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.
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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)
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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.
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�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:
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� Insurance—Current: •
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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:
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❑ 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 $
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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.
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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
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� 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_
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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
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❑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 � '
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❑ EXCA RADING/FILLIN
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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
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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
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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
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� ❑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 ` � �`��� —' ����
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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
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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
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� ❑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