HomeMy WebLinkAbout2018-00140 - mechanical ' � � CITY OF ORONO * 2 0 1 8 - 0 0 1 4 0 *
2750 KELLEY PARKWAY DATE ISSUED: 02/09/2018
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1440 SHORELINE DR
PIN : 11-117-23-22-0004
LEGAL DESC : iJNPLATTED 11 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALiJATION : $ 10,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)FURNACE-YORK TMAY-NAT GAS
(1)COOLMG -YORK,2 TONS
(1)KITCHEN EXHAUST-RECIRCULATING
(2)BATH EXHAUST-80 CFM
OUTDOOR GRILL
APPLICANT MECHANICAL 125.00
STATE SURCHARGE MECH(VALUATION) 5.00
ANDERSON COOLING&HEATING
20 HILLCREST DR TOTAL 130.00
TONKA BAY,MN 55331- Payment(s)
(612)202-7673 CREDIT CARD 4786 130.00
OWNER
EOF INVESTMENTS
10 S STH STREET#110
MINNEAPOLIS,MN 55402-
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 sepazate
pertnits. 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 consVuction 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.
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Applic e ee Signature Date Issu By Signature Date
• 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
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�qk�SH��F.G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pemiits 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 caleulation,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 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: � v �
Owner: Mailing Address:
City: �/i�2�d�2�' Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:��.CJ,��Q�/ f��w� Contact Person: �y�/�.d.�".�Sd�
Address: ���«e��-f'% •f�2 State Bond#: �Ii�dD��1'7�
City�/f/�`'���' Z,��,.�����Expiration Date: �� �� "��d
Phone: �/'�Z��76 7� Alternate Phone:
�
❑ Insuranee—Current: �S
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MECHANICAL SYSTEMS BE1NG INSTALLED
Note: All Geothennal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes�No
HEATING SYSTEMS
Quantity: �
Make: 6
Model: ��CI�
FueL• /��
.Z t�
Flue Size:
Input BTUs: �
Output BTUs: J O
CFM: / ZGZ'�
COOLING SYSTEMS
Quantity: �
Make: �/Z�f"
Model: G� 2
Tons: Z
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 ' cfm
❑ No. �, Bath Exhaust(must have duct outside) Q6 cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tunk in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��/� x .0125 $
�(contract price) (minimum$50.00)
2. STATESURCHARGE
x .0005 $
(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 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 far 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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
INSPECTION NOTICE
DATE TIME
CITY OF �/'�O/'I D CALLED-IN
SCHEDULED
PERMIT NO. COMPLETED�2-� -/f�
ADDRESS �yyTO G���'a�.'n.t, 7�r:
OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL O FOLLOW-UP
❑FOOTING ❑INSULATION ❑COMPLAINT
❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE
❑FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑FRAMING ❑SEPTIC INSTALL ❑
� ❑SHEATHING ❑SEPTIC FINAL ❑
❑PLUMBING RI ❑S&W HOOKUP ❑
tL ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑
o COMMENTS: •�i�' ' n
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� FURTHER CORRECTIONS MAY BE REGIUIRED O PERMIT FINALED
� ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p 0 CORRECT WORK&PROCEED
V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑CORRECT UNSAFE CONDITION IMMEDIATELY.
'9�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REGlUIRED.CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr.on site:
Inspector: �S�n �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO�ISL' ��� COMPLETED ' '/�T
ADDRESS 1{J�f� 1S�ora��K� t�� �
OWNER ^ TELEPHONE NO.
CONTRACTOR 1'�'��`��4f�/ � 1�1`�i� � ����ti� �
� DESCRIPTION L/��4ria K.� ��. ��
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
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONiRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORK TISFACTORY:PROCEED ❑PROJECT COMPLETE
� RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CARRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail br the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on�ite:
inspeator: ��✓ -
White CopyAnspector's File Canary CopylSke Notks
� DATE TIME
V
CITY OF ORONO CALLED IN � __ .�
INSPECTION NOTICE SCHEDULED
PERMIT NO.��l�—DUl y���Ereo,P �
ADDRESS 1`�' � �
OWNER TELEPHONE N .���—��-7�7�
CONTRACTOR � '�
� DESCRIPTION
l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ LATHE ��MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING y❑ 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
Q OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �S�ti4�4�l�S . /�p�?�/K�S '' �K
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W O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� �.CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT Y1bRK�►LL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �
Whib Copyllnspector's File Cenary CopylSite Notk:e