HomeMy WebLinkAbout2014-00363 - mechanical • CITY OF ORONO �
2750 KELLEY PARKWAY * z 0 1 4 - 0 0 3 6 3 *
� DATE ISSUED: 04/24/2014
ORONO, MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 1565 MAPLE PL
PIN : 08-117-23-33-0031
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 009 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,500.00
NOTE: 1 TRANE NAT GAS FURNACE
1 TRANE 3 TON AC
APPLICANT MECHANICAL 156.25
STATE SURCHARGE MECH(VALUATION) 6.25
RAY N. WELTER HEATING CO MAIL-IN FEE 2.00
4637 CHICAGO AVE TOTAL 164.50
MINNEAPOLIS,MN 55407-
(612)825-6867 Payment(s)
CHECK 028510 164.50
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD, MN 56303-
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 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 aRer 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.
��"-''^'�'C, / /
Applicant Permitee Signature Date Issued By S nature Date
FOR CITY USE ONLY
' ,�p� City of Orono
P.O.Box 66 Date Received: Permit#
' ��-.. A � 2750 Kelley Parkway
.� j ? � Crystal Bay,MN 55323 Approved By: Amount$:
��, ��..y� Phone(952)249-4600 Fax(952)249-4616
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 pernut will be issued within two working days.
2. Pernut 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
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 separate building perxnit 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 fmal). 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 Ap 1 )
�Residential ❑ Commercial(Approval Required)
['�New ❑Additional ❑Repairs ❑Replace
7ob Site/Owner Information: `
SiteAddress: ���5 /�(��� ,�/,�e�
� � I� � g �`7'�S� ���/�!/ �
Owner: 1 C 1_ � G�i'!�'S �.Il�, Mailin Address: — � �
City: �/��/�/6—'� + �1"' Zip: _='`� ��°1
Home Phone: �/�J�- �q�-� ��y Alternate Phone:
"Contractor Information:
' I �
Contractor: N� L� Contact Person: �
Address: � /�l � � State Bond#: m� (��.� J�,�
City: V f����. Zip:��a7 Expiration Date: �-� ��/y
Phone: ����g��u�4(� Alternate Phone: �_
❑ Insurance—Current: �Z'yL/S it�
1 y.�-/3 - 4��
. � �..< �� �°, ,::=1���=C���'�TEMS��E�FG,�TS���;�D �:: _�;�° !
. �
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ��lo
HEATING SYSTEMS
Quantity: �
Make: ���/(/�
Model: ��� �g�J
Fuel: ����L
q
Flue Size: 3 � r�,
�
. Input BT'LTs: R����
Output BT'LTs: /�1 ,(,-�O
^
CFM:
COOLING SYSTEMS
Quantity: I
Make: �/���
Model: � �J ,�s
Tons: _�
• H.Power �
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace _
❑ Wood Stove Model No.:
. ❑ Wood Stove with Flue/Masonry
VEN TILATIUN
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removai
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this section applies
The replacement of a Residential fixture or a liance that meets all three of the following requirements:
1. Does not require modification to ele ical or gas service.
2. Has a total cost of$500.00 or less; exc in the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the h eowner or licensed contractor.
Skip next section,if this applies; Cost of rnut $ 15.00
State Surc ge $ 5.00
Mail-In Fee Applicable) $ 2.00
Totai Permit Fee $
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�d+ 5 d�� � x.0125$ >�� ��
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
�a, s�o� � X.0005 $ �, �s
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
�D
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) g / ��,
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
' estii:zated cost cr contract price for pemut 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 STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00.
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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.
A licant's Si ature: ', •
PP gn �-- ✓ r Date: �'Jo�� �y
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�\� CITY OF ORONO i �� LLED IN
INSPECTION NOTIC� scHeou�Eo � .� '
PERMIT NO. �CI�"�3(C 3 COMPLETED
ADDRESS�.�Zi j I�����F' f I
OWNER ELEPHONE NO.�-�' ��' �a"J ���'7
CONTRACTOR � e / I ��(' l 7�P,j'� ��
� DESCRIPTION �P`�'�� �y�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WEfLANDS
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O ❑ 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 I STALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
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W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
��26RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopyiSite Notice
�� � � p� TIME v
CITY OF ORONO CALLED IN
INSPECTION NOTI _�0363�HEDULED 7 �
PERMIT NO COMPLETED
ADDRESS �S�5 �� C�!X
OWNER TE EPHONE NO. �a aS �6 7
CONTRACTOR L���
� DESCRIPTION LL �u� �
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Q ❑ POURED WALL �MECHANICAL RI O WKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLIOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OVYNERICONTRACTOR TO MEEf Y�OU:_YES_NO
� COMMENTS: ��- Q� `��D
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W ❑WORKSATISFACTORIF PROCEED ❑PROJECT COMPLETE
� �68RECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORECO�VERING 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 advance. (952) 249-4600
pwnerlContractor on site: �/'��
Inspector: ""�'
White Copyflnspector's Ffle Canary CopylSke Notke
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.,�L�E'��3 COMPLEfED �oZ-�/�
ADDRESS 151�5� Wla,o% �I4G.t,
OWNER TELEPHONE NO.
CONTRACTOR J�+-T JSQ ��1��'�
� DESCRIPTION
�
� � FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING �.lEECHANICAL 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 p HARD COVER REMOVAL
v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OYYNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �PBOJECTCOMPLETE
W �.CARFiECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46��
ctor on site• G r Q
.
Inspector: �•,-
White Copyllnspector's File Cenary CopylSite Notice
� p TIME �
CITY OF ORONO CALLED IN �� �
INSPECTION NOTI _ OD�3 SCHEDULED `
PERMIT NO. COMPLETED
ADDRESS . v
OWNER TELEPHONE NO. ��� �aS C)O�7
CONTRACTOR � `J��
� DESCRIPTION �r'� ��
� ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O 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
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 01AfNERICONTRACTOR TO MEET Y�U:_YES_NO
H COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT YYORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY
W
O ,"�RECT WORK,CALL FOR REINSPECTION TEMPORARY
V�� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br " spection 24 hours in advance. (952) 249-4600
Owner ctor on ' r�5
Inspector: �"'
Vyhite Copyllnspector's Flle Cenary CopylSfte Notice