HomeMy WebLinkAbout2016-01372 - mechanical ` ` CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 3 7 2 *
DATE ISSUED: 10/27/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 951 SPRING HILL RD
PIN : 26-118-23-44-0002
LEGAL DESC : UNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,015.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX FURNACE
APPLICANT MECHANICAL 62.69
SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 2.50
1408 NORTHLAND DR-SUITE 310 M�IL-IN FEE 2.00
MENDOTA HEIGHTS,MN 55118- TOTAL 67.19
(952)881-9000 Payment(s)
CHECK 17134 67.19
OWI�TER
&JOANNE PASTEL ET AL TRUST,BILL DUNLAP
951 SPRING HILL RD
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
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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 ifconstruction 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.1'his permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued Signature Date
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O City of Orono )d�� `�
� �O P.O.Box 66 p�� � ��016` Date Received: rmit#�l�G�l / �
2750 Kelley Parkway �
Crystal Bay,MN 55323 Appmved By: Aenount$ /•l
Phone(952)249-4��If���
y`�� ��'� CITY OF ORONO—MECHANICAL PERMIT
�k��H�� (All Commercial pernuts 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 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 ON THE JOB SITE.
3. Mechanical Desig�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 ne��construction or remodeling is ir..volved,a separate building permit must he
obtained.
5. All work ust be done in accordance with the Uniform Mechanical Code/State Building Code
requirer�nts.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48�lteat�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]
r��
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 5� 5
Owner�,�(�1�,4�.V1� �Llg-�'C�� MailingAddress: � � 1ti It�•�-
City: �A��,�,�?�A.�'lt. Zip: 5 5 3`1 (
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �d C � Contact Person: ��
Address: j�Ug �h� ������ State Bond#:
City: ���Zip.rjSlZD Expiration Date:
Phone: �S� g�( -�I W� Alternate Phone:
❑ Insurance—Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �
Make: YL
Model: ��_2��,1�6�10�(310�
Fuel:
Flue Size:
Input BTLTs: $����
Output BTUs:
CFM:
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 approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
J�(��s. W x.0125 $ t,c Z•�Q�1
(contract price) (minimum$50.00)
2. STATE SURCHARGE
so� s.� X.000s $ a. s�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l��� �"1
■ * 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 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.
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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: � U -� ��� �
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CITY OF ORONO CALLED IN �l D��'f - T�ME
INSPECTION TIC p�s-cH�uLED ��'—1 a
PERMR NO. �Ul��/�7 `OMPLETED
ADDR -� � ��
O'WNER � � LEPHON NO��� ���D' a.�-3�
CONTR TOR
� DESCRIPTION ��Z�-���-
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNENCONTRACTOR TO MEET Y�U:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� e�RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� j,�(CORRECT VIfORK,CALL FOR REINSPECTION TEMPORARY
V �SEFORE CONERINO PERMANENT
❑(bRRECT UNSAFE CONDiT10N WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
I�specta: p �'� L-
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— � ,/ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED ,
PERMfT NO. '�%��� �C� � 1�cOMPLEfED �
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,
ADDRESS �
OWNER TELEPHQNE N . C��-� ���f L��1
CONTRACTOR ---� -� C � '
� DESCRIPTION � � '
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BUANER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
..t
❑ DEMO-SITE Q�PTIC INSTALL
? OWNERICONTRACTOR TO MEET YOU: YES_NO
y� COII�MENTS: �C� i� ��1/� ��" I i I Z. `��I G �S �(l
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� ❑WORK SATISFACTORY`.PROCEED ROJECT COMPLEfE
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❑CORRECT WOFiK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS_
Cal1 for the next inspection 24 hours tn advance. (952) 249-4600
Owr�rlContractor on s
j��-,
Inspector. 1-� �- -
White CopYAnspector's Flle C�nary CopYlSk�Notice