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Home My WebLink About2012-01186 - mechanical , CITY OF ORONO * 2 0 1 z - 0 1 1 8 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3520 NORTH SHORE DR PIN : 08-117-23-43-0009 LEGAL DESC : BALDUR PARK : LOT 003 BLOCK 002 PERMIT TYPE : MECHAMCAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 6,000.00 NOTE: (1)HEATING SYSTEM (1)COOLING SYSTEM (1)KITCHEN EXHAUST-DUCT-300 CFM (3)I3AT[-I EXHAUST-80 CFM GASLINE�OR KITCHEN STOVE,FIREPLACE AND DRYER APPLICANT MECHANICAL 75.00 STERN HEATING &COOL[NG STATE SURCHARGE MECH (VALUATION) 3.00 34181 180TH AVENUE RED WING, MN 55066- TOTAL 78.00 (65l)764-1236 PAID WITH CC# 4154 OWNER PETERS ET AL, ANN L 3520 NORTH SHORE DR , MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission 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 pern�it will expire and become null and void if construction authorized is not commenced within 180 days of the date or 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 rcquested in coniormance with the State Building Code.This permit may be revoked,�a�any�e f"6r due cause. : 't . �f�,�� itr�� :�': l l Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY j¢OJ'�`� Ci of Orono /��,(/, /� �/ Q / `�' �, P.Box 66 Date Received: __/" Per[n't# 03' ! 1��_ �,�'I 2750 Kelley Parkway T "�Q 'tit ��,''�• �, Crystal Bay,MN 55323 Approved By: Amount$:/U� � `� �� ` . o`'' Phone(952)249-4600 Fax(952)249-4616 ��bxo�s CITY OF ORONO—MECHANICAL PERMIT (All Commercial permiu must be approved by the Building Ofticial or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desier►s—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �[Residential ❑Commercial(Appmval Required) / � ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 3�� 1o,rt�.s�arc, IJn Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: r- I,� Contractor: S 1�'� t�K�1i\ ��fh Contact Person: '� SrU''` J Address: 7�lll� ��5�� StateBond#: Y�OOOy�oy City: �� Zip:$��L Expiration Date: y v�y Phone: �s�"'��y�� Alternate Phone: 6SI- 2.�"y$J` ❑ Insurance-Current: q-11-13 1 , � , . . rrF c i3�v.e n ?+�F ;..:,Vt ,�4 �N�.�z�s ��;;�`��,�'�' � P, .��.< �„�s _ '�fi'�, v Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: �r�(.�� Rh+� Model: ��12,a��D Fuel: �va r Flue Size: �-M �� Input BTUs: �,OTO a Output BTUs: ��.�000 CFM: IZOO G/-�►� COOLING SYSTEMS �,nri: I �e: rrw�c,..�.. ST�I� Model: y�7A�� Tons: �•S H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION No. � Kitchen Exhaust V duct recirculating �D� cfm No. 9 Bath Exhaust(must have duct outside) db cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by�re Marshall iJproposing to abandon tank in place) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill [� Other/List What&Where: �i�h�.�. S'1�-, F�Mts.�`/ —� 2 . . � � �- � ��;, �, r }��r ��.� �;"��, �' t t� �,�� 1�'�� x�Y� .',y,�. r� �,,t��n . �I��x��•-�'� *�k�v� e��'t��qd � S�� v j,�*�: <xr��x�;w x, .�.kr"o�;�s��`".k.y`�,"�`��$i. ;"��;s.nti` ❑ Yes,�is section applies The replacement of a Residential Sxtut+e or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excl ' the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�rt section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totg1 Permit Fce $ ?�� y� }�f ��` ,fi� y�i Np J d��' �� .�:J r �Zb��k} 1;�?r�e l'r If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Miaimnm F�of 550.00) b��~� x.0125$ (contzact price) (mi0imem SSo.00) 2. STATE SURCHARGE x.0005 $ (conaact Price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoant 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 ins�tallations 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 putposes. 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. Y 4��4�fPr p��.� a�'e�v''�� °i.'�... �`„�r�.ti �{;'s.'x� T'he undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do a11 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, �nd certifies that all statements made on tk�is application are complete, true and correct. Applicant's Signature: Date: ��2-O—�2 ��.�� , h �� :� � w�� ,�� {1 , xkV+ . . . ,. .„ � �� 4,/`�d�".d,. 3 � <✓`� DATE TIME V CITY OF ORO CALLED IN �� INSPECTION OTICE SCHEDULED — `' ��3 � PERMIT N d/ - :� COMPLETED ADDRESS ��Z�,Q�'N�- �� OWNER ELEPHONE NO. � � 58` JP CONTRACTOR � DESCRIPTION �/ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAI 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 � OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C o " ta, � � ,��}� � �1.�( '` 14-� ��S'� c�/� � � 0 � W � Q � 2 W � W � � � RK SA SFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REiNSPECTiON TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. �l� s�`'7_ L `�) White Copyllnspector's File Canary CopylSNe Notice /V��2CD�--aDla -b ��/ �' � D TE TIME CITY OF ORONO CALLED IN �' INSPECTION NOTI SCHEDULED - � �� PERMIT NO. O! — COMPLETED � r w ADDRESS 3 SZO NDY'{� �>rl.Utr� 1�— OWNER TELEPHONE NO. CONTRACTOR s�� DESCRIPTION � �� r5 l~y ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORENVEfLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑r DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � J�PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL ��OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � n a — !�<<L 'Tt.3T -�-�� C�. )� � � 0 � l� ��/ tN► �r �-S 0 � Q /'YZt�2(-� �'�" �-.� � z W � W � � d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � "(7 CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerfContractor on it - Inspector. White Copyllnspectors File Canary CopylSfte NoHce DATE TIME J CITY OF ORONO CALLED IN INSPECTION OTJ E SCHEDULED �?(�/ 3 PERMIT NO. OG —D �� COMPLETED ADDRESS 3�� 1V O�TK S� �� OWNER S TELEPHONE NO.K1J/ 7(U� �L-✓L-. CONTRACTOR =�� • � DESCRIPTION Me c.�.� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADINC'i/FILLING Q ❑ POURED WALL ❑ 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 ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � p CiL O x e 0 a � 0 � W � Q � z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PHOJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ��AT TIME �/ CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED ' —� PERMIT NO.�� OMP ED ADDRESS � � �' ��Y��1J OWNER T PHON CONTRACTOR � � DESCRIPTION � G� � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS ❑ 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 � OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d � ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSfte Notice