HomeMy WebLinkAbout2015-00676 - mechanical r �, CITY OF ORONO * 2 0 1 5 — 0 0 6 7 6 *
2'150 KELLEY PARKWAY DATE ISSUED: 05/27/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1300 LOMA LINDA AVE
PIN : 07-117-23-41-0083
LEGAL DESC : VOLK JOHNSTON ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,600.00
NOTE: (1)LENNOX FURNACE
(1)LENNOX A/C LTNIT
APPLICANT MECHANICAL 107.50
STATE SURCHARGE MECH(VALUATION) 4.30
GOLDEN VALLEY HEATING&AIR MpIL-IN FEE 2.00
5182 WEST BROADWAY
CRYSTAL,MN 55429- TOTAL 113.80
(612)535-2000 Payment(s)
CREDIT CARD 7420 113.80
OWNER
JASON HUESMANN, STEFANIE JOHNSON&
1300 LOMA LINDA AVE
MOLJND,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. 'I'his permit is for only the work described and dces
not grant permission for additiona(or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction autt►orized is not
commenced within 180 days of the date of issuance,or if consWction 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 confottnance with the State Building Code.This permit may be
revoked at any time for due cause.
C ' J ,2�?/,5
Applicant Permitee Signature Date Issu By Signature Date
05/27/2015 15:32 7635354379 GOLDEN VALLEY HTG PAGE 01/04
. .
FOR CalfY�73E ON1,X
� CILy 0�OrOAO
/� p.0.Sox 66 Aace Reccivcd: Permit N
� �/ 275�Kelley Parkway
CryStel Bay,MN 553Z3 Approved By: At'ltount S:
PhOrte(952)2d9-4600 Pax(952)249�616
� y ,��
`��,,��S�Q�,�.��' CITY OF ORUNO—N�ECHAIVICAY.PERMI'�'
(All Commercial permit�must be approvcd by�he Building O�cial or lnspeccor andlor Fi�e Mazshall}
GENERAI.IN�O�tMAT�ON
I
� ' l. Xou may apply for mechanical permits by mail or in person at the City offices• A.pplications wili
, be reviewed and a permit wilt be issued withun two working days.
. 2. Fermit cards will be sent by zetu�n mail after a review is completed. P�R,MI'I'S p,�t.E NOT
� VALiD UNTIL YOU RECEIVE A P�RMI'�. WORK ANST NO'�' �G1N UNTIL THE
PERMTT CARD IS I'OSTED QN THE JOB S1TE.
3. Mech n�cal Desi�s—Complete caiculations,detaals at�d speci�cations arc rcquircd for each
, i heat�ng,ventilation,humidific�tion-deltumid��cation,and air conditioning�nstaliation including
� heat foss/heat gain calculation,dosi�tcmperatures,equipment ratings and idvnti�ication as to
type,mamu�acturu and model. Data sha1�be presented on form pTovided.
� 4. Whon any new COnst�vctian or remodcling is involved,a separate building permit xnust be
obtair�ed.
5• A,l�work must be dono in aecordance wat}a the Uniform Meehanieal Code/State Building Code
� rcquircments.
� 6. All work rraust be inspected(rough-in and finai). Call(952)249-4600.
; (24-48 hoar notice required)
i � 7. House Heatiag Test�tecoxd must be submitted before�in,ai.
;. TX,P�OF PERMIT
� Check All That A 1
i �esidential p Commercial(Approval Required)
I ❑New ❑A,ddicio�aal ❑Ite�ai�s ❑Replaee
I
i Job Sate/Owner Information: ,
i f �j� �
' Site Address: / ✓L/ � ��✓ /
i
� Ow�ter:��'��/; ��.C��ti��:�� Mailing Address: �Q��Y�.�i
i
j City: Zip:
� .
Honne�hone: �ll���(�� 1 ��"i�-,)� ,A,�ternate Phone:
iContractor Inforrr�atior�:
I Contractpr: Co�►tac#Person:
� � 81�IA WC.
� Address: �i� � Y 5tate Bond#:
j AL.MN 66�1,2p
' City: - Q� ��p�ration Date:
i
Phor�e: Alternate Pk�one:
❑ insrarance�Current:
� �
i
i
05/27/2015 15:32 7635354379 GOLDEN UAL�EY HTG PAGE 02/04
', ♦
�,,,�r�:�-r...,,,,,.,.�rr".:.......... .. .. _.,,. , , ,,;,...,.,. ...
,t���,'•rr� ' /-�¢ �I'.};I� � tir..,.
,..,....... i � til���:........a:.:f.11..�:,.i.n . , �.�'d .�' i. "ii7.,.�r„I�n:;..�1�:
._,,,i,e �,,. ��,i y D ry-�
...._...........i........�....�....... .�........
,
,
,:�:�,......_.......... �� .� ,......_..• �+',C'-�'� -kl���ii�7 �i:�l:.....�.
� �.,.�.,�-��...... ...�.�............ ..... . . . -
' '•.1��'---
. ,....,. ... . . ...... ......
i Note:AIl Geothczzzt,sl Systems will now�equaxe s S'te lan&Review by our 8uilding Official,
I
�S��CS GEOTHERMA�.? ❑Yes �lo
HEA'I'11VG SXSTT�.MS
Q�ri�� �
I Make: �1�1�C
I Model: � �(�a��
�ue��
�
Flue Size:
In�ut B'I'Us� ���t r,��
i
i Qutput BTUs: � ��
i
I Ck'N�'
� CO��.�1VG SXSTEMS
IQuaatity_ �
�
i ��e' ��
' Model: /� �/ �O�U
�
' � 5i Tans: `
i
� H.Power
i
i
� F'IREPI.ACES
j ❑ Gas k'actory Fireplace Brand Name:
� ❑ Wood�urni�ng Fireplace
i ❑ Wood 5Rove h�odel No._
� (] Wood Stove with Plue/Maso�iry
I
� VENTILATI�N
I ❑ No. Kitchen Exhanst duct recirculatinb cfrn
i ❑ No. 13ath��chaust(must have duct outside) cfm
I
� ❑ No• Other Fans: Locations �frn
i �UEL S'I`ORAGE (Mus!be approved by Fire Marshall if,pro,posing to abandotr tank ln place.)
I
� ❑ �nstallat;on ❑ Re�oval
� Fuel Oil: gallons ❑ Underground ❑lnside ❑�utside
LP Gas: �_ gallons
Other:
CAS LINE ONLY
i ❑ putdoar Gnll ❑ Ottl;er/List what&Where:
i ~
I 2
'
�
05/27/2015 15:32 7635354379 GO�DEN VALLEY HTG PAGE 63/64
� . �
, „................ .�..� ,,,..,....,....,...,..,,,...,,. . . . „
,,,. ,.,�::.::.:.:............................_.__..._ . .��.W �::i
w
_.._.. _::::. ::��� ::�:
� ,.. .. ,,,,,,,,,,,,,,,,,,,,,,....,......,...,.....
, ...._.,........ ................._..........................- • -- -
..........�. .. ........__..............._............ , -
� ;:��. ,:� �•;,•, ,.�.,.�.................���;�,:.,,;,....,�,,,,�'� : .;,���-.�'..'��_�:;- - -- - - -
� , ��::1�;. .°��� '�:�����'1'� - �i�
,��e T�� rt�. �2 .I''I!!t ��. ,�����'i^�jF�i:
,,,i.r.i,,:rir�:�l��,;ft�.. „���„ ,r�
_:c5. �::i!��.�;u;,:�:aac�ixir�ilnorr�m��r&;wnru,.l,r�`ir�e!�cini Ur.�� �a,�r.f.� �Gfif','.,i.„(9!�'
, ,
, .,,�-, �.���;�.,.. ,� . , ..�,
� ��.�. ,
.__,.__........._.._.......... ............................::::::
.._._�_............._.............. ........ :-—
_._._..;_.,.;,,r;... ... _ � _ ,
.......
•i i,r i ..�........�........:::.�.__............. . _ . �yn :.���j
�:���
. . .
r i i v�..r. �,.,„ . . ... � .. ... .., .,. . :
.�r. 1 .1 i'i�ii��ij�i:�j;'i'� ��'i':
1� �1;T�,� "a�' �0'-1, �'(,' ,il'
�c i' .'i' �111�� "� ,;.r.u'r:l�:ih;�.
I u.�,.fi,. r���������_��iµ�t'L71t 'i;r '� ��,,,,.�e��,Q�'+Ja�J'. ,�1i��`°,a...�'�R'F�;:��":
❑ Xes,this section applieS
I The replacement of a��;�ential fixture or appliance t�,at meets all tta�ee of the following requirements:
1, e t reyuire modi�catpon to e�ect�pcal or gas service.
2. Nas a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
i 3. Is improved,installed or replaced by the homeowner or licensed cont�ractor.
Skip next seetion,if tbis app)ies; Cost of Permit $ 15_06 �
' State Surcharge $ 5.00
� 1v�ai1-I�Fee(If Applicable) $ 2.00
I
I �pta��eTmit Fee S
( 11 t�!�.�t1�f'��ffi�i�:iG�il�{���If��� yir. . ��1 �I .4�" ' �q°ill:lli��„�. .��. � , - �� t „
.��
I �� _ ..i _.��G'�_ �i �nt��H' V.�dti���.�L��� �;L7!: "`-�, I'�1_1� �l, _ :a .�Ii1111:Cil�ll:)��!4!�Cf';r�ti.,,;�
� ,�. '
. ....�.: ..:,..'...,�,..., , . 4,
. .. ..... . . .. f
....._...rnmi�wr�rr.r-•::i:e:'.Eli:,:,: .. . ... •:. • �.��� .E r:..� � '.S7itif..5.:: .i.
. ............................. .. .
.._....... ..........__..._......_.._._._.__..._..._._._..._.................... ..:. :... .::::::::.::,.:::.�,.:::::::r.:..:... ...
�
�
j 1f above dces not apply;follow guidelincs bclow:
1. �01V'I'ItAC'T PR10E "is�.25%of co�ttract price with a(Minimum Fee of$50A0)
� �t���� x.0�25$ (/ "� ���
� �(wntrac�price) (mIq1R�q�SSD-O�)
I �
� 2. STA'TE SURCHARGE
x•0005 $ �
(wntract price)
' 3. POSTAGE&HANDLING(Only on Mail-In Applicatiorls) $ 2.00
�
i �j `�
� a. '�OTA�.��RMx'�k"��(A,dd L�nes 1-3 Above) $ ��J ,�V
■ * CO�1'x'RA.C�' P�C� or JO� COS'I'�no.eans the actua� oz' est�mated dotlar amount charged for the
I permitted work including materials,labor,profit,and other fixed costs. lt is thc amount to bc chargcd
� to the customer fflr the work done. If any material,e�uipment, labor or installations are ft�rnished by
� t�e ovv�e�,te�ant or a�y other party,the�reasonab�e nrxarket value o�'such items must be added to the
� esti�nated cast or coratract price�or permit fee �urposes. In the event that tk�ere is a dispute on the
i
� &imow7t of the job cost,the City may request the submission of a signed copy of the actual conhact.
�
�
�
......_..... ........................ . ...
............._.:::::.............._....._....._. . - --- - - - - -
I „ ,.. . _ _ . .... . .; .. ..:,:.:,:
IdifilS�2f?1J81dl��lii4i'1!;LilllP'u�!5:1:i .' �;r.'�'E���,1'''? �� _' ,'o.11r• i�••S ..'JI 1,.._W.. ..)1I' +r. ..I '� :;CI,l;.;���'
( -•,�_�::�:,,::::,;__...._.._._.__.�11�.��+�,.. .. .�c�,�+..`��a.�,�!F��-��3�;V::��`�+���`� --
� '�'�e ut�ders�gtted heKeby app��es to t�ae City for issuance vf a Mechanical Permit, agrees to do all
work �z� st�riet accordance wiith the ordinances of the City and the regulations of the State of
Minnesota, and eertifies that al� s tezr�e�ts znade on tk�is appaicatio� aze coz�plete, true and
I correct. �
� �
/ ' � V ' � !�
Applicant's Signatu . � Date: `�
I 3
� T DATE TIME` /
CITY OF ORONO CALLED IN V
INSPECTION CE SCHEDULED �(1.� �_��
PERMIT N �S' ��D?�P COMPLETED
ADDRESS I3� ��I �o�-��,�
OWNER �;P�� �S r�-M TELEPHONE NO.��" Z�° �3 9�
CONTRACTOR � �^ ��-+ �'�-
� DESCRIPTION �^�c.�-- �t.��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRAD�NG/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL F ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOFi TO MEEi Y�U:_YES_NO
y COMMENTS:
� �
� � �P.o��S� �'?� s�GL lI�?d
0 � G�� �r� V� �+-�iKs�' �,1�
� ' /�/� - �/�c�✓�c.�.G /'cco a r�p c-L`'
0
�
W
Q L✓o/K �ev,•,�.d�r��
2 �
� ,��/��` s ?sl'�f.�
W
�
J
� O WORK SATISFACTORY:PROCEED �+PAOJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK����R REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site•
Inspector: � / w-. �
White Copyllnspector's Fila Cenary CopylSite Notiee