HomeMy WebLinkAbout2014-00822 - mechanical '� � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 B 2 2 *
DATE ISSUED: 08/0112014
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. 1123
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 705.00
NOTE: 2 BATH EXHAUSTS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.35
PRECISION HEATING&COOLING INC. MAIL-IN FEE 2.00
3650 CHESTNUT ST.N
CHASKA,MN 55318 TOTAL 52.35
(952)556-0187 Payment(s)
CHECK 11250 5235
OWNER
MCCABE,ROGER
1265 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 pertnit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of(aws 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 construction 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
\���i�u"�-'�.. l l
Applicant Permitee Signature Date Issued By i nature Date
� � .
FOR C1TY t#SE 0!NLY
�A'O City of Orono
�y P.O.Box 66 Iaete Receivod: 1'crmit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amamt S:
Phone(952)249-4600 Fax(952)249-4616
y`�� �.�� CITY OF ORONO—MECHANICAL PERMIT
� '�fSH�Q` (pll Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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[S POSTED ON THE JOB SITE.
3. Mechanical Desiens—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�QF P�RMiT
Check All'I'hat 1
�Residential ❑Commercial(Approval Required)
❑New ,�Additional ❑Repairs ❑Replace
Job Site i()wner Inforniation:
Site Address: �o�� � ����"��►n� Ur
Owner:lS�scj ����� Mailing Address: �a�iS� Sh1,re�,L2 �
c�ri: D�a�n� z�p: SS 3Q1
Home Phone: qsa 33 y �3 17 Alternate Phone:
Contractor lnformation:
` 1 ` �
Contractor: ��'«`S��-^ ��''^5 �` ��'�^Contact Person: ��rc Ti_.,,�r�i
Address: 3�SD C�,eS�r� ��'' State Bond#: /�RDa�y�3g
City: �-'�G��� Zip:SS3��Expiration Date: �����6/1/
Phone: �i� 5'S� a��7 Alternate Phone:
� Insurance—Current:
1
. .
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 BTLJs:
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 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 plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �
❑ Outdoor Grill ❑ Other/List What&Where:
2
r .
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fi�cture 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 Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
7vh � ' ��
X.oi2s$ _h� `
(contract price) (minimum$50.00)
2. STATE SURCHARGE x �
x.0005 $ "..C�
(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 dollaz 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.
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.
A licant's Si ature�-✓ G ti V � Date: �/�
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¢ AT� TIME
CITY OF ORONO CALLED IN �� � �.�_
INSPECTION OTI Z�SCHEDULED � ����
PERM(T NO. ��D�2 COMPLEfED
ADDRESS �� s � �
OWNER . , TELEPHONE NO.�2 ��S �3Y Q
CONTRACTOR �/�«���'�^ f�
� DESCRIPTION /"I� ��
�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
r 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
Z OYYNERICOMRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W�[YyQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT Y1fORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REW IRED.CALL TO ARFANGE ACCESS.
Cau forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspe�tor: `
White Copylinspector's File Cenary CopylSite Notke