HomeMy WebLinkAbout2016-00149 - mechanical ° " CITY OF ORONO * 2 0 1 6 - 0 0 1 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 02/1 U2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1025 SPRING HILL RD
pIN : 26-118-23-43-0045
LEGAL DESC : LJNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 25,000.00
NOTE: (1)TRANE FURNACE
(1)MODINE FURNACE
(1)INFLOOR RADIANT HEAT
(1)TRANE A/C
(1)BATH EXHAUST ,
GASLINE TO(2)FIREPLACES
GASLINE TO DRYER
HIGH PRESSURE GASLINE
APPLICANT MECHANICAL 312.50
STATE SURCHARGE MECH(VALUATION) 12.50
PRACTICAL SYSTEMS TOTAL 325.00
4342B SHADY OAK RD Payment(s)
HOPKINS,MN 55343 CHECK 8617 325.00
(952)933-1868
OWNER
BOWLSBY,JOHN&CYNDY
1025 SPRING HILL ROAD
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 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.This permit wi11
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 any time for due cause.
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Ap icant Permitee Signature Date Iss ed B ature Date
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2750 Kelley Parkway �� ;�;��'u�;� �� ��(i�;i�'�;� ��
Crystal Bay,MN 55323 f� ��': �� � �ipx$���+ �/ �
Phone(952)249-4600 Fax(952)249-4616 a�; �` � ��� ���.� � ;���: , '� ' '�����
�`��.�K 4�.°�fi CITY OF ORONO—MECHANICAL PERMIT
ESH� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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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 Desiens—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.
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�esidential ❑Commercial(Approval Required)
❑New �.Additional ❑Repairs ❑Replace
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Site Address: � �2� ��� �� '�t� �` ��
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Owner:�C��(l'(1 �.�()(�t�k�i,� Mailing Address: ���7 �_I(�C��t����•
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City: Zip: J����:JU
Home Phone: Alternate Phone:
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Contractor:� ��� 1� �'���-Co�ct Person: �� ����
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Address: �ate Bond#: ���<�v
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City: Zip:M� Expiration Date: _ I
Phone:��"��� ��-�C � Alternate Phone:
� Insurance—Current:
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Note: All Geothermal Systems will now req 're a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes No
HEATING SYSTEMS ;
Quantity: � / '�
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Make: � r�,Q► I�
Model: �(J�, ������'`i`t'o�.{ � �
Fuel:
Flue Size:
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Input BTUs: �o O ��/� �LCJ
Output BTUs: � �� ��/�
CFM:
COOLING SYSTEMS
Quantity: �
Make: r�,��
Model: ��� v � �.-1-��
Tons: �
H.Power I
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 E�aust(must have duct outside) �-cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside , �
LP Gas: gallons , J ' � �
Other: (�s �ll1,Q__ ����IL�
GAS LINE ONLY �-� (I �� ���r`� t�«
c�s I�n�. tp ol �
❑ Outdoor Grill Other/List What&Where: � `��
2
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� � � d�U x.0125$
(wn act price) (minimum 550.00)
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 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 mazket 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with e ordinances of the City and the regulations of the State of
Minnesota, and certifies that statements made on this application are complete, true and
correct.
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Applicant's Signa re: e: �
3
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DATE TIME
CITY OF ORONO CALLED IN l/ '/
INSPECTION NOTICE CHEDULED /�—/(o�:��
PERMIT NO. '�� MPLE`ED �
ADDRESS
OWNER r L E NO.
CONTRACTOR � � tiL
� DESCRIPTION GD� "
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tN ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI Q EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� CO ENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ours in advance. -249-460�
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Cenary CopylSite Notice
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� Dq� _/� TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOT�CE �CHEDULED c�- a�-1� /%.'�
PERMIT NO. a L �'� /co ErE�
ADDRESS �d
OWNER T LE O NO. �a'933'� �(D�
CONTRACTOR �- � 7`[/�-C-g' O D2-GL�
� DESCRIPTION ��J �I
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN�
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YpU:_YES_NO ,
y COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 2) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's Flle Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC, / SCHEDULED :��.�� ��"'
PERMIT NO. � (1 COMP�ETED
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ADDRESS � �';� �� ��Dri�� � l /�� �
OWNER TELEPHO E NO.? <a'-'t —��-/��n�
CONTRACTOR ��/^C� C`� •- �S�-�'�f��'!S
p��1��� `(� � �
� DESCRIPTION����__� � CY � / /?
W ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC N TALL
2 OWNENCONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:� �Lr.rr]/��). j/�lc�r�)'� C—�,��—,/�
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W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952 E4J-46QQ
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice