HomeMy WebLinkAbout2016-00365 - mechanical �
CITY OF ORONO * 2 0 1 6 — 0 0 3 6 5 *
r 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2300 SIXTH AVE N
PIN : 27-118-23-32-0002
LEGAL DESC : UNPLATTED 27 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 600.00
NOTE: (2)BLACKHEAT NATURAL GAS FURNACES-(USED UNITS THAT WERE GIVEN TO HOMEOWNER-NOT INCLUDED IN
VALUATION)
GASLINE FROM MAIN TO BARN
APPLICANT MECHANICAL 50.00
C&M PLUMBING&I-�ATING STATE SURCHARGE MECH(VALUATION) 030
610 CENTRAL AVENUE TOTAL 50.30
BUFFALO,MN 55313- Payment(s)
Minnesota State License#:mech-MB003954 CHECK 20393 50.30
OWNER
O'ROURKE,MR.&MRS.BARRY
2300 SIXTH AVE N
LONG LAKE,MN 55351r
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 separatc
permiu. 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 responsible for assuring all required inspections are
requested in confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee S�gnature Date- Issued By ignature Date
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—_� �OR QITI'L�SE ONLY
City of Orono / ��
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� �O�O P.O.Box 66 Date Recei !b Permi[# ��'
2750 Kelley Parkway ��t.
i Crystal Bay,MN 55323 Approved B��: Amount$: �
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�� Phone(952)249-4600 Fax(9�2)2d9-d616
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\k�SN��4FG CITY OF ORONO-MECHANICAL PERMIT
�,__�� (All Commercial pennits must be approved b}�the Ruilding Ofticial or Inspectar and/or Fire Marshall)
GENERAL INFORMATIQN
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 OIY THE JOB SITE.
3. Mechanical Desi�ns—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)249-4600.
(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 ❑ Additional ❑ Repairs ❑ Replace
Job Site I Owner Information: �
Site Address: o� ��C��� �� � (?-�- � ` �' � ` �Cj�
Owner: t' `:}-- �J i�i�-K� Mailing Address: C�m ��
c��: ��n�A L_�x.�K� z�p: ,�_���� ,�
Home Phone: �'`-��-�-J�-]`j-(�1)(:%'� Alternate Phone: ���-���-�`7(�-�(�J
Contractor Information:
Contractor: C,�- � ��a_m47i (��� Contact Person: n11 K�_
Address: State Bond #:
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City: -(;i, 7 Zip: Expiration Date:
Phone: ��� �"�( �j ���� Alternate Phone:
❑ Insurance-Current:
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'1��E�HAN�CAL SIrSTE�"�����r�T�'T��LED;
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [j�]No
HEATING SYSTEMS
Quantity:
Make: �)�(�C'•�h P('.1.�
Model: ��'�
Fuel: �CL CpCj�-j
Flue Size: � � (�C�'��
Input BTUs: l.�b� ��i�
Output BTUs: �� n(��
CFM: I� A � ��(`�'
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) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be upproved b��Fire Mnrshall if proposing to abandon tank in place.)
❑ Tnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE Ol�1LY
❑ Outdoor Grill � Other/List What&Where:�'n►yl �C�l I'1 T f) .�lrn
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PERI�IT�'EE CALCIILATIONS
1. COI�TTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�p(/V• Q� x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
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 estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the air�ount to be charged
to the customer for the work done. lf 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.
MECHANtCAI.. PFRMIT APPI,TCA't"IC)N ACiREEMENT
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 co►-rect. �
,
Applicant's Signature�C���► �� Z.{/��� Date: �— ������.�
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CITY OF ORONO CALLED IN �
INSPECTION N �++EDULED - ��
PERMIT NO. � ��-3�0 cg�nPLETED .
ADDRESS �L�� ✓<<��77��--�^�� �
OWNER E PHONE O. ��� ��7��
CONTRACTOR ry G
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNEA/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 2
OwnerlContractor on site:
Inspector.
White Copyllnspector's File anary CopylSite Notice
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1�\. � DATE TIME
r CITY OF ORONO � CALLED IN
INSPECTION NOTICE ��� scHE�u�E� I(o _..�.(� :.�
PERMIT NO. � �oS COMPLETED
ADDRESS � 3�� s �
OWNER TELEPHONE NO. Z b Ol ��
CONTRACTOR ( � � �� ���e)
� DESCRIPTION ���� �/ � ���- �
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �IECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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c�.� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILI REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
v�uSp �TION REQUIRED.CALL TO ARRANGE ACCESS.
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a11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner tractor on site: „�� � ,�101��
Inspect -
White Copyllnspector's File Canary CopylSite Notice
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� DATE TIME
CITY OF ORONO cnLLED IN 7 �-'
INSPECTION NOTICE SCHEDULED �S� �
PERMIT NO. ���'�3� MPLEfED �
ADDRESS �-�6� G�
OWNER EPHONE NO. ���gd�7 ,�-
CONTRACTOR `f
� DESCRIPTION
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t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �AAECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ��❑�/OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOIdTMCTOR TO MEET 1POU:_YES_NO
c� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector: ��'►�-
Whits CopyNnspector's Flle Canary CopylSite Notke