HomeMy WebLinkAbout2011-00494 - mechanical CITY OF ORONO PERMIT NO.: 2011-00494
2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE�SSUEn: 06/20/2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 6/27/2011
ADDRESS : 2465 NORTH SHORE DR
PIIY : 09-117-23-44-0002
LEGAL DESC : UNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 50,000.00
NOTE: (1)TRIANGLETUBE BOILER HEATING SYSTEM-DOMESTIC 1-IOT WA7'ER AND POOL
(4)LENNOX COOLING SYSTEMS
(2)BATH EXHAUST-80 CFM
(1)FAN-700 CFM
APPLICANT MECHANICAL 625.00
OWENS COMPANIES, INC. STATE SURCHARGE MECH (VALUATION) 25.00
930 EAST 80TH STREET
BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00
(952) 854-3800 TOTAL 652.00
PA[D WITH CC# 7497
OWNER
LINDAHL, MR. &MRS. JOHN
2465 NORTH SHORE DR
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to f
[he approved plans and specifications,applicable City approvals,and the C{
State Building Code. This permit is for only the work described and does , �+._-�-
not grant permission for additional or related work which requires separate GL-`"
permi[s. All provisions of laws and ordinances governing this type of work / -��
shall be compied with whether or not specitied herein.This permit will �l.�
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 S[ate Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. > CITY OF ORONO PERMIT NO.: 2011-00494
2750 KELLEY PARKWAY
• ORONO, MN 55356- �ATE �SSUEn: 06/20/2011
� 952 249-4600 FAX: 952 249-4616
ADDRESS : ?�5 NORTH SHORE DR
PIIY : 09-117-23-44-000]
LEGAL DESC : UNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)'
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 50,000.00
NOTE: (1)TRIANGLETUBE BOILER HEATING SYSTEM-DOMESTIC HOT WATER AND POOL
(4)LENNOX COOLING SYSTEMS �
(2)BATH EXHAUST-80 CFM
(1)FAN-700 CFM �
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APPLICANT MECHANICAL �625.00
OWENS COMPANIES, INC. STATE SURCHARGE MECH(VALUATION) 25.00
930 EAST 80TH STREET
BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00
(952)854-3800 TOTAL 652.00
PAID WITH CC# 7497
OWNER
LINDAHL,JR., BURTON J
PO BOX 26
CRYSTAL BAY, MN 55323-0026
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 f
permits. All provisions of laws and ordinances governing this type of work
shall be compied with wl�ether 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 I 80 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 a y time for due caus
� � a� � �
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Applica ermitee Signa ure Date ssued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Ju�, 20, 2011 1 : 34PM Owens No, 1201 P, 1 .
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$�� P.�,Box 66 ,�R�ceavs� a i}P`�rnt3C# `�� ���a�r���,,���,,.
a� � � 2750 Kelley Parkway -'= ' rY ��`�{'M �`�;s�;�� �
����! Crysral Bay.MN 35323 �„+€�P�?��� �i1�ui�pnt� "�r'���k'""� ' ,
�5 Phone(952)349-4600 Fax(952)249�616 -"._�•.. � .-�,,� > ,.�s,r�,_ 'r-.,-as�'�,. '
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CITY OF ORONO—MECHAIVICAL PERNIlT � �
. (All Comme�in!permim mus�bc approvcd by rtw Buildiog Official or Inspecwr and/oc Fire Ma�shalq �
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]. You may apply for mechanical permits by maal or i,a person at the City offices. Applications will
be revicwed and a perrnit wi��be issued within two working days. '
2. Permit cards will be sent by reiurn rnail after a rcview is completed. PERMITS ARE NOT
VA,Llp UNTII,YOU RECEIVE A pERMIT. WORK MUST NOT BEG1N UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE. �
3. Mechanical Desi¢ss-Complete calculacions,details and specifications are required for each
heating,ventilallon,humidification-dchumidification,and sir conditioniag i�stallat�on i�nc�udin�g
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to �
iype,msnufacturer and model. Data sball be presented on formi prov�ided. '
4, vVhen any new construction or remadeling is involved,a separate buildi�permit must be .
obtained.
5. All work raust be done in accordance with tbe Uai£orm Mechanical Code/State Building Code .
requirements. .
6. All work must be iaspected(rough-in and final). Call(952)249-4600,
(24-48 hou�aotice required)
7. House�Ieatiing Test Record must be submitted before final. ' �
��,��+Ha}r,� ��.��-�.� '` � � ��a'����d��� ����� Y{ltrl �`^'i .
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_ < <�!��i� tti ��' .�` - �S�'��i"�i��l .iti{r��tiv .
' wiJ 1���C�� d��k� � <<h'3,,"y�,a`�1��Y ,+iaryP?.t i�
�esidendal ❑Commercial(AppTova.i Required) �� �' ' 1 "
❑New ❑Additxo�nal - Repairs ❑Replace
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Site Address: o� � °r �W�c lJ i !/c.-
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Owner; a. _ Mailing Address: t,r/a��
City: �/'O n o Zip: .�S�I� -
Home Phone: Altemate Phone:
a-�> '�i�r �n �� .�:-c� � `4 i�rhr'(, �7�7�'�v�l�.:(4��..LJ.�
�Q y� �,,� ��i�p�'��W��1�yy�� 1i f�y.f �sa r': .
1+u u�`'rrJ:���;j .W�:_(3 Y�a�,x s,`t�:
Contractor: �(,�(�,�,'� Q:�n,�`'j Contact Person: �V�✓) ` 13r�
Address: Q.�� g���` State Bond#; 371�' �.0
City: Zip:�Z�Expvation Date: � D �
Phone: �,�1'�'g.�"J��� Alternate Phone:
❑ Insurance—Current: `,/�.�j
1
Jun. �0. 2011 1 : 34PM Owens No. 1201 P, 2
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Note:All Geotheanal Systems will now require a Si an& eview by our Building Offtaial. •
I3 THI.S GEOTHERMAL? ❑Yes �No �
i
HEA77NG SYST�MS i
I
Quaatity: �
Make: �%R/RK����("�'({� Qpl LI�� .1r�1 Ll I-kr►� 5���� i
Btp 6MeST�� L I�o�T W�T� ��'� �"�` '
Model: �J 3`I� � ;
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Fuel: IJ
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' ' '• Flue Size: �f�� p�L — �
�� �
� Input B'It7s: ,3 q q.av o :
OulputBTl3s: _�7°fr�` ° .
CFM: � .
COOLII�tG SYSTEMS . �
�pry: - 2- ' -
Make: '. ���'No� _ L�N�ro�
1�toae�: l �CC� �}!J 1�-1 o C�7t� A-IRNA/�+4L�J
1'oas: I � S To�V ��`' .
H.Powez
FI �
❑ Gas Facwry Fireplace Brend Nazne:
❑ Wood•Swning Fireplace
❑ Wood Stave Model No.:
❑ Wood Stove with Flue/lvlasomy
VEN ILATTON
❑ No. Kitchen Fxhaust duct recircula�ting cfin
❑ No. �_ Bath Exhaust(must b�ave duct outside) ���
� No. �_ Othe�r Fsns: Locations Z��
F[TEL STORAGE (Mrrst be app�oved by�re Mmskoll ljproPasi�S�o abandon tanlfc in place.)
❑ lnstxllation ❑ Removal
" Fuel Oil: gellons ❑ Underg�ound ❑inside ❑Outside
LP Gas: gallons
Other:
GAS LIIV�ONLY
❑ Outdoor Grill ❑ Other/List What&Vl+here:
2
Jun. 20. 2011 4: 13PM Owens No, 1208 P, 1 I
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❑ Yes,this section applies ;
�
The replecement of a Residential fixt�a�e or sooliaace that meets all three of the�following reqdvanadts:
�
1. D_og�„g�require modificxtion�elechical or gas service. i
Z. Has e t��c�of 5500.00 or less;�the oost of the fixture or appliarice:and !
3. Is improved,installed or replaced by the homcowaer or liceased contractor. .
Skip noxt sc.�tion,if this applies; Cost o�Permit $ 15.00 :
State Swcbarge $ 5•4Q '
Mail-In Fee(If Applicable) S 2.00
Total Permit Y+ee S ;
1f above does not apply;foIlow guidelines below: �
1. CON7'RACT PRICE *is 1.2s°�of co�ect price wit�a�rin�mum Fee or xso.00) •
�� � i x.0125$ �po�.s•l�C3 ,
(carmeet pnce) (minimam Ss0.0� •
2. ST�SURCHARGE �.5�U U �
.�D, �lJl7 x.0005 S
• (co�act piw) .
3. POSTAGE&HANDLING(O�ly on Mail-Jn Applications) S 2-00 '
4. TOTAL PERMT!'FEE(Add Lines 1-3 Above) S ��•'� o�_��'i��
■ * CONTRACf PRiCE or JOB COST meaos the actueJ or estimated dollar emount charged for the �
permitted work uacludiaag u�aterisls,lebor,profit,ead other fixed costs. It is the amount to be cherged ,
to the customer for the work done. Tf arry materisl,equipment, labor or instaUabious are furnished by �
tbe owaer,tenant or any other pairty.tbe reagonablc market value of such items must be added tc thc
esdmaud cost or cortract price for permit fee purposes. In the event that tbere is a dispute on the
� amount of the job cost,the City may request the 8ubmission of a sigaed copy of the actuat co�atract.
The undersi�aed betcby applies to the City for issuance of a Mecbiaaical Permit,agrees to do all :
work in shrict accordance with the ordinances of the City sad the regulations of the State of
Minnesota, and certifies that all statemeats made on this applicatio�n are complete, �ue and .
corirec� �
Applicant's Signature: Date: � �
3
�� `�'�+ �{ TE, TIME ` /
��CITY OF ORONO ao!/-O d�f y'�f CALLED IN `-'/�� l� v
INSPECTION NOTICE SCHEDULED �"T I - .3(�
PERMIT NO. ^ � COMPLETED
ADDRESS �I�U��� ��. �
OWNER ��L��� L lY1�Q(�TELEPHONE NO.`5� �:r/� '3a7�
CONTRACTOR
� DESCRIPTION � C t�!'JI{�Cl� � yL��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
J ❑ PLUMBING RI �INAL ❑ FOUNDATION/REMOVAL
Z OTWkF�ICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContracto on si
Inspector. � -
White Copyllnspector's File Canary CopylSite Notice