HomeMy WebLinkAbout2015-01221 - mechanical CITY OF ORONO * 2 0 1 5 - 0 1 2 2 1 *
~ 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2015
' ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1374 NORTH ARM DR
PIN : 07-117-23-41-0053
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 008
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE,; : COOLING SYSTEMS
VALUATION : $ 2,562.00
NOTE: REPLACE COOLING SYSTEM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.28
JOEL SMITH HEATING&AIR COND MpIL-IN FEE 2.00
13915 LINCOLN ST NE
SUITE E TOTAL 53.28
HAM LAKE,MN 55304 Payment(s)
(763)792-1066 CREDIT CARD 1372 53.28
Minnesota State License#:mech-MB005378
OWNER
SUTI-IERLAND,WILLIAM
1374 NORTH ARM DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be perfortned according to
the approved plans and specifications,applicable Ciry 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 perrt►it 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. �
n � � ���1_jz�' =�V 1 / � / ��
�c�.t ( � � �
Applicant Permitee Signature Date Issued By Si ature Date
� ,.. . no
City of Oro
� �� Q.o.Box 66
,,.
�.. .. 275U Ke11ey kazlcwaY
,.,; .
Crysta!Bay,MN 55323
:� � k'b.oz�e(952}249-4600 Pax(952)249-4616 �
,���`, : �1�' 4 /2z/i S ��15-�Jl� � �
„ .�.� �' �: . CITY OF ORONO—MECHANICAL PERNII'T l„�'J�
,
'�5�� (All Commerciai pesmits must be approved by the Building Official ar Insp�wr and/or Fire Marshall) "J
�
1_ You xnay ap,piy�vz z�aec�aan�icai pezzpdts by urxail oz iva�ezsom at tlae Caty offices_ Applicat,ioms wi��l
be reviewed and a permit will be iesued within two working days.
2. �ezx�i#cards will be sent by return mail after a review is completed. PERMITS.A,�tE NOT
VALID UNTII.,YpU R�C�.ZV�.A.���I'�. WORK MUST NOT BEGIN UNTIL THE
RMIT CATtb YS pOSTEb ON T�3E JOB SYT'�.
3. Meehanieal Desiens—Complete ca�cu�at�oms,details amd speci�catio4s are requir�d for eaeh
heatazag,ventilation,humidification-dehumidification,and air conditioning installation includang
heat loss/laeat gaxm calculat�ivn,desagxx tempexatvxes,ec�uip�;e�,t zatiztgs�,d ide�ztzficatitom as to
type,manu.facturer and model. Data shall be presented on form provided.
4. Whe�n a�ciy new comsi�uctiqm oz z'e�ode��n,g is x�,volved,a sepazate buxlduo�g pezxnit must be
obtained.
S. .�A,II woz�c nanst be done in accordance with the Uniforna Mechanical Code/State Bui�d�in,g Code
requirexnents_
6. A�1 wo�c must be inspected(rough-in and final). Call(952)249-4600.
(24-48 honr no�ce rec�uired)
7. House Heating Tcst Rocord mu3t be submitted bc�orc final_
V�Residentia� ❑Cozxazxx�zcia�(Appzoval�tequ,ixed)
❑Naw ❑,A,dditi�z�a1 [�Repaiss �ep�ace
Site Address: l�l� N �r� �c�v e„
Owner:�,_ _ �v�v�, Mailing Address: ��,~I�4 e.1 �rnn �c
City: d�COno Zi�: �31c�
Home Phone: ��j�..���•aOZ.� ,A,,�tez�ate�k�one:
Contractor:,��,�+�,�r�ri, �� Contact Person: ��aY1o�,�b�
Address: 1�1151.tr�lri�t� Sta.te Bond#: !-t�� C�O"53"1�._._
Sv�:��
City: ������C�Q Zip:�� Expiration Date: �1�Ot�2�1�_
Phone: "�1�3�'�'l,G.'�.:I Olalo .A,.ltezxxate Pb�o�e: �
0' Znsura,�ce—C�rez�t:
1 � ca�15�i!�
Note:All Geothe�oaal Systebas wxa�now�requxre a Srte Plan&Review b�our Bu,�dun,g Q�'xc�sl.
�S'�S GEOTHERMAL7 ❑Yes (�No
1�AT�iG SYSTEMS
Quanuty: ---— —
Make:
Nxodel:
Fue1:
Flue Saze:
�Za�ut B'�'Us:
Out�ut B'I'TJs: �
CFM:
cooLnv�sYsrEMs
Qna�atity: 1
MaJ,ce: '��1V�
�odez: Q�A�
Tons: �
H.Power
F.IREPLACES
[] Gas�actozy�i�eplace Brand Nazxie:
[) Wood Bwrna�ag k'iureplace
❑ Wood Stovt Model No,:
❑ Wood S�tove with Flue/Masoz�ay
VENTII,ATION
❑ �io. ICitcb�n E�chaust duct zecazculating cfin
[f No_ Batb,Bxhaust(must have duct outside) c�m
' ❑ No. Other Fans: Locations cfm
F[JEL STORAGE (Must be ap,proved 6y�Fire,�1�arshald ifproposing to abandon tank in,place.)
❑ �z�,stallataoz� ❑ Removal
k'uel Oil: gaataz�s ❑ Undergxound ❑Inside ❑Outsxde
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdvor G�i� ❑ Other/�,zst What&'W�eze:
2
❑ Yes,this section applies
The replacement o£a Residential��or a�,plian�ce that�eets all t'hree of the following requirements:
1_ pocs not xec�uxze zx�odi�cation to electrical or$as service.
2. Has a tota co t o£$500.00 or less;e c u � the cost o#'the�xture or applxazxce:arad
3. Is improved,installed�r replsced by the homeowner or licensed contractor.
Skip z�ext sect�oz�,if t�is applaes; Cost oif Permit $ 15.00
Statc$imcharge $ 1_0{1
N�ail-I�a k'ee{If Applicable) $ 2.00
'�'vtal Permit,Fee S
Z�above does a�ot a�rply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of co�tract pzice watla a(],V�in��num k'ee o�SSU.00)
2�5��- �.0�zs�,�, �p.�
(coaztracrpz�ce) (nuti�uimam SSU.OU)
2. STATE SURCHARGE
�J(P�L �.0005 $ �.�
(contract price)
3. POS'�,A.G�&HANDLING(Only on Mail-In Applications) $ ?.�80'�
4. TO�'A�.�E�tMIT FEE(Add Lines 1-3 Above) S ��Z�
■ * CONI'�tA.CT��CE or JOB COST means the actual or estimated dollar amount charged far che
pexzxaitted wark including materials,labor,pro5t,�d ottAeF fzxed casis. it is tkae�x�,oiuxt to be cb�arged
to tbie custo�mex�'oz t�e work done. If any material, equipment,labor or installations are furnished by
the owtlet,tenant or any othex party,the�ea5oz�able zz�z�et va�ue o�such itez�s zx7�ust be added to t�Ze
esti�oo,ated cost or con.t�act price for permit fee purposes. In the event that there is a dispute on the
smount o£tk�o job cvst, the City may xec�uest tb�e subnazssio�of a s�gned co;py of t�e acival cvz�tzac�
'The uzadexszgzzed hereb� appli�s to the City for issuance of a Mechanical permit, agrees to do all
work iza st�ct accoxdance with the ord.inances of the City and the regulations of the State of
11�x�,esota, and certi�es that a11 statements made o�. this application are complete, true and
correct.
,A,pplicant's Signahue:� bate: r
3
� ^ �
DATE TIME
CITY OF ORONO CALLED IN ��-�
INSPECTIONN TICE_ � 3/ SCHEDULED �- �- __�`���
PERMIT NO. " � ��� �F coM LETED
ADDRESS �J�7� / �4��C- l�i'✓�/L. �/jil�,
OWNER � � �� �� TELE HONE O, ��'��3-�����
CONTRACTOR ��
� DESCRIPTION � C�C
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ��NIECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� --�IIGAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
Q'
_`� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC IN TALL
2 ONfNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:�'l�u /��J �!�Z�I�e�W' �°s�u� �F�
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� ❑WOFKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. � l v`- '�
White Copyflnspector's Ffle Canary CopylSfte Notice