HomeMy WebLinkAbout2013-01276 - mechanical � CITY OF ORONO
' " 2750 KELLEY PARKWAY * Z 0 1 3 - PJ 1 2 7 6 *
DATE ISSUED: 12/09/2013
. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3048 NORTH SHORE DR
PIN : 09-117-23-32-0004
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: HEAT N GLO SOOOC IPI 36000 BTU GAS FP
HEAT N GLOF EXCLAIM 42T WOOD BURNING FP
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 119.00
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CHECK 2002902 119.00
OWNER
KALLAS, KATHRYN D
]1653 CEDAR PASS
HOPKINS,MN 55343-
AGREEMENT A1VD 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 sepazate
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 I SO 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.
\�V��il. l l
Applicant Permitee Signature Date Issued B gnature Date
�Qx crr��rs�orrL�u
City of Orono
� O$`��O P.O.Box 66 Date Rec�ived: P�rmit#
, 2750 Kelley Parkway '
� , .��� Crystal Bay,MN 55323 Approued By: , Ar�wt�nt$:
�� Phone(952)249-4600 Fax(952)249-4616
��s�
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GEI�ERAL INF�RIVI.ATI£�N
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working 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 Desi�ns—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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE QF PEItMTT
Check t�1�That A: 1 >
esidential ❑Commercial(Approval Required)
�ieDv ❑Additional ❑Repairs ❑Replace
:Job.Site/(?wner Informa.tivn:
Site Address: 3� � y'4J� �z.¢. gliww-�'
Owner:l���tQ 1��� Mailing Address: ►.t/
City: Zip:
Home Phone: 7�J 2 'Z�7� ���� Alternate Phone:
Con�ractc�r Information: '
HEARTH & HOME TECHNOLOGIES
Contractor:dba FIRESID HEARTH t�i HOME Contact Person:
Lic 662656
Address: 2�00 FAIRVIEW AVENUE N State Bond#: �d'� I R�b ?��'�y
,
651.633.2561 ���_� �
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
��
§
� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input B"TC1s:
Output BTUs: _
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: �}�A/-�
((� Wood Burning Fireplace
❑ Wood Stove Model No.: �b4id G-L� 3(oDAD�l'�
❑ Wood Stove with Flue/Masonry w..nfr 9
" y�.T ��Z�»�
VENTiLATION ����_
❑ No. Kitchen E�chaust duct recirculating cfin
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations 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
r
'J;',b�,,'a �"
r.
�_
�'"JS`.,. .. " . .
� , .
y i.k�" , .� .
❑ 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;excludin¢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 $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
.:. „
, . .. . °, �
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
% ���O,� x.0125$ �l 2. �
(contract price) (minimum 550.00)
2. STATE SURCHARGE J�
�D�. DD x.0005 $ —I�J��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� l,��
■ * 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 furnished 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.
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 Signature: � Date: �Z^��`�
, . °'�.1 i�;.... ,.,.,, .
3
C
L� DAT T �/
� CIN OF ORONO CALLED IN " �
INSPECTION NOTICE SCHEDULED — — •
PERMIT NO. 02�I�J-O I Z�Cp COMPLETED
ADDRESS ���0 NO�'Tt'� S�"W K.�
OWNER TELEPHONE NO.65� 33( 3535"
i CONTRACTOR � �� �e��"
� F� �
� DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS:
�
a -� C � .o - �
�
� —
0
�.
�
0
j'Y1•�- ` �rJoc�.bUrK� kc - .�O�aa�hvo
Q ��VYG�7 ct S'LC/e r�. Q� r —
�
2 �-- '
� �L� `l t�� /"�i rsS'�Er ia .� �—
� 0"J- 4` ��i�r��
J
d
W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
��ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�V BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 inspection 24 hours in advance. (g52) 249-4600
Owne Contractor on sit : /�Q'u Q
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
S� D TIME V
CITY OF ORONO CALLED IN a
INSPECTION OTICE SCHEDULED - -� ��
PERMIT NO. � - a 7 COMPLEfED
ADDRESS 3D�$ N4Y�' �� �v
OWNER TELEPHONE N0.1�Z 9ds 9�•6
CONTRACTOR ��r�S�� ,(�7 �
� DESCRIPTION /�� /`''� ,� ClJDDO' �U�"/!��
� � FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO
� COMMENTS:
�
�
� -
0
�
� ,.�
W
�
Q
�
2
�
W
�
J
d
W �WORK SATISFACTOHIF PROCEED �PROJECT COMPLETE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho in advance. ) 49-460�
OwnerlContractor on site:
Inspector:
White Copyllnspector's File Canary CopylSfte Notiee
� �' TIME ✓
CITY OF ORONO CALLED IN �_ _
INSPECTIO I E n SCHEDULED �
PERMIT NO � � I`'f COMPLETED
ADDRESS *��� ��/����
OWNER TELEPHONE NO.��Z-�'�4� gZ`�7
CONTRACT�R G 7�ON_
� DESCRIPTION ���� �S-'�'u /"'�� ��
�
� ❑ FOOTiNG LUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL f�MECHANICAL RI ❑ LAKESHOREMIETLANDS
y ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
� O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET 1I�U:_YES_NO
y COMMENTS:
a�
W
�
jr'�- •� _
0
�.
� f
�Q l/
W
�
Q
�
W
�
W
�
j
d
W WORK SATISFACTORY`.PROCEED ❑PRW ECT COMPLETE
� O RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR NIILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: � —
Inspector: - ��
Whits Copyllnspectors Flle Canary CopylSite Notiee
_�� n-' '7 �s��G���,(�d ��rr�� �ZSfI�
ry � ✓
CITY OF ORONO CALLED IN
INSPECTION N,OTICE SCHEDULED - •07'�30
PERMIT NO�������� COMPLETED
ADDRESS � �� N SGl aY'� �/1 I/�
OWNER LEP ONL�� vZ�
CONTRACTOR � —
� DESCRIPTION �� � -�"-�'
� ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FIWNG
� ❑ POURED WALL �-MECHANICAL RI ❑ LAKESHORFJWETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
� a r�{u✓N r �
o '' ol �. K � ,e �
� /n Stcl,�ftaP- -
° " rQ�i'e i�t �/� �� � �c /Ns�a�e�
a S�� 9'4s li�s �i� '7�� Is '�i���
Q
2 (�t�Oper � �'�aar f --dY
� ' LL, rta�f' C'a�0��{� Y�
W
�
�
J
d
W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OR�ER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cau for the next inspection 2a hours in advance. (952) 249-4600
OwnedContraator on sne:
Inspector: �
White Copyflnspector's File Canary CopylSfte Notice
DATE TIME J
CITY OF ORONO CALLED IN
INSPECTION NQTICE �j SCHEDULED �'' % � O
PERMIT NO. c�101 3—D �3 � / COMPLETED �/Z��
ADDRESS 3dy8 /�orf k ��� D�.
OWNER � TELEPHONE NO.
CONTRACTOR /�����. ����
a DESCRIPTION /ylQc� /G�+�1�L
� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ,�MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10WREMOVAL
2 OWNERICONTRACTOR TO MEET YiDU:_YES_NO
c� COMMENTS�[��4�IGt �IQV
� � �n6� �s '�r�Z' 4ts .Oioi.�� "
� Fi K tJ� t�t,�eF�:rc.r�3r Stt!S
� /f'�/'� !�. ��ldlhc '
�
�O
W
�
Q
�
W
�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O O(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector: �--
s Copydnspector's File Cenary CopylSke NWiee
��C%^� TE TIME
CITY OF ORONO ALLED IN �" - � �
INSPECTION NOTICE SCHEDULED !"'
PERMfTNO. v�)?z-b�319 COMPLEfED
ADDRESS �d �`
OWNER ELEPH NE NO�� 7� "
CONTRACTOR "
� DESCRIPTION ��
�
� ❑ FOOTING ❑ LUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES._NO
y COMMENTS:
�
W
a
o �3 /���_ ,Fr�oKO�Ie.�r -
� ��7 hOl�d'� H G �� /dS /� V
W �e l�-wr k — , _
Q -�'�,�� �t,/� -�a r lo� � �r-•ti -
�
Z
W
�
W
�
J
W ❑WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUI ED.CALL TO ARRANGE ACCESS.
�'6�y,ta� W��`e�wocd� �
�Ca11 for inspect 24 hours in advance. (952) 249-46��
pwne ctoronsite: � �e�"��� � �
Insp ^-� t``r
White Copyllnspector's Ffle Canary CopylSke Notke