HomeMy WebLinkAbout2015-00179 - mechanical CITY OF ORONO 11111111111111111111111111111111111111111111111111
• 2750 KELLEY PARKWAY DATE ISSUED: 02/11/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 105 ORONO ORCHARD RD N
PIN : 35-118-23-33-0003
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPIC : MECHANICAL-MULTIPLE
VALUATION : $ 8,200.00
NOTE: (1)RUUD FURNACE
(1)RUDD A/C UNIT
GASLINE FOR FIREPLACE
APPLICANT MECHANICAL 102.50
STATE SURCHARGE MECH(VALUATION) 4.10
B&D PLUMBING&HEATING INC. TOTAL 106.60
4145 MACKENZIE CT NE Payment(s)
ST MICHAEL,MN 55376- CREDIT CARD 8094 106.60
(763)497-2290
OWNER
LOWE,JAMES&KELLY I
105 ORONO ORCHARD RD N
LONG LAKE,MN 55356-
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 all required inspections are
requested in conformance with the Sta Building Code.This permit may be
revoked at any time for d • cause.
/(—) 4/A / /
pplicant Pe Sign. ire Date Issu By Signature Date
From:7634974263 02/11 /2015 12:02 #533 P.002/004
A, City of Orono F R TY USE ONLY
O=VO PO.Box 66 Date R Permit I v t/I
2750 Kelley Parkway
Crystal Bay,MN 55323 PC
Approved By: Amount$: /6t
Phone(952)249-4600 Fax(952)249-4616
�`��� . ��o CITY OF ORONO—MECHANICAL PERMIT
�FSHU (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 Designs—Complete calculations,details and specifications are 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 Apply)
��F` Residential ❑Commercial(Approval Required)
C c, 0-New
\)4(77..,(
Additional ❑Repairs Replace
Job Site/Owner Information:
,ti
Site Address: t\-i C-A1.;) C L)�':,k"G.Aa . \�(x'k1\ t\
11 ���
Owner: L-ov t (k ,^CMailing Address:
City: C' j r\ Zip: `7 --,-'`j--5c
Home Phone: Alternate Phone:
Contractor Information:
-\::)1 Wi,(\ )i'\C)
Contractor: V\-ff,it"O\°' — -lc/C.._- Contact Person: (2--'Jtr; -t-\W,\ -,,,e_
I N5 kv+",C,Y(f' n
Address: 1 iZi Lf N - State Bond#: P NI (:;c,'1 - , i
City: '5 E.,N--k. !1'1(xk-L. Zip:5,,---)$1,Expiration Date:
Phone: 7(.6'3-'1617-0?-9 L' Alternate Phone:
❑ Insurance—Current:
1 .-
From:7634974263 02/11/2015 12:03 #533 P.003/004
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Note:M1 Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THI$GEOTHERMAL? ElYes ,No
HEATUII G SYSTEMS
Quantity:;
Make:
Model: Nom'5 Fit
Fuel: N CT-
Flue Size
Input BTUs:
Output BTUs: X2,CW ?'-)-1-1,..A
CFM:
COOLING SYSTEMS
Quantity:
Make: -
Model: «K.51\;{ Y,A-U@
Tons: (?. O‘Q
H.Power
FIREPL
It Gas Factory Fireplace Brand Name:
■I Wood Burning Fireplace
!■ Wood Stove Model No.:
• Wood Stove with Flue/Masonry
VENTILATION
• No. Kitchen Exhaust duct recirculating cfm
■ No. Bath Exhaust(must have duct outside) cfm
• No. Other Fans: Locations cfm
4 EL T a RAGE (Must be approved by Fire Marshal if proposing to abandon tank in place.)
■ Installation 0 Removal
Fuel Oil: gallons 0 Underground 0 Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill )A Other/List What&Where: {''l lreV1Ct s;
2
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From:7634974263 02/11 /2015 12:03 #533 P.004/004
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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. 0 i.-. *t require modification to electrical or gas service.
2. H.s a total cost of$500.00 or less;excluding 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; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does nct apply;follow guidelines below:
1. C$NTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
l B acc, x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2,90
4. TO74L PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRAPRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted w rk including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the custo er for the work done. If any material,equipment,labor or installations are furnished by
the owner, tenant or any other party,the reasonable market value of such items must be added to the
estimatedt or contract price for permit fee purposes. In the event that there is a dispute on the
amount of cot
a job cost,the City may request the submission of a signed copy of the actual contract.
t 4 t. ,1 ( , l iia sly"V43., <r36 N ` . NrL �k 2z"•
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.
7
Applicant's Signature: ` -; ^ . .�, , Date: ire-J)-)_e i
µ'
x
3
4
DATE TIME
CI OF ORONO CALLED IN
IN PECTION NOTICE SCHEDULED /6'/S
PE MIT NO. a'�b -
i " �l79 COMPLETED S'
AD RESS /O.5 e t 4 no D/Z'i ✓ 2 AO. Ar.
0 NER TELEPHONE NO.
C NTRACTOR 6-4- 1) Ply . .. ? .
Aed. R 7--
D SCRIPTIO '•-' ` r 11e6e5Cal
lu ❑ OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
4.
Q ❑ OURED WALL CiEECHANICAL RI ❑ LAKESHORENVETLANDS
Q ❑ RAMING ID MECHANICAL FINAL ' ❑ TREE REMOVAL
0 I SULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 ADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• ❑ INAL ❑ SEWER HOOK-UP 0 COMPLAINT
v ❑ EMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
• ❑ 'DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: _
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2pfia3KSATISFACTORY:PROCEED ❑PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
LLi
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
CORRECT UNSAFE CONDITION WITHIN HOURS.
0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector•. /1"--• l'kr
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
C OF ORONO CALLED IN
IN ECTION NOTICE SCHEDULED
PE MIT NO. 20L5--- 00/77 COMPLETED —da Y-4S-
AD KESS JO4 Dtov c . 1 1-444•2P XV
OW ER TELEPHONE NO.
CO RACTOR t3 4 4 P/9 "4"3
94s l#n�.
DE RIPTiON / __. .
W ❑ F OTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ P URED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ ASI BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
2 OWNBUCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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- '+ FACTORY:PROCEED 0 PROJECT COMPLETE
W 0 CO'RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
9O 0 dO•RECT WORK,CALL FOR REINSPECTION TEMPORARY
V BE'ORE COVERING PERMANENT
❑CO'RECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
ElST e P ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INS-ECTION REQUIRED.CALL TO ARRANGE ACCESS.
• . = ion 24 hours in advance. (952) 2494600
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Ins. or.?/•-,
White Copylinapector'a File Canary Copy!Slte Notice
V�)t'i •• E �S9 TIME
CITY OF ORONO t'ALLED IN
INSPECTION NOTICE SCHEDULED iamb
PERMIT NO. C/c5'�t /COMPLET950‘ - h I
ADDRESS f ()S QI"7-nn orc7hrd 1 c IV
OWNER TELEPHONE NO.
fZ3?- -0333
CONTRACTOR � v `' �tryi
DESCRIPTION i a I , .
urnctc
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O 1-1FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
✓ ❑ DEMO-SITE ❑ SEPTIC INSTALL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU: }�( YES_NO
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• COMMENTS: "25"15- PDO.
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2
W ❑WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) EFORE COVERING PERMANENT
❑ ORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
II INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (952) 249-4600
Owner/Contractor on site:
Inspector.
J
White Copyllnspector's File Canary Copy/Site Notice
ksiii, DATE TIME/
F ORONO C LLED IN
INSPECTION NQ TICS SCHEDULED 31I JI Vi.i 10 i 3
PER TC
NO.
2-01g4)01-79 COMPLETED
ADDRESS 10 S Oro - o &lc-c(i1 led N
OWNER _TELEPHONE NO._4 O - 3`x.33
CONTRACTOR b 1d-c - ��
• DES 8 RIPTION G--t FtArtxzcE (
W ❑ FO• ING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ PO RED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOU DATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
_Z ❑ RAD•N SLAB 0 MECH , 0 SITE INSPECTION
Q 0 FRA ING 0 PROGRESS
❑ INS LATION IN ""••D BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FIN•L 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS :UILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v• ❑ DE •-SITE ■,- ICI ALL 0 FOUNDATION/REMOVAL
2 OWN - ONTRACTOR TO MEET YOU.��� ES IO
co• COM ENTS:
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UJ ❑WO SATISFACTORY:PROCEED 4ROJECT COMPLETE
CC
W CI COR'ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 CICOR'ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEF 9 RE COVERING PERMANENT
❑COR'ECT UNSAFE CONDITION WITHIN HOURS- 0 PHOTO TAKEN
NSPECTOR WILL RETURN
0
o STO. ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INS' CTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
• • :ctor on site:J/
Ins• : or. 9/•-....-
I
White Copyllnspector's File Canary Copy/Site Notice