HomeMy WebLinkAbout2018-00267 - mechanical � � CITY OF ORONO * 2 0 1 8 - 0 0 2 6 7 *
2750 KELLEY PARKWAY DATE ISSUED: 03/12/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1480 SIXTH AVE N
PIN : 26-118-23-32-0008
LEGAL DESC : DOUGLAS ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 200.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
BATH EXHAUST-70 CFM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.10
B&D PLUMBING&HEATING INC. MAIL-IN FEE 2.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- TOTAL 52.10
(763)497-2290 Payment(s)
Minnesota State License#:mech-MB003016 CREDIT CARD 6866 52.10
OWNER
GULBRANDSON,DAN&ERICKA
1480 SIXTH AVE N
LONG LAKE,MN 55356-
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 separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.Tt�is permit will
expire acid 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 Issued By S ature Date
From:7634974263 03/12/20�8 08:04 #225 P.002/006
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�'�R CI UNLY '
�O A T City of Orono ��, � � ! p �f�,�
<y ?.O.Box 66 Date Recei s�� � Permit# �L ,�1 �O" ""
� 2750 Kelley Parkway = �
Crystal Bay,MN 55323 ,Approved By: __^Amount���
Phonc(952)249-4600 Fax(952)249-4616
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`� � CITY OF ORONO—MECHANICAL PERMIT
t�k�s���� (All Commercial permits must be approved by the Building Official or Inspector antllor 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 MU��'�IQ'�'BEGIIV UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STCE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
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 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)249-4b00.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
` TYl'E,OF PER.NIiT
1 Ch�eck A�i 1'haf A ' 1 :
❑Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVBJ
❑New ❑Additional ❑Repairs �Replace
JQb Site/Owner Information:`.
Site Address: � % �C� �,--,�� �.v e �`.� �.c>>�� L��-� �P�
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Owner:��'"`� ��'`'��'f`'n"�"�`� Mailing Address: � ��`� �'� ��� �
C1Ty: t--(7 Y�� L.L�1-� Zlp: S 3 .7 � �
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Home Phone: Alternate Phone:
Co�tractor Information:
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�t: P��'^b' �; .►G<- i�ws('r.r
Contractor: � • �. r�/� Contact Person:
�� �5 Yha�f.�����;;_ C►"� r%" �.y���,r��C,����
Address: State Bond#:
City: �� � `� ���� �' Zip:j' � �LExpiraxion Date: ° ��-��l f �
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Phone: Px� ��3 Altemate Phone:
❑ Insurance—Current:
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1Vote:All Geothermal Systems will now require a ite Plan&Review by our Building Official.
IS THJS GEOTHERMAL? ❑Yes �No
HEATING 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 Pireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. �_�—�--�- Bath Exhaust(must have duct outside) �cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal!tf proposing to abandan tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
L,P Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other!List What&Where:
2 ;t<;
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I. CONTRACT PR10E * is 1,25%of contract price with a(Minimum Fee of$50.00)
� "�-c�•�. ��� x.0125$ So. o;h
(contract price) (minimum 550.00)
2. STATE SURCHARGE � �..��{> .�-�;
x.0005 $ + ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��' ��
0 * CONTRACT PRICE or JOB COST means the actual or estimated doliar 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. [f 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. ln 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 actua] 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 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: 31/'��/� �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO NOTI E SCHEDULED s� ���
PERMIT N — COMPLETED
ADDRESS ��Y�Sa 5�.��t �e- ��
OWNER TELEPHONE N� 12 • 3 Z�- ��I�
CONTRACTOR
� DESCRIPTION � �- ���rc ri �
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE �AECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� ❑ K SATISFACTORY:PROCEED ❑PROJECT COMPIETE
����RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT VIFDRK�u�R REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Can for the next inspection 24 hours in advance. (952) 249-4600
OvvneNContractor on site:
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Whits CopyAnapecbr's Flb Cenary CopylSiN Notks