HomeMy WebLinkAbout2016-00264 - mechanical , CITY OF ORONO * Z 0 1 6 — 0 0 2 6 4 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1432 SHORELINE DR
PIN : 11-117-23-22-0014
LEGAL DESC : UNPLATTED 11 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOPI TYPE : MECHAMCAL-MULTIPLE
VALUATION : $ 14,505.00
NOTE: REPLACE: 1 HEATING SYSTEM(LENNOX), 1 COOLING SYSTEM(LENNOX), 1 - 10°KITCHEN EXHAUST BOOT
APPLICANT MECHANICAL 181.33
STATE SURCHARGE MECH(VALUATION) 7.25
ABEL HEATING&COOLING MAIL-IN FEE 2.00
6501 COUNTY RD 15
MINNETRISTA, MN 55364- TOTAL 190.58
(952)472-2665 Payment(s)
Minnesota State License#: mech-MB003400 CHECK 20891 190.58
O W NER
JOHNSON,MATTHEW&SUSANNE
1432 SHORELINE DR
WAYZATA, MN 55391-
AGREEMENT A1vD 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 does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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 7
revoked at any time for due cause. �(i{7
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Applicant Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
� Ci of Orono �j�
,�O�O P.Box 66 Date Received: 3/�11�ermit# Z�� ��
/ 2750 Kcllcy Parkway � ��
/ �t Crystal Bay,MN 55323 Approved By: �Amount$:
� Phone(952)249-4600 Fax(952)249-4616
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��k�s H���.�' CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshail)
GENERAL INFORMATION
1. You may apply far 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 BECIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—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 tinal). 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 ❑ Repairs �Replace
Job Site/ Owner Information:
Site Address: � i-�,3 Z S(��,� e, � : h re, �'�r.' ��
Owner:�Y�,�{,.f'�' ��,� S e�(�T Mailing Address: ��-}�3 Z ��Gv� �;�,� �r ,
City: �i`'t�v►O Zip: 5 S 3 1 �
Home Phone: Altei''n�jte Phone: � � � � �d � `"'� S ��
Contractor Information:
F�'°�� -}�ea.�-'e►� ��e�.,�, {'� r`r�����
Contractor: i• �, C�+ I � Contact Person:
Address: t� � �t'w�'I'- � �� State Bond#: Y1'L I'J E�� �� � �
City: ����G� Zip: �J 5�yExpiration Date: / C��l �,1 � �O
Phone: �5,2��7 Z�'Z(pf�� Alternate Phone: q 5.Z- �•��-- 3 I � �
❑ Insurance-Current: �z c�P,���w�-.e_G� � q �(A �6-Z
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �
Make: �..P.v► Y��x
Mode�: EL,2,�6UIfo�iOXV�-1�3 �.
FueL• , �i..
Flue Size:
Input BTiIs: � 1 (�� 0 d �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: `
Make: L Lvt.►'l O 7C
Mocte�: �(C.�,O—c7t-lg 23 O
Tons: 1
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION C Ki i-G�r� °e�ti(t�Gj�' � �►^dU : cp�c� by �lo�.v�� t�l.v�e'�'
W�e,l �-o �, �5 ��.i � ��,� k; �-c,laeh ,e.yc�a-u5f laoo�J ,
� No. �_ Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locarions 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 CALCULATIONS
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
� I �I ��'�S • C�O x .oi2s$ ( � I � .��
(conhactprice) (minimum$50.00)
2. STATE SURCHARGE
� I � Sdj� ��x.0005 $ � . �-
(contract pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ i � � � J��
■ * 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 pnce 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: �/ ���l �
��,-g!;��
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_-— �`"�P DAT TIME �
CITY OF OIRONO CALLED IN �`/ �.L�
INSPECTION NO ICE �y� )I�SCHEDULED �-�L� ' 3�
PERMIT NO. ' C�� � `w0{'� COMPL ED _
ADDRESS I � � ��`'"`--E-� '�.���'`E-'
OWNER — TE P�HONE NO.��� �7�-�
CONTRACTOR L
� DESCRIPTION T�-�����-L � ��-A-��---'
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FiLLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W �QA10R14SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
WO CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerfContractor on site:
Inspector. �`""' �
White Copyllnspector's File Canary CopyfSite Notice