HomeMy WebLinkAbout2017-00472 - mechanical t �' CITY OF ORONO
t 2750 KELLEY PARKWAY * � 0 1 7 - PJ 0 4 7 2 *
DATE ISSUED: 05/09/2017
ORONO,MN 5535(r
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2010 SHORELINE DR
PIN : 10-117-23-31-0001
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : GAS LINE ONLY
VALOATION : $ 300.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL MSPECTION.
GASLME FOR STOVE/COOK-TOP
APPLICANT MECHANICAL 50.00
A JOHNSON PLUMBING INC STATE SURCHARGE MECH(VALUATION) 0.15
17285 211TH AVE TOTAL 50.15
BIG LAKE,MN 55309- Payment(s)
Minnesota State License#:plbg-PC642542 CREDIT CARD 3222 50.15
OWNER
REDMOND,THOMAS
2010 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 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
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 res ible for assuring all r uired inspections are
requested in co rm ce with the State B ng Code.This permit may be
revoked at a time or due cause.
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Ap ' ermitee Signature Date ssued B ignature Date
� �" � CITY USE ONLY � , /
�' � O City of Orono � � �` d�7—b 7 J�
� NO P.O.Box 66 Date R 'v . � P�mit#"J
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: ��
Phone(952)249-4600 Fax(952)249-4616
y�9 �.��� CITY OF ORONO—MECHA1vICAL PERMI
kES H�g (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 pernut will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIIJ YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications aze required for each
heating,ventilation,humidificarion-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufachuer 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
r Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
ew ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: D�O�� ,�Y�Y� l`A�Q ,�/�uP
Owner: Mailing Address:
City: �,r/5►�l�l� Zip: .Sr.�3o��
—y
Home Phone: Altemate Phone:
Contractor'information:
Contractor: ��6h�►SOl1 ���G Contact Person: ��.t
Address: ��S= a�ll� �e State Bond#:
City: �% G-� Zip:/� Expiration Date: i 2-2�1-��
Phone: �'���f�(� Alternate Phone:
❑ Insurance—Current:
1
..9 �{�3,.�� 4 ��i'i L'��'��R++.. Y�' 1 ,�Pr.i'§�,k�Y-r, �� � , `
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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:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTiJs:
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) cfin
❑ No. Other Fans: Locations ��
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: �
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
20�. �v X .oi2s$
(contcact 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 esrimated 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
estixnated 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.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with e ordinanc of the City and the regulations of the State of
Minnesota,and certifies that s teme de on this application are complete,true and conect.
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App cant s Signature: Date: � l
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CITY OF ORONO �..7� C�LLED IN y"'7� —�---
INSPECTION NOTICE SCHEDULED��� -� ' �7
PERMIT NO. ��7-�7 I �°M�ErED �-
ADDREss �O10 c�G}D�'����✓'� v�
O'WNER TELEPHONE NO. ��' a�- $ T3o
CONTRACTOR �G���
'' DESCRIPTION �`�J I2 ' � �' lD�t.ddC.t� ✓'�S�
� � FOOTING ❑ D -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADIN(3/FIWNQ
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � TAEE REMOVAL
Z ❑ RADON SLAB ❑ MECHAN�CAL RI ❑ SITE INSPECTION
� 0 FRAMING ❑ MECHANICAL FINAL ❑ HATED WALLS
� ❑ INSULATION ❑ WOOD BUHNER/FIREPLACE ❑COMPLAINT
Q � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
Z
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
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W� K SATISFACTOFiY.PROCEED ❑PROJECf COMPLETE
`k��T WORIC a PROCEED ❑ISSUE CERTIRCATE OF OCalP�1NCY
o O OORRECT WOFiK,CALL FOR F�iNSPECTION TBAPORARY
�j BEFORE CWERIN� PERMANBdT
❑OORRECT UNSAFE CONdT10N WITHIN HOUR3. ❑PHOTO TAKEN
IHSPECT'OR 1MLl RET1JfIN
D STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O IN8PEC710N F1EallIRED.CALL TO ARRAN(iE ACCESS.
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