HomeMy WebLinkAbout2014-00786 - mechanical . CITY OF ORONO * 2 0 1 4 - 0 0 7 B 6 *
, 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1074 LOMA LINDA AVE
PIN : 08-117-23-23-0008
LEGAL DESC : LOMA LINDA
: LOT 007 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,500.00
NOTE: 1 TRANE NAT GAS FURNACE
1 TRANE 2.0 TON AC
APPLICANT MECHANICAL 81.25
TOTAL COMFORT STATE SURCHARGE MECH(VALUATION) 3.25
4000 WINNETKA AVE N MAIL-IN FEE 2.00
SUITE 10 TOTAL 86.50
NEW HOPE,MN 55427- Payment(s)
�� CHECK 1435 86.50
OWNER
LINDQUIST,JOHN
1074 LOMA LINDA AVE
MOiJND,MN 55364-
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Si ture Date
FOR CITY USE ONLY
• �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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��kESH���G CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
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
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
hearing,ventilation,humidification-dehumidification,and sir 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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�jtesidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: _��� `-t' � {'Y1c�. �---�I /l� �'��
Owne . ` fi Mailing Address: !�� � �-L—1 I��Cl� �J�
City:��ll.� Zip: �
Home Phone: q Sa �-(� � �]��� Alternate Phone: -�c�-�J�� —`0,:
Contractor Information:
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Contractor:T�al C�� Contact Person: _ o� �1 lL�
Address: y�� W�,�r��-ka �StateJBond#: �3�O(D�—
s�'c�-, c� � �O�
City: 1V Zip: Expiration Date: (� �
Phone: ��D� ���g 3 Alternate Phone: �1P��3 U,� �
d�L t r �
Insurance-Current: �
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes�No
HEATING SYSTEMS
Quantity: (� �j
Make: �Q�v � �� w �
Model: ���f:J�4o�_�;���,�'
Fuel: �Q�tt�� �f4,5 ���
Fhi�iz�: 11
Input BTUs: 101.)�_
Output BTUs: S��O�_
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: D �
Tons: �\.J
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�chaust duct recirculating cfm
� No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfm
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
Yes,this section applies
� T'he repiacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical 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 ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Totai Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
`U��O �v x.0125$ p 1 . ��
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
� x.0005 $
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 actuat or estimated dollaz amount charged for the
permitted work including materials, labor,pmfit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material,equipment, labor or installations aze furnished by
the owner,tenant or any other pazty,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. 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.
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.
Applicant's Signatur • Date:�' "�
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CITY OF ORON CALLED IN I'�-!5 2
INSPECTION O IC SCHEDULED ���/S � -J
PERMIT NO. � ��7�co PLETED
ADDRE �Q
OWNER � TELEPHONE N��,`f��-373 ���33
CONTRACTOR v
� DESCRIPTION ����„� `7'�r'���GC_�Y ���
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� 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �}.FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. 'T�FQLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL �❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �tOJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
iNSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Own ontractor on site• �-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME /
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO.�,�;�/ � COMPLETED /� - 3C� -/�
ADDRESS /h 7_ -�,:r1 �-�� -
OWNER TELEPHONE NO.
CONTRACTOR T��L ���srL�
�; DESCRIPTION
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL U HAAD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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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 advan . (952� 249-4600
OwnerlContractor on site:
Inspector_ �
White Copyllnspector's File Cenary CopylSite Notice