HomeMy WebLinkAbout2013-01312 - mechanical � CITY OF ORONO * 2 0 1 3 - PJ 1 3 1 2 *
. 2750 KELLEY PARKWAY DATE ISSUED: 12/23/2013
ORONO,MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 1360 NORTH ARM DR
PIN : 07-117-23-41-0085
LEGAL DESC : VOLK JOHNSTON ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE ; RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,620.00
NOTE: 1 AMANA NAT GAS FURNACE
1 AMANA 1.5 TON AC
GAS LINE TO FURNACE/ADDITION
APPLICANT MECHANICAL 70.25
STATE SURCHARGE MECH(VALUATION) 2.81
DRONEN'S HEATING&AC INC. MAIL-IN FEE 2.00
PO BOX 426 TOTAL 75.06
SAVAGE,MN 55378-
(952)895-0310 Payment(s)
Minnesota State License#: mech- CREDIT CARD 8164 75.06
OWNER
GAMBONE&WENDY JOHNSON,JAMES
1360 NORTH ARM DR
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. 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
2013-12-23 09:21 W1087 Pharmacy 9522296455 » 9522494616 P 1/4
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City QY OYOno ' F�C1TY U5E Q]VI:Y
` , ���� P.Q.Bax G6 I�io Reccived:_. Permrt�1
t.,� 2750 Keiley parkway
c�say,hrx sss2� n�o��a sy: n�un�s:
Phanc(952)249-46t� Fax E952)244-4616
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� �'� CITY OF ORONO— C'AA.�YICAL PERMIT
f�'�ES H 47�'�,
� f AII Commcrciai pem»ts must bc approved by Building f)ff.iciial�r Inspector amflor Fire Marshallj
GENERAL INFORIviATION
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i. Xoa m�.y apAlY for meolssttica)permits by roaii or in p on at thc City ofiices. Applications will
be reviewed and a pennit wiil be issued within two wo in$days.
2. Permit cazds wi�!be sent by retum mail a#ier A review completed, pERMITS ARE NOT
VALID LINTIL YOU TtECE1VE A PERM.IT. fi T I�
�ERMTT CA�,n rc gn�r�D ON T�HF. 1OB,�ITE �
3. Mechani�{�l�e�s�en�_Gomp�cte caicutations,defails a�rd specifications are reguired for each
heatit�g,ventilation,humidification-dehumiciification,�nd air conditioning installation including
heat loss/heat gain catcutatioa,design temperat�ures,eq�ipment ratings and idenrificaiion es to
type,manufacturea�and model. Data shall be preseated�on form provided.
4• When any new construction or remodeling is invotved,ta separate building per��it rn.ust be
obtained. ;
5. Ail wwk must be donc in aecordance witfi the Unifar�Mechanical CodelState Building Codo
reqvirejtxents.
6. Atl work must be inspectecl(rough-in and fmal). Ca11(�S2)249-46()Q,
(24-48 hour notice cequired)
9• House Hcating Test Record must be submittcd bofore f�nai.
TYPE OF PERM
Check AII That A
�Residential ❑Gommerci�l{Approvai Required}
❑New ❑Additianal ❑Repai�s ❑Replace
Jab Site I Ovvner Information: �
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Site Addtess: ��� (��..7` �,
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Clwner:�t�+��Et,�-_ 0�, "�'��c,� ��iiing�ddress;
c�ri: � cau�.s�� zip; i 5 r��
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Home Phane: �� ����,� Alteznatef Phone:
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Contractor Inform�tioz�: (
Contractor:b Rfl���`s ll��►��.i'�Contact FPerson: �I�A� ,�R t�t�s�iJ
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Address: �.� � � �r��j Sta#e Bo #: 4Y�.�.,,��' '�I`.,�1�'
City: ��r,�,F},fa� Zip����� F,xpirati� Date: �,�e��/f f�
Atione: f����� Alternate�Phone��+/ �,����'
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Note:A!1 Geathermat Systems witl now require a Si 1.! &Review by our Building Official.
iS THIS GEOTHERMAL? ❑Yes '�Ta �
J�'�`" �
H�AT[NG SYSTEMS j
Qu�aty: �____�__ �
���: �� _ � �
M��: A�ro�l ��,����'.�+��---- ` ._
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Fue}: �� �/�..f .�..�. '
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Ftue Size: C�L...y�r • y�.� E
tnpui BTUs: ����. t� ^ ._.�
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Qutput BT[7s: �'��— �
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CFM: ��� f
CUOLING SYSTEMS p � �
Quantity: __, t � _ _._.__ _._. ..._
Makt: ����_._.. _ { �
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Model• �}-'S��f � k—
Tonst ��t.. '
H.Power F
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�tRE= PLACF.S ;
❑ Gas Faatory Fireplace B.raand Name:
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; ❑ Wooci Bum:ing Fireplace i
[] Wood Stove Model No.:
❑ Wood Stove with Flue!Masonry �
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,��'�'II.ATIUN f
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❑ No. Kitchen Exhaust du�t recirculating _____�_efni
❑ No, Bath Exhaust(must hawn duct o�tside) ��
; [] No. Other Fans: Locations.__�.__.�__.,__... cfm
F�Ei,STQBAGE (Must be a�,proved by F1re Marshall if p%�Osing to ub4tndon fank in pluce.)
(] Installation [] RemQvat �
Faei OiL• _gallons [� Undcrgroun.d (]Inside ❑Uut�ide
LF Gas: galIons f.
O�cr: �-_____— i
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� Outdoor GrilE � Other/T.ist What&#Where: ���
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2013-12-23 09:23 W1087 Pharmacy 952229b455 » 9522494616 P 3/4
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❑ ' Ycs,ihis sectiun�pptics �
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The repiacement of a�j�c�e�tial fix�rc or a.,*roHance ihat meets�11 three of the following requirem.ents;
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1. not require modi.fication to electrica!or gas s�cvico.
2. Has a tgtal cast of�500,44 or less;eacc�udine the of thc fixtwe or sppliance;an�Q
3. is improv�d,instatlal ar replxced!ry the hameown�r ar licrosed coatractar.
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Skip next section,if this applies; Cost of P � it $ 15,t}0
State Surc�ge $ S.Qq
Mait-In F (IfAppiicable) $_ 2.Q0
Totat Per��t Fee $
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tf above does nut apply;fntfow�uidelines belaw: }
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i. CON'I'RAC'��'R[C� �is i.25%af contrsct pric�with a(Minimam�'a of 550,00)
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x.U125$ "�� . ��
(contract price) � (tniqimum SSOAD}
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' 2. STATE SIJRC�1 ,�^ 1
.�� .3 �ca�d � x.Q405 $__�___`�r�
(conaacx pricc) �
3. POSTAGE&HANDL.tNfl(Only an Maii-In Applic�tions) $ _ 2.00
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' 4. TOTAL.PERMTf FEE(Add Linetis:I-3 Above) f $ � ,�
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• �;CO:V'TRACT PFLtG'E or J()[3 COST means the act►�al o�estixnated dollar amount chxrged for th�
pe�miued work including mateciats,lahor,profrt,end other xed costs. It is the amount ta be charged
to the customer for the work dane. If any msterial,equi t,lebor or installations are fw�n.ished by
tbe owner,cenant or�r�y other party,tt►e reasonabie marke value of such rtems must be added to ihe
estimated cost or cantract price fnr permit fee purposes. �n the event that thorc is a dispute on the
�tnount af the job cost,the City�nay t�quest the sutrmessi�n of a Si$ned copy of the actual cor�tra4^t.
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The�ndersigned hereby applies to tl�e C:ity for issuance o�'a Mechenica! Aermit,a�rees to do all
work.i in str'tet accordance wi'tfa the o��linances of the Ci end the regulations of the State af
Minr�sota, s�nd certifies that alt staYements made on th�s application are complete, true and
corre�t. �
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App2icanYs Signatur � ��: � c�,,,� •-��'? '
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CITY OF ORONO�D13—�CALLED IN // DATE TIME
INSPECTIO SCHEDULED ` .J'l Ql.UC/
PERMIT NO COMPLETED
ADDRESS /36D /v, �'�v1 ��`
OWNER ����'ll� l �DL�2G,6U'r�p�LEPHONE NO�IZ �`7 iPzzZ
CONTRACTOR
� DESCRIPTION i���L"[�(� �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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4�CSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. (g52) 249-460�
OwnerlContractor on site:
inspector.
White Copyllnspector's File Canary CopylSfte Notiee
e,rt-/! DATE TIME ✓
CITY OF ORONO CALLED IN ?�
INSPECTION NOTICE SCHEDULED ' g- 7C�
PERMIT NO.a�l3—��3 �Z. COMPLETED
ADDRESS 13�0 iU 4Y�li ��rt /�`
OWNER G(�f� 1���-SOv��TELEPHONE NO.��2 g�7 gZZZ
CONTRACTOR
� DESCRIPTION �� r j��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL ❑ M HANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING CHANICAL FINAL p TREE REMOVAL
Z 0 INSULATION WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10N/REMOVAL
2 OYYNERICONTRACTOR TO MEET YoDU:_YES_NO
y COMMENTS:
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W� O WORK SATJSFACTORY:PROCEED W ECT COMPLETE
W ❑CORRECT VYORK�PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR NfILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �9 -46QQ
OwneHContractor on site:
Inspector:
White CopyAnapector's File Cenary CopylSfte Notice