HomeMy WebLinkAbout2016-01326 - mechanical CITY OF ORONO * Z 0 1 6 — PJ 1 3 z s�
� ,�, 2750 KELLEY PARKWA Y DATE ISSUED: 10/18/2016 �
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRE5�5 : 1070 HUNTER DR
PIN : 25-118-23-42-0008
LEGAL DESC : MOONEY LAKE PRESERVE
: LOT 3 BLOCK 2
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 70,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(3)CARRIER NATURAL GAS FURNACES AND(3)CARRIER A/C LINITS
(1)KITCHEN EXHAUST 10"DUCT-600 CFM
(8)BATH EXHAUST- 110 CFM
APPLICANT MECHANICAL 875.00
STATE SURCHARGE MECH(VALUATION) 35.00
WISE HEATING&A/C MAIL-IN FEE 2.00
W12090 86TH AVE
RIVER FALLS,WI 54022- TOTAL 912.00
(651)270-8272 Payment(s)
Minnesota State License#:mech-MB005883 CREDIT CARD 3652 912.00
OW1�tER
GRONHOLZ,SCOTT&AMY
2008 SUGARWOOD DRIVE
ORONO,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
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.l'his 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.
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10/ �� l /:b
Applicant Permitee Signature Date Issued B ignature Date
10-18-'16 09:52 FROM- 555-555-5555 T-590 P0041/0004 F-536
� `�p��"'��''`",� City af Orono
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�y�'� �w;; ' 2750 KelEey Parkway
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_ _��� s,�oQ-4`G�' CITY OF ORONO�-N�CH,A�1vICAY.,�ERNIIT
, (AII Commercial pomtics must be apProved by the Building OfficisE br Inspector and/or�'ire Marshall)
l. 'You m$y apply for x�aeck�anicai pezan�its by maia or in perso�at t�xe City o�£"xces. App�ications w�i11
be ceviewed and a��it wvill be issued within two wo�dng days_
2. Pernazt cards wiill be sent hy return�sil after a review is com��eted. ��IIT'S A.l�NOT
VA�,�D UNT1L YOU RECEIVE A,�ERMix. WORif MUST NOT BEGTN`UNT�T.TJEI� '
ER�Y C�IS�OS'TED ON T�iE JUB ST'I'E .. , , .-
3. ech�anica esi ns,Complctc calaulabioEns,del.ails az�d Specifications a�.e reqwred�r each
heatir�g,ventilation,htur�idificatio;p-dehumidification,and air conditio�,ttg instaa�ation includmg
heat loss/heat gain calcu�ation,desi,gxi teanperatures,ec�ufp�nent zatingg ynd�identi,�Zcation as to �
type,manufac�er and model. Data shall be prese�o�ted on fozaxi provi�ed:� �
4. When any new constnaction or ret�odeling�s imvolved,a sepa�rate tniitcliz►g.perm;2�uust be
obtained. . ,
5. AI1 work must be done iux accordsr�ee wi13�t�ie LTnifnt�x Meel��C�/Siate�uiiding Code
reyuireno�ents. -, . .,
6. A,ll wor�c must be iunspected(z�wxgh_ia�and final). Call(952)249-q�600.
(Z448 hour not3ce reqaiu�ed)
7. House Heating Test Record xuust be su�nmitted before f;oaal.
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�Residential ❑Commercia,l(Approval Requ�red) [Backflo�uv I�vice...�AV� ❑,pjrg]
❑New ❑Additional ��p�
❑Replace
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Site Address: ���Q �ir�v�-�.i'L. . �� , �,d� �.�J S`C�c�1
awne�: ���' ,���tFat-� �tw���Address: _ ,��'?`���z�,��K'�.�.
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City: �'+DS�� � z��: � 81,�
�Tome Phone: `?f�= 7��C-�?Z� .,� Alte�ate Phone: ���- `�°�� f 1'�".�
�..�,�>:- � � .
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Con�acto�: ��s E ��-+n,c��.�.�ntact Person: ��� � 1'��
Address: '�a'�9p S*�(�n� ,�t��, S'tate Boztd#: _f N1 P f��j���
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City: �ivE� � Zip: S�'�p�atio�,Date: .�e9ru�` Pp � '�p rg
Phone: b�r�Z7�r��`z�Z— Alternat�P
- l�one: �145�-'��947�
❑ jY1SSU1'�11IC�--C`11YX@AY: �R�'Ei� ��!�Iti r
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10-18-'16 09:52 FROM- 555-555-5555 T-590 P4002/0004 F-536
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� . Note:A,11 Geotherma�Systems w�nor�v requ�xe a Site'Plan&Review by our Buildi�g O�cial.
IST�SGEUTIi��AL? ❑'Yes �No . � .
HEATTNG S'YSTEMS .
Quanfaty- . — -- — .
kvlalce: 1.�4 f�y�^' .
Mode�: 5���
�'u.el: -
ft . .
k'�ue Sxze: --
Input S'I`IJs: ��� O�fii T _ -
Qutput BTUs: . � b��
CFM: �Q�
COOLING SXS'I'EMS
���� � .
�: _��rL
Model: �����►
Tons: �
H.Power �
�'�tE�LACES
� ❑ Gas Factory Fireplace, � � ' Br�d Natne: ,
❑ Wood Burning FirepLace
, � . Wood 5tove . , iviodel Nv.: ' � ---
❑ Wood Stove with k'lue/Maso�xy .
VENTILATION
tr
; � No.. � _ �xtcb.enExha}xst . ��,c�uct..."" '� xecirculating �6t� cfm
No. �_ Bath Ex�iaust(rn�ust k�ave duct outside) ,,,����
No. Other Fa�as_ �ocations _ �
F[.TEL STORAGE {.�afust be ugproveuf by Ffre MarshaU if proposurg to abandoa tajzk in place.)
❑ InstaUa.tion ❑ Reznoval .
Fuel Oza: gallo�,s ❑ Umder�'ound ❑Inside �autside
LP Gas: gallons
Ot�ier: . . ,
� G S LINE ONLY �
, •❑ Qutdoor Crrill ❑ C?ther/List What&�'here:
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10-18-'16 09:52 FROM- 555-555-5555 T-590 P0003/0004 F-536
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1. CONTRACZ C *is 1_25%o�contract price with a(Minimum Fee of$50.00)
r o�b
� t'/b�cP��� x.0125$ � �7 7 '
(mnnrtruact price) (miuiaouao 550.00)
�. S'�ATE SURCHARG� � �,p�oao°� �
X.000s $ � 3S
ccontract price)
3. POSTAGE 8r HANDLING(Only an Mail-In Applications) $ 2.00
�
4. '�0�'AL��'�k��(,A.dfl Livaes �-3 Above) S C��Z''�
■ * CON�'�tA,C'f �RZC� ox JO� COST�oo�ea�as tb�e actual oz �ated dollar a�ou�t ck�az�ged for t}�.e
permitted work i�cluding materials,labor,profii,axid ather fixed costs. It i�the�tourAt to be charged
to the custgmer for the work done. If any material,equipment,labor or installations are fiarnished by the
owner, tc�ant or �ny other party, the reasoz�able naar�Cct va�ue of sueb� zteAas �p,ust be added to the
estimated cost or contxact price for permit fee purposes. In the event that there is a dispute on the amount
of tk�e job cost, the City may zec�uest t�ae subnaission o� a sigz�ed copy of the actual can#ract.
The undersigned hereby applies to the City for issuance of a Mechanical�ez�it, agrees to do ala
work in strict accordance with the ordinances of the City and the regu�atio�s o�'#he State o�
Minnesota,and certifies that all statements made o�this a��lication are ca�aaplete,brue azad co�;rect�,
A��licant's Sigl�ahtre� ----^�DaTe: �`"�' ��� ��� .
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DATE TIM�
CITY OF ORONO c,�►LLED IN �� C� ST=
INSP NQ E scH�uLED
PERMIT N U COMPLETED
AD�iESS ���� �l,(.,/`t� ��
OMINER TELEPHONE NO. �� Z��Z�Z
CONTRA�R
� DESCRIPTION �� �"'��►" ��� `�'���
ty ❑ FOOTIN(3 ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADIN(iIFILLINQ
Q � FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING � MECHANICAL FINAL ❑ RATED WALLS
� 0 INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
� 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� dIMN6YCONTRA�CTOR TO MEEf YOU:_11�_NO
�i COMMENT�
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��SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑oor�crwowc a�oceeu o issue c�n�►�oF oax�a►Ner
0 ❑OORRECT WORK CALL FOR REINSPECTION TBAPONARY
V BEFORECaVERINO PERMANBrT
❑CORRECT UNSAFE OONdT10N WRHIN HOURS_ ❑PHOTO TAKEN
iNSPECTORIMLLRETURN
❑8TOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED
❑INSPECTION REQUIRED.C/1LL TO ARRAN(iE ACCES3.
c,N tor n,e next r�spectlon u nours in sdrancs. (952) 249-4600
on ske:
inspector. Q, ,.:••. 7'�—
yyMfa()ppyllnap�eEor's FIN ��ry��
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` --""`�� TIME
CITY OF ORONO 's c LED IN ��- DA ^/�
INSPECTION scHEDULED /aZ- �d�! l�'
PERMR NO. ��� C MPLET
ADDRESS '��
01AINER LEPHONE NO. 'Z7U--�Z7�
CONTRACTOR � �
� DESCRIPTION — � " "
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'MINERICOHfTMCTOR TO MEET Y�OIJ:_YES_NO
y COMMENTS:
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� �`VMORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
fd CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OvrnerlCon�r or�sit�:
Inspector: I i'��
VYhite CoPYAnspector's Fila C�nary CopylSita Notks
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CtTY OF ORONO cnLLED IN lL�� �
iNSPECTION N . ��SCHEDULED � — r
PERMIT NO.�'� ` '�`� co eo
ADDRESS ���G � ���� ���",��!-��
OWNER T ONE NO,��`�"� �'��� 7�'
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CONTRACTOR' �
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�'' DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN�
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINERlCONTRACTOR TO MEET Y�11:_YE$_NO
� COMMENT� �'�'a o c,�f I rn e rv1�/�ip
4 � �artpc 1'llk�,��2. u.i 0/�/p�1.�L W /Lr�l,e /l�
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W ❑WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE �
� ❑OORRECT WORK a PROCEED ❑ISSUE CEFiTIFICATE OF O(xUP14NC�
W
O ❑CORRECT VMOR!(,CALL FOR REINSPECTION TEIAPORARY
V BEFORE CdNERINO pEFiIiAANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTORVNLLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
�IM.SPECTION REWIRED.CALL TO ARRAN(3E ACCESS.
Catl lor the r�xt Mspectfon 24 hours in edvanoe. (952� 249-4600
Owne�lContrector on site:
Inspector: ���7�'
�/
WMb CopyAnspsctors FlI� C�n�ry CopylSlb Notla
►� -� �
f TIME
CITY OF ORONO cnLLED IN �
INSPECTION N C /�j SCHEDULED / �"
PERMIT NO. ��/�� COMPLETED
ADDRESS I D�U - - '�'��''�,
�NNER ' T LEPHONE NO. s �7D�g a'Z�'
CONTRACTOR �� � 7�
� DESCRIPTION ���
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING �1vIECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOILOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINEAlCONTRACTOR TO MEET YOU:_YES_NO �
� COMMEIdT'� � irl� �6 - �CS �i -
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o �L' re�_dronc r� rav��h�o .yG✓ .er�o�
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❑WiORKSATISFACTORY:PFIOCEED ']��PROJECTCOMPLETE
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0 ❑(�RRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECONERINf3 PERMANENT
❑CORRECTUNSAFEOONDITIONWffHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
can ro�tne�e�insPe�tro�za no„�m a�a�oe. (952) 249-4600
O�merlContractor on site•
Inspector: �
WMt�CopyAnspscta's Flls Canury CopylSla NoUcs