HomeMy WebLinkAbout2015-00365 - mechanical CITYOFORONO * z015 - PJ0365 *
� 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2032 SHADYWOOD RD
PIN : 17-117-23-31-0012
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOPi TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,000.00
NOTE: (10 BATH EXHAUST
GASLINE FOR DRYER IN LAUNDRY ROOM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.50
STRONG,STEVE TOTAL 50.50
2032 SHADYWOOD RD Payment(s)
WAYZATA,MN 55391- CHECK 6017 50.50
OWNER
STRONG, STEVE
2032 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. 1'his permit is for only the work described and does
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.l'his 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 time after work has commenced.
The applicant is responsible for assuring atl required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for d e cause.
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Applicant Permitee ignature ate Issu By Signature Date
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' FO CI'l' USE ONLY
� City of Orono �j � ZDl S�D �J�pS
�+-��� I'.O.Box 66 Datc ReceivetY � ��Permit#
2750 Kelley Yark��ay ,t`t
Crystal Bay,MN 55323 Approved By:�T ' Amount$: ��.�
Phone(952)249-4600 Pax(952)24)-4616
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t �,�' CITY OF ORONO—MECHANICAL PERMIT
�kFS H�� (All Commercial permits must be approved b��thc Building Official or Inspector and/or l�ire Marshall)
GENERAL INFORMATION
L 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. PERNfITS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT 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
rec�uirements.
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 l )
�Residential ❑ Commercial(Approval Rec�uired)
❑ New ❑Additional ❑Repairs �] Replace
Job Sitc /Owner Information:
Site Address: ���� S ��������� �-'
OwnerS"Z�� ���1�� f,L� Mailing Address: 5��.�_
City: �!SL-��r� Zip: �j��, �1�
Home Phone: Alternate Phone: U � � "� I� -�1 �
Contractor Information:
Contractor: �� j�►F'�(L.. Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
� �
� � � �� ' MECHANICAL�SYSTEMS B�EING'l�INSTALLED �
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:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
�I.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
�f No. 1 Bath Exhaust(must have duct outside) '��'�cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.)
❑ ]nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: ����� l �
z ��Nn�''� ��a�
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PERMI'T FI��G CALCULATION(S)
��� BASEI� OI�F - 2002 STATE S I'ATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that�neets all three of the following reyuirements:
1. Does not require modification to electrical ar gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ l 5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S)-70BS 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)
� ���� x .O125 $ ��
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
' � �'7 x.0005 $ �. 5�
(contracY 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. ]f 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 far 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 AI?PLICATTON AGREEMENT
The undersigned l�ereby 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: � � �
3
��� � � �DA E TIME �
CITY OF ORONO CALLED IN 5�
INSPECTION N TICE SCHEDULED .So��l S �
PERMIT NO. ls � COMPLETED
ADDRESS O-3 ����Q-d�
OWNE�� TEL HONE NO���g�7—��
CONTRACTOR ,
�; DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM ING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice
� �� 3 ✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICFb3�j SCHEDULED ��1 ► �;30
PERMIT NOr301S- � COMPLETED
ADDRESS �� L ������ �
OWNE � TELEPHONE NO. ��'�������
CONTRACTOR �""� `��'�
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECH ❑ SITE INSPECTION
Q ❑ FRAMING � MECHANICAL FI L ❑ RATED WALLS
� ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOMRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CARRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HWRS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. � �����
VYhiM Copyllnapecto�'s File Cenary CopylSMe Notke