HomeMy WebLinkAbout2017-00656 - mechanical �' CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 7 - 0 0 6 5 6 *
DATE ISSUED: 06/19/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2050 SHORELINE DR
PIN : 10-117-23-34-0014
LEGAL DESC : HARTWOOD
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
l0'GASLINE TO NEW PUMP STAT[ON GENERATOR
APPLICANT
R J MECHANICAL TOTAL
P O BOX 373 Payment(s)
MORA, MN 55051-
(320)679-0602
Minnesota State License#:mech-M6004174
OWNER
BERTA KVAMME TRUST(TOM BROSTROM)
2050 SHORELTNE DR
WAYZATA, MN 55391-
AGREEMEIYT AND SWORN STATEMENT
"I�he 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 iY construction is
suspended for a period of 1 SO 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 �ssued Signature Date
06/15/2017 15:07 3206790356 RJ MECH PAGE 02/04
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V 27$0 Keliey Parkwoy .
Crysmi Eay,MN 55323 Appravcd Sy, Amunnt 5:
Phartc(952)249-0fi00 Fax(952)z49-4b1 G
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`�t G� CITY O�'ORUNO-1VZ�CHANICAL PERMIT
���5 Ha�� �pp Commcrsial pertatils mu�t bc approrCd by thc Building OfCiciA10+'Ingpcctor and/or I�ire Marchal l)
GENE�LA.L INFORMA'I',CO�i
1._ You may�pply fox mechanical peTmits by mail or in peisotl at Tl�e City of'fiCes, Applicatians will
be reviewed and a pertnit w'tll he issued within Cwo working days.
�. Permit cards wiIl bc sent lxy return mail af�t1'a review is complctCd. �,JZM.ITS 1\RE NOT
VALID UN'I�,XOLJ RECEIVE A PERMTT. WORK MUST NO'T BEGTN UNTIL.'�H�
PERMIT C 5 P STED�N B SITE.
3. Meehanical�e 's��n�—Complete calculations,detai.is and specifi.cations arc roquired for each
heating,ventRlation,humidifieation-dehumidification,and air coodStioning installation including
heac Ioss/heat gain calculation,design temperatures,equlpment ratin�s and idenCification a,s to
type,manuTa�turcr�d model. Data shali bcpresentied on form providCd. R�V�IVED
4. When any ncw construction or remodcling is involved,a separatc building pet�mit must be
obtaincd.
5. A,11 work mu�t be done in accorda.nce with d�e Unifatm Mcehanical Code/State Building Code �UN 1 .�i L���
�requirements.
F. All work must be it]spected(rpugh-in and final). Call(952)249-4600.
(24-48 hour notice rcyuired) CITY OF ORONO
7, Hoase Hea.ting Test Record mutt bc submitted before final.
TYPE O�'P�RI�IT
c�������a�A 1
❑R�sidetltial ❑Commercial(Approv&1 ReqUit'ed) [F3ackflow Device:Q AVB [�VBj
,�-New ❑Additibn2l ❑Repairg [Replace •
Job Site/Owner Inforniation. Q�J �-� �
Site Address:�1��K� �� �'J� �� �� G-� � �S ��'
Owner:� a� D Mailing.A,ddx-ess: c���Q ��� 1`���u
City: V-Qn� v ��` i�cc�'1Zip; ��� ��- �
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Homc Phone: Alternate Phone:
Contractor L�armation:
Contractor: l� �a �P��"�'�1 Contact Pers�n: ' -'�'� �r�'�
Address: �• � - �?C� ��� State Sor�d#: �` ;�a�� ���
Cxty: ��� J�_ Zip����Expiration Date: 1� "d-
�k�on,c: ������-��� Alternate Phone:
� lnsurancc—Currcnt:
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06/15/2617 15:07 3206790356 RJ MECH PAGE 03/04
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Note:All Geothermal Systems wzl.l.ndw require a 'te lan&Review by our Building Of6cial.
�S THIS GEO'I'k���tMAL? �Xe.� �No
�a'rnvc sYSTrn�s
Quantity:
�4lalce:
Model:
Fuel: �
Flue Sizc:
Input BTUs.
Outpnt BT'Us: — .
CFM:
coor�nvc 5xS7C�Ms
Quantiry:
Make:
Model:
Tons: �
H.Powcr
FIREPLACES
❑ Gas Factory FirCplace Brand Nente:
❑ Wovd Burning�ireplace
❑ W ood Stove Model No.:
❑ Wood Stovc with Fl.ae/Masonry
VENTiLATIUN
❑ No_ Kitchcn Exhaast duct recirculating cfm
❑ Na. Bath Exhaust{�nust have duct outside) cfm
❑ Na. Othcr Fans: Locatioos cfm
FITEL STORAGE (Must be approveaf by F:re Mersha!!if prnpasorg to a6andon tmRk ue,plae�)
� Installstion ❑ Removai
Fuel 0i1: gallons � Undcrgraund ❑inside Q Out�ide
LP Gas: ,,,,�gallons
Other:
GAS LINE UNLY
` r-�� t, �b
❑ Outdoor Grill � Othtr/List What&Where: --_1-.V--_--=__-�S t►1�Q,.
�f'.i�.� � (�l Yv� S V�-�,��''J� �j R�1�►o�v'c,��"'
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06/15/2017 15:07 3206790356 RJ MECH PAGE 04/04
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1. CONTRACT_P�E `is 1.25%of contraci priCe with a(Minimulmi Fee of$50,00)
x .0125$
(contrsctpricc) (�nlnfmum$50.001
2. STATE SURC�.AItGE
x.00pS �
(conaact pricc)
3. P05TAG�&HANDLING(Only on Mail-In Appllcations) � 2.00
4. TO�'Ai,PERMIT FEE(Add I..ines 1-3 Above) $�
■ "' CQNTRACT PRICE or 30'B COST mcans th.e actual or estimaEed dollar amount chargcd f'or lhe
permittcd woik ittCluding matcrials, labo]',profit,and othcr fixcd costs_ It is the amoLmt Co be charged.
to t3te customer for t]Zc work done, if any material,cquipme�t,labar or installati.ons are furnished by thc
ot�mer, tenant or any other party, tl�e reason2bie m.arket value of such items musc be addcd t�o the
��timated cost or eflnt'ract price f4r permit fee purposes. 1n thc cvent that there zs a disputc on the amount
pf the job cast, Che City may reqacst the submission of a signed copy of the actual Contt'H4t.
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The undersigned laereby applies to the City for issuance af a Mechs�nical Perznit, agrees to do all
work in strict accordance with the ardinances of t1�e City and the reg�ulations of tk�e State of
Minoesota.and cerciFics that all st,�tements zrtade on this application are cc�mplete,true and correct.
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Applicant's Signaturc: � � Date: � �� ��
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