HomeMy WebLinkAbout2017-00631 - mechanical ,
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DATE ISSUED: 06/12/2017
ADDRESS : 440 STUBBS BAY RD N
PIN : 32-118-23-13-0006
LEGAL DESC : STUBBS ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATIOIY : $ 14,344.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECTION.
RGPLACG: HEATING&COOL[NG SYSTEM(CARRIER)
APPLICANT MECHANICAL 179.30
STATE SURCHARGE MECH(VALUATION) 7.17
PEAK HEATING&COOLING, [NC.
7801 PARK DR. TOTAL 186.47
CHANHASSEN, MN 55317 Payment(s)
(952)401-1 195 CHECK 007498 186.47
Minnesota State License#:mech-MB003156
OWNER
OLMSCHEID, LEE& MELISSA
440 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 specitications,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 laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all re d inspections are
requested in conformance with the Sta dding Code.This permit may be
revo ed at any ti e for due cau . ,__,_ ` /
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App(i nt Per 'tee n D e [ssued By Signature Date
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} FOR CITY LySr�ONLY (��J
��� City of Orono ,_��-�,�� ( �� � `k"
� P.O.[3ox 66 Date Received: f �4�' Pcrmit# �
2750 Kelley Parkway � �
� Crystal Bay,MN 55323 Approved By: Amount$:�
� Phone(952)349-4600 Fax(952)?49-4616
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I.�k�sHo��.�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by dtc Building Official or Inspector and/or Fire Marshall)
GENERAL IN�'ORMATION
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 issucd within two working days.
2. Permit cards will bc 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 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
rype, 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 Codc
requirements.
6. All work must be inspccted(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Hcating Test Record must be submitted befare final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New ❑Additional ❑Repairs �eplace
Job Site/Owner Information:
Site Address: � �� � � �` ��
Owner:�� ���'.SC:h�I Mailing Address: �,�� 5��� S /�� �"
City: �J�W� 0 ��
Zip: �.�� ,a ._�
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Home Phone:� �� �� ���`1 (✓ � � Alternate Phone:
Contractor Information:
Contractor:��� �� � Contact Person: �� � �
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Address: ���� � S7�-�State Bond#: �/�� ����5��
City: C �S Zip: �?j�Expiration Date: `��r� '`�
Phone: �S�� �Q�` ���S Alternate Phone:
❑ Insurance—Current: C S
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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: �o.nri�t!'
Model: „��!'N�✓►�-�0�
Fuel:
Flue Size:
Input BTUs: f 2(�,��
Output BTUs: � �
CFM:
COOLING SYSTEMS
Quantity: �
Make: qN��Ct
Model: � C�
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 cfm
❑ 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$50.00)
��/L �-v
7 / x.0125$
(contract price) (minimum$50.00)
2. STATESURCHARGE
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 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 far issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordin ces of t e City and the regulations of the State of
Minnesota,and certifie t t all statem nts ade on is ' tion are complete,true and correct.
Applicant's Signature: Date: �Q—�� �/�'
3
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p/� / TIME
CITY OF ORONO c,�►LL�
IN8PECTION NO ICE ^DD 31 SCHEDULED a �
PERMR NO. COMPLETED
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ONVNER � s PHO N ��°��g`5O��`�
CONTRACTOR °'
� DEBCRIPTION d �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/CiRADIN(i/FILLINO
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
� ❑ FRAMIN(i �MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
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W ❑YMORK SATISFACTOitY.PFiOCEED �PFiO�IECT COMPLETE
� 'OOf�iECT WOfMC a PROCEED O ISSUE CERTIFICATE OF OCCl1Py1NGW
D ❑ MIOFiK.CALL FOR REtNSPECTION TBrIPORARY
� BEFORE OOVERINO PERMtANB�1T
❑CORIiECTUNSAFE00NDITION WITHIN FIOUR3. p PFIOTOTAKEN
INSPECTOR VNLL RETURN
O BTOP OROER P08TED.G1LL INSPECTOR ❑qTATION ISSUED
❑INSPECTION RE(iUIREO.CALL TO ARRANdE I1CCE38.
c,N tor u�.next�spe�on u nours a,advsno.. (952) 249-4600
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