HomeMy WebLinkAbout2015-00141 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 1 4 1 *
y � 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 930 PARTENWOOD RD
PIN : 08-117-23-21-0007
LEGAL DESC : PARTENWOOD
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 30,000.00
NOTE: (5)HEATING SYSTEMS
(2)A/C SYSTEMS
(1)KITCHEN EXHAUST
(2)BATH EXHAUST
(4)FANS
GASLINE FOR(3)FIREPLACE,(2)FURNACES,(1)BOILER,(2)iJNIT NEATERS
APPLICANT MECHANICAL 375.00
STATE SURCHARGE MECH(VALUATION) 15.00
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 392.00
(952)933-1868 Payment(s)
CREDIT CARD 5815 392.00
OWNER
MOORE,KIRK&PAM
27475 MAPLE RIDGE LANE
SHOREWOOD,MN 55331-
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 dces
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 wili
expire and become null and void if consuuction 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 confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signatu ate Issue y Signature Date
9529331869 13:55:34 02-02-2015 2/4
POR CiTY USE ONLY
_ • �O A' City of Orono
�y P.O.Box 66 Date Received: Permit#
O 2750 Kclley Parkway
Crystal Bay,MN 55323 Approvcd By: Amount$:
Phonc(952)249-4600 Fax(952)249-4616
yF��rk ��.�'� CITY OF ORONO-MECHANICAL PERMIT
fSHO AilCommercini
( permitt must bc Approved by thc Building Oflicial or Inspector andlor Fir�e M�sbali)
GENERAL INFORMATION
1. Yau may apply for mechanical permits by mail or in person at the Ciry 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. PERMTTS ARE NOT
VALID UNTIL YOU ItECEIVE 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 eacli
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and idenEification as to
type,manufacturer and model. Data shail be presented on form provided.
4. When any new constniction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance wiih the Uniform Mechanical Code/Siate Building Code
requirements.
6. All work must be inspected(rough-in and finai). 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
�esidential ❑Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �130 PAFZ�(FA11n�00� CZD - I..I�N �Lp•��-,=,�1 SS�3�{�
Owner:K1RK�PAM 1 pti MdC�RF. Mailing Address: �1,,p P 1�.1�nYX.�p�
City: t�bNG l.�L�, Zip: 55?��Co
Home Phone: (952�3°13`53y9 Alternate Phone:
Contractor Information:
Contractor: P�tAC,T lC_Al..�t�F.Ms Contact Person: �PsL,i�,A CAN2AD
Address: `�3y2FR SHAC�1 (�A�K R� State Bond#:
City: �kp(�ILI�lS Zip: Mt�1 Expiration Date:
Phone: {�t52�Q'a3-I r�l�`r� Alternate Phone:
❑ Insurance-Current:
1
9529331869 13:55:52 02-02-2015 3/4
� ' ' MECHAN'ICAL SYSTEIvIS BEING INSTALLED `
Note:All Geothennal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [•/�No
HEATING SYSTEMS
Qu�uty: � 1 1 Z
Make: "f 'SL�hL_ �I"C'f T'RAN� __�l�T Dln[ACa
Model: TU�-k�CnSOA�laf�� l�lT' UH�G�Io,�P�,93(Dl -yc'j
Fuel: _��j G �j G� C��s
Flue Size:
Input BTUs:
Output BTUs: `+�.�� �00�QQ�_ �G�,G�00 �9�,�0� 450�0
CFM:
COOLING SYSTEMS
Quantity: , �
Make: "�(��� ��,
Model: �Z'CFJ� 10�06 �CTB302�4AdC�c
Tons: �{ Z
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Bnrning 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 � SE F��' '�D2��/E(Z �cfm
�UEL STORAGE (Must be approved by Fire Marsliall if proposing ro abandon tank in p[ac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Tnside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outc3oor Grill � Other/List What&Where: ��(RL(�Lf�C.�S� 2.FU(ZNAG�S�
2 �p�1�.ER, Z uN�'�' {-�,p�—�'E�
9529331869 13:56:06 02-02-2015 4/4
. .
PERMIT EEE CALCUL`ATION(S) ;
;BASED OFF-2002 STATE STATUE i .
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does n requue modification to electrical or gas service.
2. Has 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 tliis applies; Cost of Penmit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT'FEE CALCULATION S =yOBS'OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� 30,000 x.oi2s$ '��5.C�
(contraCt pricc) (minimum$50.00)
2. STATE SURCHARC�E
�3gc�00 X.000s $ t5.0�
��o����Pri���
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 10.�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for d�e
permitted work including materials,labor,profit,and other fixed cosEs. It is the amount to be chazged
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 rnust be added to the
estimated cost or contract price for permit fee purposes. In the event thai there is a dispute on the
amount of ihe job cost, die City may request the submission of a signed copy of the actual contract.
1VIECHANICAI;•PERIvIIT APPLYCATION.AGREEMENT ` '
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 Siate of
Minnesota, and certifies that all statements rnade on this application are complete, true and
correct.
Applicant's Signature: ���2G�-��� Date: OZ ZOtS
3
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CITY OF ORONO �'� CALLED IN
INSPECTION 110TI� oO'4� SCHEDULED �
PERMIT NO. oZ� CO ED
ADDRESS � � Lde � ��
OWNER TELE HON�O���-3g3`J��
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CONTRACTOR r \ �
� DESCRIPTION
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBI AL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECH�pl1CA ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑�WER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO ME YOU: YES_NO
c�.� COMMENTS:
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W� O V1fORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorrtractor on�irte:
Inspector:
White Copylinapector's Ffle Canary Copy/Site Notice
� �� DATE TIME •
CITY OF ORONO C"� GALLED IN
� IN P TION NOTICE SCHEDULED
S EC �
PERMiT NO.�1������r COMPLETED
ADDRESS � 3b 4�'011�+ �l� �-��Oc� �G
OWNER TELEPHONE NO.1� �3�,/�[�
CONTRACTOR �a'e--�� �S/ �°�,r��
� DESCRIPTION / / ���/ / ��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAI
J ❑ DEMO-SITE ��PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �-/ '�' �
White Copyllnspector's File Canary CopylSite Notice
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C�__._-- TE TIME�
CITY OF ORONO CALLED IN — �
INSPECTION I SCHEDULED '
PERMIT NO.��� ���� / MPLET D
ADDRESS � �
OWNER - EPHONE NO.�� �3 ��� �
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CONTRACTOR
� DESCRIPTION ��� /
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEP C FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOFi TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑ C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. „r�'`~��
Call for the next inspection 24 hou ' advance. g52 249-460�
OwnerlContractor on site: '�
Inspector.
White Copyllnspector's File �i' Canary CopylSite Notice
C/ `� DATE TIME �
CITY OF ORONO ALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO. Z�rS�L`7�1�/ COMPLETE
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR � ���
� DESCRIPTION �1
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET�: YES_NO
c�i, COMMENTS:
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. � 249-46��
OwnedContractor on site:
Inspector.
White Copyflnspector's File Canary Copy/Site Notice
C ��
DATE
CITY OF ORONO CALLED IN
INSPECTION, OT CE SCHEDULED � ^ �
PERMIT NO.�� �� COMPLETED
ADDRESS �� 1�Q-`-�''��� I�
OWNER TELEPHONE N0.��2-���'���
CONTRACTOR ����s�����
� DESCRIPTION
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB M AL RI� �� ❑ SITE INSPECTION
Q ❑ FRAMING ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in a ance. � 2� 9- Q�
OwnerlContractor on site:
Inspector:
White Copyllnspector's Ffle Canary CopylSite Notice