HomeMy WebLinkAbout2016-01240 - mechanical r " � CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 6 - 0 1 2 4 0 *
DATE ISSUED: 10/04/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 200 STUBBS BAY RD N
PIN : 32-118-23-42-0003
LEGAL DESC : LJNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL
VALUATION : $ 1,850.00
NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL.
PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION.
REMOVAL OF 550 GALLON UNDERGROUND TANK
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.93
DEAN'S TANK INC. TOTAL 50.93
P.O.BOX 22515
ROBBINSDALE,MN 55422 Payment(s)
(763)535-0194 CREDIT CARD 8979 50.93
Minnesota State License#:BUIL-475
OWNER
BOLLIS,CHRISTOPER
350 STUBBS BAY RD 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.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 any time for due cause. �
G - � l�i i �
Appli t Permitee Signa re Date Issued B ignature Date
' 1
4
l �__` FOR CITY USE ONLY
�` City of Orono / n /l
�ON\ P.O.Box 66 Date Received: �/3t% /k•Permit# ��//� "� `'``�y�J
�� 2750 Kelley Parkway G�
Crystal Bay,MN 55323 Approved By �� Amount$:�_�!
i Phone(952)249-4600 Fax(952)249-4616
� �
�
F. �
�.r�.t.sF{o�e" CITY OF ORONO—MECHANICAL PERMIT
�,.- (All Commercial permits 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 UNT[L YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERM[T 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.
f TYPE OF PERMIT
� (Check All That Apply)
[�Residential ❑Commercial(Approval Required)
❑New ❑ Additional ❑Repairs ❑Replace x Removal
Job Site/Owner Information:
Site Address: 200 Stubbs Bay Rd N
Owner: Chris Bollis Mailing Address: christopherbollis@gmail.com
City: Zip:
Home Phone: Alternate Phone: 612-296-4011
Contractor Information:
Contractor: Dean's Tank, Inc. Contact Person: Doug Nething
Address: PO Box 22515 State Bond#: 0475
City: Robbinsdale Z�p: 55422 Expiration Date: 3/25/17
Phone: 763-535-0194 Alternate Phone:
❑ Insurance—Current:
1
' , i
,
�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS 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 Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Ma�shall if proposing to abandon tank in place.)
❑ Installation [� Removal
Fuel Oil: 550 gallons ❑X Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
1 � `
J
1
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. 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 Surcharge $ 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)
$1,850.00 x.o125$
(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 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 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: �BG�-��-/���� Date: 9�30/16
3
�
DATE TIME
CITY OF ORONO cnLLED IN �O !v��
INSPECTION NOTICE SCHEDULED l(9l,�YC�e l �c�t7
PERMIT NO.�� G— 01.2 �'�` COMPLETED
ADDRESS �.?�D � �-.,..�I.� ��... v Q.['�
OWNER TELEPHONE NO.
CONTRACTOR ���---°s �i� �s�
j, DESCRIPTION ��w� 1�-��"�'✓4-'�
4~j ❑ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v
❑ DEMO-SITE ❑ EPTIC INSTALL
2 OWNEWCONTRACTOR TO MEET Y�U: YES_NO
� COMMENTS:
�
j
O
�
O
W
�
Q
�
�
W
�
1
J
d
W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� O CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Can for the next inspection 2�t hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: ���.�+�•c� �-- ��U
White CapyllnspeeM�'s File Cenery CopylSffe Noties