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Home My WebLink About2015-01539 - mechanical � CITY OF ORONO * Z 0 1 5 - 0 1 5 3 9 * 2750 KELLEY PARKWAY DATE ISSUED: 12/09/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 515 NORTH ARM DR PIN : T000129 LEGAL DESC : LAKEVIEW OF ORONO : LOT 22 BLOCK 3 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�TSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 30,155.00 NOTE: (2)LENNOX FURNACES (2)A/C UNITS GASLINE FOR 3 FP,2 FCE,2 DRYERS,RANGE,WATER HEATER AND MAIN APPLICANT MECHAMCAL 376.94 STATE SURCHARGE MECH(VALUATION) 15.08 SEDGWICK HEATING&A/C TOTAL 392.02 1408 NORTHLAND DR-SUITE 310 Payment(s) MENDOTA HEIGHTS,MN 55118- CREDIT CARD 1741 392.02 (952) 881-9000 OWNER Source Land Development Inc. NORTON,CHRIS 18215 45TH AVE N STE D PLYMOUTH,MN 55446- 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 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 wi[hin 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. � i � l + ' / /✓� � r G / L ��/ �� Applicant Permitee Signa ure ate Is ue y Signature Date �� V� v v . . � � i i �V [.,.... �, ' T R C TY USE OIVLY City of Orono v��G?�� G�.� J �� r` P.O.Box 66 Date Received�:!f 7___ Parmit# �� ,/�� / �lJ 2750 Kelley Parkway C ryst al Ba y,MN 55323 Approved By: Amount$;�� Phone(952)249-4600 Fax(952)249-4616 � � y `� ��KFs�{a�e.� CITY OF ORONO—MECHANICAL PERMIT (All Commercial perroits must be approved by the Buiiding Official or[nspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices, Applications will be reviewed and a peimit will be issued�vithin two working days. 2. Peimit cards will be sent by retuin 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 TH�JOB SITE. 3. Mechanical Designs—Cotnplete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and an•conditionuig 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 constniction or remodeling is involved, a separate building permit mttst be obtained. 5. All worlc must be done in accordance with the Unifoim Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice requi►•ed) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 [�,Residential ❑ Commercial(Approval Required) / ` [�,New ❑ Additional ❑Repairs ❑Replace ! � Job Site/Owner Infonnation; Site Address: 5�CJ �`(��1i1 �'��Vl i�V1�U�,. Owner:,��15 Iv G�"�V\ Mailing Address: � City: U V41�'�� Zip; Home Phone: Alternate Phone: Contractor Information: Contractor: �� ti v��t-- �� '�� Contact Person: ` L �� 11� ' �v � �� 1�4� Address: ��-l� �� ' ��,�a�ti-�1 �� State Bond#: �1� O�. _ City: U ' i�f`�"El. �� L�Zip:S�b Expi�ation Date: �� L�" 2 6 1� Phone: '��Z"`�h� � `"�%�� Alternate Phone: ❑ Insurance—Current: 1 •, . .� - : �. �a i: : ;;: . 1VIECHAN�C.AL�'YST�1�S�EINCr, l�`�,'�AL,LEb, '� ` ' ' < Note:All Geothermal Systems will now require a Site Plan&Revi w by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SY5TEMS Quantity: � 2 Make: �� :G Model; �f.L Z� L+' Fuel: Flue Size: Input BTUs: C��1 � ou�utBTus: �� V� CFM: COOLING SYSTEMS Quantity: � � Make: Y�.- Model: ''� ��1`� Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buining Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircutating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must Ge approved by Fire Mars/zall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gatlons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill (� Other/List What&Where:�F�'P� Z. �L� � L �{wt C�/S Y iL.�►�u� � � InIG��✓ V1�a.�'', `� i'�l(�,vv�. 2 , ,p �� ' TIQN S � � '� �� : � � � ) , , t * � � °� � ��D':O�F 2002:_S A�S�'��ITE , , � � r � � =a „ � � x t � �� . �� .x�t..r n\k�'Y "�' ��. ...5.. �- , ❑ Yes,this secrion 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee $ • :raa�� r x �� a . , ;X �� P��.tI��EB C�.��A:�IC)�T S �:� �3�:QVER��O�R;UQ� ,r�`:� .,, ,>' 3�: If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) . � 1�5. �IU x.0125$ 3�1�- �``) �(concract price) (minimum$50.00) 2. STATESURCHARGE 3��, � ss. w X.000s $ I 5 . �� (contract price) 3. POSTAGE&HANDLING(Only oii Mail-In Applications) $ 0 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 5� - �Z ■ * 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, ]abor 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 svent that there is a dispute on the amounf of the job cost, the City may request the submissiori of a signed copy of the actual contract. =ME�HAI�ZGP�U�.�'��r"��;A�PI.T��?N'`: .C'�I�EM��TT�...}a. `" '��, ��: � 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 certif es that all statements made on this application are complete, true and correct. • � � Applicant's Signature: �f ��_�( Y�u{ Date: � �" 3 U� � J� U 3 � � � ✓ DATE TIME CITY OF ORONO CALLED IN � �- �5 INSPECTION OTICE SCHEDULED /e?i,f--/_S � PERMIT NO.�I S-C� �S�9 COMPLETED ADDRESS -�� v ��%r�- �✓� - - OWNER �ELEPHO NO.g�'g��C� CONTRACTOR >; DESCRIPTION ��' " / W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB (�A4ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � a Sl.��/J( � iS . ✓'�°�wi ` ��f , o ' '1' I ti�s�►. �� .�� '�ir� /Ga� an N't�G, � d �dv��d� ✓'tr� �� -�� .%�s -� ° f?�`✓a d�rc�% — W � z 2A`�� D� � . � �- ��s I<� .� � ,� ��s� - ,3��s� s,�<-� � /� � �i- /5 — � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �CGQLjRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContrac or on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME R CITY OF ORONO CALLED IN �_��2-� INSPECTION TICE _v�S3y,SCHEDULED p�T� ! PERMIT NO. COMPLETED ADDRESS �J'�S� �V• ��"17�YI- �I/'� OWNER TEtEPHONE CONTRACTOR G� � DESCRIPTION � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING o0-b1E�HANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO y COMMENTS: a /1�� - �s �`O� � _ 0 �D✓Y��t[6c�,`,Dy J'�r�sr►�,� — �. � � _�!l GcJ�� G'O�'✓gOlat�G — � Q a ��'"``C -�%.;�,�.0 � W � � J d W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT VIfORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO 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� 249-46�� Owner/Contractoron site: �'f'l�� Inspector:1�.�/�`--�' /� White Copyllnspector's File Canary CopylSite Notice �� \,ir,. DATE TIME � CITY OF ORONO CALLED IN INSPECTION ,OTI SCHEDU�ED 1 PERMIT NO.� '" �� COMPLETED ADDRESS r� f� I� ' ��_� OWNER TELEPHONE O.�� -�� g�d CONTRACTOR �(ti��G�— � DESCRIPTION /� '^-��' / �fJ� /Ca�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA�'�/'J��-"'� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_N c�.� COMMENTS: W a �-�� 2 L�zc � C� ; G� . os J �`� �sa - /'��l11,w �. .-° � V ` �s �ja�¢.tC� � 0 � W � Q , 2 � 'CjP.I+� �� L'6''F �C�Sdir l6n ` � e��cr�or W �{ "��ri� 4 $��'d✓br �6G�� r��/�`� � �—r� Cc� '�a� re��r.,, j a W ❑WORKSATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CORRECT WORK b PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �I�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. ✓ ! Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector.� l r- 4�fi' ✓ White Copyllnspector's File Canary CopylSite Notice