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Home My WebLink About2017-01504 - mechanical CITY OF ORONO * 2 0 1 7 - 0 1 5 0 4 * � �' 2750 KELLEY PARKWAY DATE ISSUED: 1ll15/2017 ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 1225 SHORELINE DR PIN : 02-117-23-34-0002 LEGAL DESC : AUDITOR'S SUBD.NO. 169 : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)HOT DAWG NATURAL GAS HEATING SYSTEM GASLINE FOR UNIT HEATER-CRAWL SPACE/ATTIC APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 53.25 (952)933-1868 Payment(s) Minnesota State License#:mech-MB003510 CREDIT CARD 0097 53.25 OWNER DAYTON,ELISABETH 1225 SHORELINE DR 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.l'his permit will expire and become null and void if construction suthorized 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. 1'he 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. . . l / /�// / Applicant Permitee S gnature Date Issued By Si ature Date Nov, 15. 2017 10: 25AM PRACTICRL SYSTEMS No, 3876 P, 2 � , �� ot�c vs�o��.v �A r Ci of Orono � j �y PA Dox 66 Da�c Cttc� Pcnni�11 J� � 2750 Kelley A�rkway � Crys�al Ouy,MN 55323 Appro � A�oount S. Phone(95z)2J9-�600 Frc(952)2�19-1616 • - - y� �C' 1 c, SHo��,` Crr�t a�o�orto-MEc�alvYcaX.,p��r.T (All Carumercial perniits mus�bc�pproved by ihs Huilding Officinl or lnapeccor ead/or Fire Ma�shai!) GENER.AL INFORMATION 1. You may apply for mecl�anicai pe�mi�s by mail or in person at thc City ofGces. Applications will be reviewed and a permi�will bc issutd witlun two working days. 2. Permit cards wiU�e sent by retum mail after a review is completed. P�RIvI�TS ACtE NOT VALiD UNTIL YOU ItECE1VE A PEItMTT. VIrORYC h1�7ST NOT BEGIN UNT1L THC P��hYYT CARn I5 POSrED ON THE JOB SITE 3_ Mcchanieal besigns—Complete ealculations,delails and specifications Are required for eaelt lteat�ng,ventilatioi�,huuudi(ica�iou-del�un�idifieation,and Air.condilioning instaflation ineluding heat(oss/heat gai�cslculation,desigi�ten�peralures,equip�nent ratings and ideutification as to typc,manufacturer and n�odel. T7ata sh�ll be presented on fonn pcovidtd. 4. Wlien any new construcliou or rcmadeling is involved,a sepacate building pern�it n�us�be obtained. S. All work must bc done in aeeordanee witli the U�uform Mechanical Cadc/Sl�te Building Code requirements. ' 6. All v��ork u�ust be inspected(rough-in and final). CaU(952)2�{9-4600. (24-48 hour notice tequired) 7. House Heatiug Test Record nws�bc submiued before tjnal. TYPE O�PETZMTT Check All That A 1 �2esideuiial ❑Co�wnercial(Approval Required) G�aekftow Device:❑AV� ❑PVB] ❑New ❑Additionat ❑RepAirs �Replace Job Site!Owner Information: S'rte Address: ��J �J{�1bf1��►r1e.. �r' 4wner: ��15 Mailing Address: � � R,�r c�ry; t�l�owz.a�td. z�p: 55�41 Home Phone: �!«' ��g� u��Gp Alten�ate Plione: Contractor Ynformation: Contractor: �r��►� SuS�'t,17'�Contact person: .1��C��'�r1�..�� Address: u��T�eetate Band#� ,�� DO'35l b Ciry: Zip�Expu-ation Date: Phone: qSnZ��"1�[� Alternate Phone: ❑ lnsurance�Cw�rent: (lp 5 1 Nov. 15. 2017 10; 25AM PRRCTICRL SYSTEMS No. 3876 P, 3 Note:All Geothennal Systems will uow require a Site Plan&Review by our guilAing Of�ficiat. YS T�S G�O'rI�ERMAL? ❑Yes �No �Y�ATYIYC S'YSTEMS . QuantiLy: � Make: Model: �'{�Pd r•ue�: �n�T Flue Size: Input BTIJs: ��L�� Outpul BTUs: ��D_ CFM: COOLING SYSTCi1lS Quan�ity: Make: Model: Tons: H.Powcr FIREPLACES ❑ Gas Factory Fireplacc Brand Nsme: ❑ 'CVood Buc�un�Pireplace ❑ �VooQ Stor�e Model No_: ❑ �Vood S1ave wi�i�Flue/Masonry 'VENTILATION ❑ No. Kilchen Exhaust duct recirculaling cfn� ❑ No. Batl�Exl►aust(must lyave duct outside) cfin ❑ No. Ot�ter Fans: Lacafions ��n� FC1�Y.STORACrE (Ml�sf be Apprpved 6J�Frre Marsl�rrll ifpropasing!o nbando�t Innk i��place.) ❑ L�stallalion ❑ Removal �'uel Oil: gallous ❑ Undergraund ❑Inside ❑Ou�ide LP Gas: gallons Odier: GAS C.Y1V'�Ol�.'Y ❑ Outdoor Grill � Otlier/List'Wl�at 8�1i�l�ere: • h C�� Qa�c.� 4,+�t�. 2 Nov, 15. 2011 10;25RM PRACTICAL SYSTEMS No. 3876 P, 4 1. CON'I"TtACT pR1.CE '"is L25%of conrract price with a(11�lfnfmnm�'ee of$50.00) �'�C�p.tac� X.o�zs$ 50.� (conlracl price) (1111n1mu1n SS0.00) 2. STAT�SCIRC�AItG� ��5 Y_�•ar�X.000S $ I ,a5 (Conlracl price) 3. E'OSTAGE dt T�ANDC.TNCr(Only on Mail-In Applications) $ 2.00 4, TOTAL PER11�llT FEE(Add Lines 1-3 Above) S � � •��_ ■ * CONTkACT PR�CB or JOB COST �neons ll�e actual or escunatcd dollar amount charged for d�e permitted work including malerials, labor,pro6�,and other fixed costs. It is d�e a►nount to bc charged to�he cus�omer for tlie wark done, If a��y material,cquipment,tabor or installaeions are furnished by d�e owmcr, tenanC or a��y o[her parry, tl�e reasouable market value of such items mus� be added to d�e estin�ated cost or contrac(price for permil fee purposes. In d�e er�ent I�at illere is tt dispute on Uie antounl of t�e job eost, �he City may request d�e subniission of a signed eapy of tlie aetual contract. Tl�e undersigaed l�ereby applies to the City for issuance of a MechanicAl Fermit,agrees to do all v�ork in slricC accordance wid� tl�e ordinances of tlie City and the regulalio��s of the State of Nrainnesota,and Certifies tliat all stateu�ents made o�i�his applicatian ate complete,true and cotrect. Ap�liceni's Sig��ature: � Date:� . ' � Cr�"IO�`? �� ( � ��e.s�- i n � �b • � 3:oc� �,n-� �� os5�bl� . C.�,ul� . Qu ��.ase �a1 � r�e � � . �{'o c�n�'� ,rr� . �� d� 1 `�loun . � 3 J -5 ��- DAT �7 TIME \ / CITY OF ORONO CALLED IN � — ��/ V r INSPECTION ICE SCHEDULED ' � ,+�_ PERMIT N � � cgiap,�ErED ADDRESS � �,` OWNER ' T L PH NE NO. CONTRACT � DESCRIPTION �' �' I ' ` �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z �NNERlCONTiWCTOR TO MEET Y�OU:_YES_NO c�n COMMENTS: ¢ a c.�Q,(''� tiG �� bS�"a� �tl D�� YY�ch Ii�4�S oSpe�.S U e�n 4 � c�as Ii'Ne ct� r � � o � �va e�e�i-;c, ou-�-l+rf ��, s f,c I Y d ° �Ft' fi:,�»-t, e-E ;ns p�[s�-�a r�, . W � Q � 2 � W � j W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: �� Inspe�tor: .� �S-�'� '� VYhite Copyllnspector's Fils Canary CopylSfte Notice