HomeMy WebLinkAbout2017-00487 - mechanical " CITY OF ORONO * z 0 1 7 - 0 0 4 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 05/12/2017
r ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2010 SHOREL[NE DR
PIN : 10-117-23-31-0001
LEGAL DESC : UNPLATTED 10 1 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 2,700.00
NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL[NSPECTION.
ADDING:VENT[LAT[ON- l,KITCHEN EXHAUST, 1 BATH EXHAUST, 1 DRYER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.35
SR MECHANICAL MAIL-IN FEE 2.00
6757 OXFORD ST
ST. LOUIS PARK, MN 55426- TOTAL 53.35
(952)658-5448 Payment(s)
Minnesota State License#: mech-MB004130 CREDIT CARD 9763 53.35
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
no[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 l80 days at any time afrer work has commenced.
'rhe 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 � l' �� l �� � j�\ (_`���� � � _ C � ��� ''�C r—�� f C� i 7
Applicant Permitee Signature Date Issued By Signature Date
From� 05/10/2017 14:29 #071 P.002/004
FOR CITY USE ONLY
�O, ` City of�rono t' I l .1 ;��� � � ��`�4 �
1�/ P.O.6ox 66 Datc Rcccived: � Pcrnut# `
O 2750 Kelley Parkway . ,�
Crystal Bay,MN 55323 Approved Ry: ��'�-' Amount S: �� �j �S
� Phone(952)249-4600 Fax(952)249-4616 � -�
.� �. ----
y� �
�qk�SN��F.G CITY OF ORONO—MECHAl�'ICAL PERMIT
` (AU Com�nercial pennits must be approved by the Buiiding O�cial or Inspector an<i/or Fire Marshall)
GENERAL INFURMATION
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a pennit will be issued widiin two working days.
2. Pemut cards will be sent by return mait after a review is completed. PERMITS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTI�.THE
PERMIT CARD IS POSTEb aN THE JOB S1TE.
3. Ylechanica!Desiens—Complete calculations,details and specifications are required for each
heating,veniilation,humidificatiot�-dehumidification,and air condiYioning instaltation includang
heat loss/heat gain calculation,design temperatures,equipment raiings and identification as 20
type,manufacturer and model, Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pemiit must be
obtained.
5. All work must be done in aeeordance with t6e Uniform Mechanical Code/State Building Code
requirements.
6. All work must be 4nspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Tesr Record must be submitted before final.
TYPE OF PERMIT
{Clieck All That Apply)
�Residential ❑Commercial(Approva)Required) [Backflow Device: ❑AVB ❑PVB]
❑ New �Additional ❑ itepairs ❑Replace
Job Site/Owner Information:
� t` ,
SiteAddress: 0/�' �r'���G. ��1�`_ ��r`,��,,..
f E �
Owner: ����!';'����::d= �C'��a, MaifingAddress: ��'���----
City: �, �!"'�r" �'Fr Zip:
Home Phone: Alternate Phone:
Contractor Information:
�l% ' �7
Contractor: J�', / '��'-�`�� � '���..� Contact Person: l•- J. (:;�n,.�l� �
C-p�,r., '
Address: �i � ! ��;%.�°--'��_c� ��' State Bond#: ���C:sC';��� ?�(�i
�
City: ,���/��'� �'--����E� Zip:I��?%-1 Expiration Date: � �3 0"��:�
�j:�� �j~.` ���� "� �"'r i _.�("'�"".,C�"I j I�L%
Phone: � ,;,� ' 1� , �.� Alternate Phone: I�,.�� _� � r
❑ Insurance—Current� ��� �
I
From: O5/10/2017 14:29 #07� P.003/004
:i ' , . _ " � .,.. t 5} k' 'v - -.:
,<... .... .:. ...�z,. .:; .�,,.��������,,���' ��'��,'����.�,��.�i���':�...�r � -
v �
x.
Note: All Geothermal Systems will now require a Site Plan&Review by our$uilding O�cial.
IS THiS GEOTHERMAL? ❑Yes [�No
HEATiNC SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Modei No.:
❑ Wood Stove with Flue!Masonry
VENTILATION ��'c:�G�•��. �jf ���'�71r J����� '� ��t�.� i'1��:1� ��ec�-- .
� No. ( KitchenExhaust (o"� duct �(?c�i� recirculating d�% cfm
� No. __�___ Bath Exhaust(must havc duct outside) ;�`:� cfln
No. �_ Other Fans: Locations�.���'" �cfm
FUEL STORAGE (Must be upproved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fue[Oil: gallons ❑ Underground ❑lnside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Qther/List What&Where:
2
From: O5/10/20�7 �4:30 #07� P.004/004
. ,.. . . , . .. . ., ,
. . .�:- �' ��:
" : P�RMI'I"FEE CAL���T��ON� `
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.0� �
ra�,�y 1:. L��
�(, �f�`'r�` �� X.�12$$ �J �:
� lcontract pricc) ( ' um 550.60)
2. STATE SURCHARGF. � j `�'` ��� j 3�
�.c� t��'�.' �.� x .0005 $ �
�(contract price)
3. POSTAGE&HANULING(Only on?vIail-Tn Applic�tions) $______,�.�';,���
.:. � � �S
..:�:-- ��
Q. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ -�
■ * CONTRACT PR10E or JOB COST means the aciva! or estimated dollar aiuount charged for the
permitted work ineluding materials,labor,protit,and other fixecl costs. !t is the amoutat 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 i[ems must be added ro the
estimated cost or contract price for permit fee purpuses. In lhe event tl�at there is a dispute on the amount
of the job cast, the City may request the submission of a signed copy of the actual contract.
` MECHANICAL PERMIT APPLICATI�N AC3R�EMENT. , :
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with tl�e ordinances of the City and the regulations of tlie State of
Minnesota,and certifies that all statements made on this application are complete,true and correct.
1 ,... ,: , .� ,
/� � t �r �
�� 1,�,� ��� � • �`
Applicant's Signature: 1,,.�'---,�.�, . ' `�''y1' Date: � � � �
3
J� �
�-� nMe
CfTY OF ORONO c,�►LLED IN
iNSPECTION N TIC � �SCHEDULED � /7 � Z�
PERMIT NO. MPLETED '
ADDREss a�l b ��`-�'����IfiC.l�Le, l UP
O'WNER TELEPHONE NO. ��'-a'9�` ��
CONTRACTOR ' ' �� 7�
'' DESCRIPTION ���� _�V�� `�--��''--
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q O�WlIER!lCONTRACTOR MEET Y�U:_YES_NO
2 n
� COMMENTS: _ ``��
W� G'�i /j ' r�' rt IGL� •
oe�noaQ.�/ - Y�� �� �.���t�- �./�
'' - ��t�i ��. - G - .�-y¢� �r��s� -
� ,
° V��'� �� I�J/ �K�cc�ts r r�'S 5im�S �`ia7�
�
Q ti �� .i .t6/Q Q� e li,e �-..T �
2 �^.d� � � ^ .� e i'a r� � - �
� h�4� /lO���.� �y cb.�t. .
�
� ,�P/•�:�-��t¢l�
�
� ❑WORK SATISFACTORY:PFiOCEED �i,QJECT COMPLETE
W O OORRECT WORK a PROCEED O ISSUE CERTIFlC/1TE OF OOCUPANCY
O ❑f.bRRECT WORK,CALL FOR REINSPECTION TE�APOFiARY
V BEFORE CdNERINO PERMANBdT
❑(�qRECT UNSAFE CONDITION WITHIN HOURS. p p�.�pTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
O INSPEC710N REWIRED.CALL TO ARRAN(iE ACCESS.
CaN br the next inspeation 24 houra in advsnce. (952) 249-4600
OwnerlCoMrector on site:
Inspector:
wn+a covyn��tor.Fia c.�.ry coprisn.�o�e.