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Home My WebLink About2012-00051 - mechanical � CITY OF ORONO PERMIT NO.: 2012-00051 � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU24/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 MILLSTON RD PIN : ]0-117-23-14-0015 LEGAL DESC : MILLSTON : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 20,000.00 NOTE: (1)GOODMAN HTG SYSTEM-GMVC950704-NATURAL GAS-2"FLUE-70,000 INPUT-64,500 OUTPUT- 1600 CFM (1)GOODMAN COOLING SYSTEM-SSX14024-2 TONS (1)KITCHEN EXHAUST-6"DUCT-300 CFM (2)BATH EXHAUST- 100 CFM (1)OTHER FAN-GREAT ROOM-300 CFM OUTDOOR GRILL GASLINE TO KITCHEN RANGE,WATER HEATER AND DRYER APPLICANT MECHANICAL 250.00 S.R.MECHANICAL STATE SURCHARGE MECH(VALUATION) 10.00 7320 OXFORD ST.-SUITE 200 ST.LOUIS PARK,MN 55426 TOTAL 260.00 (952)933-5300 PAID WITH CC# 8602 OWNER BURWELL,MR.&MRS.RODNEY P 7901 XERXES AVE S BLOOMINGTON,MN 55431- 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 dces not grant permission for additional or related work which requires separate pertnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hetein.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 use. � �� a � �' � /02.� Applicant Permitee Sig ure Dat Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 01124l2012 10:06 S R Mechanical �A�QA5�i3148A P.002l006 O,a p�O Clty oi Oronu � Cl Y US6 ONLY D y� P.O,Hox 66 Dote Rece / Permlt# 17�'�'� — r;,•,,,, , 2750 Kelley Petkwsy � �,r'•' x Cryttal Bay,MN 55313 Approved�y: Amount S: � '�.�~d` Pkione(952)3�19-4600 Fax(952)249-4616 t C�TX OF ORO1�T0—MEC�.A,NiCA.Y.�PERIVII'T (All Comme�isl permite muet be approved by th�Building OfPcial or I�ropa�tor and/pr Pi�e Ma�hatl) GENFRAL INFORMATION .. I. You may apply for mechanical'parmits by ma11 or in person at ffie Cily offices, Applic�tions will ba reviewed and a parmit will be issued within two working days. 2. Permit cards will ba sar�t by�eturn maiJ after a review is completed. PERMIT3 ARF NOT V�0.LID UNTIL YOU R�C�IVE A P1:RM1T. WO�iK MU�T NOT BEGIN UNTIL TNE P�MIT CA�i5 P03'C�b�N'�'�IE.��B 91TL. 3, Mechanical Desisns—Complete calculations,details snd specifications are required for eacb heating,vantilation,humidification-dehumidi8cation�and air conditionin�instsllation including heat loss/heat gain calculation,design temperatures�equipment ratings�nd identiiication as to _ , ,`,.typp;martt�ar�r and model. Data shall be presented on form pmvided: ��,;•�� ,.; ,�� , �. .1;�� .: � � 4, When�sny new construction vr remedeling is involved,a sep�rate buildin�permit must be . vbtained. 5, Ai]work must be done in accvrdance with the Uniform Mechanical Code/3tate Building Code requirements. _._ ........ . 6.,,. All work ust ba inspected(rough-in and finaq. Call(952)249-4600. F (Z4-,48 6p�r'nbHce required) , : ,7. H��,e}�eatinQ T'�st Record muat be submitted before ftnal. __ _ , _ .. .. >'' ' ':';�TYPE OF PERMIT � Check All Th�t A 1 � � ��,�,�. � �. � �Residentiel ❑Commercia��F�A ovsl Re uired �' . ( Ppr 9 ) �' New,. ; , Additionai---- ❑R airs - _. _... ❑ ep 0 Roplece ,�, !' — I ��_ e; . . ;if:c ,,':. . ,'i Job Sita/Owner Information: ''��F , . � a t , .�s`�F? Site Addre�s: ��!O� �� f,��,7,�� ; . .. ''; Ov�mer: �c'�`�c�►��P�1(�; .t+.�� , .:Metiling Address: '�; � . . � , �, � . . G'lty: �/��¢/�:V r �� Z�p: ,`, ' � � . , . , . Home Phone: , ,:� : � ,zra,,a� Alternate Phone: .: ��,�k :,�:... � Contrac#vr Intb'r'niation: � ��u�`;� '� . . ''-` Contracto�'., �� ,.. .: . ;� ,. • �"" c�. ,��U�,Sh r: � �lfGG6 � Contact Person: . • r __ , . :: f ; � � . � ��r... �� .../ � '� � Address: �.3�Ci �1�,Si �. state Bona#: � "' " -...�,...,�.,,........ .�..�.��..�_...._�mi�u e ie� . . . . . . . �/ • `� A , �- ? .�,,�,.- "�-, f,.} C'lty: ;,'�i�°�.7T. � , �r ,��p.�� Expirahon Date: ✓ � �. . r► }. Phone:� ��, Alfern�te Phone: � � " . _ ...___._. . .... .. __ ._., / � '� , ' � Ynsurance—Current: �ti'� .. .. .. .� � . � 1 . �� . �._..,.. ;� � . , s �� . i , i ._.. ,-•4--�+.. ..., ..._.. ,._. � ,..:.. ,._ ._. 01l24l2012 10:06 S R Mechanical �A�q95Z9331484 P.003l006 a _. . . .... ... . ...._. ......._..._. . . .... r.a. �� s�nv'v � s n Note:All Geothermal Systems will now require a Site Plan 8c vi by our Building Official. IS TAIS GTOT�ERIN[AL? ❑Yes �No SEAT[NG SYSTEMS Quanti�y: Mske: /pJo. �� Modet: / �� )� Fuel: /�+�.{�'� � 2,� F�ue Si�: Input BTUs: � �� ' � � I�� ,�, �- . �,� � � � �i Output BTUs: �Od CFM: � �iOO _COOLING SYSTTIV�S _ _ _ ___ _ __ :_..._ Qu�ari � n��: , .; , �� Ntodel: . ��i i ;�l' ' Tons: M.Power �lFvi.e[�Fg '' , � , • ..... ......._ . ''" ' ❑ Gas Factory Fireplace . .. Brend Name: ., , . ,, , „.. ❑ Wood Burning Fireplaca ❑ Wood Stove._ . . Model No.: 0 Wood Stove,with Flue/Masonry _ . ..._. ...._ . . _ . YF�NTILATION {- ,, ,. ,. �,�' No. . KltchenExhaust � ''�b �•• duct 1'Ip1 recirculating �cfm �'"� No: �_Bath Exhaust(must have duct o ts e) . . cfin No. _� Other Pans: Locations I�c ��cfln ; . , w: FU�L STORAGE (Must be cpproved by FY�e Marshall�f proposing to cbandon tank lit p/ace.) o,i, ' _.. ._:._ _ _ . ❑ Instellstion Removal , � � .,:,,�� uel.0il: gallona ❑ Underground ❑Ineide ❑Outaide w�'� . LP;O�s: gallona .._ _ Other: � - _-_ __ . . __..__. �A�YN�QNL'Y _ __ � , ,. , ,� ��Y�C.hC,► +�/y � �, Outdoor arill � Other/List What&Where: � �;_a.':, _.,..�.:,,N W��`� Il�. " . _. �.. . 2 �`��-_ ' �� , �G.,:;�� _ 0112412012 10:06 S R Mechanical �A�Q85�:i31A84 P.004l006 �-� FE�CALCULAT[ON�S) ' BA ��D FF- � � ST � E S � • [� Yes,thie section applies The replacematt of a Res�dential fbc or seel,�iance that meets aIl three of the following rdquirement�: I� L p�,�requiro modification to oleeaical or gas aervice. 2. Hae a�of SS00.00 or less;�jy�jQg the cost oF the flxturo or appltance:and 3. Is impcoved,inetallod or roplaced by ths horoeowner or lloonsed conaactor. 8kip next soction,if this applies; Cost of Permit $ ]S.00 State Swrcharge � 5.00 Mail-In Fem(lf Applicable) S Z.QQ Totsl Permit Ree S PBRMIT FEE C�►L.CULA�TJ01� S -JOBS OVBR.$�00.00 � lf ebove doea not apply;foliow guidelines below: 1. CONTRACT PAICE '�is 1,25°i6 of contrect price with s(Minimum Feo oP SSO.00) �w ' D x.01255 2�a� ( ntractprke) (miniroumSS0.00) 2. STATE SURCHARGE ��•�� x.0005 S �O� contrect pr ce 3. POSTAG�&HANDLING(Only on Matl-In Applications) $_ = 2,00 4. TOTAL PERMIT FEL(Add I.i�es 1-3,Above) $ � �- � ■ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the parmitted work including msterials,lebor,profit�and other fixed costs. It is the amount to ba charged to the customer�or the work done. If any material,equipment, labor or installations ara fumished by the owner,tenant or any other party�tbe reesonable market value of such items must be addad to the estimated cost or contract price for permit �ee purposes, In the event that there is a dispute on the amount of the Job cost, tbe City may request the submiasion of a signed copy of the actusl contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pennit� a�rees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and;,�eyrtifle t all staternents made on th�s application are complet�e, tcue and COrtCGt. ` ; Arrlicent's Signature: +"�'�• �ate: � ''�`� '1 Reset Form 3. �`../�a �b DATE TIME CITY OF ORONO CALLED IN �� INSPECTION N TIC `OD��CHEDULED /h '.30 PERMIT NO O /COMPLETED ADDRESS �� ,S � OWNER ELEPHONE NO. �a�L� CONTRACTOR � � >; DESCRIPTION -I�� /'C� �/'�'l� � ❑ FOOTJNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: �. Inspector. ' ( White Copyllnspector's File Canary CopylSite Notice � �� E �� TIME CI OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �_�j_ PERMIT NO. .�f�l�-d��f COMPLETED ADDRESS �I T( ��-�-1��I OWNER TELEPHONE NO. `'� �a�a�� CONTRACTOR �G'� � � DESCRIPTION _�L� �--� �S L�� ❑ FOOTING ❑ PLUMBING FINAL �� /� EXCAV/GRADING/FILLING y Q ❑ POURED WALL ❑ MECHANICAL RI T� ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:_��m r� c,�� 1 (Lo��Pi" �lJ a �.c�. Y'(�rrn� . � J o �' � � , � ' � � � � ° C�-�s ► � � ,� ; �.� � S � W � � Q � 2 W � W k � d � ��UORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITION WITHiN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cat1 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlConVactor on site: Inspector. l�/ White Copyllnspector's File Canary CopylSfte Notice