HomeMy WebLinkAbout2014-00135 - mechanical • � CITY OF ORONO * z 0 1 4 - P1 0 1 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: 02/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 380 LEAF ST
PIN : 04-117-23-23-0027
LEGAL DESC : AUDITOR'S SUBD.NO. 230
: LOT 026 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 550.00
NOTE: (2)BATH EXHAUST
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.28
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 52.28
(763)428-3677 Payment(s)
CREDIT CARD 4334 52.28
OWNER
BURKE,FORREST&RENEE
380 LEAF ST
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 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 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 cause.
� .2 �& � ,�.� � i l�i�
Applicant Permitee Signat e Date Issu By Signature Date
FEB/18/2014/TUE 07;39 AM Heating & cooling FAX No, P, 002
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�.���.>� y ofUrono Fo~K.�'�'s��.UNLY , � :
(7,* C,,��, P.��.Hux 6r� �:..., :. :.� .
1 3'S0 kel!ey Parkwa Ds,tC;R:eBei.ve :'��'`�:• � t�,` /�
a ��r�, . I� Y . . .Ptimit{i:"'. �:
. � � ,� •� L.!;�YI hdY,MN 553z3 : ,: ' ,;`:,:: : � .� , ,�.—.
° ���d�+� ;�i521�49-a6M1 ��P7roved 5y:.�;:.., ,t: " •• ; ;�`.
�reato�-6 _ •--._'��`A'm0u�i[;�; .�
'���
t"iTY QF ORONO—MEC�iANZCAL
(All Comm�rC�al perrt�i[s must be approved'py tht Buildin ����� �
��.,_`_� g pfficial or Inspector and/or Fire Marshali) �
� �''�� ��A�TFC2��1:A<��i�O;N :.��_� . .
1� �'ou nzay appiy fol•mechanical perrni.rs by mail or in per•son at the City of�iccs. A licatio
bc reviewed and a permit wi11 be issued within two working days. P� �will �
Z• P�rmit cards will be sent by rettun rnaii atter a�euiew is completed. pERMITS,4g�NOT
v�i.lD UNTIL YOU RECEIVE A PgRMT�, y�0�p�UST NOT BEGIN Urrxu,TH� .
����iZT CAI�IS POST�D ON'x'H,�J0�SrT�.
3• echanical Desi �Completecaleulatioz�s,details and ypecifiearions are r�quucd for each
l��ating, ve�[i]at�o hu
heat loss/hcat gai�cal�ula�3on,desgn e peraltures,eq up�nt aang and ir3entifioat o �lnding
tYpe, manufa�turer and�odcl, Data shall be prescnted on form providcd. n�to
4• �UVhen any ncw conshv.ctiQn or relnodcling is involved,a separate buildu�g p��t must be
obtanled.
5• All work must be done in accorsiance
requu•ements. ���Uniform IVSechanicai Code/5tatc Building Code
6. A11 w�rk must bC inspeCted.(rough-i�aud fnal)• Ca1!(952)249-4600.
(24-d8 ho�r no�ice required) �
'1� �Touse Heating Tcst Record;rn;ust b�subnnitted befo��c final.
. . ,. :° �";:�:�':���<.oF'�:��rlx � . . . .
� ^'i�;�_,' ,..;:=�' c � . , . . . .
' �•':.�'C�i�.ek'�11''��'hat A 1: :
�)`� ,:
�Residential ❑Comrnercial{ApprovaI Required}
��eW Additionai
❑Repairs
❑Replacc
. Job Site/ O�vner�riforniation: . : ' ..:� �:
Site,�ddress: ��� ���� ��,.�
Owner:_������
. Mailing Ad�ess:
c�ty: �,�d a .. z�p. _ .
Home Phone:
Alterzzate Phoue:
�'Contractor':Ti��'orrhation:` • .
Contractor:
H�ATI , C. COI1taCt PEr50A; �N �
Address: 78:,50 Gpunty R,�, gi .
Mapfe�'irnace,�d41.�,�F,� �a��i State Bond#:
(7�3) 428-3G77
City_ www.hea#cva12.c4� . .
P• ,_, Bxpiratzon Date:
Phone:
Altemate P�o�e;
❑ �t'lsur3nce�Cu17ellt: �
FEB/18/2014/TUE 07:39 AM Heating & cooling FAX No, P. 003
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L1�fi'.ia�.;�l�' ,� .��� , ...d� i . .
.�.:�.�rs+,C:'S'>�;4:1:ti„ .ry I��., i ,r
,I, -� ^i� .`�1�.k�� "�
H�ATING S�SCSTE1bTS
Quanti[y:
�fake: � �
—,--��
Madel: `�—
Fuel:
k'iue Size: ' �
. Input BTLfs: '
Ouiput BTUg; . _
C�M: :
, COOX,ING S'Y5'I'�11dS . :
. Quantity: ' . � .
Make: � . .
Modal:
Tons:
H-Power � �
�'IR.��C�S .
❑ Gas Factor��Fiz�plxce
Q �Vood Burn.ino�"ireplaCe �
� WOOd SIOVC .
Q Wood Stove With Flue
$rand Name; � �
1VIodel No.: � -
V�N�LATION . • ~�� ,
❑ No. _ IC,itchen Exhaust
No. �� W duC�_��recirCuIating ��
� $akh Exhaust(m�t T�ave duct outsido) � .
No. _ Other�'ans� T.oca�ions •cfm �
FUEL STOR4GE(MY]ST BEA.pPROVED BY k'IRE MARS�iAT.L) �~c� �
' ❑ Installation � Rcmoval .
�'uel 0i1: ��gallons � ' �
�,p(�,as: g���Q� ❑ Underground �Tnside ❑Outside
. Other: ~�`
GAS LZNTi ONLY �
� ❑ Outdoor Grill ❑ Otiier/Lis[What&Where: �
2 �
FEB/18/2014/TUE 07: 39 AM Heating & cooling FAX No, P, 004
, . .
Dac-04�2012 12:43p� fron-CITY OF ORONO +9522494616 T-805 P.001/001 F-409
�„ � '„4 �'i' �� �9' ;
�' T �.Y�4!' '7 ww. A Q. v ..I�17 .!� {
.�
❑ Yes,�his�ction applies
The r�placerr�nt of a Rcsidtnc�s �.n�re or a lian e thAi ntEZtS alI LIlYe�p�thC fO110'pVlrig n�u�tmGnts;
1, oes noc rzqulre�nodi�ieauan�o�ltcn�cal or gos scrvice.
3, 1�as s��ral cast of SSOD.oD or lcss;excl�the cost of che fixtur�or��pliaucz;and
3_ Is improved,u�s�alled ar replaced by the hamcowncr or licansed con�ctor.
S1dp naxc szc�on,if�his applie3; Cost of I'ermic $ 1�92
Srssu Surcharse �
" Mail-In Fez(If qpplicable) $_ 1�
'�atal��rmit Fae $
k�� A YiN'�.,� �' x �N'�`I t �•
�
If above doas not apply;follow guidelines bzlaw;
1. COI�i'I'R?�C'I pRT�E "'i3 1.2�"IO a�COilYC•lCL pi'ICG wiEl�a(Mtnia►um Foo of S3�.DA)
� �
��„ �J x,�125$ _ �
(con�'�cc�ricd} (n rnlntum 533.�)
2. S1`ATk'.SURCI�,YtG�% ""Add the a[ste Bldg CO[ie Div.Surrhacge(Nliul�+um Fee of�-50)
x.0005 $
(cantrac�pricr) (sninirr�m S .50)
3. T�OSTAC*�d.''T�Al`YALING(OCily on Msil-L�.Applitations) '�^_ 1.50
4. TOTAL P�1x1VIIT�'�E(Add Lina�I-3 Abov�) 5�,.�-1 �' ��
� � CONTRACI C'�.IC� ot JQB CpST n�ans tbe accual or esdmated dollar aan�5unt ehargcd for zhc
pei7niued work ineluding tnaczrials,tabor,pro�'r,n�d othCt fixed eosu. IL is the an�oun'C co be cltiarged
to dlc cus�unier for the worlc d4ae. Tf any�materisl,equipment,labar or inscallariaus are furoishad b�
ri�e owner, tcnonr or any od�er parry,the reasonsblc mflrket valuc oP suah i�ems must he addtd�co �he
esrima�ed cos[ or conuact priea for permiti fa�pw�poses. In [he a'v�nc ihat there is a dispute on che
amount of che jab cosc, th�Ciry ritssy requcst the submission of a sign�d copy�f�he actual contract.
• *"'Tlle STAT�.SUkCH�1RG'L•ls.0005 af iha guildiz�g Departmeni ac(�152)?49-�3Ci00 for Aic price.
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p^ F _ .�. 7
�'he u�ldersigned h�r�by applies to'che City for issugnce of a M�chanicsl Fermit,a�rees �o da s�ll
�vork in strict accardance with ihe ordinances of tht City a.�d the regulations of che Scate of
Miniaesota, and certifies tl�at all srarenlents m�.dc oa� khis a licatid� are complete, crue and
cOtrect. j�
Applicsn�'�Si�nacure: Date:,�� ��`
3
�^ � v v' DATE TIME "
CITY OF ORONO CALLED IN �7 -2.0 -�
INSPECTION NOTIC SCHEDULED - : O
PERMIT NO.o�/ - �5 COMPLEfED
ADDRESS g�
OWNER jELEPHONE N " �
CONTRACTOR d K,l�
� DESCRIPTION
�
� ❑ FOOTING ❑ MBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORENVETLANDS
v3 ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 ONfNERICONTRACTOR TO ME�YOU:_YES_NO
y COMMENTS:
�
a
j
0
�
0
W
�
Q
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W
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W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance. (952 60�
OwnerlContractor on site:
Inspector:
White CopYflnspector's File Canary CopylSke Notice
� DAT TIME�
CITY OF ORONO CALLED IN Y—
INSPECTION NOTIC�oOl3�scHEDULED ��
PERMIT NO. J COMPLEfED
ADDRESS ��O L G�27'�S�
OWNER TELEPHONE NO.�/z �39 /d'a3
CONTRACTOR ��i�' d �d /�l9 T�`�
� DESCRIPTION ��K"� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
W
� G�a`v 1 e��� ��4,.��.� 1 ^
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0
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/��r 1�6� � �'a,�,o�.��..
0
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� ❑WORKSATISFACTORY`.PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe n "nspection 2a hours in advarxx:e. (952) 249-4600
O tractor on site: �1�6
Inspector:
White Copyllnspector's File Canary CopylSke Notics