HomeMy WebLinkAbout2010-00207 - mechanical CITY OF ORONO PERMIT NO.: 2010-00207
„ 2750 KELLEY PARKWAY
� ' ORONO, MN 55356- DATE IssuEv: 04/09/2010
952 249-4600 FAX: 952 249-4616
ADDRESS :..--9Z�5 PARTENWOOD RD — (;�, �� � `-�
PIN ~ : 08-117-23-21-0010
LEGAL DESC : PARTENWOOD
: LOT 001 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 48,000.00
NOTE: 3 HEATING SYSTEMS&2 COOLING SYSTEMS,PLUS VENTILATION&GAS LINES
APPLICANT MECHANICAL 600.00
HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 24.00
18550 COUNTY ROAD 81 TOTAL 624.00
MAPLE GROVE,MN 55369-
(763)428-3677
OWNER
SAFAR, MARY
925 PARTENWOOD RD
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 specitied 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 1or 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 Signat Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i
FOR CITX USE'ONLY' '
p City of Orono
,� �� �� P.O.Box 66 Date Received Perinit# ��f p" 0�/�
• � ��'� 2750 Kelley Parkway j(
1 � Crystal Bay,MN 55323 Approved By: Amount$: �27: ;, DO
a�',�.����o` (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(A11 Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut 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
PE�'.MIT CA.RD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 pernut 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 ly)
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑ R pairs ❑Replace
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Job Site/Owner formation: '
Site Address: �' �%/�T,�"/1/Gr/O�� �A
r
Owner: �i4�y Sg'j�r4 f� Mailing Address:
City: Zip;
Home Phone: Alternate Phone:
'Contractor Information:
Contractor: �N�. Contact Person: /�f�,�'+� �y.-r1,1'�
� 18550 County Rd. 81 �
Address: Ma�le Gravey 1�5���q-9231 State Bond#:
(763) 428-3671
City: Zip: Expiration Date:
Phone: Alternate Phone: 7�3-aB'6-S�fG�Q��
� Insurance—Current:
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� HEATING SYSTEMS �
Quantity: � .
—� � l,y�i�-_
Make: , _lrlc�_
Model: .3s✓"�GAI� �� I��
Fuel: �f4% �A T
F1ue Size: Z', ��G �t� �/C
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InputBT[Ts: O D-OY� /4 Op�j
Output BTus: �O-�� /D � .t��'xa
cFM; � _ lD t� �a��-
COOLING SYSTEMS '
Q�nty� �^
Make:' ��` ir .�
Model• C�'�
Tons: �3 _
,' H.Power , , ,
\ _ .
. FIREPLACES Q � � ��.i1Sf'",ti���Lj \D T�p�f
/��✓� e � :
� Gas FactoryFireplace
� Wood Burning�'ireplace :
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION .
.r
�] No. � Kitchen Exhaust �� duct recirculating Gov cfrn
� No. �i - Batfi Exhaust(must have duct outside) So �g!>' cfm
❑ Na Other Fans: Locarions cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
= ❑ Installation � Removal �
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
. LP Gas: gallons
Other:
GAS LIN�ONLY ,
❑ Outdoor Grill ,� Other/List What&Where: --�00��o��0��,or,-��jAp��c„�,r
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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 modificarion 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 tlus applies; Cost'of Pemut $ 15.00
State Surcharge $ .50
Mait-In Fee(If Applicable) $ 1.50
Total Permit Fee $ ;
.. �. .- '� i ° ;����K �� ,?t� .,� � �:•; ° � .r� ,.Y`i,.�£J; '� i-i �4r...,�_ . .
If.above does not apply;�'ollow guidelines below: , -
1. 'CONTRAGT PRICE *'is 1:25%of contract'price with,a�1VIinimum Fee of$35.00)
� _
�tp'� d�r� x.0125$ �t.`��. O!�
(con ctprice) (minimuatt$3S:OQ) ' � °
" 2. STATE,.SURCHARGE **Add the State Bldg Code:Div. 5urcharge`(Minimum Fee:of$:50)
y`�,o,r�a X:000s $ �y, ov
,, (contract price) (minimum$-.50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $' 1.50
4. TOTAL'PERMIT FEE(Add Lines 1-3 Abovej $�a'`Tf, e�+�
: ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for,the
pernutted workincluding 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 aze 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 evenf 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 STATE SURCHARGE is.0005 of the Building Department at(952)249�-4600 for the price.
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The undersigned hereby applies to the City for issuance of a Mechanical Perniit,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 cornplete, true and
conect.
Applicant's Signature: - Date: �
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� � ,L DA E� TIME �/
CITY OF ORONO CALLED IN T ��'' D
INSPECTION NQT�CE SCHEDULED � �� /a'�
PERMIT NO. �"�r���—� CO PLETED
ADDRESS
OWNER TELEPHONE NOS�/�3�3 SSI�
CONTRACTO `„ � � �
� DESCRIPTION �z
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �1GIECHANICAL 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECQVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ IIJSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor site:
Inspector. i ��\ ��"
White Copylinspector's Ffle Canary CopylSite Notice
� DATE TIME •
CITY OF ORONO CALIED IN ��8
INSPECTION NOTICE SCHEDULED � 9,-�O o2 l O�
PERMIT NO.a�10 —�o a�� COMPLEfED �� h
ADDRESS 9�� ����v c� �
OWNER CONTR. /�-�1� (o�2r ?�(e� $Rc�3
TELEPHONE NO. �P_Q;�'1� '�" CvOI 1 n5 �GJD
� DESCRIPTION �� /"6�� ��L�1 `f' �-PP�'' ���
l� 01 FOOTING ti MECHANICALRI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-S�TE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cai�for the next ins ion 24 hours in advance. (952) 249-4600
OwnerlContract n e•
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � DqT TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �-�'�� ! �
PERMIT NO.�OI D -DO oZ0� COMPLETED
ADDRESS ���? � �
OWNER TELEPHONE NO. ��Z �3 �7S(o�
CONTRACTOR � �� T'�j
� DESCRIPTION
�oa r —G lvzr� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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 ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑COR CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. C,
White Copyllnspector's File Canary CopylSite Notice
�-�"� � �_— E TIME ✓
CITY OF ORONO CALLED IN ` �
INSPECTION NOTICE scHE�u�E� o fv b
PERMIT N0.��b-DD�� OMPLETED u �
ADDRESS �5 G�i�� �l
OWNER TEL�PHONE NO.
CONTRACTOR n' � ` ✓ �� "-
>; DESCRIPTION �L��
�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q
� ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WAFD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor
Inspector.
White Copyllnspector's File Canary CopylSite Notice