HomeMy WebLinkAbout2017-01639 - duct work � CITY OF ORONO �
* 2017 - 01639 *
' 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2024 SHADYWOOD RD
PIN : 17-117-23-31-0011
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 004 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 2,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BATH EXHAUST W/DUCT WORK
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATIOI� 1.25
SHC MECHANICAL INC. MAIL-IN FEE 0.00
4728 BEDFORD ROAD
MOUND,MN 55364- TOTAL 51.25
Minnesota State License#:mech-MB661890 Payment(s)
CHECK 5923 51.25
OWNER
KIEFFER,JOHN&BENJAMIN
2024 SHADYWOOD RD
WAYZATA,MN 55391-
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 will
expire and become null and void if conswction 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 aze
requested in confortnance with the State Building Code.This pemrit may be
revoked at any time for due cause.
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Applican ermitee Si re Date Issu y Signature Date
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'� FOR CITY USE ONLY
� ' �A TO City of Orono
<y P.O.Box 66 Date Iteceived: P�mrt�
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved Sy: Rmount$:
Phone(952)249�600 Fax(952)249�616
��lq ���� CITY OF ORONO—MECHANICAL PE
k�sHo�. RMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a peimit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMiT
Check All That A 1
�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑Repaus ❑Replace
Job Siie/Owner Information:
Site Address: �2�Zy �h .�,�1.��„�o��! 2c�
Owner: �+� K i e���.�r Mailing Address:
City: ����a Zip: SS3q�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: S�C-�C-�a„��'a���KL Contact Person: S�'�v�
Address: H�Z� �4�1� �1 State Bond#: �,��/�y�
City: n�o�h c� Zip:ss�b� Expiration Date: IO
Phone: �1?-�0 3—`�'3`►Z- Alternate Phone:
❑ Insurance—Current: �/e S
1
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MEC�3A�CAL.SYST�iwIS'$��i����'�i:�-��: . . ,: `, _' . . � .
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: Y
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quanrity:
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 cfin
� No. �_ Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Locations ��
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
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�
� �s�l xA125$
(contract price) (minimum 550.00)
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) $
■ * 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.
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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 conect.
Applicant's Signature: '"���� Date: _ �Z/���/ 7
3
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DATE TIME
CITY OF ORONO caLLED IN
INSPECTION NOTICE SCHEDULED /�/a-7 •3U
PERMIT NO.�?/)/�7^C�� COMPLETED
ADDRESS '
OWNER TELEPHONE NO.�/���'�D�'�T3Q�
CONTRACTOR ����
� DESCRIPTION —/"�'�C%� • �I
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�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
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? OWNERICONiRACTOR TO MEET YOU:T YES_NO
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� �JpIORK SATISFACTORV:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT NfORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK����R REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNS/1FE CONDITION WITHIN HOURS. p p�pTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OR�ER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advar�e. (952) 249-4600
OwnerlContractor on site:
Inspector:
Copyllnapector's Flb C�nary Capy/Slb Nodce
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� DATE TIME
CITY OF ORONO �I�p� CALLED IN � --��`� �—
INSPECTION NOTICE (� �{ SCHEDULED .1����
PERMIT NO. o2C��7' vI`���/ OMPL�TED
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ADDRESS ���
OWNER TE EPHONE NO�'�f"�� ' ���
CONTRACTOR ��j '
� DESCRIPTION / `�
ly ❑ FOOTING ❑ MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE �LUMBING 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO �
� COMMENTS: y/Su�tL ' Gr���✓ ,p 4i'h,b //15���4�
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ ISS CERYIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector: �^' �
White Copyllnspector's Ffle Canary CopylSite Notice