HomeMy WebLinkAbout2014-00807 - mechanical CITY OF ORONO
* 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 S PJ 7 *
DATE ISSUED: 07/29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1265 SHORELINE DR
PIN : 02-117-23-34-0010
LEGAL DESC : REG. LAND SURVEY NO. 1 123
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 900.00
NOTG: REVISt? EXIS"I�ING IN}'LOOR HEATING 1'OR RF,MODEI,ED MAST�:R BATH AREA
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.45
PALADIN PLUMBING LLC MAIL-IN FEE 2.00
13963 45TH PLACE NE
ST MICHAEL, MN 55376- TOTAL 52.45
(763)432-5260 Payment(s)
CHECK 3163 52.45
OWNER
MCCABE, ROGER
1265 SHORELINE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
'fhe 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. 'I�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.This permit will
expire and become null and void if construction authorized is not
commeneed within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter 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 an time for due cause.
� L
'�� �� / /
Applicant Permitee Signature Date [ssued By nature Datc
� � !A.
�
� FOR CITY USE ONLY
�O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
� �
y �
F `
�qK�SH���G CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits 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 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 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 wark 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 Ap ly)
�Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job Site/Owner Information:
Site Address: �,� ��-� .�'�-�"��L�7Li y��'Z'J`
Owner: �� ��%'�`'�`�-� Mailing Address: ����'��
��
�
City: (`i,��� Zip: .�� �5 ,� � /
Home Phone: Alternate Phone:
Contractor Information:
�/ n�� / � r
Contractor: C%�.z� +� �G�crj Contact Person: ��-��
c
Address: /'��1�� ��-5 �^,"� ��� State Bond #: [�i3fiC j li 3 �.
City: ����%�%�� Zip:7��)C�� Expiration Date: Gi �_ ��� '�0/(�
Phone: '�(�,3-�3���ls��L� Alternate Phone: /,L�L-7)(�'"l�l/
❑ Insurance-Current:
1
��f s M
MECHANICAL SYSTEMS BEING INSTALLED �
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: ��,�'�;rC.d�% ���11� �� �? ,� � 6
;
Make: / ► °�,�..��— �C�4� �.�-L.ti
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
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 cfin
❑ No. Bath E�chaust(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:
2
.
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludinQ 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 $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS 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$50.00)
�' /' � r c�
4�('��� x .0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING (Only on Mail-ln 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 wark 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
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:� 4'/ �4� �
�
3
/
� D T TIME✓
CITY OF ORONO CALLED IN 7"'��
INSPECTION OTI �Q p D 7 SCHEDULED �-_�_ _-_1�__� �
PERMIT NO. o COMPLEfED
ADDRESS �� s ���
OWNER TELEPHONE NO.76 3 `�3 Z �O
CONTRACTOR ��a-� �+�
� DESCRIPTION M�� ` I rl �I �
� ❑ FOOTING p PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG
Q ❑ POURED WALL �MECHANICAL RI p LAKESHORE/WEfUiNDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TFEE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/REMOVAL
? OWNERICONTMCTOR TO MEET Y�OU:_YES_NO
c�., COMMENTS:
W r/ ` � L � —
� �h�'f'�I� � �j.�v � l��r �.GJ� /�e��.�
�
J
O ' / /� � _
� �u/��I�� �/dLRlG�lft/al ��N r �I��GG�/+�L��O�
O
�
W
Q D� � �f/Q ✓
�
2
�
W
2
j
� � KSATISFACTORY:PROCEED ❑PROJECT COMPLETE
w ❑CARRECT WO PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 inspection�4 hours in advance. (952) 249-4600
Owne ractor on s' . C��`g
Inspector: ^-'
Wh te Copyllnspector's Ffle Canary CopylSite Not�e
<i/� " �� AT — TIME
CITY OF ORONO �� ALLED IN �
INSPECTION TI SCHEDULED 3�du
PERMIT NO. -- OMPLETED
1
ADDRESS
OWNER TELEPHONE NO.
CONTRACT�R � � �.Cs �
�
� DESCRIPTION � TLw,��✓��►�-
�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS: "
a �/l ��Q6� /'� �-7Llc� D/1�%� P�Y�S`�s�_
O --c�7���1�.� - G..�.�a,� 3db-�=- ' --Z�4�b,.i� C'/`ec�s�2
� r/y/�J �
� ~— e
� j �
W Cl1'YILL� T(/jif��
�
Q
�
Z
c
W
�
j
� ❑WORKSATISFACTOR`�PROCEED ,�ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ��IS'UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractoron site: G��91
Inspector: ^�'
YVhite Copyllnspector's File Canary CopylSite Notke