Loading...
HomeMy WebLinkAbout2013-00731 - mechanical • CITY OF ORONO * 2 0 1 3 - 0 0 7 3 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 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 : MECHANICAL-MULTIPLE VALUATION : $ 32,016.80 NOTE: 1 BRYANT NAT GAS FURNACE 2 ELECTRO INT 1 BRYANT 4 TON AC 4 BATH EXHAUST 2 APPLICANT MECHANICAL 400.21 ANGELL AIRE INC. STATE SURCHARGE MECH(VALUATION) 16A1 12253 NICOLLET AVE MpIL-IN FEE 2.00 BURNSVILLE,MN 55337 (952)746-5200 TOTAL 418.22 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 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��� �� � � ��� / / Applicant Permitee Signature Date Issued By i ature SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO . k�R�ITY.US�-£1��,' ; , ��� City of Orono �, �' ; O P.O.Box 66 1'�xe R���,' Pe�nit# 2750 Kelley Pazkway Crystal Bay,MN 55323 14�p�+awek�By.: �� :AtttdtmY�� ��,,,� Phone(952)249-4600 Fax(952)249-4616 �`�j ��� CITY OF ORONO—MECHANICAL PERMIT ������� All Commercial ts must be a ved b the Buildin Official or Ins ( permi ppro y g pector and/or Fire Marshall) ������+������ ':". . 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 cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIIJ YOU RECEIVE A PERNIIT. WORK�'IUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB 5ITE.�' 3. Mechanical Desiens—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/b,eat 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. � �T�'�{�`����R:�I��';,��! � ` :. ���. � �t, �k.�Tl�,�at��ll I � �. �esidential - ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace �ci��it�f Chuner.�n.f�irm.a�tc��t� ==' Site Address: �3 9.� /�ar�h c/��1 o.�L�, �K-•'v� Owner: Mailing Address: � � City: Zip: Home Phone: Alternate Phone: ��ntra�tci��nf"c�matic�n: Contractor: l/ 2C. Contact Person: Address: ��2,53 �t,o//� �+� Staxe Bond#: �/!�'�o��(� City: /d��.�r'��/�4 Zip: 5,�,! 7 Expiration Date: 2 l� � Phone: 9T2' 7Y�s' S'?.�ao Alternate Phone: ► � Insurance—Current: • 1 g.. �"7 : , . , , . . . � / i":= , . �, ', � ���, L.��.�'�4���»�„ ,��..._, _ . €�i�. , ,. . ';��'1�l���i�` . =,::� >,' � Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes'�'�To HEATING SYSTEMS / Quantity: / Make: 4�► G/l�ia �?.�./• �/e�i�'+-. �w•�• Model: 9Ls'TA�/aoEt! ��6 9 �is�/f�/� 9 Fuel: /V�"• Flue Size: �'�� /�dG i� Input BTUs: �Q�,d o� Output BTUs: 96. �i�� CFM: COOLING SYSTEMS �nry: O Make: �� Model: �2'7�1''y'Sw YT Tons: l/ H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model�10.: ❑ Wood Stove with Flue/Masonry � VENTILATION ❑ No. Kitchen Elchaust duct recirculating cfin � No. � Bath Exhaust(must have duct outside) cfin � No. 2- Other Fans: Locations /��yt.t r�•vt �w.� cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 v ; � �* "�� ��� �L✓ � � �r F / � �� ���� y� i �� ��� �i � �� y ��i � x�:a� " .. !'�y ; -,� �a''. .?.�'� �.� � -« ,,,,,,G; „,� fi��y,������� „,.,� . ��(t.. , , i.....,i� ,.,�,.,,. � �. ��,. ,r, `:.,�'%: ❑ 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;excludine 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; Coat of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ „ � . � ����-� , � ,�,�� -f�.1� . .. '���, ,�t�„ �.; � ,�'�' �,.�..�' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) J Z. C7��i• Sa x.0125$ �VJ• Z./ (contrect price) (minimum$50.O11) 2. STATE SURCHARGE 3-�� � Bo x.0005 $ ��.�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Y/8. Z 2_. ■ * CONTRAC"T PRICE or JOB COST means the actual or estimated dollar amount charge�l 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,labbr or installations are funnished by the owner, tenant or any other party, the reasonable market value of such items must be ad�ed 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. �� � � � ,F� /;,.. . ,., �Y' 'a,�j ,,._ '.. � .. ._ , � ' K �. A,. ::_;; -, ��t�. . , , . „ ...,. . . . , ,-, �. . ...... .. ... . . .� , ,Y � 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: ? G6 /3 3 . � 7DF�E�}� TIME ✓ CITY OF ORONO CALLED IN a��'� INSPECTION NOTICE SCHEDUIED �-/J � PERMIT NO.aa�3- OD73� COMPLETED ADDRESS T3�s /��r� ��� � OWNER TELEPHONE NOl-�T7� s�� CONTRACTOR �"n��� ���� >; DESCRIPTION � �� �O ��y_ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o ��C� S S`� �Q j C S •-� (�, /� a � 0 � � `� �� ti � Q � � � �� � � ��� W � � a ,�T����� W ►�wG�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: � ` Inspector. j . 1 1 ��--� White Copyllnspector's File Canary CopylSite Notice �r� C_Z� DATE TIME " CITYOFORONC�OJ3��? 3 � CALLEDIN — INSPECTION NOTICE SCHEDULED � - /��- PERMIT N 0/�-Od 7 COMPLETED ADDRESS / �• �L �� OWNER �PHONE NO?�3� �K�7' b`7' CONTRACTOR r � ' �: DESCRIPTION G �� a � - --- � ❑ FOOTING ❑ PLUM N FINAL ❑ EXCA RADING/FILLIN Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORE/WETLANDSa� y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL i / Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION V 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a of �,..f l / ,/�.1� � t r' '� �r S� , � � S� � 0 � W � Q � Z W � W � � � a �w W/crvOORKSATISFACTORY:PROCEED C1 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on si e: Inspector. � . White Copyllnspector's File Canary Copy/Site Notice C /— ' D TIME � CITY OF ORONO CALLED IN -��� INSPECTION OTICE DD?3/ SCHEDULED . �l� PERMIT NO COMPLETED ADDRESS �3��5 /�/�Y�/v� ��(.-�1 LC� � OWNER TELEPHONE NO.�f�JZ Z�O �YS�� CONTRACTOR , �� �'/r � DESCRIPTION /���- �`L � ' � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWEF HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � J � �RKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑ CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on site: Inspector. �/l, �, � White Copyllnspector's File Canary CopylSite Notice '�:( A DATE TIME � CITY OF ORONO �'�AL�ED IN INSPECTION NOTICE SCHEDULED `�� _�►�� PERMIT NO.a�Dl3�DD7�� COMPLETED ADDRESS �3gJr ��� ��/� /� OWNER T �EPHONE NO. �5L ��� S�� CONTRACTOR � �; DESCRIPTION ` � �`��� —' ���� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ COMPIAINT � � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WtLL RETURN ❑STOPORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � DATE TIME ✓ CITY OF ORONO CALLED IN �QZ` INSPECTION�NqOTs SCHEDULED �,a_5_ i��� PERMIT NO.IX�`�D���/ COMPLEfED ADDRESS 7`.3g� /UL��7'T�l �'�fJ�� OWNER TELEPHONE NO.��L 7T�j �zd� CONTRACTOR 9P� �� � DESCRIPTION �� �n � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � J O /` p� AI�� d �� �'�/�� 0 � W � Q � 2 W � W � � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑I 3UE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice