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2013-00789 - mechanical
CITY OF ORONO * 2 B 1 3 - 0 � 7 8 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2013 , � ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4395 NORTH SHORE DR PIN : 07-117-23-43-0018 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: HEAT N GLO 6000 CL IPI APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.50 Minnesota State License#:20512060 OWNER CORNESS,JOHN&BARBARA 4395 NORTH SHORE DR MOLJND,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 petmit 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for duacause. ��'�'�'� �l' / / / / Applicant Permitee Signature Date Issue By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . � ` "� FOR CITY USE ONLY O City of Orono P.O.Box 66 Date Received: Pemnit# , � �0 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249116D0 Falc(952)249-4616 �F L� �.�K�SHo��. CITY OF ORONO—MECHANICAL PERNIIT (All Commercial permit4 must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical germits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issu�within two working days. 2. Pe�nnit cards will be sent by retum mail after a review is completed. PEItMITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desi�ns—Complete c�lculations,details and spacificaUions are re�uired for each heating,ventilation,humidific�tion-dehumidification,and air conditioniug installation including heaY loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacduer and model. I)ata 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 Mecbanical CodeJState Building Code requirements. 6. Ail work must be inspected(rough-in and final). Call(952)249-4600. (24-45 hoar nol3ce required) '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 Information: Site Address: y�9s /Vor�� Sl�o�� Dr. Owner: L rc-y Q�os f/o.—•ts Mailing Address: City: Zip: Home Phone: Alternate Phone: J�S�-��/41- 9y5 s Contractor Information: Contractor: Contact Person: HEARTH &HOME TECHNOLOGIES &HOME Lic BC662656 Address: State Bond#: ��nn FATRVjFW AVE�UE N ROSEi/ILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Altemate Phone: ❑ Insurance—Current: 1 , � A ME�HANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantit5'= Make: Model: Fuel: Flue Siae: Input BTCTs: Output BT[Js: CFM: COOLING SYSTEMS QuantitY: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplacx Brand Name: �t6�.�n(� �d Wood Burnin�Fireplace ❑ Wood Stove Model No.: �U�l� G�. ,�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircWating cfrn ❑ No. Bath E�sust(must have duct outside) cfm ❑ No. Other Fans: Loc�tions cfm FIJEL STORAGE (Must he approved by Fare Marshall�j'prnpos�ng to abaredon ta�k Bn plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � � PERMIT FEE CALCULATION(S) '. . BASED OFF-2Q02 STATE STATUE` ❑ Yes,this section applies The replacement of a R�idential fixture or ap,�liance that meets all three of the following requirements: 1. m t require modification to electric�l or gas service. 2. Has a total co�t of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,insta.11ed or replaced by the ham�wner or licensefl contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Sutcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ' PE�MIT PEE C�4I..CUI,ATIOQN S -J(�BS O�ER.$500.U0 ` If above does not apply;follow guidelines below: 1. CONTRACT PRICE �`is 1.25%of coniiact price with a(Minimnm Fee of$50.00) 3a�•� X.oias$ So.� c�om�r�ce� c�om sso.00� 2. STATESURCHARGE ,�fJ'DZ�. � x.0005 $ �� S�� (comract Price) 3. POSTAGE&HANDLING(Only on Mail-In Applic�tions) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Abave) $ s3-5� � ■ ' CON'IRACT PRICE or JOB COST m�ns the actual or estunated 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 fiunished by the owner,tenant or any other party,the reasonable mazket value of such items must be added to the estimated cost or contract price for permit fee pwposes. In the eveirt that there is a dispute on the amount of the job cost,the City may reque.st the submission of a signed copy of the actual coniract. ; MECHANICAL PERMIT APPL�CATION AGRE�N�1�T 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 Staxe of Minnesota, and certifies that a11 statements made on this application are complete, true and correct Applicant's Signature: iY..`— Date:�'��/3 3 �*;� � -T:t,^-cs- ra ,—e-�c�„r't'"�� x x "'._^�'_"�'-'-�C-""`, r . f; .�-"..'""�""-r""'91, .,z�.4;._��,`" �r�''�� �';::�, '��,,.�����.`'� �R� §'i.$} �`���v.`�-'�r&.� w�'°�'��+'.-e�, �'s�s��f."h't��ra�l"�i t�"�:.�r i ��'�`'`y a �..'�a,S�r��x�"X'�t'"a �� .�il �'�''l��>i" 3° ' .:'{y��t' �E l -•:� C r 5 rt 1 t"•�n 6 ?4 �k'c�[ � D 2 u�j`�.f�"� . � -F T". � �`itc.T';�r rr g r ` �'%yn �i�'�'�` �"��JR� 4%. h,,, ...'�y�, ea '�� �� �� -:.�'..z.# �: i:,,. � Y�'�1 �+�,��.,�F'•y-�'"`� �� �.� �� �.: 'r t ;,+ ,� �1n � �`f''�{°$yr �,�-t 4 1 k Fd ,� *�,��y, k � �s{ �, r - .,a .� ? aF a� >,. i "an�. 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' yx:.- � �`f..���'�',«:'c +_.li�L�� .,4�n.` -�v. .�y"g'-F 3 �t . �,Z:. i4TE TIME TY OF ORONO o iN- :���S- /j SPECTION N Q TI�E��j�,� SCHEDUIED 7�r�U/3 / l ,' C r� PERMIT NO.���-� OMPLEfED j�` —�-- AD!�RESS ��r ��f'.(�/Y� �'j[� f UWNER T EPHONE NO. ` �'��.33/� CONTRACTOR G� dti�"V�,l�' } DESCRIPTION - � � ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y O FRAMING ❑ MECHANICAL FINAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � �EE REMOVAL Q ❑ RADON SLAB � SITE INSPECTION ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER HEMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YpU:_YES_NO � COMMENTS: �'�IC (� - � � W a J OO � O � W � Q � 2 W � W � J � �MORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CARRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILI REfURN ❑STOP OROER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION HEQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ion 24 hours in advance. (g52) 249-46�� OwnerlContractor on ite: inspector. White Copyllnspector's File Canary CopylSite Notke ry DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE C� SCHEDULED � PERMIT NO.��3'��7�/ COMPLETED ��O�' "f.f� ADDRESS �l.�9S� �� .�lor e l'l�' � 01AINER TELEPHONE NO. CONTRACTOR r��'���� ��.����- � �� � DESCRIPTION �''������• f'�� 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 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q� ❑ WATER HOOK-UP �EOLLOW-UP 4� ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL a OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �r rvt:� l��✓ ./�� Ca l O ~ � _ ` - � � _n � ' T`!'�5 �i.-r.r-� ��it��,�� kT Q �yl 4��. �j�025'� ,Ae�wi-'��`�--i� ��f.�'�J� � _p/'l �a '/�"/� - W W � � � a W� ❑VYQRKSATISFACTORY:RROCEED QJECT COMPLETE W �CORRECT NIORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY V BEFORE C�1/ERINO PERMANENT ❑CQRRECT UNSAFE CONDI'TION WITHIN HOURS. p pHpTO TAKEN INSPECTOR W{LL RETURN ❑�ATION ISSUED �STOP ORDER POSTED.GALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Call brthe next inspection 24 hours in advartc.e. (g52� 249-4600 OwnerlCorrtr�ctor on site: ���: �j�--r �- White CopyAnspector's flle Canary CopyfSite NoUee G� DATE TIME � CITY OF ORONO t'C`�D IN J ' !J �'i -1 INSPECTION E py SCHEDULED ab-t3 /a: � PERMIT NO.�� ���% COMPLETED --r— ADDRESS 9� ����'i L� OWNER T EPHONE NO. �'�.�� CONTRACTOR � � DESCRIPTION - � � ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI 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 YOU:_YES_NO � COMMENTS: ��- � - �, � T^ W a 2 J O � � O � W � Q � 2 W � W � j � �K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE CWERING 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 ins ion 24 hours in advance. (J52� 249-46�� OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice