HomeMy WebLinkAbout2015-01209 - mechanical CITY OF ORONO * Z 0 1 5 - 0 1 2 0 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015
< ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDi;ESS : 4108 H[GHWOOD RD
PIN : 07-117-23-44-0089
LEGAL�'ESC : H[GHWOOD LAKE MTKA
: LOT 040 BLOCK 000
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,538.00
NOTE: RF,PLACING HEATING SYSTEM(LENNOX)
APPLICANT MECHANICAL 56J3
STATE SURCHARGE MECH(VALUATION) 2.27
DITTER COOL[NG& HEATING TOTAL 59.00
820 TOWER DRIVE
MEDINA, MN 55340 Payment(s)
CREDIT CARD 1812 59.00
(763)478-9558
Minnesota State License#: mech-MB003161
OWNER
Z[TZLSPERGER,CHELSIE
4108 HIGHWOOD RD
MOUND, MN 55364-
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
not grant permission for additional or related work which requires sepazate
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 construc[ion au[horized is not
commenced within l80 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 I
revoked at any time for due cause. �f 1.�7
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Applicant Permitee Si a re Date Issued By Signature Date
09i18i2015 12:32 DITTER INC � 9522494616 N0.932 D02
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POi�C I'1'Y U3' N1.Y,'I � r �� ,�C�
^ �A r Ciry of Urnno Q���l� ( _ �
i�--•�v P,O,Box 66 Deto Race�ved: 1 l l`��` m�t N �' V
��G_.z
4 :750 Kelley Pn�krn�ay ;1 ��
i cr}s��i I3ay,MN 5�323 Approvecl Fiyr� ` � nmo�u�t S'_�'-�� `i
� Phonr(952)249-1600 ��X(952)ZA41IR16
� � ���,
`� �.�' CYT'Y 4�'OR�NQ—M�C�r�#N�CA.�,1'�12MYT
1'��p a
�"SyQ (All Cummcrcinl permils musf Ue apryro�cd Uy tho i�uildins PfTci51 p�Inspec�or�nd�ar Firc M;mhnll)
' ��N��,�iM iNroRM�T[o�v _ __�
l. You may apply for mechanic�l permhs by mAi)or in person ac the Ciry offices. Ap�alic�tion�will �
be reviewed and�permit will be issued within two working days,
I 2. Permit c�rds wi11 be sent b�recum mlfl after a review is completed. Pf RMiTS ARE NOT
VALCb UNT1L YOU R�Cr1V� A PERMIT. W�RK MUST NQT REGIN UNTIL THE ,
PERMIT CARD 15 POSTED ON Ti�1E.iON SITF;. ' �
3. Nlecha��ic9,l_f?e:irns—Completc calculRtiOns,delails�nd specitications are required'For eacl�
It�ting,ven�ilation,humidification-dehumidificntion,end Air eonditioning installation inclu�iing
heat loss/heat gain calculation,desisn temperatares,equipment ratings and identificntion as to
type,manufacturer and model. �Tra shall be presented on form provided.
4. When any new construction or remodeling is involvetl,a separ�te buil�'rr�g pern�it must be
obtflin�cl.
5. All wurk must 6e doi�e in accordance witli the Uniform Nlecha��ical Cade/Stnte 13uilding Code
requirem�nts.
6. All work musc bc inspecced(rough-in and final). Call(952�244-4Ga0.
(2�48 hour notice reyuired)
7. Flouse I•r�ting Test{tecortl m��sc be submicterl before rnaL �,
Tv��or���M[T �
(Checl�Alt Th�t A�aply) _ _ ,
�Residential [�Commercial(ApprQv�l RGquired)
❑New ❑Acldition�l ❑ Repairs �j Re�lace I
Yob Site/O�vne.r lnfarmation:
Sice Adclress: � � �� 1'i��qY1W(1b�X h�OCn.�-�C �
Owner:�h�:`,���� �.�,�s p�.r9�r Mailing Acldress: � ,� d �aarK
�ity: < Zip: � II
I-Iome Phone:��"o���,���1�,7' AlternaCe Phone:
Cflntractor [nformation: '
Contractor: [�;'��'�1r �v��, Contacc Person: 1 �M 'f1c1��.1^��� �
A�dress: `b�,4 �awe� dY�ive Scate Bond t�: OU� �'_L ,
Ciry: �c.Y��� Zip:�,��yaC�;pirationDate: `6 —c�•_ ' ��
���� � ���
Phono: ��1����,5 � Altcrnat� Phone: ,� '
❑ lnsurance—Current: I
1
89i18i2015 12:32 DITTER INC � 9522494616 N0.932 D03
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I', , , G�. ��i �; �„�l�T�l ',�' � �1:�.r� 'i! ,� I�
iNotc: All Geothernie!5ystems will now require a Site F'lan�Review by our Building Offir.ial.
IS THIS C�O'fH�i21w1AL? ❑Yes �Na
FIFATING SYST�MS
Quaa�tiry: ( _ ,
Make: ���'1Y16�_,
Mpdel' �.L.�°I�.V��17�X�I�� .�...�.. I
Ftiei: �Gr'�p o� �� �I
�'lue Size:
�1 � '
fnput�7Us: V�� '
Qu[put BTUs; �� d� ��
cF�: �1qv-1��5 �,.�........, I
COOLING SYSTEMS
QuBntlty'
Make- _
Model: II
Tons:
1-1.T�ower
�Y�w;��,a►c�s I
❑ G�s f nctory�ir�place Dr�nd Name: �
[] Wood Burning FireplRce '
❑ WOOQ St4vC Morlel No_: ,
❑ Wood ST,ovc with Flue/Mssonry
VENTII�ATIOf�
❑ No. Kit•chen Cxhausc duct recirculating cfin ,
❑ No. Dath Cxhaust(must have Quct oueside) cfm ',
❑ No. Qtlzcr F�.ns: Lacarions cfm I
T'U EL STORACE (Mxs1 be npprnverl hp Flre M�rsba!!iJ prnposln�to atrandon tank in place.)
� fnst�llntion 0 �iemoval
Pucl ail� g�llons ❑ Under�round [)Insid� ❑Outside
LP Gas: ��Uons
btlier:
G�5 I�IN�ONLY
0 Outidoor Grill � O[her/List WhaC�t Where: ___.__�.
2
09i18i2015 12:32 DITTER INC � 9522494616 N0.932 D04
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.. ��i��i cjif''„��r1411" W �r' �4����^f���`���,' �����)n ���i �Ho p����. �, � .t .
Ir � ;�•
�f 5�D i�-A^'?OQ2 ST�.�I'�S^��4"F[jE, `' `� ,
❑ Yes,d�is section ap�lies �
The repfacement of�12esidenti�l fMturp or���liance that meets�II three of the follawing requirements;
II. Does nor.req�iire modification to clectricfll nr gas servicc. li
3, Hes fl t�C��l eost of$500_p0 or le5s;exch�din�the cost ofthe fixn[re or appliance:3nd I
',I 3. Is in,proved,installed or replaced by tl�e homeowr�er or licensed contractor. �
Skip next section,if tl�is npplies; Cost of Permit $ 15.00 i
Stace Surcharg� $ 1.00
Mai!-In�ee(If Appiicable) � 2_00
' Tatat Permft Fee �
A�R11�1,F.'T�'�'i `��A t�,'',�'�', ,''IIG;��G�"1--".•.S� .. I;, .t� '�' �q�'a�Q,�,. ,.�';;.
If abave does not ap�ly; follow guicleiines below: �i
I. CO � CT wltlCf. ";s 1.2�9�a of contract price with�(fV[inimum l�ce af��O.Q�) �,
00
��;5�3�.! �;.o��s� 5fo�3 i
(comract pricc) (minime�m'550.00)
2. STAT�SURCFIATtGE p� �'7 I
-- - �.���_�x.00OS � c�.,'� '
(�o„irnet pr�ce> �I
3. I�QS'fAGG&I,IANDLING(Only on ivtail-In Applicatio��s) $ 2A� �
�
4. TOTAL 1'�RMIT FCE(Add Lines l-3 Above) � �� �
� " COI�TRACT PRICC or JOB COST means the ac�u�l or esti,nated dollar an�ount char�ed for tl�e ,
permitted work including m�cerials,Inbor,profiic,and other fixed costs. It is the r�,,,ounc to be cllarged j
to ti,e customer for the wo�k done. 1F any marerial, equi�yment,labor or instRllationa ar�fi�mished by '
t3�e owner, te3��nt or any other p:�rty,the reasonable n�arket value of such items must be add�d to the i
estimated cost or concraet price !'or permit fee purposes. In the event that there is a dispute on che I
amount of the job cost, the Ciry may req��est the subinission of a si��ed copy of the actual eontrae�, �
M�C��Ah1I������#i�,['��1P�"I;�u AT� �-��;�. , �. ' , ;,,; ; ',
The undersi neci hei�eb a lies to the Cit 1'or issua��ce oF n It��chanical Pern�il, flgrees to do all '
S Y PF� Y ,
work in strict accordarrce with the or�iinances nf the City rind the rebulations of the St�te of �I
Minnesota, and cer�ifies chat �11 StA[0m0nlS madc on this ttnplication ore complete, true and '
correct. I
A�plicant's Signature: , 171te� �` Q�6�' �� II
'� 3 i
'��
'�
' DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED ��
PERMIT NO.�' f'�� ��� � COMPLETED
ADDRESS �-�- l L `� � l��l i-��'C �--�=
OWNER TELEPHO�VE NO. �������-ct�
CONTRACTOR � ( f�f� ('�� � ►��4
���.
� DESCRIPTION � �1��- l
4� ❑ FOOTING ❑ DEMO-FINAL �, ✓�G SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI r ��J ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FAAMING �'6HANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
DEMO- E ❑ TIC INSTALL
2 O'WNERICO � CTOR TO MEET YiOU� YES_NO
�, OMMENTS:
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� ❑WORK SATISFACTOHY:PROCEED ECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO AHRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-460�
Owner/Contractor on site:
Inspector: �-.�
White CopyllnspectoPa File Canary CopylSite Notice