HomeMy WebLinkAbout2013-00588 - mechanical � " CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 3 - 0 P1 5 B 8 *
DATE ISSUED: 07/Ol/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 115 LUCE LINE RIDGE
PIN : 31-118-23-34-0006
LEGAL DESC : PAINTERS CREEK
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 450.00
NOTE: VENT A STOVE HOOD AND RELOCATE(2)COLD AIR AND HEAT
APPLICANT MECHANICAL 50.00
LOFGREN HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.50
5708 UPPER 147TH ST W#102
APPLE VALLEY,MN 55124- MAIL-IN FEE 2.00
(952)431-5811 MISC FEE 0.00
TOTAL 52.50
OWNER
LOCKMAN, STEVEN& SONJA
115 LUCE LINE RIDGE
MAPLE PLAIN,MN 55359-
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 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 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 ause.
C��t.�a.c-�:e-� 7' � ' �3 ��..a.K. `7� c �� 3
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
- • �,, � .
RECE�VE� F��� uSE o�.Y
�O A r City of Orono �2013 �/! / permic# dOi3 5�' g
��,/OP.O.Box 66 �►,1 � Date Receive �
� 2750 Kelley Paz ���
Crystal Bay,MN 55323 ^�Q Approved By: Amount S:��•5
Phone(952)24�-4(�(y�(Qj�E49�4516
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�qkfs���,�.� CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GEhTERAL 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 retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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
heating,ventilation,humidification-dehumidification,and air 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 separaie building pemut 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
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: � � � VI..C� � 1 L�1L ZIC�IA��
Owner:�t�?��So�n�a��IC��.rl MailingAddress: ��� Lt�C�C_�Lv� Q.(.(��
c�ty: O�r o��� z�p: 5 53 23
Home Phone: q52—4-��D��15 Alternate Phone:
Contractor Information:
Contractor: l.��t-��IYYX'� ��(�� ��r' Contact Person: `�-3��Yle- ��'�QL�lI.C-�(GC.�
Address:�'j"1 ��1�.7. State Bond#: IrY1��3�
�.�-e. l02
City: � Zip:���Expiration Date: g�ZCo ���4-
Phone: QSZ-��"�� 1 Alternate Phone:
❑ Insurance-Current: ��rv� �' rn.(,��-uCcl �[�/isu�reeHcv�'o,
1
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11+�����AL�I'S'l."'Ell��3FIl�TG�T�TAI,LE�►
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTCTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION= `rp ..� (� �'�-�� I/'�70( ,
�ac�Ca.�c.. v'Z CJ�I,OI �r avV� h2''�'
❑ No. itchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F[JEL 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
�. • • , .
�`��M�T�E:��A���;�.T��?���j .
BASED UF�-��2 ST�1TE �TATUE'
❑ Yes,this section applies
The replacement 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;excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
�-� _ �����F�����:��������������;� x -
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
������ x.0125$ ���U
(conVact price) (minimnm S50.00)
2. STATE SURCHARGE 1
� 4SU,uv X.0005 $ , S(�
(convact 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 actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,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 are furnished by
the owner, tenant or any other party, 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.
1�:���lf:����`��+IIT��'LI��'T'��3�T AG'r���El�i'�
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 Signature Date: ��
3
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. • �� COMPLEfED � o !
ADDRESS �/S L � L;rt,� /C�
OWNER TELEPHONE NO.
CONTRACTOR �� 'f"�"�
� DESCRIPTION ��� �� /�i''���C
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
i ❑ DEMO-,FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� O WORK SATISFACTORY:PROCEED �CT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a houts in advance. (952) 249-4600
OwnerfCorttractor on site:
Inspe�tor: � --- ?��
White CopyllnspecM�'s File Canary CopylSite Notiee