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Home My WebLink About2014-00288 - mechanical • ' CITY OF ORONO * 2 0 1 4 - 0 0 z B 8 * 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2014 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1447 PARK DR PIN : 07-117-23-42-0021 LEGAL DESC : SAGA HILL REVISED : LOT 008 BLOCK O15 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,700.00 NOTE: (1)KOZY HEAT GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.35 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE TOTAL 53.35 JORDAN,MN 55352 (952)495-2927 Payment(s) CHECK 18675 5335 OWNER PALM,MARK&PAMELA 1447 PARK DR MOUND,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 pertnit 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C � / � / � 7 Applicant Permitee Signature te Issu By Signature Date � City iL�l Y ED � K TY USE ONLY �GX f� 0�� O� P.O.Box 66 Date Receivq�:� �Pcrmit# � / O 2750 Ke �Prk r.� � ��' / Crystal��1T��2�`�? Approved By: Amount$: ��' Phone(952)249-4600 Fax(952)249-4616 ♦ Ci��r Q �� y`��.� �,�.� CIm�'�FORONO-MECHANICAL PERMIT k�s�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) �,�:!r. y e'� � , , �z � � �:7�L�l��r; {�J�.�.�� , x,, Y ,�, , :. � 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 ai�d idei�tif cation as tu 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 A 1 ) �Residential ❑Commercial(Approval Required) ❑New �J Additional ❑Repairs ❑Replace / �.. Job Site/Owner Information: : Site Address: `1-�"r � L... Owner: ( 1 K.-�� ►'7"1 Mailing Address: � �� -!� " ��ri: ��r�r�� Z�p: �"S Home Phon�1�^ t�",7TlD 1C� Alternate Phone: CanaactQx;7nf'p�C��rF�� fi �� _ ��':�� : r . . .�. . �. ,_ � � � � Contractor: �]�� 't'�� ontact Person: 1 ' � �� Address: l� �1� WU�r State Bond#: ��j� �XP City: Zip:�3Jr�xniration Date: ��ln - � r� Phone: �S�--�E�( �--�l�1�v Alternate Phone: Insurance-Current: U '�- 3 — C�f 7.-7-I ��- � � I � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: ��2 ` �`-� � Wood Burning Fireplace �.. _, ❑ Wood Stove Model No.: _�Q��l � ' �I -.�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. _ Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Reinoval Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons 4ther: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � PERMI�'�L� CALC.�.TL.ATION{�") �� : � BA�ED U�'F 2402 STATE STATUE ❑ 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;excludin�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 not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a•(Minimum Fee of$50.00) ��► � x.0125$ ��`�v (contract price) (minimum$50.00) 2. STATE SURCHARGE � � ' � � � x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �� _ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `-�� i �� ■ * CONTRACT Pl'.ICF_ o; JOB CrJST mez^.s th� achial or estimated dollar amotint 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 furnished by the owner, tenant or any other party, the reasonable market value of such items must be added 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. 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:_ ti � 3 � DATE TIME " CITY OF ORONO CALLED IN � � INSPECTION N E Da 8,� SCHEDULED ' PERMIT NO � COMPLEfED ADDRESS l��7 �Q�-��B?� OWNER TELEPHONE NO. ��Z �� 3�4� CONTRACTOR f d��a h�T �Y � DESCRIPTION �r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pqpGqEs,, � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI O SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERK:ONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � ' I/G�/Z�I yri . Cle�a✓��tC�S — � � � �tf �i�N. 4��' Z��S� ��Y S ��SG � � 5�4� �S �/rL� ��de�l�Q�<G✓l. � � '' ��s�oa k�t!l �-c�s/�t� �'6.s� �i� F,� a��s= Q — G,r�. b�a�� s•�e o-� �•�• c•��s� 4s � .d.s ckss� - W �i ' � � C6 r re� •� 6,� �c6a�.� 0 � ❑WORKSATISFACTORIF PROCEED ❑PROJECT COMPLEfE W�CCGAREGT YYORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �✓" White Copyllnspector's Ffle Cenary CopyfSite Notiee DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -/+� PERMIT NO.�D�f� COMPLETED ��-o�.�-/,�f �'" ADDRESS ��`7 ��L L�i' � OWNER TELEPHONE NO. CONTRACTOR � � �� /'�h'r '��('� � DESCRIPTION ��5 �" �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL AI ❑ IAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �Q�LOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERlCONTFiACTOR TO MEET YOU:_YES_NO v�, COMMENTS: a �rNt�� /LG l�t.� �/ � � G 4/� tar � j � o �.��L � •t s�� . � 0 � W � ��,�,,e- _ Q z � � � ' r � j �i1(,� A'/�(��,< — GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �lelS2icCTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. �l i r�-� White Copyllnspector's Ffle Canary CopylSite Notice �� '' r DATE TIME 1 �' CITY OF ORONO CALLED IN � \3 �� "4�'�n INSPECTION NOTICE SCHEDULED �� .t�b PERMIT NO.a��'-�-�x-°�� COMPLETED �' ADDRESS � '�" � � CZ- OWNER�+�`�' ��'� �a-L�"�TELEPHONE NO.��a' 7�0-3'� � CONTRACTOR �� DESCRIPTION �ciS �-r��c�e-si--r��c�1.� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE `FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO -�� COMMENTS: � W a o ��s �`, P. - F►.�.s�� r��r � 1P�7 �4 �cts•�e✓S �/'r'C `� ""— O � W / Q w0�� ° ►�V-/�l�'e ! � � � � �C��'� � �r r�tC� W � J � ❑WORK SATISFACTORY:PROCEED �@'�'ROJECT COMPLE7E � ❑CORRECT WORK 8 PROCEED � ❑ SI SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. �-�`%�-- � White Copyltnspector's File Canary CopylSite Notice