HomeMy WebLinkAbout2014-00838 - mechanical CITY OF ORONO * Z 0 1 4 - 0 P1 8 3 8 *
• '` 2750 KELLEY PARKWAY DATE ISSUED: 08/05/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS ; 3599 LIVINGSTON AVE
PIN : 17-117-23-43-0051
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 1,800.00
NOTE: I RUUD NAT GAS FURNACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.90
RIVER CITY SHEET METAL INC. MAIL-IN FEE 2.00
8290 MAIN ST.NE
SUITE 39 TOTAL 52.90
FRIDLEY,MN 55432 Payment(s)
(612)754-2]99 CHECK ]0681 52.90
Minnesota State License#: mech-003364
OWNER
MCKINNEY ET AL,ZELMA H
1410 MEADOW LARK DR
STILLWATER,MN 55082-
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.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.
�
�_�r"..,"...,1, / /
Applicant Perrnitee Signature Date Issued By Si ture Date
� � �
, i FOH CITF US�ONLI' j
'-Q Citn�of Orono
,��' ��� P U_l�ox 6h � Dute Receivrd� Pemin< ��
� 37�0 I�elle��Purl:���a� �I
�''�- � Crvst.il I3a-�.MN��32; �lppro��ed B}- Amount�_ �
F ''""', ����� Phonc(952)24��-4600 Faz(9�3)249-461( �
�cy�so'�'
CLTY OF ORONQ-MECH�NIC�L PERIVI�'F
(All Commcrciul permits must hc appro��cd h�.�ut, Iiwldms O�icial or Insprctor and/or Pir:Marsh�ll!
GENF,RAL INFORMATION
I. 1'ou may apply for mechanical permits b� mail or in person at the Cit��offices Applications will
be reviewed and a permit will be issued within two worl<ing days.
2. Pennit cards will be sent by return mail after a review is completed. PGRMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERi�11T. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�*ns—Complete calculations,details and specifications are required for each
heatin�.ventilation,hu�nidification-dehumidification.and air conditioning installation includin�
heat loss/heat��ain calculation,design temperatures,equipment ratin�s and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodelin��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 final). Call (9�2)349-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial (Approval Required)
❑ New [�Additional ❑ Repairs ❑ Replace
Job Site 1 Owner [nformation:
Site Address: �,-}��� ��( '�,� � {� (,� � �(� j/� I�� ��
Owner Mailing Address:
City: Zip:
/�� (� �,' ,�l �,,J�� 7
Home Phone:t,C ��- �� �-I �(.�� � � Alternate Phone: ��� "�7�(1 - !
Contractor Information:
Contractor: �:;�;,,��� ,�"�;�x, �:�f.,,,,t ¢�et��C���act Person:
829� I'v'��is'� �Y.�6�1.�., Su�#�at��ond #:
Address:
_r ✓ 55432
City: (763) lU�,-���g Zi�yax (���) J��4��n Date:
Phone: Alternate Phone:
❑ Insurance-Current:
I
� �NIE:CHANICAL Sl'STEMS��BEI�NG�fNS"��LLED � �
Note: All Geotherma; �vstem� wili no���require«Site pian d: Revie��,� h�� oui� Buildin<� Ofiiciai.
IS �'HIS �EO'�'HER1V�.�I.'' ❑ Yes � No
NEATING SI'STEMS
Quantity: �
Make:
Model: � � �v�
Fuel:
Flue Size:
lnput BTUs: � � V
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burnin�; Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue!Masonry
VEfiTILATION
❑ No. Ititchen Exhaust duct recirculating cfm
❑ No. Bath Eshaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Musf be approved by Fire Marshall if proposing to abandon tank in place.)
❑ lnstallation ❑ Removal
�uel OiL• <_alloi�s ❑ linderground ❑ Inside ❑ Outside
LP Gas: <=allons
Other:
GAS LINE ONLl'
❑ Outdoor Grill ❑ Other 'List What R Where:
�
�� � PEI�MIT ��EE CA;.,CLILATION(S} � � � � �
BASED QFF -?00? STATE STATt1E
❑ 1"es,this section appiie�
Tne replacement oi�a Residential fixture or appliance that meets afl three ofthe following requireinents:
1. Does not require modification to electrical or<>as service.
''. Flas a total cost of��00.00 or less:excludin<_the cost of the fixture or appliance: and
=. I� improved, installed or replaced b� the homeowner or licensed contractor.
Skip neat section,if this applies; Cost of Permit 5 1�.00
State Surchar��e S 5.00
Mail-In Fee(IfApplicable) S '?.00
Total Permit Fee $
� � � PERIVIIT FEE GALCULATION(S -JOBS�OVER��$500.00 �
lf above does not apply:follow guidelines belo��:
1. CONTRACT PWCE * is 1?5%of contract price with a(Minimum Fee of$50.00)
i �', �� h .oi�s $ ��C� . op
(contract price) (minimum�50.00)
?. STATE SURCHARGE �( 1� {�
p� v x .0005 $ � I D
(contract price)
3. POSTAGE&HANDLWG(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��, � � �
■ * C'ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be chareed
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
esti�nated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amou��t of the job cost, the City ma�� request the s�ib�nission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATION:AGREEMENT
The undersigned hereb�� applies to the Citv 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 ai-e complete, true and
correct.
Applicanrs Signature: Date:
Reset Form
,
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DATE TIME
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CITY OF ORONO CALLED IN
(y INSPECTION OTICE � SCHEDULED
�j 5� PERMIT NO.�O�`����� COMPLETED !�'a y�/y
o iy�o�tia . .
ADDRESS ����• L'��,c�11- .Or�-
OWNER T�LEPHONE NO.
CONTRACTOR Rl/�Gr � cS/��!l� �Gi�L �
>; DESCRIPTION � �� ��r f' �r�t_ ✓'r�JL.
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� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
"3 ❑ FRAMING �ClAECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILI REfURN
❑CITATION ISSUED
❑STOP ORDER P05TED.CALL INSPECTOR
�SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adva . (952) 249-460
OwneNContractor on site:
Inspector. ��-
White Copyflnspector's Ffle Canary CopyfSite Notics
✓ �/
ATE TIME (j�
(�CITY OF ORO O �' CALLED IN ���1� "
- 1NSPECTIO /y� H DULED 3 � �
�� PERMIT NO. ������ �LETED ��""�)
ADDRESS �� �
OWNER TELEPHO1,�N_E N' O. b �' 7�'���
CONTRACTOR ��� �� S,�'" ��-
�; DESCRIPTION J—��� ^
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Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ 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
� OWNEFUCONTRACTOR TO MEEf YOU:_YES_NO
� CGMMENTS:
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V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 h rs in adv 2) 249-46��
OwnerlContractor on site:
i' �
Inspector.
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White Copyllnspector's File �j� Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN l����
SPECTION�T C � SCHEDULED � �
PERMIT NO. COMPLETED
ADDRESS ��� �v�`'`��""'
OWNER TELEPHONE NO.���-'��'�L
CONTRACTOR ��-�� �� ��'-� ��
� DESCRIPTION
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL EEkA1�t�Rt'R�� ❑ LAKESHORE/WEfLANDS
�
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
J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C6MMENTS:
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� ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in nce j�249-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice