HomeMy WebLinkAbout2016-00443 - mechanical � CITY OF ORONO � 1 6 — PJ 0 4 4 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2000 SHADYWOOD RD
PIN : 17-117-23-31-0001
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIv TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,750.00
NOTE: NEW: 1 HEATING SYSTEM(CARRIER), 1 COOLING SYSTEM(CARRIER),VENTILATION: 1 KITCHEN EXHAUST,5 BATH
EXHAUSTS
GAS LINES:FURNANCE,WH,RANGE&DRYER
APPLICANT MECHANICAL 171.88
STATE SURCHARGE MECH(VALUATION) 6.88
PERFECTION HEATING&AIR MAIL-IN FEE 2.00
1770 GERVAIS AVE
MAPLEWOOD,MN 55109 TOTAL 180.76
(651)777-7620 Payment(s)
Minnesota State License#:mech-MB003122 CHECK 3711 180.76
OWNER
Sustainable 9 Holdings LLC
124 MAIN ST SE
SUITE#343
MINNEAPOLIS,MN 55414
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding to
tt►e 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
permiu. 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 l80 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
� � �� ��" ` / �?/ �
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Applicant Permitee Sigr►ature ate Issued By Signature Date
FOR CITY USE ONLY
City of Orono Date Received: N/� '�'�Pe�it# G_�1�_
��NO P.O.Box 66 ��—
2750 Kcllcy Parkway ''
Crystal Bay,MN 55323 Approved By: � Amount$: �� 11�
Phone(952)249-4600 Fax(952)249-4616 ''� �
� � i'�C' .'1� �
y�' G� ITY OF ORONO —MECHANICAL PERIVII`f
_.__----.
jAk�s H�4� (All CommerC 1 permits must bc approvcd by thc Building Official or Inspcctor and/or Firc 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. 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 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 All That A 1 )
[�esidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New
❑ Additional ❑Repairs ❑Replace
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Job Site/ Owner Information:
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Site Address: � ` -
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Owner:����^` 'r�-��� �-�1�=��'�'�� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: �-J�r� Q"-���-=� ���'��.'l�� Contact Person: �%'���'���' � � -t ��
� r'� -, r� ^ ' Q 5tate Bond#: n L'�-` �
Address: ( �7�-' ��� � ��'� � � `�'`�'
City: � � '� Zi '�'� � `' Expiration Date: �� •
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Phone: �S t � �% !� ���� ��'-�' Alternate Phone:
� Insurance—Current: �
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' MECHANICAL SYSTEMS BElNG INSTALLED`
� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: �
Make: �t� �
Model: ,��'tT�(i;�-t�
Fuel: CCC.,\
Flue Size:
Input BTUs: �%���.��
Output BTUs: � ��'Z�
CFM:
COOLING SYSTEMS
Quantity: �
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
❑ Outdoor Grill � Other/List What&Where:_�u�,,"�,�� (����-� �_�,.,��,�� �,:,�,���
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� �� X .oi2s $ I 7 l ��
(c ntract pricc)/ (minimum$50.00)
2. STATE SURCHARGE
�
( �, �7�t�� X.000s $ (�% ,�' .-
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ������ ��
■ * 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. 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.
� `� ` MECHANICAL PERMIT"APPLICATION AGREEMENT
�. �
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
wark in strict accordance with the ordinances of the City and the r ulations of the State of
Minnesota, and certifies that all state�n�nts made on this application�mplete,true and correct.
1 "
Applicant's Signature: ��� c ��� � � Date: � � l
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Dl�d TIM�
CITY OF ORONO CALLED IN --oC0
INSPECTION�TICE /,,�� HEDULED — — �
PERMIT NO. �/�/ MP ETED
ADDRESS � �--�
OWNER 'rELEPH E �I � � �
CONTRACTOR
� DESCRIPTION — ry
�y ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICONiRACTOR TO MEET YW:_YES_NO
� COMMENTS:
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W ❑WOIiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT YMORK 3 PROCEED ❑ISSUE CERTIFlC/1TE OF OCWPANCY
0 �WRRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECdVERIN(i PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
can ro�a,��xt�ro�2a no�,�s in�a�ce. (952) 249-4600
OwnerlContractor or�si�s:
inspector: �3��J L •
VYhite CopyAnapector's File C�nary CoprlSib NoNe�
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D TE /� TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE HEDULED � /�_.�_
PERMR NO. -� OMPLET
ADDRESS D�D
OWNER T HON ���� ���
CONTRACTO
� DESCRIPTION � —
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �IECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPIAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 dWNERICOI�ITRACTOR TO MEET 1I�U:_YES_NO
� COMMENTS: `
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� ❑WORKSATISF R9`.PROCEED ❑PROJECT COMPLETE
WORK d PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT YYORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CaVERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REf]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContracbr on site:
Inspector:
White CcPYnnapectoY's Flk C�nary CoprlSit�NoGee
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C - ' � DATE TIME
CITY OF ORONO .. LLED IN
INSPECTION NOTICE � -';� SCHEDULED '?.- /'7 �/{-�
PERMIT NO. - �-- �---' ' connP�erEo
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ADDRESS � t_%��C��� �l�1Cu�����L-C:,
OWNER TELEPH�NE NO����. � 7 7 ���0
CONTRACTOR ' ;� Z- � - !'_C��--
� DESCRIPTION f'1 C'� I '�(' '. ��
4~j ❑ 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 ❑ 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 ❑r$ PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:�YES_NO
c� COMMENTS: �
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT W'ORK 3 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor or�site:
Inspector. �D��-�
White Copyllnspector's File Canary CopylSfts Notke