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HomeMy WebLinkAbout2014-00158 - gas boiler for garage in floor heat '• ^ CITY OF ORONO * Z 0 1 4 - 0 PJ 1 5 B * 2750 KELLEY PARKWAY DATE ISSUED: 02/21/2014 ORONO, MN 55356- 952) 249-4600 FAX: (952 249-4616 ADDRESS : 1100 MILLSTON RD PIN : 10-117-23-14-0015 LEGAL DESC : MILLSTON : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 10,000.00 NOTE: (1)BOSCH NATURAL GAS BOILER FOR GARAGE IN FLOOR HEAT APPLICANT MECHANICAL 125.00 RIVERSIDE MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00 12460 ZINRAN AVENUE MAIL-IN FEE 2.00 SAVAGE,MN 55378- TOTAL 132.00 Minnesota State License#: mech-PC644809 Payment(s) CREDIT CARD 0991 132.00 OWNER BURWELL,MR.&MRS.RODNEY P 1100 MILLSTON ROAD WAYZATA,MN 55391- 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. . C o2! / � v2 � d/l/ Applicant Permitee Sig ure Date Issu By Signature Date 62/16/2614 67:56 9528947972 LAKESIDE PLUMBING PAGE 02/64 A, City Of Ornno ' �1 O�' 7''1 �fSE ONI.'Y ��fV� 1'.0.l3oxG6 �:�Ddtc�Rec�y+i�'. I (. .Peritili# �✓� �� 2750 Kclicy r�rkw�y � Cryac�l Ray,MN 5=327 �pproocd 13y; �,Amount�:�a � � � Phanc(�52)244•4C�00 Fa�c(9$z)249-hGlfi y� ` �'° S►i0 �`G C�'I'Y OF ORON + kF, � O—MCCHA,IviCA,L PFRiVIiT .,.,��.f (Af)CommerCinl perinitv must bf appmvcd I�y thc Buildinn f_tfficiel or►»,ypcccnr mid/or Firc Mur.:hall) �E���:r�o�nrYo�r �, . : , � -- ,- . m..�� I. You may apply for tt7Cchanica.l petmiLs hy mail or in person at the City�fl�iccs. Applications�Hill bc rcvicwed and a permit will be issucd within two working days. 2. permit ea.rds wiiI bc seni by rcturn mai)Aft�r a review is com}�Ieted. P���TS ARF.:NOT VALfU lJN'1"I(..YOU RECf�f VE A PEIt.MJT. WORI�MUST NOT BFGIN UNTIL 7'IiF. PERMiT CAit1�1.5 POSTEn ON T.HE,lOi3 SITE 3. MoCh�nicsl Dcsiens—Complete calculations,det.�ils and spocjfications are rCquired for cach lieating,v�tltil�tion,liumidiftcation-del7umidificati�n,and air conditionin�installation includi��g hcat lass/lieat Fain r,Aleulation,design temperRtures,equipmcnt ratings and idEnti�e�Cion�s tu type,tnanvfacturer and modcl. Datn shall be presenttd on form providcd. 4, When nny new eonstructian or rcmodeling is involvecl,a scpar�te building permit must be obl�tined. 5. Ail work�7wst be done io aecordance with the ilniform M�ehanical Code/Statc Builtlittg C�de requ i rcmcnts. G, All work must be inspccEed(rough-in a.nd fittal). (;all(9S2)249-4GQ0. (z4-48 hour noticc�required) 7. Housc Heating Test�eoord must be submitted befotc final, , � T�rE or�ER.nrt:t�r .:.,. �C�eck�lI�"�at�lpply�^ ,.` �ttesidentia! ❑Gar�mcrcial(�.pproval Requi�ec�) ,�NCw [�Additional [�Rcpaiix []ReplacE '1�1���sit�/Owh�r lttfbrmatidh: :: SiteAddress: ��W �`\\��.rn Qwncr: Mailing�1.ddress: C�ty: , Zip: F-(ome Phone: Altiernate Phone: 'Contl�actor info�Ymation: ' ' Contractor: R'��5+�� �A'���•�nl�y1 Contact Person: 11�� �v�S���� Address: 1�N�o Z�n Q•�n A�'L State Bond#: '�j� Q I S `l City: ���k 7,.ip: r � BKpira.tinn Datc; \ �y Z,a1 V� 1'hone: �15 Z—`'d`�'�1 ^r] (a a C� Alternate Phone: �12—ct,l°i � 3�:-S�`� � lnsurance-�Currcnt: .�M�(�, 1 62/16/2014 07:56 9528947972 LAKESIDE PLUMBING PAGE 03/94 � .,.:,:.... ..... ... ...... ,.. .-�,,:.,::: ,� , � `�cu�:rr.�c�,� �s�r��cs���nv,��,�rsx���L�D� ;: ; �-: .I.... 5' ��� Notc: All Gcochcrmal Sysiems will now rcquire a Site Plan &Review by our I3uilding O�icial. IS THIS G�OTIIERMAL? �Ycs (�No FTEA'1'INt;SYSTF..MS "�n ��O4.r �}e�� 1r1 �7Gr�°�� Qu�ntity; � Makc: ���,� _ . — -- .. _.._ _.__ Model: ��f.e:ra.S��� s�.. .. .. - •-- H'uel: �—V ._ � —.. ��) - - ' - - Flue Si�e� �V�` � lnput T3TUs: Uutput BTUs: ,�.0'O `��`..— -, -- . -- CrM: COOi�iNG S'YST�MS Quantity� ...._._..r_ _. M�lcc: Madel: 'Ibns; l f,Powcr FiRF:�'1�ACES ❑ Cias 1=act�ry fircplace �3rflnd Na,ne; � Wood Surning Fireplacc "' �"' — ❑ Woacl Sr.�vc Modcl N�,; ❑ Wcmd Stovc with Plue/Masonry "' ' 'Vb_I�'Cf I,A'�'aON � No. I�itChcn Exhm�st ducl, rccirculatin�* ` �cfni No. Batl�f Xhaust(must hAvc ducC outside) G�-� ❑ No. . Other Fans: 1,ocAtions _ _cfin FU�L STORAGF, (Mr�,ct he ry�pr�vet�hy�r�M,�rsha/1 if prppositrg tn ahnndnrt iank in plor,.p,) ❑ [nst�ltation ❑ Removal Pucl Oil; r�llons ❑ Underground ❑ fnside [�Outside l.P Gac: _„ gallons pther: GAS LINF,ONI,X ❑ Qutdoor Cirill � ()ther/List What 3c Whcrc: lw'/�_��� b�l i��� 2 �(�n l��`,^1 �rGq2 — f 02/16/2014 07:56 9528947972 LAKESIDE PLUMBING PAGE 04/04 ,,.. ., ;::�,::.: •: ; , ,,.� � . . �:. '�AL@� _.:,....,.. , ........ ...... . .. ��r1T1.OT�(S , � , . )� . ..:,_.. . ,,. .. .. , -.> :::. .. _ 13�1.SED..OFF��;,.�2.b0�'�9T�4;T`�.ST .''�:. ' '� � �k�'i]E';�.. � ❑ YCs,this section�pplics 'i'he replaoement of a Residcntia.l fixture or Annliance tiiat mcetc a11 three of thc following requirem,ents: 1, Does not require modificatlon to eleclrtcal or G�s service. 2. I-fAs A Cotal eost of$500.00 qr I�ss;cxclud._ in�the cost of the fixtur��r spplianc;c:a�id 3. Is irnproved.installed or rcplaced by thc homeowncr or licensecl contr�etor. Skip next section,if this a.pplics; Cos4�f p�rmit � �S�� Stgte Surcharge $ 5.00 Mail-In Fee('If APPlicablc) $ 2.00 Tc►tal,Permit f�C � " . , -.rERNrrT:��E:cAr�C Ui:;A"r[.ON:s ,,:��ri��S�a'�R _ -- (�...�.= ;�5bo:00 : ._—�� ff nbovc daes nnt apply;1'ollow guidcllncs below: 1. CONTRAC'1'�.RiCE * is 1.ZS°/n af contract price with a(Ni��►imum Fcc nf 550.00) ��l dOC3 _ x.0125$ �^�� (.�nntrlCl pticc) ^ (minimu�n$50.00) 2. STATC SiJRC.1.�kAl�GE — .— ,. x.O005 $ � (cnnlr.ict pricc) �— — . - — 3. POSTAGE Rc HANI�I,ING(Only on Mail-In Applications) g�p0 4. TOTAI.PERMIT FEE �dd Lincs 1-3 Abovc � �� � ( ) � � • * CONT1tA.t:T PRIC� �t JOB COST mcang Chc actual or estimated dollar tuttount chargcd for the perntittcd work includin�materialR, I�bor,profit,anci oChcr fi!ced eostc. ft is tlie s�mount to be char;;ed tp thc customer for the wprk donc. lP t�t�y m8teri�l,equipment, (abor or instxllati�ns a.re furnish�d by the ownet, tenant or any oU�er pgrty,the re�sonable market value of such icems must be add�d to the c�timnted cost or eontract price for permit fee purposes. Jn thc event tl�at t.herc is a disput� or� Chc Att�o[mt of the j0I7 COSt, the City m�y requcst the submission p1'�t signecl copy o{'thc actua.l contr;ict, . . . .....: .. . . :: . :.: . ..:.. .,,: . �:A iCAL"PER �. , �r;�i�?�LX:c:4;�oN:�G� � '�RE�:NIENT �; � The undersi�ned hereby applies to the C;ty for issuance of a Mechanical Permic, agr•GEs to do a.11 work in strict acoordanoe with thc ardina.nccs of the City and tlie rcgulations of tMc Scate of Minnec�ta, and certilies tl,at all statCmentg �n�de on tl,is application are complete, truc 1�,d correct, Applicant's Signaturc: `� _ Date: p2-__� � __ / �� 3 � � � qaT E [� TIME V CITY OF ORONO CALLED IN a��/—�T" INSPECTION NOTICE ��5�SCHEDULED o1-07 /�S� //.�.3d PERMIT NO.� �— COMPLETED ADDRESS ��� � �'lL!/L S � J�a� OWNER � • TEL PHON NOgs - 7 � CONTRACTOR � �i�L� /�-� � DESCRIPTION � ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS y ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL 2 ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: �r a � J O � � O W aC Q � W � W � j O W� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RECT YYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING 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 the next inspection 24 hou n advance. 9-46QQ OwnerlContractor on site: Inspector: White Copyllnspector's Ffle Canary CopylSlte Notice � � h_7C/'� DATE TIME �/'� CITY OF ORONO ""'"�LLED IN ' _� INSPECTION TI E SCHEDULED - / PERMIT N�/ - G�Y � COMPLETED ADDRESS l�� OWNER TEL P ONE NO %S�/ -�"! -9�6 COMRACTOR G� � ' /L�G a DESCRIPTION � � -'L72r%�'-�t� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ IAKESHORFJWEfLANDS y ❑ FRAMING ��.lAECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � . � COMMENTS: %� '` Co �r .f- ��K t ^ L�o��t�9 u• r ' � f� � ' �l� ' bf {�✓s�/� i / ^. j O � r t i � �"O" �'.� �e s /s `iale�.rc O W � Q � kJor K 4�p�a�s Co�alc�c W � W � � J O W� ❑WORKSATISFACTORY:PROCEED /�PRp,lECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: ��� Inspector: White Copyllnspector's File Canary CopylSfte Notice � J 4y�� TIME V CITY OF ORONO CALLED IN T" 4S INSPECTION NOTIC L SCHEDULED � �_� PERMIT NO. J� COMPLEfED ADDRESS 1�DD/�!/�!S/`�/ r( � OWNER TELEAP,HONE NO. z o 7 7� 7�0� CONTRACTOR /K L��� � DESCRIPTION /"L�� ���-`�{' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPtACE ❑ 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 O FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: pG'�����-- cf4�'�-�i G o� � a .. �t �r i!���4 ��4��a,,, - �c�yp��f�. 0 " ��od r dr�r h.s CG nh[�le-Ec - � � � �rS l�K� - �e�,0arar .` - � C� �.(s ���� Q qrc5�r� �i n� � � ' � ' - � Cr..ll �r ►�5.���0... �!" �vrr e�2- 4le S � � . j �i h� -f'r e.���C -�1- y4s !i�G d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next ins�24 hours in advance. (g52) 249-4600 O r on site: � � Inspector. � White Copyllnspector's File Canary CopylSite Notice