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HomeMy WebLinkAbout2013-00580 - mechanical � � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 3 - 0 0 5 B 0 * DATE ISSUED: 06/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 825 HUNT FARM RD PIN : 30-118-23-44-0003 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,581.00 NOTE: (1)LENNOX FURNACE- NATURAL GAS-2000 CFM (1)LENNOX A/C UNIT-4 TON APPLICANT MECHANICAL 119.76 ABEL HEATING AND COOLING STATE SURCHARGE MECH(VALUATION) 4.79 6501 CTY ROAD 15 MINNETRISTA,MN 55364- MAIL-IN FEE 2.00 (952)472-2665 TOTAL 126.55 OWNER LANGTON,WILLIAM&MICHELLE 825 HLTNT FARM RD LONG LAKE,MN 55356 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 permiu. 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ca se. ��.7� l � a� � App icant ermitee ignature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , FOR CITY USE ONLY ' City of Orono C • (p/., � . • �O�^ P.O.Box 66 �G� `� Date ReceivedT�ac� Permit# �"� � �.J 2750 Kelley Pazkway Crystal Bay,MN 55323 JU� - / �� - + Approved By: Amount$: �a'�' Phone(952)249-4600 Fax(952)249-4616 t ���y�� G�:�ii�.} y`�q �.�'� CI7'�'OF ORONO—MECHANICAL PERMIT kFs��� (All Commercial permits must be approved by the Building O�cial or Inspector and/or Fire Mazshall) GENERAL INFORMATIbN , . 1. You may apply for mechanical permits by mail or in person at the City offices. Applications�rnCE1VED 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 �UN 2 7 2013 VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIIv UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. N OF ORONO 3. Mechanical Desi�ns—Complete calculations,details and specifications are required far 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. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. , TYPE OF FERIVIIT ' Check All That A 1 ' �tesidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: � � 5 �U,vti �-- �C� v� w► �,D�� Owner: W� ��, �-11� ►` P � ,e. L� 2 Mailing Address: ��� �� c��y: crc� � �<� z�p: 5 S 3 S � Home Phone: Alternate Phone: � J �— � �Z' 3 / ` 3 Contractor Information: , Contractor: � Oo �,,` 1 Contact Person: ��'Q. �LG��'e� Address: � SU� Cf`( I�(� �S� State Bond#: �� ��3� �� City: �'�h���•`S�"OL Zip:S�' 3 6�xpiration Date: �� � y �� ' 1 Phone: �Z— ��Z ` ��65 Alternate Phone: 15�'�g 2��� 3 I ❑ Insurance—Current: ��%��`q,�e-� 1 �v�S u,v�q,h c,2 � - %:� _ � � � � y-� ���;q �� ��_ � :, �;:a�, �., � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �'I�To HEATING SYSTEMS Quantity: 1 Make: �✓I V�O Model: �L�g�u � I�j�J p(o(�� Fuel: �Q.�U-✓'�{ Flue Size: Input BTUs: � 5� (�!� � Output BTUs: t� � � �� � CFM: 7.0 �U' Q COOLING SYSTEMS Quantity: I Make: �-2,V�.Yl.(��C Model: �l�, - C��(� '2-�J� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: � Wo�d Stove with Flue�Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: _ gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . . � . , � a �'�`(�� A� �;��i5�, s�p r.. , � �., - - �`'..�-� ���''F,;..:"� £aa�� a���n,x, �{ � � _ � � � � � ���^Vy'� .*.t"�5.�Z:. � .,,�����,�'�... � 4m:" .� 4� ' §s4..,.,.,: .:�..: . ,,�f ����f f..y __'�"r �T 1�`t`. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to elech-ical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 $ ���# ��� .�r*.� '� .��E � - ��°� ,�'��� � j�.��$5����R_�`�f�0.0�... _.� ' £�,��t If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) qS � I . c�c� X.oi2s $ 1 l �I •-7�O , ,�, (contract price) (minimum$50.00) 2. STATE SURCHARGE �, 5 8 ( � o� x.000s $ u ,� (contract price) 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 or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged 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 far 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 signe�l copy of the actual contract. - _ {. /4.,' �: 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. � � �J Applicant's Signature: Date:_��`� � 3 � - � ✓ /Opq��/_/ TIME CITY OF ORONO CALLED IN � fr � INSPECTION T E ,�/� EDULED �� PERMIT NO. Z�/��M LETED ADDRESS ��a��3 OWNER TELEPHONE NO, , CONTRACTOR �; DESCRIPTION c:r�GCX (����`�C�~ � � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS � 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 ERICO CTOR TO MEET YOU: YES NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 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. Call for the next inspection 24 hours in ance. 2 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,�o/3-GG�,�� COMPLEfED - O �/� ADDRESS fS�T f�e.��`' �t�"'� /�� OWNER TELEPHONE NO. CONTRACTOR �� � '�'��s � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��7{L ❑ SEWER HOOK-UP p COMPLA�NT v ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ H D COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COM ENTS: _ � �G�✓'�+a •`L /��/�t,r �E•/e�,p �--ct t/ �or .� o � , �� � �.. � ° � 6.1.e �rv m.e W � Q 2 Ple.��� rv� o.�� t���l �-s • � ��,oi��1l Q �.�•a.i! �Gc�n. �r 4�s7LC W � � vl�c.� j W ❑WORKSATISFACTORIF PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. `/ � Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCoMractor on site: � Inspector: � Whits Copyllnspector's File Canary CopylSite Notice , �,-;;��� C;�e�1�'�-�-f i V 155�� . � ` I ' '�-� �--- �°� a.�_� �/`'�--� �� I� t D �L� � � l � �� � � DATE TIME �/ CITY OF ORONO CALLED IN 7-3 INSPECTION NOTICE SCHEDULED 7- /Z-/3 !O � �D PERMIT NO.c�i.f�)3- DD S�D COMPLETED � ADDRESS �2 y �U� �� OWNER TELEPHONE NO. 9�72 —'C7Z— �O�"� CONTRACTOR flb�- D n-�'(�2- �: DESCRIPTION r�M�� � � � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ 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 r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL y OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � 2 w � W � � d W ❑WORK SATISFACTORY:PROCEED �PRO.IECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED G'STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerfContractor on site- Inspector. l_,( J White Copyllnspector's File Canary CopylSite Notice b�Z'`3 DATE TIM� CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT NO�?✓.3Da-SS� COMPLETED 9���-/'� ADDRESS $ a� ��••� �� � OWNER TELEPHONE NO. CONTRACTOR �G�! �i• °�-�o � � DESCRIPTION �/��e �- �G r�/ � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ S�TE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTANCTOR TO MEET YiOU:_YES_1� c� COMMENTS: � � /1d �/1 Q .f�Mt Q - � J O /� � /"�CQS� LbK� /�7�s.s�c.(G lbrl�i�'r" 1f- p . . . , Jr '� GA 4 ��/1l.L /ILS��G�f�n� 6� GY1_�re.c W y. 1� G' � C�li G �7 OTO►1.f� �� �Sa " �'�l ��6� — Q � � W � j O W O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT 1NORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR p'1p1$PECTION REOUIRED.CALL TO ARRANGE ACCESS. !/ Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. ��•�-..Qr�� Whits Copyflnspector's File Canary CopylSite Notice