HomeMy WebLinkAbout2017-00006 - mechanical CITY OF ORONO * z 0 1 7 - 0 0 0 0 6 *
� 2750 KELLEY PARKWAY DATE ISSUED: OU05/2017
� ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4590 NORTH ARM DR W
P[N : 06-117-23-24-0016
LEGAL DESC : N/A
: LOT 002 BLOCK 001
PERM[T TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,333.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE:HEAT[NG SYSTEM(DAIKIN)
APPLICANT MECHAN[CAL 66.66
STATE SURCHARGE MECH(VALUATION) 2.67
COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00
11238 RIVER ROAD NE
HANOVER, MN 55341- TOTAL 71.33
(763)208-6471 Payment(s)
CREDIT CARD 3 l52 71.33
OWNER
HAGLUND, BARRY&JANICE
4590 NORTH ARM DR W
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
1 he 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 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. y j�
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Applicant Permitee Signature Date Issued By Signature Date
01/65/2017 08:14 7634987618 COMFORT MATTERS HTGE PAGE 02/64
' � , k'OXt C�'�L1S�'O�� '. '
City of Oroao � �� ; , '' � .y ���
P.O.Box 66 �b ��orvedc � ��oim�t# ��L�'V'
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�.! 27s4 xdley Parkway ' �
CxYs�el BaY>�9,N SS323 �PP��d:��' �fauiit� ��
Phone(952)249�600 Fpx(952)249-46ab � � • � ���� �
� � CY'T�Y OF ORONO—�',�EC��T�C.A.�PE
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�'� RN�.IT
t�k�$N'���' (A,11 Cotaunarcial pettxalCs rnust be approved by the Suilding Oflicial or Inspcctor end/ar Fire Marehall)
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1. You may apply for mechanical permits by mai�p�i�pexso�n.at t�e Caty of�ces. Ap�lications will
be revaewed an.d a�ez�n�it wi11 be issued witliin two working days.
2. Pcamit cards will be sent by x�tlun mail after a xeviiew as cot�7,pleted. ���Mi�'S A.kZ�NOT
VALIA UN'x'�.XOU�CEIV�A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS P�S'I'�D UN TH�,�0�Sz'�'�.
3. �echazaical DeszQris—Cotn�lete C&1Culataons,dctails and specifications are required for each
heating,ventilation,hurr�,idificaUioa�-deb,uz7c�idi�cat�on,and air conditioriuig installation inclnding
b,eax J,osa/kzeat gs[11 ca7culation;design temperahuas,aquipment ratings and xde�q�i�catioz�as to
�e,manufacturer and model. Data sba1,�be pz�esented ot�:Fozt�pzovided.
4. When any new const�'uc�ioz�or�odelxu�g ia znvolvad,a scparate building permit must be
obrained.
S. A,II work must be done in accordance witk�the Uz�x�'ozz7a�eehatf.iea�Code/Stato$uildzng Code
requirements.
6_ A13,work n,i,nst be i»s�ectcd(rough-in and final). Ca11(952)249-4600.
(24�8 hour notice rec�uired)
7. House Heating Test ktecord xraus2 be sub�aaitted before finai.
,��� � ; � a, ���''� � � ,� ,, T'�p�C��'��P,����T � ��;! '��' , ,���,�, ;;
� L p�y T1 1n'p /y� I I I ... i I '1 � a :'�" "
�,:I I '�' 4 �I �`�i ��1I�4V��AA�A�IN��%'A�. I I. I
I.'I:�
�osidcntial Commercial A oval Ite uiued Baelcflow Deviee:�AVB [�PVB]
❑ � PPT 4 ) �
(�New ❑Additional Q Repa�t^s �teplaoe
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3'bb S�,'C�;/,O`4�tt.���z�.fo'iixla�i9a1:
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Site Address: �J�,� �• �nn ��r-c��
Owz�.er: �G'�rftA►. �CC4Ga.�l:l� Mailing Address:
���: A a��,c� ,Zxp:
Home Phone: Alternate Pho�e�
� ��� ��, �� � �
Cv�.1z��to�r�'�as�aa'�trii;i � � � `;� ,
Contractor: {�'cs� � �� Contact Person: �G�, ��1
Address: �(�� �cV�r ��'i State Bond t�: N���Jl � I
CitY� �`f�1L� Zip: E��-�E�p�zatao�a Date: ��G( `1�
�b�one: 1�'�"'��1���,��� Alternate Phone:
❑ �rZsu�raiace—Cuxrent: �� '�
�
01/65/2917 08:14 7634987618 COMFORT MATTERS HTGE PAGE 03/04
Note:All Geothermal Systeno,s wi,l�no�v�uire a Site Plaa&Review by our Buildi�ag O�ic;�al_
IS THIS G�C17[`�RM,A,.L? ❑Yes �To .
/
�kEA'�iG 3YSTEMS '
���- t � � �
Make: ��tiCi rl ---- �
Model: f��Gt���J� , . '
F�al: � .
Flue Size:
Iu�ut HTUs: __— � ,
Output BTUs: .
CFM: .
COOLIl�IG SXS'�J,V�S
Qua�ntity.
Make:
Model: '
Tons: � �
� H.Porover -
FIREPLACES • '
Q Qas k'actory Fireplace Bxa�pd Na�aae:
❑ Wood B�ning Fire�lace •
{] Wood Stove Model No.:
❑ Wood Stove with Flue/kv�asoxuy ,
V'�NTII.A'FION
❑ No. 'XC�tc�Exhaust duct recizculating c$n
❑ No. Bath Exhaust(musc bave duct outside) cfim
❑ No. O�h�'F�as; �.ocations � -
. �IIEL STOItAGE (Muet be a,�proved by Fine,dlsrshall if p%posing to aban�on tank en place.)
❑ Iastallar3on ❑ Rsmoval ,
F1�el 0�i: gallons ❑ x7z�dergroimd ❑Inside ❑Outside
LP Gas: ga�o,as .
Other: •
GA9 LINE ONLY
� ❑ Outdoor Grill ❑ Other/T.i�st Wbat&Where: •
2 �
01/05/2017 08:14 7634987618 COMFORT MATTERS HTGE PAGE 04/04
1. CON'�'RA,CT pRICE x is 1.25%o�'crnqCract pz'ice,with a(Mfulnnum�k'ee of$50.0(i)
. J�J��J•� x.0125$ t4�,���
(canhact prico) (minilmuan$SOA�}
Z. URCHARGE �� i
x.0005 $ a,�� �
�c���e>
3. POSTA,G�&HANDLING(Ouly ou,Mai1-In Applicationa) $ 2.00
4. TOTA.�.��'�'k'�E(Add I�incs 1-3 Above) $ �� _ �
. �.
■ * CONTk�.A.C'�'PktYCE or JOB COST x�aea�as tk�e actuai or estiraated dollar amount chargtd �oz' tbe
peFcnitted work includiz�g z�aterials,labvr,�rofit,atad odzer fixed costs. It 1s tkle amoutlt to be charged
to Lhe custozner for the work done. Tif aiay�ateriai,equi�ment,labrnr ox iiastallations are fixrt�.iebed by tb�e
• owncr, ten.�tat o:r auy other party, thc reaso;aable warket value of sucb, 1,tet1'ls must be addcd to the
estimated cost or conkracT price for parn►it fec�ur,poses. Zz�klae event that there is a dispute on the amount
of T17e job cost, the City may tequest the submission of a signed copy of thc acZual�cont�'act.
'Z'be undersigned hereby a��lies to the City for issuance of a Mechanical Pezx�ait, agrees to do all
wor� x� stxict accordance wiitb, the ordinances of the Gity and the regulatzozzs of the State of
Miruaesota,ar�d certifies that a]1 statezzie�nts made an this a���cation are cbmplete,tzue and correct.
App��cant's Signature: Date: �J
3
� DATE TIME
���� � �
"CITY OF ORONO � CALLED IN
INSPECTION N TICE SCHEDULED -�7 j_j.�. '-�;
PERMfT NO. ���7`���� COMPLEfED
ADDRESS_� � G � � 1`�i'Y`� I��2 -
OWNER �`���X��-� � TELEPHONE NO. ��3 L��3��25
CONTRACTOR � '�'' �������
'' DESCRIPTION
l / K- << L"l � l f'7 c� � ; ��`��
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADiNG/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑ S TIC INSTALL
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? OMINERICOHITRACTOR TO MEEf YOU: YES_NO C /�
� COMMENTS: ��'c�Yl 1'7 I C �• ��� f �•� II�I
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W ❑WOIiK SATISFACTORY:PFIOCEED PR ECT COMPLEfE
a ❑CORRECT W'ORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OwnerrContractor on site:
Inspector:� �.�'�
White Copyllnapecto�'s Fib Gnary CopyISIN Notfce