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Home My WebLink About2017-00041 - mechanical CITY OF ORONO * 2 0 1 7 - 0 0 0 4 1 * � 2750 KELLEY PARKWAY DATE ISSUED: OUi8/2017 • ORONO,MN 5535Cr (952)249-4600 FAX: (952)249-4616 ADDRESS : 1122 LOMA LINDA AVE PIN : 08-117-23-23-0026 LEGAL DESC : LOMA LINDA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATIOI�i : $ 12,500.00 NOTE: ALL TESTMG REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW: 1-HEATMG SYSTEM(CARRIER)AND 1 AIR EXCHANGER&GAS LINES FOR:MAIN GAS LINE,DRYER AND RANGE APPLICANT MECHANICAL 156.25 STATE SURCHARGE MECH(VALUATION) 6.25 PATTON HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 589 SWAN LAKE LANE NW CEDAR,MN 55011- TOTAL 164.50 (763)4448567 Payment(s) Minnesota State License#:mech-MB005065 CREDIT CARD 3335 164.50 OWl�1ER BERGH,HANS&SHARON 905 WILLOW VIEW DR 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 Ciry 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 permiu. 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. l�/!n �lFf �� ( Ou�� ..��.�t�: 1 , l�; � Applicant Permitee Signature Date Issued By Signature Date . . n�s @ci . dr�v�.o. wln.u.s �� ` F R C Y USE�NLY /� City of Orono � • / -�O�O P.O.Box 66 Datc Receiv :� � Pemtit# �� I 2750 Kelley Parkway / O � Crystal Bay,MN 55323 Approved JAmount S: � �.�, ,�, Phone(952)249-4600 Fax(952)249-4616 � y ,� �, . �qk�sH��`` CITY OF ORONO-MECHANICAL PERMIT (All Commorcial petmits must be approved 6y the Building OtTicial or Inspector and/or Fue Marshall) GENERAL 1NFORMATION 1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will be reviewed and a permit w�ll be issued within two working days. ?. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL TH� PERNIlT CARD IS POSTED ON THE JOS S1TE. 3. Mechtuucal Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including hezt loss/heat gain calculation,design temperatures,equipment ratings and identif"ication as to type,manufacturer and model. Data shall be presented on fonn provided. 4. When any new construction or remodeling is involved,a separate building pemiit must be obtained. 5. All work must be done in accordance with the IJniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE QF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVBJ �New ❑Additional ❑Repairs �i2eplace Job Site/Owner Information: Site Address: L I d� �..�m a- t�v�d a �-v�-� Owner: 11Ouq��GY� Mailing Address: �zSl��-Q-� City: Zip: Home Phone: Alternate Phone: Cantxactor Tnformation: Contractor: �ULa��lJ�'�. ��-�^�'�•n' Contact Person: SY l IM K`�� Address: `�D� S v�'n� " �tate Bond#: City: \�Q�,u"" Zip: 1'4N Expira.tion Date: Phone: �l°�•a�°�'�3�� Alternate Phone: ❑ Insurance-Current: 1 ' , . � .�1y1r,�11:XM�ll.i"�� ,�1a11�tJ?��Y'�1 ��'ian9^� y. ).�F yw v��,xx,r . Jr "jy A Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS ��;ty: I Make: I�j �• Model: � � � Fuel: • I'lue Size: 2'' �C� Input BTUs: O C' Oatput BTUs: CI'M: COOLING SYSTEMS Q�tr�'� Nfake: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burnulg Fireplace ❑ Wood Stove Model No.: ❑ Wcwd Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin a No. Bath E�aust(must ha�e u�t outside cfrn yr2 No. _j_ Other Fans: Locations ir [ cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in pince.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ (hrtdoor Grill � Other/List What&Where: ��" �'�� 2 � ��M.��ti.r'��i J.iJl`{�� t �,p w ?.;.„ . _ . . ,.,,° ,r , , - . . ,�� ..n, �i: .� � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) °'' Z 5 oZ �� X.or2s$ / � � � ( ontract price) (minimum$50.00) 2. STATE SURCHARGE �p . Z>� ' x.0005 $ (contract price) 3. POSTAGE&HANllLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add L,ines 1-3 Above) $ /� � � S� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar ainount 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 aze furnished by the owner, tenant or any other party, the reasonable mFu-ket value of such items must be added to the estimated cost or contract price for permit fee putposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ' "��-1'�T��A.�;'P��P�:�C��'�Ql?��1��'rI�E��NT '. 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 a.re complete,true and correct. Applicant's Signature: -VtJL�,�� Date:� ��' �� 3 �i� � �� DATE TIME CITY OF ORONO cnLL�IN � IN8PECTION N�TICE SCHEDULED �� (1.�j¢ PERMR NO. v�7'�!]�� COMPLETED �woREss //a L v r,-,��r�/Q �e_ OMINER TEL O NO. �l��a '"�� CONTRACTOR a��n ��°'^- � DESCRIPTION ��" �� `�-- � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OMINERI�AKTRACTOR TO MEEi VOIl:�YES_NO •�� COMMEN7''� � .Su-D,�JI�� , ,�-��,,��t.s - d�. o — r� v� e � �`�.� � r� eJ- . s``G, _ � ' G �/)e� ��5 /�7� s ' W � Q - - � /� �//r6v rrf..G �.[s /«f� {�//lD � �i/�tli W �, � (��a0/'D!///�G A�4�� a•r � es� � j �J� ��''Dv�� D�i y,s,� Ga �� an 5-�� ,/2� Qi°�'�g.s d�arL- � ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE �OORRECT WOF�C 8 PROCEED ❑ISSUE CEFiTIFlCATE OF OCCUPANCY 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdNERINO PERMANENT ❑CORRECT UNSAFE COHIDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN O STOP ORDER P08TED.CALL INSPECTOR O qTATION ISSUED ❑iNSPECTION REaU1RED.CALL TO ARRANGE ACCESS. caN tor u,e next tnspection 2a rwurs�ad�►ance. (952) 249-4600 ownerlcontractor on site: ��«: � v� � WMte CoPY��FlM �M�►Cop�d8lb NoUa /�� f DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE �� SCHEDULED /O' �-d PERMIT NO.�D��—�� COMPLETED ADDRESS l�� -/'�� -�-' aAINER TEL PHONE NO.�I�"��a-7� � CONTRACTOR Q ��-�'� � DESCRIPTION '�-� t~1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION �OOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICODITMCTOR TO MEET YW:_YES_NO � � � COMMENTS: /�i� � . /S �Kc�c�Z ' , o ��S /�ric �ls� - /� �iol�D�Kt . o b.�'�ti �'�c s - 6 C '' � rQn s �. �r��P dK - � o _ �� .:�- ��s� r��t' rc.<«.v�1Z - W � Q 2 _�� !�f/0�lC L'a�l��c — � � j ,/7B/wl�� [vl�`��_ � ❑WORK SATISFACTORY`.PFIOCEED ;��PRO�J�ECf COMPLETE W ❑CORRECT W'ORK 3 PROCEED O ISSIJE CERTIFlCATE OF OCCUPANCY O ❑CORRECT YYORK,CALI FOR REINSPECTION TEMPORARY V BEFORECdVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN INSPECTOR YVFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑GTATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 on site: Inspector:�� YYhite CopyAnspector's Ffle Canary CopylSlb Ndfce Ck�IECK LIST 589 Swan Lake Ln NW SERVICE INVOICE �,:J COMPRESSOR ' qT,T,O N Oak Grove,MN 5501 1 U SUCTION._.____PSI :".. �,// J� u HEn� _ __Psi Phone:�7G3)444-85G7 �ArE___'___ _I.___ .�_ ' ___. u vo�rs____ nnnPs Fax:�763)4448925 J ELECTRICAL CONNECTIONS J CONTACTS TIGHT&CLEAN H EATI N G & A I R Email:pattonheating@hotmaiLcom :J coMP�ErEo J OIL LEVEL&CONDITION ❑CONDENSER COIL www.pattonheatingandair.com J NOT DONE J CLEAN OIL&CHECK FIN COND. �l NEED PARTS �..]ENT 'F LVG 'F �ocAr� mwoRh ei��ro CUSTOMER IS INTERESTED IN �REFRIGERANT NA NAME � '',.�Alfi CONDITIONING �]LEAK U CHARGE J OK ,j��' "��„�,. ��'��. .� f U HEATING �FAN AND MOTOR qD REss �+ � STR[ET PHONE J VOLTS_._,_,.AMPS_ _. / O / /w.s,n � J ELECT.AIR CLEANER U ELECTRICAL CONNECTIONS ��V�� J PREFERRED CUSTOMER J CONTACTS TIGHT&CLEAN ��T�' STqie Z�P AGREEMENT J PULLEYS(ADJUST BECn �J CHECK,LUB BEARINGS&MOTOR I� ----...._ --- NE MAKE MODEL SERIAL NUMBER � �J EVAPORATOR COIL J CLEAN COIL&CHEGK FIN orHer�pHONe U WARRANTY J ENT DB___'f LVG DB 'F � J REGULAR J ENT WB "F LVG WB `f �-�CONDENSATION AREAS E"'Ai�A°oHess J PFEFERRED CUSTOMER AGREEMENT J INSPECT&CLEAN DRAIN PAN '�.J AFTER HOURS J INSPECT 8 C�EAN DHAIN Fi�7Ea 5¢e �J RES. J COMM. �-1 AIR FILTERS .�oK � ,�______._ J CLEANED J REPLACED � pRepEaRED QUAN TS it REPAIR NUMBER DESCFIPTION OF WORK PERFORMED�" REGULAR PRICE qcCEPT oecuNE �HEATING ASSY. cusr nca. J BURNER&HEAT EXCHANGER I '..)FUEL SUPPLY&PRESSURE / �� /� //,'� �� r- / �J PILOT ASSEMBLY . � �'J FLAME ADJUSTMENT � - J PRIMARY RELAY&FWE ❑FAN&LIMff SWITCH OPER. ` �� -- C]BLOWERASSEMBLY �� /� / - X ��" D — S �'�C�r�. O RV VAWE �� J STRIP HEA7 � '�J DEFROST CYCLE � �ELECTRIGAL COMP'T$. •��S� /-�-/ G- _ „f�-�!/�f. �-' � �/', �i.-`I- �I �'/�� iJ RELAYS J CONTACTORS �� - �( C.I OVERLOAD J PRESS.gWITCH��, , - �.!THERMOSTAT J O.K J REPLACE , J RELGCAT�E J CAUBRATF V,,,T, ��,_� ` TOTAL OF ADDITIONAL NOTES ACCEPTED $ PARTS: /� ,� �- / ,r, i" � ��-- ��r / '%�l C ,,. � m ' �Lr'� l-'t �� '�`, �• , y...� �^ SALE ITEM AMOUNT rt �' � a. ,�� , f. �„� ��.�---- SERVICE REPAIRS DIAGNOSTIC PREFERRED CUSTOMER AGREEMENT SERVICED BY� I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY FEES IF THIS INVOICE IS PLACED IN SHOP MATERIALS THE HANDS O�AN ATTORNEY FOR COLLECTION. � PARTS WARRANTY—All parts as recorded are warranted as per manufacturer specifications. LABOR GUARANTEE—The labor charges as rewrded here relative to the�quipment serviced as noted u guaran- TOTAL $ teed tor a pen�d ot t year.We do not,of course.guarantee othar parts thar�,thosr�;v�install.If repaus later become Now n�d vo�Hearabout Usa — AMOUNT DUE necessary due to other defective parts,they will be charged separately. I�Ak30VE ORDERED WORK HAS BEEN COMPLETED AND 1 ACKNOWLEDGE RECEIPT OF MY COPV. onTE ESTIMATED � � � � � :t � � I FINANCING AMOUNT � � � � , .�;�.a ,� ,�_�;; Pink-Warranty/Other �