HomeMy WebLinkAbout2016-00938 - mechanical .
CITY OF ORONO * 2 0 1 6 - 0 0 9 3 8 *
2750 KELLEY PARKWAY DATE ISSUED: 08/09/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 654 SANDSTONE CIR
PIN : 33-118-23-11-0053
LEGAL DESC : STONEBAY
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM FURNACE
(I)RHEEM A/C
(4)BATH EXHAUST
GASLINE TO DRYER,RANGE,FIREPLACE
APPLICANT MECHANICAL 93.75
STATE SURCHARGE MECH(VALUATION) 3.75
WESTAIR HEATING MAIL-IN FEE 2.00
11184 RIVER ROAD NE
HANOVER,MN 55341 TOTAL 99.50
(�63)49&8071 Payment(s)
Minnesota State License#:mech-MB003525 CHECK 20165 99.50
OWNER
Essay Holdings
2110 LYNDALE AVE S
MINNEAPOLIS,MN 55405-
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 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 aRer work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
.
� �� � � / [ /��
Applicant Permitee Signature Date Issued By ature Date
� � ���
� _, F Gl USFi QNLY
City of Orono q ��Q
��� P.O.Box 66 Date Received: / Permit# ' U
� 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved'=By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
y`��qk o��,�'� CITY OF ORONO—MECHANICAL PERMIT
ES H (All Commerciei permits must be approved by Uie Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desig�s—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and modeL Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT .
Check A1T That A l
�[J Residential ❑Commercial(Approval Required) [Backflow Device: Q AVB ❑PVB]
J�
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: � ��-t'
� ) � _ � ' o'n � �r,
Owner: ��,� ,�Q�vlailing Address: �'1�� � ��t�C�T1�i ��
City: � �_ Zip: � � �
Home Phone: Vdl� --;1VJ�-��� Alternate Phone:
Contractor Inforrnation: �
, � [ /�
Contractor: �� � �C(M1J�i Contact Person: •��C
�j�( ��JI !�-
Address: ''� 0- 1��Q�� Iv� State Bond#: ���'�'��,�4�` �.J
City: 't� � Zip���I Expiration Date: ' 1"I � �
Phone: � 1 i D' �` Alternate Phone:
❑ Insurance—Current:
1
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1����4�t���;t.�������$�.+:.. �'t������ .
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: �
Make: � �_
Model: � � ���I
Fuel:
Flue Size:
Input BTUs: �
Output BTUs:
CFM:
COOLING SYST�MS
Quantity: I
Make:
Model: � ��� ��
Tons: �•�
H.Power
FIREPLACES
�
❑ Gas Factory Fireplace Brand Name:
❑ 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
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
1 � ��� �
❑ Outdoor Grill � Other/List What&Where: (�
2
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum.Fee of$50.00)
� � lJ O� x.0125$ ���
(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 PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. lt is the amaunt 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.
1����1�i��A�:.���?tIT�FP�TCA'�'�f?�T;���l�l��"
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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:�I J�_
3
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�/ ��'" — ` DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _Z=��
PERMIT NO. ` � � COMPLETED ���
ADDRESS �J� � S C�f/f�C� � �G�
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OWNER TELEPH� �� �f
CONTRACTOR -�
� DESCRIPTION /_y,�����
lV ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNER/CONTRACTOFi TO ET YOU: YES_NO
c�.� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
i,,,��0�61EG f WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � �-�' �
Whi e Copyllnspector's File Canary CopylSite Notice
�`� �� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE BCHEDULED �I� '
PERMR NO.�,`��Iln��R� coMpIETED
auoREss Lo 5 y S Oc. S C�
OMINER TE PHONE NO. �7��������
CONTRACTOR ���C���
� DESCRIPTION �`�— l �p�--�' `
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBIN(3 RI ❑ EXCAVKiRADIN(i/FIWNf3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL � TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� � INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SffE ❑ PTIC INSTALL
Z TO YEET 1fOU: xE3_NO
� COMMENT'&
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W WORK SATISFACTORY:PROCEED ❑PAW ECT COMPLETE
OORRECT WORIC a PROCEED D ISSUE CERTIFl('.ATE OF OOCUPMNCY
o ❑OORRECT YMOAK.CALL FOR REINSPECTION TBiAPORARY
� BEFORECOYERINO PERMANBdT
❑COFiFiEC'T UN$AFE OONqT1pN WRHIN HOUR3. p pF{pT0 TAKEN
INSPECTORIMLLRETURN
O 8TOP ORDER P08TED.CALL INSPECTOR ❑�ATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
c.N ior n�e next inspecNo�u na,rs in ad�►anos. (952) 249-4600
on site:
�nspectw; �—���,�L •
1NINb OopyAnap�ela�'S FlM Camry Copyf811�liollo�
;� �_ j ��- �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE� SCHEDULED ��. 7 '�
PERMIT NO. �' � COMPLETED
ADDRESS �G��� -SQ� �'ZL��7��17� �/�
OWNER TELEPHONE NO. �����7�
CONTRACTOR �.� �-P.� 1�L.
� DESCRIPTION �//�E� � /����'�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU: YES_NO
h COMMENTS:
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1 Gd f'.t'CG'{�oi- �C/ �yl.�i �l�l�fli4�
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W ❑ RK SATISFACTORY:PROCEED �RROJECT COMPLEfE
� �ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W v
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 24 hours in advance. (952) 249-460�
OMrnerlContractor on site:
Inspector: � � ��
White Copyllnspector's Ffle Cenary CopylSfte Notke