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Home My WebLink About2013-01269 - mechanical CITY OF ORONO * z 0 1 3 - 0 1 z 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADD'.7ESS : 1421 NORTH ARM DR Pl� : 07-117-23-44-0073 LEGAL DESC : HIGHWOOD LAKE MTKA : LO"1' 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,500.00 NOTE: 2 1IEATING SYS'CEMS& I COOLING SYSTEM,VENTILA"I'ION APPLICANT MECHANICAL 143.75 STATE SURCHARGE MECH (VALUATION) 5.75 HEAT]NG &COOLING DESIGN INC 10830 ABLE STREET TOTAL 149.50 BLAINE, MN 55449- Payment(s) �612��28 7172 CHECK 3802 149.50 OWNER DJY Construction 3452 PILGR[M LN N PLYMOUTH, MN 55441- 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 atter work has commenced. The applicant is responsible for assuring all required inspections are requested in confq�rmance with the Sta[e Quilding Code.This permit may be revo� any[ e for due cause. �� ' �! / _ � % � � �� , �—� _- ' � �Z � �- . � �� _ < C��`�'lCC/� l-� � ilppl ant ermitee Signature Date Issued By Signature Date w ♦ F(iR CI'fY U5E�1wiLY ��0 City of Orono P.O.Box 66 A�t�R�CeiVed: Fermit# � 2750 Kelley Parkway � Crystal Bay,MN 55323 Apptc+ved$y: �� ' At�unk$: . Phone(952)249-4600 Fax(952)249-4616 � > • �'' � `� �' CITY OF ORONO-MECHANICAL PERMIT l�k�s K�� (All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall) GE�TEAAL INFC3RMA1'IC3N ' 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be reviewed and a permit will be issued within two warking days. 2. Permit 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 permit 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). Cail(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. T�'PE QF PERM�'I' � � � Che�k A111"hat A` 1 ". [�Residential ❑Commercial(Approvai Required) ❑New ❑Additional ❑Repairs �Replace Job Site!Ch�rner Infvrm�ti+�n: ; Site Address: � 2�� GINrYI �r. Ow l,or'�rLt,t„�ro i � Owner: 'i�T�/ C.`�n�j'�i-r Jc.-h ah Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infvrmatian:' Contractor:�QG! �,U ��(Y� Contact Person: �� U Address: �Y�3 V �� f�" State Bond#: �RO[�3`� City: � Zip:�?7 Expiration Date: Phone: lF 12 ..3�Z� 't�2 Alternate Phone: iPl Z-Z`�v •(p--��`� ❑ Insurance-Current: 1 , 3�.n .r�.: f ..%,. ` . � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. � IS THIS GEOTHERMAL? ❑Yes �]No HEATING SYSTEMS Quantity: ` 1 Make: ��,�t G'►4 (/�+ U Model: Fuel: ��f I�c... .� . Flue Size: �� Input BTUs: gC�, UGU ��e . f �,n�l�, q 1�l Output BTUs: CFM: I Sp GI V�1..�Vtf Of�I�, {wv�ccu,c o'i�r exc�w..� c�►^')� f �.�� COOLING SYSTEMS �-� ��"t� Quantity: p�.t✓ QXWIoI��li+! ,� YY�tvWw Y�t Make: , Model: � u� /�' �wv�c��.f' 'C��j��u Tons: . ��r� � � � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. � Kitchen�xhaust duct recirculating cfm ❑ No. � Bath Exhaust(must have duct outside) cfm ❑ No. �_ Other Fans: Locations�d„-��r 7 cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 )+''} � � y� � � � � �"�' � ,c� �, v �' ►.`�� d��k,�e�� z's '� '��i;q%�•i:� �'� �'�'�,��.,� �r,.!k � �4"s�ji.�'"��',�/�� y(,� f ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ��3�� .'��«' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��. �� x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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 fiunished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit 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. � r�a�,� '' �,, � , „ 3 ,, , z,. , �.'.,�.. .-. ,_�` . „ , . . . ' 'z,,.�,,x 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. Applicant's Signatu e: Date: /2,S�� 3 3 �CQ � DA TIME V G:i' _ — CIN OF ORON CALLED IN � INSPECTION TIC SCHEDULED PERMIT NO. connPLETED ADDRESS � OWNER TELEPHO�N . CONTRACTOR � � l CuJI� �; DESCRIPTION � l� ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRADING/FILLIN � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS � Q 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � _7 �f__��N� YfIOKo r /6 �IO��k< � ,. T�IeL !s ��cl�e`!l'e�� 'a� � �� '' l�� -- � - �� i.��-f� /� 0 � Q f�� 1.�-b�6C r`a m�/�� .— � z ` � f�e�.+i� �a./� W � j � ❑WORKSATISFACTORY:PROCEED �PROWECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ��❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 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 j 249-4600 OwnerfContractor on site: Inspector. �� White Copyllnspector's Ffle Canary CopylSite Notice V �X �. 1'\D � TIME CITY OF ORONO CALLED IN � INSPECTION�OTI E SCHEDULED � PERMIT NO. � COMPLETED ADDRESS I `�l c�.� � 7'�i M �/�' OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �,�Q��C f�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h O ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a r o��s /��e. nlo�co ,yr� ..- o /a� ll.�cl �,�fin�s _ �. � �3� rOU<4e �n- /!c��i l'a��- �'o.�c�rr�.rc-� ° C'ev-t < <�� . W 2 � � Q � � r�ar ✓Grl,'£ W � W . . � GQ l� -F'6,� rc�Ks,oec��e.,. J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / ' Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerfContractoronsite: l� �.1.rc. �LD'� Inspector. � ��"" White Copyl�nspector's Ffle Canary CopylSite Notice