HomeMy WebLinkAbout2018-00471 - mechanical ' CITY OF ORONO * 2 0 1 8 - 0 0 4 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: 04/17/2018
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 680 PINEHURST CT
PIN : 06-117-23-33-0015
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 16 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 18,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)HTG SYSTEM-AMANAASC92080
(1)CLG SYSTEM-AMANAASX13030,2.5 TOMS
(1)KITCH EXHAUST-8"DUCT,600 CFM
(6)BATH EXHAUST-50/80 CFM
APPLICANT MECHANICAL 225.00
STATE SURCHARGE MECH(VALUATION) 9.00
MIKE'S CUSTOM MECHANICAL INC TOTAL 234.00
P.O.BOX 171 Payment(s)
CHAMPLIN,MN 55316- CHECK 1201 234.00
(763)568-7148
Minnesota State License#:mech-MB005582,p1bg-PC64492
OWNER
MOLINE,JEFF&KARA
620 PINEHURST CT
MOiJND,MN 55364-
AGREEMENT AND SWORI�T 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 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 conswction is
suspended for a period of 180 days at any ti e after work has commenced.
The applicant is responsible for assuring equired inspections aze
requested in conformance ' e Sta ilding Code.This permit may be
revok at any time for
� / � �//�
plic t Permitee Signature Date Issue y Signature Date
. �
FOR CITY ItSE ONLY
,�O A rO City of Orono �,/ �/ /
<y P.O.Box 66 Date Received: �'"I/:I Pemrit# S���y
2750 Kelley Pazkway
Crystel Bay,MN 55323 Approvad By; Amount$:
Phone(952)249-4600 Fax(952)249-4616
�� ��
tq'r�SH�4E�G CITY OF ORONO—MECHANICAL PERMIT
(All'Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFO TION
1. You may apply fot 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 CARI�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 gafn calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shali be presented on form provided.
4. When any new construction or remodeling is involved,a sepazate 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
�esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB]
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner:Information:
Site Address: (9� ���t,�� Sd-- �
Owner: i�'l��+V'� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractar Infprmation: �
vU� '- _�j� �;
Contractor: � ontact Person: ��'L[� (�� �.�/
Address: �� � � State Bond#:
2��
City: �"L` �/ Zip:��✓ Expiration Date:
Phone: ��0�S(�U����c Alternate Phone: �l�Z�/D��
� Insurance—Current:
1
4`t4., � � "�, `F ,lYlP�4L7�"11�I,�Lti1:�.-�7 I,'i7t�lYl�3`D�'i11�1,�*+il�l�,'1 t�LL 1J";.,� zc?-�'��g � v
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make: /�/W���
Modei: � � �
�
Fuel:
Z ��1
Flue Size: '
Input BTUs: ��
Output BTUs: ��j�C4��
CFM:
COOLING SYSTEMS
Quantity: l •
Make: G�.v�(t'
Modei: �
Tons: �"
H.Power ` �C
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
ct
No. � Kitchen Exhaust � duct recirculating �U cfin
� No. � Bath Exhaust(must have duct outside) ��
�S�
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, �
`� � �PERMIT"FEE���;�J.�:�'TO�S. � �`� ���4�.
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�$� X.oias$ 2ZS
(conVact price) (minimum$50.00)
2. STATE SURCHARGE �'p-D� �y
� x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
1�J
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $��_
■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material,equipment,labor or installations aze furnished by the
owner, benant or any other party, the reasonable mazket 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.
�. `��,5 �IECI�'AIVIC����� L����3,� �.�.;� `.�« .��� `��,
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in st�ict accordance wi the ordinances of the City and the regulations of the State of
Minnesota,and certifies th t s tements made on this ppl' ion are complete,true and correct.
Applicant's Signature: Date: � ` �
3
/
i �
DATE TIME
CITY OF ORONO cnLLED IN �
INSPECTION NOTI , Ob�.7 SCHEDULED -
PERMIT NO. OMP ED
ADDRESS
OWNER , � TE HONE NO. �� �
CONTRACTOR ���
� DESCRIPTION �
W ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAI
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O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET 1f�U:_YES_NO
� COMMENTS: 6�_ �li G t.� y��
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W ❑WORKSATISFACTORIF PROCEED ❑PROJECT COMPLEfE
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CARRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
ector: �L� ��'�' �
White Copyllnspector's File Cenary CopylSito Notice
l!�
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �f/SCHEDULED �
PERMR NO ' � MPLET �
ADDRESS
OWNER � TELE HONE N I ��D� �
CONTRACTO
� DESCRIPTION e� �� `N���� a
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ��AECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTRACTOR TO MEET YiOU:_YES_NO
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W� O KSATISFACrOFiY:PROCEED� �'�h�s� ,_ p PROJECTCOMPLEfE �'O�rj�i�
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W ,�.QORRECT WORK&PROCEED a�(�-�� ;its ❑ISSUE CERTIFICATE OF OCCUPANCY
O��O CORRECT NIORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITiON WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector: �i� �—
yyhits�opYpnspectw's Fl1e Canary CopyfSNe NoHee