HomeMy WebLinkAbout2017-01570 - mechanical CITY OF ORONO * z � 1 7 - 0 1 5 7 P� *
2750 KELLEY PARKWAY DATE ISSUED: 1U28/2017
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1760 SHORELINE DR
PIN : 10-117-23-14-0017
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 20,922.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)BRYANT NATURAL GAS HEATING SYSTEMS
(2)BRYANT COOLING SYSTEMS-2.5&2 TON
(1)KITCHEN EXHAUST-8"DUCT-600 CFM
(7)BATH EXHAUST
GASLINE TO OUTDOOR GRILL,RANGE,2 DRYERS,FIREPLACE,LOGSET LAMP,2 FURNACES,GENERATOR
APPLICANT MECHANICAL 261.52
STATE SURCHARGE MECH(VALUATION) 10.46
AIR MECHANICAL, INC. MAIL-IN FEE 0.00
16411 ABERDEEN ST NE
HAM LAKE,MN 55304 TOTAL 271.98
(763)434-7747 Payment(s)
Minnesota State License#:mech-MB005122 CHECK 50903 271.98
OWNER
Woodhouse Shoreline LLC
600 HIGHWAY 169 S#701
MINNEAPOLIS, MN 55426-
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 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.
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Applicant Permitee Signature Date Iss d By Signature Date
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FOR CITY USE ONI.Y
�O�O Cit,y of Orono
P.O.t3ox 66 Date Received: Permit# �pZ�S �
2750 Kclley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:��t,YY
Phone(952)249-4600 Fax(952)249-4616
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`qKESH���G CITY OF ORONO—MECHANICAL PERMIT
(All C'oin�nercial pennits must bc approved by the Building Oflicial or Inspeclor and/or Firc Marshall)
GENERAL INFORMATION
L 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 i��cluding
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 ar 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 ❑Additionai ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: 17�v(;r ��G�`2 �� y�(1 ���
Owner:/��j� �G>1� Mailing Address: ���U �(p�'�,�vi��
City: (�('C�c� Zip: ��.>��
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �'�( �U�L�'�,Ccti� Contact Person: <<���1/����
Address: �(9�-1�( J`��P.Cd.Q2t%��� State Bond#: �I��LYSS ��a-
City: ��i-tn� L�V-�t- Zip:���� Expiration Date: �'J�a-S���b�
Phone: �(9 3-�I�I���37�S� Alternate Phone:
❑ Insurance—Current:
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MECHANICAL SYST�MS BEING 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: .��'
Model: G��p���> G ) �a�2 ��3�G�
Fuel: ��.�'�C.�' �iG.`� "�''��Cc;�� !'�G`�
Flue Size:
Input BTUs: �['D, (�
Output BTUs: ���� �(����
CFM:
COOLING SYSTEMS
Quantity: �
Make: Cn� �
Model: ��\�u��D ����.l�i�Q,�CI
Tons: ,z��
H.Power
FIREPLACES
, � Gas Factory Fireplace Brand Name:
�] Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
il
� Na � Kitchen Exhaust�;_(�'(�duct�recirculating �� cfm
❑ No. —j Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Murshall if proposi�:g to aba�tdon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
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[X� Outdoar Grill � Other/List What&Where: (�L�-Hc.�Q i a�(��(�, t`��et..'�C��Q� �(��jQ�s
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2 1wK1p I��c,trnc,.-Cst.`�l����.�-o`�
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
C x .0125 $ �.� � , ��
contract price) (minimum$50.00)
2. STATE SURCHARGE r,
x .0005 $ �l./� � CF
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���l � l�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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.
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: « ���
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� CITY OF ORONO CALLED IN
INSPECTIO OTICE SCHEDULED ta_� �
PERMR NO 'G COMPLETED
ADDRESS �7�0 Sr[.Ul'e-I!✓L.� ��
OWNER TELEP ONE NO.�I�'3''�'a7�
CONTRACTOR �� �� �G-` �
� DESCRIPTION ►\• � ��r � `-��
4~j ❑ 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 ❑ 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
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERlCONTRACTOR TO MEEf YiOU:_YES_NO
v�i COMMENTS:
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��f110RK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING �RMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pF{OTOTAKEN
INSPECTOR WlLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cau for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCorrtractor on gite:
Inspector:
White Copydnspector's Fik Canary CopylSMe Notice
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� _ DATE a TIME
CITY OF ORONO CALLED IN _ - ls�
INSPECTION N �J HEDULED
PERMIT NO. � �f P ED
ADDRESS �
OWNER � TELEP ONE NO. 3� �7 7
CONTRACTOR r( e�
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FI ❑ 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
2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: S.�o�/v /�+rf`'�r'� ci�'t'�r'�
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W �WORK SATISFACTORIF PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WlLL REfURN
❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
��5��: �f� ti 1{
White CopyllnspectoPs File Canary CopylSlte Notiee