HomeMy WebLinkAbout2014-01317 - mechanical ' , - CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 4 - 0 1 3 1 7 *
DATE ISSUED: 1 U10/2014
ORONO,MN 55356-
(952) 249-4600 FAX: 952) 249-4616
ADDRESS : 3825 NORTH SHORE DR
PIN : ]7-117-23-22-0046
LEGAL DESC : SHERRI LAKEVIEW ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 800.00
NOTE: INFLOOR TUBING BASEMENT-4 LOOPS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.40
MACDONALD HEATING&AIR MAIL-IN FEE 2.00
11848 305TH AVENUE TOTAL 52.40
PRINCETON,MN 55371-
(612)919-0538 Payment(s)
CREDIT CARD 8804 52.40
OWNER
LANDSOUCE
3845 NORTH SHORE DR
MOiJND,MN 55364-
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 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 ali required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�
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Appl cant Permitee ignature Date Issue By Signature Date
�qk�sHoa` Ut i i Vi� vrvi�v-irir,�,nrxi�i�,.yi.,rr.nivti i.
,�� (All Commercial pertnits must be appmved 6y the Building Ofticial or inspector und/or Fire Marshali)
, � �
� GENERAL INFORMATION
l. You may apply for mechanical permits by mail ar in person at the City offices. Applications wil •�
be reviewed and a permit will be issued within two workin�days. � � 2 I�
2. Permit cards will be sent by return mail after a review is completed, PERMITS ARE NOT � rJ
VALID UNTIL Y�U RECE[VE A PERIvIi'T. W RK UST NQT BEGIN UNTIL THE �,�D
PERM.[T CARD IS PQSTED ON THE JOB SITE �I
3. Mechanicat Desi�ns—Complete caiculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditi oning ins t a l la tion inc lu d�ng
heat loss/heat gain calculation,design temperatures,equipment ratings and identificatian as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is invalved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Unifocm Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4b00.
(24-48 hour notice requ[red)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Comm�rcial(Approval Required)
,'�New ❑Additionat ❑Repairs ❑Replace
Job Site/Owner Tnformation:
Site Address: �� � � ��� Y{��'1v�"� � �
�-�}-- -^
Owner� Q � � ,C���ailing Address:
City: Zip:
Home Phone: _ Alternate Phone:
Contractor lnformation:
, 'jContractor: � ��� t c Person: .�1,1 i N v i� �
Address: t j��t� ��-� 't' h `��,�Bond#:
,
,
Ciry: �1 - ��''�1 Zip-�7�)�Expiration Date:
� Phone:�t � `� ( L� ��-��� Alternate Phone:
�ct�l -�°''� ��.,-�-..
❑ Insurance—Current:
�f�S �eG�'i'cgYl �'�'' �--�-,',�,.--� -'7"c,�nr�� c� '� �,
� � � �� �
ua.,a-aai��V OlDICilYja
• Quantity: i 1 N-r�L��t'Z-- C.�..�J f I/1 �i�..����
Make: �._ � C� � � �
�
Model:
Fue(:
Flue Size:
Input BTUs: �
Output BTUs:
CFM:
COOLING SYSTEMS `
Quantity:
Make:
Model:
Tons: -----------
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Modei No.:
❑ Wood Stove with Flue/Masonry
VENTtLAT101V
❑ No. Kitchen Exhaust duct recirculating ��
❑ No. _ Bath E�chaust(must have duct outside) cfin
❑ No. _ Other Fans: Locations _ c�
FUEL STORA�E (Must be approved by FireMarshall ifproposing to abandon tank in pluce.)
❑ Installation ❑ Removal
Fuet Oil: galions ❑ Underground ❑Inside
LP Gas: gallons ❑Outside
Other:
GAS LINE ONLY
❑ Outdoor Gri(1 ❑ Other/List What&Where:
2
L► Yes,this sectlon applies
• ' � The replacement of a �' ential fixture or ag iance that meets all three of the following requirements:
1. Does not require modific;ation to electrical or gas service.
2. Has a total cost of$SOO.flO or tess;excludins the cost of the hxture or appiiance:and
3. Is improved,instailed or replaced by the homeowner or licensed contractor.
Skip next section,if ihis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
� V� U���U�� Mail-[n Fee(IfApplicable) $ 2.00
��j �0 , C� � ��� j �---� Total Permit Fee �
PERMIT`FEE CA�..,CULATION S -JOBS OVER�500.00
If above does not apply;follow guidelines below:
1. CUNTRACT PR10E *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimum$SO.UO)
2. STATE SURCHARGE
4 x.0005 $
(contract price)
3. POSTAGE&HANDLINCi(Qnly on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE{Add Lines 1-3 Above) $
• * CONTKACT PRICE or J�B COST means the actual or estimated dollar amount charged for the
permitted work inciuding materials,labor,profit,and other fixed costs. [t is the amount to be charged
to the c�stomer for the work done. If any material,equipment, labor or installations are furnished by
the owner,tenant or any other party, tt�e reasonable market value of such items must be added to the
esumated cost or contract price for permit fee purposes. [n the event that there is a dispute on the
amount of the job cost, the City may request the submission of 1 signed copy of the actual contract.
MECHANICAL PERIvIIT AFPI.,IC.�TIt�N'AC`,,R,EEM:ENT
The undersigned hereby applies ta the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordanee with th.e ordinances of the City and the regulations of the State of
Minnesota, and certifies that al} statements made an this applicatio7� are complete, true and
correct.
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AppGcant's Signature: � � Date: � "` �� ��' �
___-
3
, �� " �
/ DATE TIME �
I F ORONO CALLED IN ` ������ ;���
INSPECTION NOTICE SCHEDULED _�_sLLa.1_
PERMIT NO � l COMPLETED
ADDRESS Z� I �1 _ � CIY� �
OWNER TE P NE ���9
CONTRACTOR
� DESCRIPTION
� ❑ FOOTiNG ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q p RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLPJNT
J O DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE T FINAL ' ❑ FOUNbATION/REMOVAL
2 �IIfNERICONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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� �IQ�RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: h-
White Copyllnspector's File Canary CopylSite Notice
1 � ��/Q��
C J DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �3�� SCHEDULED � 1�
PERMiT NO. � 11���� COMPLETED
ADDRESS �gZ-S ``F ` ��Y� D�
OWNER TELEPHO E NO.
CONTRACTOR �Z��_11YL'.��� �-u�at�
� DESCRIPTION � / v�C�� ����
W ❑ 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 �EGHANICAL 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 ❑ S PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS: �a0'��1'��—T/ I1'`� �
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� ❑WORKSATISFACTORY:PROCEED �.eROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. C� i �.- �-'
White Copyllnspector's File Canary CopylSite Notice