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Home My WebLink About2015-00411 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 4 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015 ` ORONO, MN 55356- ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 4174 HIGHWOOD RD PIN : 07-117-23-44-0026 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 032 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION : $ 9,500.00 NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM,ALL MAIN LEVEL DUCTWORK, 1 KITCHEN EXHAUST,4 BATH EXHAUSTS, i DRYER VENT, MAIN GAS LINE FOR FURNACE APPLICANT MECHANICAL 118.75 STATE SURCHARGE MECH(VALUATION) 4J5 PROFESSIONAL MECHAMCAL SERVICES MAIL-IN FEE 2.00 8851 E. RESEARCH CTR RD NEW HOPE, MN 55428- TOTAL 125.50 (763)657-7421 Payment(s) Minnesota State License#: mech-MB003767 CREDIT CARD 9795 125.50 OWNER LUNDE, DAVE P O BOX 4551 ST PAUL, MN 55104- 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 rela[ed 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. �,;� U' V� � , n��1,1 � �� L�YY��-'r� 1� � �� Applicant Permitee Signature Date Issued By Signature Date Fo�crrv i�s�o�vi.Y -" Q-ti�� ityofOrono ��0 i5 � � i�0�.,\ P.O.Box h5 Date Fteceived: 1 � Pennit��`'�' —D� ' I ( SO f 27�0 KeP.ey Parkway ,qpprovod By: �_,�__Amount$: � Z� Crystaf Bay,MN 55323 �d � I �,�, � � + � Phune(952)249-4600 Fau(952)249-4616 f, �� ,�/� � � , , "`�� ` t-, CITY OF ORO1�10—MEC'HAn1�CbL PIERl��1T �?��t�� ' (Atl Commercial permiu must be approved by lhe Building Officiat or Inspector andlor Fire Matshalf) LGENERAL INFORMATION - I 1. You ma}'apply for mechanical permits by mail or in person at the Ciry o�ces. Appl�cations�vill be reviewed and a permit will be�ssued within two working days. 2. Pem�it cards wiL' be sent by retum mail after a revie�v is completed. PERiv[ITS ARE NOT VALID UN'CiL`rOU RECElVE A PERM]"I'. WORK ML�ST NOT BEGIy IJNT[L THE PERNIlT CARD IS POSTED ON 3'I�E JOB S1TE. 3 Meclianical Desir�,s-Complete calculations,detaiis anc specifications are required for eac31 heatsng,ventilation,h�unidification-dehumidif cation;and air conditioi�ing instajlation including heat losslheat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and m�del. llata shal3 be presented on form provided. 4. When any new construction or remodeling is involvcd,a separate building permit must be obtained. 5. All work must be done in aceordai�ce with the Uc�iform R4echanica]Code+'State Building Code requirements 5. All��ork rnust be inspected(rough-in and final) Call(9�2)249-4600. (24-48 hour notice required) 7. Ho�se Heatin�Test Record must be submitted before final. TYPE OF PERMIT {Check All That Ap l�y} -- �Residential ❑Commercial(Approval Required) �Re�lace ❑ New ❑Adciitionaf ❑Repairs E _—1 ' Job Site i O��ner Information: Site Address: �I � � � Owner�_� Mailing Address: Cit}�: _ Zip Home Phone. Alternate Phone Contract�r Information: �1 Contract�r:�{� �,�' SVC�S Contact Person: �"`� • g�� E RL°S '�`,(r �/l �-�iG'�S�Bond#: �QG3�I�-'� Address. _ Zip:��F,xpiration Date� �� c�� .� 5�- � �. Alternate Qhone: �� ' ��'�� + � � Phone: ��3� �] Insuranee—Current: 1 �'d �bE 80 9� O l adb' , '_vLECTIANICAL SYSTEMS BEING 1NSTALLED � �ote: All Geothermal Systems will now rcquire a Site Plan& Re��ie��by our Suilding Offtcial. IS THIS GEOTHERMAL? ❑ Yes L`J No �IEATING SYSTEMS { Quantiiy _ � — Make: Model� �� ,� �� Fuel: ��u-'�-- �� F)ue Size: _r7, lnput BTUs. �_��C°� - h G� �Ut})Llt��5: CPM: � COOLTNG SYSTEMS Q u antity: A9ake: r � Model. � Tons: _ �}/� H.Power — FIREPLACES ❑ Gas Factory Fireplace Brand Nan�e. !,] Wood Burning Firep�ace � 1�`ood Stove Mode]No.: � Wood Stove`��ith Flue!Masonry v��v�r«.�T�o� 1�Q V1�h -� ��C} (-�,�1� C�-�°=��` �t-, ducl rccirculating �� No_ Kitchen Enhaust ��.� No � Sath ExhausC{must have duci outside� cfm � N�. ��_ Other Fans: Lucations t tl J FUEL STORAGE (Mrrst br approied by�reMurs�rall if proposing to abnndon tnrek in plrue.) � Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑lnside ❑Outside LP Gas. �allons Other: G,�S LIri E ON LY � � �.�' t'ZGc� �] Qutdoor Grill Other/List What&�Vhere: ' ` �1 � 2 9'd �9£ 8096 06 �db' � PERMIT FEE CALCULATION(S) BASED OFF- 2002 STATE STATUE � Yes,this section applies The replacement of a Residecrtial fixture or anvliance that meets al1 three of the fiollowing requirements: l. Does �t require modilication to electrical or gas ser�ice. 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 Iicensed contractor. Skip ne:�t section,if this applies; Cost of Permit $ 15. 0 State Swcharge $— S.OQ Mait-In Fee tIf Applicable) $ 2 00 Total Permit Fee S PERMIT FEE CALCULATION S —JO�S OVER$SOOAO If above does not apply;follow guidelines below: I. COI�iTRACT PR10E * is 1.25%of contract ice��th a�Ylioimum Fee of S50.�0} �� ✓"" x.0125$ (contYact prlce) �/ (minimam�0_OOL 2. STATF SLJRCHA1tGE �!'� x.OQQS $ (cpnt�t price) 3. POSTAGE�HANDLTNG (�nly on Mai1-in Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ■ * CONTRACT PRICE or JOB C�ST means the actual or estimatied dallar amount charged for the pe.rmitted wor�including materials, labor,profit, and othex fis:ed costs. it is ti�e amount to be chargcd to the customer Por the wrork done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other paity, the reasonable market va�ue o£such items must be added to the m untof the}ob costathe Cctyfmay r q est the submission of a s'gned copyeof the act aftconiract MECHANICAL PERNIIT APPLICATION AGREETVIENT The undersigned hereby applies to the City for iasuance of a Mechanjcal Permit, agrees to do all work in strict accordance with the ordinances of the City and the teguiations of the State of Minnesota, and eertihes that all stateme�ts made on this application are complete, true and correct. r� � � -�°�� Date: Applicant's Signatu . v` 3 g•d ��E�80 5 L 0 L adb' ""— 1 v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ab�5 -UO S'/! COMPLETED - �/- ADDRESS Y!7Y ��f,/�� P�P OWNER TELEPHONE NO. CONTRACTOR �ro f�L' �i�/uG � 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 ❑�CHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BUFNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO v�, COMMENTS: �4S �� ne, �t��- �-�S� /fo��•ts� � . � ��s� S,nG e //- ao-��i � � � 9�tS �� s/t� 9�� //�t e4 /�r�GS� e o —�—�� dyl�e r� r i--14G �r�s � � - ° � /'Ov rrj� ,�L�.,w�t Gh✓6z ot�! �S/tte-! ! � Q - 54�,�I/tS — /1�l�r�'!t �i /��L�d �L, - � b� – /l0 4��c�war l< <K. � .L. �t� a � -f`J c� –�.sr1+� ' � ' G'4/l �dr ��_ � s1 G.C. t,vLl ,e`r rc¢� � � OR SATISFACTORY:PROCE D� ��L� O �PROJECT COMPLEfE ��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 REfURN �STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �� Inspector. / � White Copyllnspector's File Canary CopyfSfte Notice DATE TI CITY OF ORONO cnLLED IN INSPECTION NOTICE ' SCHEDULED PERMIT NO. � COMPLETED �"�� ADDRESS T/ �_�4�a.lo� �� OWNER TELEPHONE NO. CONTRACTOR �'�• �� r/ . r � DESCRIPTION —�/�;:,�c �i1�G �- /t�� ✓��' 4� ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiDU:_YES_NO c�.� COMMENTS: � � n � c�cr/ ��G CQ�/�/ ,�.1 P�i r�S-s�:.. .. � � �L1r-Qr/�Qr�`,a�..- �o.�� t � � r � �� a� o � . G � Q !�� C?��al,a�� z � � c�i.2w/��P � � � ❑WORKSATISFACTOFlY:PROCEED �COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDfTiON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaD ror the next i ion 2a urs in advance. (952) 249-4600 OwnedCorrtractor on s e: Inspector: White Copyllnapactors Fik Canary CopylSke Notks �� C� DATE TIME CITY OF ORONO CALLED IN ' INSPECTION NOTICE SCHEDULED 1- 1 cj �� PERMfT NO.r'�� {%�-'�) � COMPLETED r� ADDRESS t-'I I � �-{ �� G� V 1.C.�%C�C�C'� - OWNER TELEPH E NO. CONTRACTOR � DESCRIPTION ��'� �� /— � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �' �(,1 . � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB AN � ❑ SITE INSPECTION Q ❑ FRAMING �"MFCHANICAL . � ❑ RATED WALLS � ❑ INSULATION IREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL ? OWNERICONTAACTOR TO MEET YiOU: YES_NO v�i COMMENTS: � � I�ic u �'1�c� ✓1�t i��u c1 �rj�t� , � C��l�� oclres `iK�e, l�O�a - IS ��,�rs - '' � �a�+/ • � � � ��c�� rM�c� �I9-lc � o.�..� �N54�• G/ou ! Q C.6�l-��iq.s6� �!�1 O �AG 'ri�'4.�. t0 4S �v rl�w � ��i Q✓ / � �• •l� Q �aH. no b wo i!c.»s i:., f��►zGC a�c I�-G- � G� .�,��e � /,.�� ,s �. � W _ W ��5� aK cs�� ►�C � � 0 W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � �Q'�6RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDiTIONWffHIN HWRS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector: "`J White CopyAnspector's Fik Cenary Copyl�"