HomeMy WebLinkAbout2016-00829 - mechanical CITY OF ORONO * z e 1 6 - 0 0 8 2 9
2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 2600 THOROUGHBRED LA
PIN 04-117-23-11-0017
LEGAL DESC OLD.CRYSTAL BAY ROAD 2ND ADDN
LOT 005 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 650.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW GAS LME FOR GENERATOR
APPLICANT MECHANICAL 50.00
STEINKRAUS PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 0.33
112 E 5TH ST MAIL-IN FEE 2.00
SUITE 101 TOTAL 52.33
CHASKA,MN 55318 Payment(s)
(952)361-0128 CREDIT CARD 0298 52.33
Minnesota State License#:mech-MB003824
OWNER
LINK,DAVID&KELLY
2600 THOROUGHBRED LA
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 does
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.
06 IC1,I -
Applicant Permitee Signature Date Issued By 9 gnature Date
0711512016 08:38 Steinkraus Plumbing 0:09523615908 P.0011004
FOR CITY USE ONLY
City of Orono /
�� P.O.Box 66 Datc Received; 7[ j`v l�rmit#
V 2750 Kcllcy Parkway
Crystal Bay,MN 55323 Approved By: jnn ,., J
-oo Amount$:
Plionc(952)249-4600 Fax(952)2494616
ts�toti``G` 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 pennits 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. PBRMTTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST_NOT UGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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.
TYPE OF.PERMIT
Check.All That.A 1
Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB []PVB]
Lj New ❑Additional ❑Repairs []Replace
Job Site/Owner Information:
Site Address: Q '�L�10V\0QR b -e-j Le
Owner: cue-- L,�(C , Mailing Address:
City: Zip:
Horne Phone: Alternate Phone:
Contractor Information:
Contractor:-51P—tti ?{u 4-!� � Contact Person: DIS /Ic-D.eyl
Address:(Iz G Yi-'�, 5T' 4-i (Uj State Bond : os966-9—
City: e,,5lc e� Zip:1'"31 Expiration Date: �
Phone: 151-1 La Ly Alternate Phone: �/
❑ Insurance�-Current: i�
I
07115/2016 08:39 Steinkraus Plumbing fAM5236 W P.0021004
00,
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes 1ko
HEATING SYSTEMS J`
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs,-
Output
TUs: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 efm
❑ No. Bath Exhaust(must have duct outside) of n
❑ No. Other Fans: Locations cfYn
)FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in plaea)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS)LINE ONLY
❑ Outdoor Grill Other/List What&Where: &P
2
0711512016 08:39 Steinkraus Plumbing (FAli)9523615908 P.0031004
IT' ,el
1. CONTRACT PRICK', *is 1.25%of contract price with a(Minimum Fee of$50.00)
b �J4
x.0125$ r�
(contract price) (minimum 550.00)
2. STATE SURCHARGE
S_C� x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications)
4. TOTAL PERMIT EEE(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. ft 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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S".p(�M.C'{ tq� ,,A � 9 ���.'�
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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 tements trade on this application are complete,true and correct.
Applicant's Signature: Date: 7–N-16
3
/ DATE TIME,
CITY OF O ONO CALLED IN 7 L7
INSPECTION C T26cHEDULED / —
PERMIT N COMPLETED
ADDRESS oZtdiy 1j,hA1zw
OWNER TEL NE NO.�Sa'����
CONTRACTO
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
rn ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO I
cOn COMMENTS:
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W ❑WOR TISFACTORY:PROCEED L1 PROJECT COMPLETE
aC ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O CORRECT WORK CALL FOR REINSPECTION TEMPORARY
C 1 EFORE COVERING PERMANENT
❑CO RECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i advance. 49-4600
Owner/Contractor on site:
Inspector. .'49
White Copylinspectoes File Canary Copy/Site Notice
.�-
�J TIME \
CITY OF ORON CALLED IN /
INSPECTION N TjCEq�(i� HEDULED L-
PERMIT NO. l / PLETED
ADDRESS !/ �
OWNER TELEPHON sa- -DMZ
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CONTRACTOR
DESCRIPTION v v�-
W ❑ FOOTING ❑ DEMO-FINAL VEPTIC FINAL
Q ElPOURED WALL
❑ PLUMBING RI XCAV/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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HO O - ❑ FOUNDATI /REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC IN ALL ',nA
Z OWNERICONTRACTOR TO MEET YOU:_YES G�
y COMMENTS:
W
a
J
00
o s
W
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Q
2
W
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W
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W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
QCW
❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Q BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adv 952 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice