The URL can be used to link to this page

Home My WebLink About2013-01209 - mechanical �{ ' CITY OF ORONO * Z p� 1 3 - PJ 1 2 0 9 * 2750 KELLEY PARKWAY DATE ISSUED: 1U13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1669 NORTH FARM RD PIN : 27-118-23-44-0008 LEGAL DESC : THE FARM AT LONG LAKE : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 19,000.00 NOTE: (2)LENNOX NATURAL GAS HEATING SYSTEMS (2)LENNOX AIR CONDITIONING SYSTEMS APPLICANT MECHANICAL 237.50 GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 9.50 S182 WEST BROADWAY CRYSTAL, MN 55429- MAIL-IN FEE 2.00 (612)535-2000 TOTAL 249.00 PAID WITH CC# 7420 OWNER BEENDERS& PETER MONTGOMERIE,ANTOINETTE 1669 NORTH FARM RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Statc Building Code. 'I�his 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 bc revoked at any time for due cause. �Y11.A-t-�d.J //� �3 i /.3 �/ ,r� //i /�i /3 Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 11/12/2013 12:55 7635354379 GOLDEN VALLEY HTG PAGE 01/04 , �Zd'i-� iN is+�-`q:c��`��'�� 01AIaY Y �r 7( ir1= N / �Q� Cit)'of00040 r��Cerc`,��'• �'--�'�� #�� k.0-Sox 66 � ,n y�N,1� ` Q � 2750QCelley P�rk�wdy �,�'�'-z� +�' �X��, p ' C*Ys�l�1+.t++�155323 �+}`tl��y'trrv`�.z�r'' t''�oaIIb:, � � Phanc(4S2)249�600 Fax(952)249�616 �"` u .��`� �^�u+°�l",a,; i ' CITY OF QItONO—MECSAI�IC,AL PERb�IT ; (All Commcrcial permi�must be approvcA by tiie Suilding OfFicisl or Inspecoor and/or�ire 3vjarshall) � a4��:A '_ �S"b:' iQ " �� tl�ZQ(w��,Z�� . . �t9� ,9a¢"� � ��P� _ �:.r . l. Yoa n�►ay appfy frnr mechanical permits hy mail or in person at the City offices_ Applications wil! be reviewed and a pexmit wili be issued within two working days- 2. PCsmiT Cards,will be ser�t by raturn mail aftei'a rcvievv is completed. PERMI"�'S ARE NOT VALID UNTIL XO[)R�CEIVE A�ERMTT. W MU OT� UNTIL PER1�'�'CARD IS PWT�D ON E.�OS S]' E. 3_ Mu:h ' Desi 15—Complete calculations,detaals and spccificaii,ons are required for each heabng,vonizladon,humid3f{catinn-dahwinidifica2ion,and air cond3tiot'ling insta4taLlon including heat 1ossThea2 gain calCuIaplon,design tenaperatures,eqnipmant ratang,s and identi�cation as to tYPe�manuYa�turer and mode�_ Data sha3�be presented on form provided. 4. Whe�any ntw coz�struction or rerttodeling is involved,a separa2e buildin,g permit must be obrained. , 5_ AU work must be done in accordst�ce with the Uniform Mxhaf��cal CodelSt�2e Building Gode requirenpenfs. 6. All work m�st be inspected(xough-in and�nal)_ Call(952)249-4600. {Z448 Lour uatice required) 7. House Neating Tcst Record must be subt�,itted befort final- �*k,'c�'y,;�y-'r'c't�` �:��,.� .1��4-..�YS-9" i,.�Yi""'� � -.� �f ,c�'y.',�.�f7�;'�„� ��,h . . �Z� ,r —/ "'_=].� w�3�''�y`cI Y �yd,,�, ,ep t�`.,..c� ,�r�1- ..� 'il' �ms �{Rv..,19}h N��.��3i.Y � ��"'�r��`'�'��nG`"=r - - r �4� 9� ,F.� L 4�G, wn'y c b}�� . .�.'!� .r: �•'.. 4c�,�� wT.,, �Resxdentia! ❑Corn�mercial(A�pmval�equired) ❑New ❑Additional ❑�epairs ❑Replace - - � �„r� .:�:��;:.;:;r�` Y.�:��,;:.;._;-„t�.�.;��, . Site Address: 1 LL/ 1 f �� f 1� Owner: Fin'�(7Vi/�Q��. �1�'�'4/ Mailing,A,ddress: c�c�: n�Q, z;p. Home�hone: + ��`. �7�� ATCernate Phone: � - ', ��;a ��-;�.a,r -,nIh�'t'„'�^`r '��;' :��I�L�' . -w_z'.�^:�„�:'� �; a, ,.:�r;� � T�;?��;?'....:�i't'.�n�. .,d+�2@i"�°�.. . Goz�tractoz�:�, . INC. Contact�ez�son: �ig2 ' ;F�$T B ADWAY Address: �� State Bond#; . ky�' '_ - City: �� 2ip:� Ex��ration Date: � I� �i Phone: ' ' � A�terinate�t�one: i ;� li � �' � Tnsurance—Cu.�xe�at' � ' 1 ; � i � ; - i � 11/12/2013 12:55 7635354379 GOLDEN VALLEY HTG PAGE 62/94 ,; .;� I . , , '� � • I � No�e:AI!Geothemlal Systems�will now r�yuaxe a Site Plan 8t v'ew by o�u�wi�ding Of�icial. �S'X'HLS GEO'I'SFsRM.�#L? C]Xes �io ��.A,'�NG SYS'�'EMS . � QuantxtY: � � � �—.... tvtake: 4[+�� i�Y1410k, r.,��- -- M��: c�g�W�90 S�Pq�cH�"1a : -- - � Fuel: � �/ Ftue Size: Input HNs: �U�U�p �v (/�/ Out�ut�TUs: , CFM: COOLT�lV'G SXS'X'EMS . Q��y': I Make: b�V1�JL V�v MaaG�: 1� `D X l7•(�2 . Tons: •�� Yi.power �18FPTr�SrFc� ❑ Gas k'act�ry Fireplace Brand Name: ❑ Waod Bwrning Fireplace , [� wood Stove Mode1 No.: ❑ Wood Stove witlt Flue/Masonry VENTILATION ❑ Ido, �,itc�en Exhaust duct rxiz+culating cfm ❑ No: Bath Exhaust(must have duct ouuide) cfm ❑ No. _ -- Other�ans_ I..ocations cfin ��SI'ORAGE (Must be up,psoved by Fire Marshall if,p%pating to abandon tanh in placG) � tnsta�lation ❑ Removal FUeI Oil: gallons ❑ Underground ❑Inside ❑Ouuide LP fiias: gallons Other: ' GAS LYNE bNLY [] O�mdoor Gr�ill ❑ Other/List wkzat&Where: 2 11/12/2013 12:55 7635354379 GOLDEN VALLEY HTG PAGE 03/04 • , " , PEt�M�'I':PEL;�:E►,L��JI::A; ,' .. , ;: �:�`°��...:�.' . � ;.8�1S�I�:�4�'�''.=.:��2:'5��,� �'�'v! , .�~�`' �.:;: ❑ Yes,this section applits The replacement of a Reside tial fixture 'gn�e that meets all'three of the folJowing reqairemenis: 1. Dce$,not require n,odification co electrical or�as service. ?. Has a total cost of$500.00 or tess;excludine the eost of ihe fixture or appliance:and 3. !s improved, installed or replaced by the homeowi2e�or(ieensed contractor. Skip next section,if this applies; Cost of Permit $ I5.00 StaEe Surcharge $ ,S_00 Mail-In Fee(lfAppiicabte) $ ''.QO Tot�l Permit Fee $ .. . -:.; .� : � >.;:� :. .�Et��r.k��cALc�'�c�':s 1;r��s;i3:;::.��5�q.ov. ; If above does noc apply:follow guidelir►es below: 1. OIVT RIC '�is 1_?5%of contract priee with a(Minimum Fee af�50.00) 1 ��oo °� X.o�.s$ a�1.5c� � (Cor1t M pri��) (minimum 540.WJ 2. T�SURC1,iARGE �q p� G� J'� � U�V a.0005 $. 1 � l- (conVuct �cc1 --•-•- 3. POSTAGE&�IANDLiNG(On1y on Mail-ln Applications) $ 2.Op a. TO'fAL P��tMIT FEE(Add Lines 1-3 Above) $��` iCIV • * CONTRACT PRICE or JOB COST mcans the actual or esti�nated dollar amount ehar�+ed Mr the permitted work intluding materi�ls,labor,prvfit,and other fixed eosts. It is the amount to be charged: to the customer for the work done. If�y material,equipment,labor or instslEations are furnished b�'� the owner,tenant or sny other patty,thc reasonable markec value of such iten�s must be added tn tl�ei estimated cost or cantract price for permit �"ee purposes� In thc cvent that there is a dispute on thc amount of the job cosr,the City may request the submission of a sig�ed copy of the aetual contract. . . .;.;. .. , . . .�:.� � �e�a�.: ��;L P��r�� -��i�� =a. ��i�rir The undersigned hereby applies to the City f�r issuance of a Mechanical Permit,agrees to do all! .vork in strict accordance with thc vrdinances of the City and the regulations of the State of': Minnesota, and certifies that all statements made on this application are camplete. true �ind; correct. i Applicant`s Signat�kre:� _� l Date: � 1 � � / f�seE Fdrm 3 I �� DAT� /,, TIME V CITY OF ORONO C ED IN `�J%'�(' INSPECTION ICE SCHEDULED ` �! b� _ PERMIT NO. COMPLETED �� ADDRESS 1�� /U. �� L- OWNER �J'��-°�d�/"STELEPHONE NO. �Sz �73 •31z� CONTRACTOR 6��-u �� DESCRIPTION Z' T��Q�� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � � 0 � � 0 � W � Q � 2 � W � � J � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContra o n Inspector: White Copyllnspector's File Canary CopylSfte Notice DATE � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�1��' �j�� COMPLETED `I `/�� ADDRESS i6b� �of�h /��/.� �A• OWNER TELEPHONE NO. CONTRACTOR Ga��'=� ��'�> � f�-`� � DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS � Q ❑ FRAMING �CECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL V❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � CGMMENTS: a f��rw►�� 2d��'.- �c�.�r� �c5 C.� lr 1��' � j . ` . o •� `�'.tL 1G15 P�' L'�-tp.-�. �. ° p"� ��ev v1�� •� f�(G �^��,laC��.��,�5 � Q � ��'�l�>r� ��t �fvt C�C � .. 2 ' �IX�`7�'"�"Y�'_ ��t'(� �. C�3,�lf�o� [ Cs r�C4�-tG's� W � � t�f� 4 D4�r 5 .�✓!/I/e�� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II tor the next inspection 24 hours in advance. (952) 249-4600 wn ontractor on site: ��'�p� ��o�d�'��'r t � Inspector �� White Copyllnspector's File Canary CopylSite Notice