: 3 II ��/� 0- _ ATE, TIME �/ CITY OF ORONO CALLED IN � ��" �' -c+��� INSPECTION NOTI p SCHEDULED - - ' D� /' PERMIT NO. � �OD �OO COMPLETED ADDRESS �D SS �Lh� �f OWNER TELEPHONE N0.��7 34Z ��,3� CONTRACTOR E rn�P ,�/�" � DESCRIPTION �� -- /r St � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/�RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT '� ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAfiD COVER qEMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O . ' / � O � W � Q � 2 W � W � j d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in dvance. 952) 2 9-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File nary CopylSfte Notice �ITY OF ORONG�� ,�,�Q�p CALLED IN �C�AT�"� ���IE ✓ ��+�' i !0l � INSPECTIO OTI E SCHEDULED ,�� � PERMIT NO. I� E� COMPLETED ADDRESS �-t�� ��F'"� S�� OWNER c � TELEPHONE NO.� �2"G3.� 1 CONTRACTOR ��$ � DESCRIPTION �� � r�� ' '�""" _c� � � ❑ FOOTtNG ❑ P MB4MC,-F4NAL� ❑ EXCAV/GRADING/fILLING � ❑ POURED WALL MECHANI � ❑ IAKESHOREIWETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � J d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan ) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ,�5 �e�— �A T�ME �/ CITY OF ORONO CALLED IN � INSPECTION OTI E SCHEDULED � /l�.; CJO PERMIT NO. � COMPLEfED ADDRESS `�(�S5 �f'Yl S� OWNER TELEPHONE NO. 5b7 �JDZ GJ'339' CONTRACTOR �P�''hL�P. 7�1e�-�L V�GI � DESCRIPTION ��r��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING O MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT Q O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO ME U: YFFS_NO � COMMENTS: � W a � J O � � O k W � Q � 2 W � W � j d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ) 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � �`^' DATE TIME � CITY OF ORONO CALLED IN �-�'I -1 � INSPECTION TI QSCHEDULED �—/O-I� � PERMIT NO. �l `�' COMPLEfED ADDRESS ���J G1/Y1 S OWNER TEL PHONE N � ' CONTRACTOR �; DESCRIPTION � � � ❑ FOOTING _❑�LUMBING FINAL ❑ EXCAV/ DING/FILLING y ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING ❑�JIECHANICAL 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C J O 1 � O _ � - / � W � � �� Q � � 2 W � W � � J d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � ,24 46QQ OwnerlContractor on site: Inspector. ' White Copyllnspector's Ffle anary CopylSite Notice � _� ce c\� DATE TIME CITY OF ORONO CALLED IN '� INSPECTION NOTIC SCHEDULED 7 PERMIT NO. COMPLETED ADDRESS OWNER EPHONE N�P� 77S�7d��— CONTRACTOR����`e,� - �; DESCRIPTION _ �-�'���N-��'GZ:�%`� ��� � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ° C MMENTS: �e/� Sc��P�S �/�a ��4?e�0 � � a � !f d ih t � �, �Go'7�� r r c rl C�r i e.'�/ / � J O � - GG� -�o r �c� n.S,Oti�<� 0 � W � Q � 2 W � w � J O W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ���C6RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White yllnspector's File Canary CopylSite Notice ,�� DATE TIME CITY OF ORONO --�A LLEDIN INSPECTION NOTICE SCHEDU�ED — � PERMIT NO.� -D COMPLEf ADDRESS OWNER TE PHONE NO. - Q ' CONTRACTOR � DESCRIPTION `� � /-��� � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �1�5 1�K� {•�.a�t,� � l S {►ol,Q i.t,� � G-✓�� - s�l� �l4.�.c�.� � � � o . � - ��/1�5�, /�Sf4t�N.���,5�ls b�-{�✓ G���� � — � �/ /i L� i !� W ✓ h � � — �K L Q � z W � W � J O � ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0���CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C x i ' 24 hours in advance. (g52) 249-460� Owner! tor on sit • - �TL . Inspecto ite Copyllnspector's Ffle Canary CopylSite Notice