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Home My WebLink About2009-00756 - mechanical � � CITY OF ORONO PERMIT NO.: 2009-00756 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 10/26/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3235 GRAHAM HILL RD PIN : OS-117-23-14-0068 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 31,900.00 NOTE: HEA7'ING SYSTEMS,COOLING SYSTEM, KITCHEN EXHAUST,BATH EXHAUST,GASLINES FOR FURNACE& DRYGR APPLICANT MECHANICAL 398.75 HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 15.95 18550 COCJNTY ROAD 8l MAPLE GROVE, MN 55369- TOTAL 414.70 (763)428-3677 OWNER KILL, BOB&COURTNEY 350 NORTH ARM LANE MOUND, MN 55364- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "l his permit is for only the work described and does no[grant permission for addi[ional or related work which requires separate permits. All provisions of laws 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 no[ 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 re nsjb�e for ass 'ng all required inspections are requested in co ormy�ce with th State Bui ing Code.This permit may be revoke�l.at�a ti for due c y / / / O p icant Permitee ' ature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� Fo c1T use oNLv ,�p� Cit�•of Orono �Q��A ��p P.O.Box 66 Date Received: Y 0 Permit# �� \ 2750 Kelley Parkway /'� i � � I��y �1��"� -�: �� Crystal Ba��,MT'S�323 Approved By: Amount�: �`l� � � \� ,�a:;,;j;�,;�f.�' (952)249-�3600 �l?+c�eso� � . CITY OF ORONO —MECHANICAL PERM� � (All Commercial permits must be approved by fne Building Official or Inspector andior Fire Marshall j GENERAL 1NFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications wil] be revie�ued and a permit wil] be issued within two workinQ days. 2. Permit cards will be sent by return mail after a revie�• is completed. PERMITS ARE NOT VALID UI��TIL YOU RECENE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, desiQn 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. Ail 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 final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: � � Site Address: Z �- %� -a , �" Owner:�0� J�.��(i Mailing Address: City: Zip: Home Phone: Alternate Phone: Coniractor Infonnation: Contractor: Contact Person: HEA7ING &COOLING TWO INC. Address: 1g550 Coun Rd. 81 State Bond #: Maple Grove, MN 55369-8234 City: (763) 428-3677�mip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � ,`t. MECHANICAL SYSTEMS BEING INSTALLED i Note: All Geothermal Systems��ill now require a Site Plan �,Review by our Building Official. IS THIS GEOTHERMAL? ]�Yes ❑ No / � HEATING SYSTEMS Quantity: � Make: �f�p��y�� /��' �'�'� Model: �"��t�G � � 6� "�� '�"�''�/• , Fuel: /�'�' / • ��-'' ? � "�/� �� .. ��/" � �' �/�r�� , Flue Size: �� Input BTlis: �iC� �� , �j ��y Output BTUs: � �� ?�. CFM: �G��O COOLING SYSTEMS Quantity: �C� Make: ,� /'l'� Model: 7�/�V��/U�� Tons: H. Power FIREPLACES ❑ Gas Factory Firepiace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION � Na Kitchen Exhaust__ C duct recirculating lJ'� cfm Na � Bath Exhaust(must have duct outside) �,�_cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be appi•oved b}�Fire Marshall if proposina to a6andon taiik in place.) ❑ Installation ❑ Removal Fuel Oil: gallons � ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons � • - Other: �'. . . . . . ..k� GAS LINE ONLY ❑ Outdoar Grill {�, Other/List What R.Wher�;�r��; �7��+!��5,��yCy�„ ! - � � � , � �� P�ERMIT�FEE CALCU�LATION(S) ' �� BASED OFF -�2002 STATE STATUE �� ❑ Fes, tlus 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; excludin�the cost of the fixture or appliance: and 3. ls improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � PERMITFEE CALCULATION(S) —JOBS OVER�500.00 If above does not apply;follow guidelines belo��: 1. CONTRACT PWCE *is 1.25%of contract price with a(Minimum Fee of�50.00) .�/. `�10� x.012s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x .0005 $ (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ,�� • * CONTRACT PRICE or JOB COST means the actual ar estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be chareed 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. 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. ■ **The STATE SURCHARGE is .0005 of the Buildin�Department at(952) 249-4600 for the price. I MECHANICAL PERMIT APPLICATIOI�T 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 statements made on this application are complete, true and correct. � Applicant's Signature: " Date: ld °— ��'"�f� 3 10,I13I2009 09: 30 9524756778 PAGE 02 '' CERTIFICATE OF SU�V�Y FOR � THOMAS BREN H01V.t�s INC. � � � , f., ir-- . :s ,....;`4 OF LOT 4, BLOCK 1, GRAHAM HILL PR�SERVE � ��' � ` �'Q� HENNEPZN COUN"fY, bIINNESOT� �� ;-�� `��ss°oo Rob ounncy KIII � 235 Oranam Wli RG .,:.,. \ �\� 1\�\ 9 � �B, �., rano,MN 55358 '��` ` !�,\�,\ � �"•�y'f �� l� �:, .\'�,�_ � ,C�J��`'��`c° `.r{� � +�\�'-- �j ^\ i ��`��GL.�II \�� v \ � ��, plaasaln8�911pgr � i � �s2 \\� �� p \ �\\ ��. he rod una Rna npl �9p� i� \��P�� • �f �))) `� � Yfa X VN!1101GQ � �V. / \C/�Rh, \ •� �� \\ _ nlheaVrva' r�\ �,Q},�f4�a�� \� � `.•, ♦ ' y' ��q i� 'f��2�.� 1 1 �!� . 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SURVEYORS k BfTE PLANNEJ�g _ '--- aa5 NOR;M wiLlow D�.wE •• ' LP"c�.K[,uu,55356 '�,""�- O9-iW �- t�i Nark S (;.on0o.._.._'u��,.•.o�a t�•:•m N+�,On ti?i7z._` �1W �/ V DATE TIME CITY OF ORONO CALLED IN /�� INSPECTIO O CE y� SCHEDULED �a'� �� •� PERMIT N�� "�� COMPLETED ADDRESS ��3S c�l��,�vt-� /�I OWNER CONTR. � �� 4.l� TELEPHONE NO. _� �(/GZ ��O?J' � � DESCRIPTION �� /�,�� '� L��(X�- �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , � � W a � J O �. � O � W � Q � Z W � W � � d � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ,-; pHOTOTAKEN INSPECTOR WILL RETURN C_�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 24J-46�� OwnerlContractor on site: Inspector. w /�' White Copyllnspector's File Canary CopylSite Notice � �� TE TIME � CITY O ORONO CALLED IN � �� INSPECTION NOTIC�F., SCHEDULED /[� _1�� PERMIT NO.�G�1�'�TS�'COMPLETED � h ADDRESS ��S (!�Y��,�� 6� /�I OWNER TELEPHONE N f ."��3�'`3 `�`�/� CONTRACTOR d�� `��-�`�- � - � >; DESCRIPTION ' `��"`'� �"`'� G`� �' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLI G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLAND � ❑ FRAMING ��CHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O ti W � Q � Z W � W � j GW WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next ins ction 24 hours irt advance. (J52� 249-4600 OwnerlContract Inspector. White Copyllnspector's File Canary CopylSite Notice b- � � �_ // DATE� TIME CITY OF RONO CALLED IN �c INSPECTION NOTIC SCHEDULED G l0_'� PERMIT NO OD� COMPLETED ADDRESS 3��5 ��f/lZi L� � _ �-- OWNER CONTR. ry /Wb TELEPHONE NO. — 7 3- !�J �� - o�2 � DESCRIPTION �'�� -GCL/Ysr � � ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADI /FILLING <J` Q ❑ FRAMING �] MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOUy�YES_NO � COMMENTS: � W a o ,� '.S (��-f G, l��v, .� �,4�r-�ec� '� �'1 .�3C� ve /�� -� � f--r�,q�� T�.C' � L1 ,f�i/ ' �S i w � C�� -� �-�a �� 1s ��'�< �s Q � r z l��.l�% n, o � �r�� r G�°� � t,�l�� ,�'' �"h � � -J C7: � �s , v� � S i ��'.S �'-��". � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �CORRECT WORK 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 RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � �l White Copyllnspector's File Canary CopylSite Notice � — � ��' ' ATE TIME ✓ L_ CITY OF ORONO CALLED IN � INSPECTION N I 7 SCHEDULED �j ___y� PERMIT NO. �� DO/'�COMPLETED ADDRESS �a�Gt.tt�l� OWNER CONTR. � � TELEPHONE N0. �Il`I�'- ��3`" �a g �77 � DESCRIPTION �-�'J'�- �- �u CG� ' � ❑ FOOTING ❑ MECHANICAL RI A ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL �� ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPL CE �� ,/ ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP KN ❑ SITE INSPECTION � ❑ FINAL ❑ SEWER HOOK-UP �I��'i' ��! � PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:�ES_NO l � COMMENTS: � W � � �i �.� �'� � v� i� � � 0 a � 1 y t � � rt � A p(`�'/.�� Q � W � Q � � W � W � j W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: , Inspector. �� _�,�`l �'�;�� White Copylinspector's File Canary Copy/Site Notice