HomeMy WebLinkAbout2017-01539 - mechanical t -,
CITY OF ORONO * 2 pJ 1 7 — 0 1 5 3 9 *
2750 KELLEY PARKWAY DATE ISSUED: 1U2U2017
ORONO,MN 55356-
(952)249-4600 FAX: 952) 249-4616
ADDRESS : 4380 SIXTH AVE N
PIN : 31-118-23-12-0018
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,500.00 ,
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)GOODMAN HEATING SYSTEMS
(1)GOODMAN A/C LTNIT
(1)KITCHEN EXHAUST-200 CFM
(2)BATH EXHAUST-50 CFM
GASLINE FOR FUTURE FIREPLACE AND FUTURE GARAGE HEATER
APPLICANT MECHANICAL 106.25
STATE SURCHARGE MECH(VALUATION) 4.25
BARTHEL HEATING AND A/C TOTAL 110.50
5495 MAIN AVE NE Payment(s)
ALBERTVILLE,MN 55301- CREDIT CARD 4631 110.50
Minnesota State License#:mech-MB665078
OWNER
MICHAEL DEMENGE&KURTIS WOLBECK
14226 NEBULA ST NE
CIRCLE PINES,MN 55014
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 goveming 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 conformance with the State Building Code.This permit may be
revoked at y time f use. '
/�/ /// a� / /�
Applicant Permitee Signature Date Issued By gnature Date
� FOR CITY USE ONLY
. ' ,�O A T City of Orono
i P.O.Box 66 Date Received: permii#�
VO 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fa�c(952)249-4616
����k� �g�CG� CITY OF ORONO —MECHANICAL PERMIT
SH (All Commercial pennits 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 wili be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,THE
PERMIT CARD IS POSTED ON 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 pemut 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 fmal.
TYPE OF PERMIT
Check All That A 1
�'Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ��3�L' ( �,�,,n�, rL p �_
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: '��r�s�d f.���i n-�� �. l�j(,., Contact Person: �-�n�� l��,r�'�.i
Address: S��i`,5� ,�,�,'-.� �,,� rL� State Bond #: f►if3�,L• �����
City: ,��1►,-e:�-ti,i�L. Zip: �5�c�� Expiration Date:
Phone: ��/,�.-3G���`i�-;�1 Alternate Phone: F 1���E 3--`i�3 t
❑ Insurance—Current: -S��c,+e fr,-.,-.
1
MECHANICAL SYSTEMS BEING II�TSTALLED ' � �
Note: Al] Geotherma] Systems will now require a Site Plan &Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity:
Make: C��t%r-�`^
Model: �S 5������
Fuel: �1�{-
Flue Size: � \
Input BTUs: �•��'�
Output BTUs:
CFM: /S ��'
COOLING SYSTEMS
Quantity:
Make: G�-����•,�
Model: �T� I �`� C i
Tons: � 'S
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 �C,� recirculating ��'�� cfrn
� No. �_ Bath Exhaust(must have duct outside) S�� c�
❑ 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 LII�E ONLY
❑ Outdoor Grill 0 Other/List What&Where: ''�^'�Z �`r�- �����---
�.k...z� �cY��� �..c-V tl
2
PERMIT FEE CALCULATIQNS
1. CONTRACT PRICE * is 1.25%of contract price with a(A'Iinimum Fee of$50.00)
� .-- �
�S (-''U"_.��— x A125 $
(cont�act 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) $ ll d• 3�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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
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.
- 1VIEC�IANIC�,PE�'II'T�'PLiCATI�N A��EIV[ENT : .
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.
%' T�__.--�
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Applicant's Signature: �/�,�t� ` c_ , Date: �� �
3
�.� �-�- ✓
DATE TIME
CITY OF ORONO D15?j� CALLED IN �/—�l7/7
INSPECTION TIC SCHEDULED !,/-a8 i7 .�
PERMIT NO. c MPLETFD
ADDRESS
OWNER T LEP �N07 5�g��
CONTRACTOR
�; DESCRIPTION ���� 1' �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE �A�ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
� COMMENTS: �'�' /��G°d��ccS'�'— Ol� '
� —,�i �ns —D�
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W� ❑WORK SATISFACTOR`�PROCEED ❑PROJECT COMPLETE
� �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT VYORK CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OvmedContractor on site:
Inspector. �/��--
YVhite Copyllnspecto�'s File Canary CopylSke NWice
��l
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION I�,Q�ICrE DI�� 3CHEDULED ��.� • �
PERMIT NO. v< < COMPLETED
ADDRESS L'��V �i� /�-f'11�
OWNER + ELEPHONE NO. ' �I
CONTRACTOR 4�' �--
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
��3 ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ LATHE ❑ 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
� OYVNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:�qNov+�G�'c r �k g�1 •F•'�-vre�l
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W
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W
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W��1d�VORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VYORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pf{pTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-4600
OMrneHConiraator on site•
Inspector: �s D `�I—
White CopyAnapector's File Canary CopylSite Notke