HomeMy WebLinkAbout2017-00228 - mechanical 111111111111 all 1111111111 liffn
CITY OF ORONO ® 2 0 1 7 - PJ 0 2 2 8
2750 KELLEY PARKWAY DATE ISSUED: 03/13/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 230 TONKA AVE
PIN 05-117-23-14-0029
LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK
LOT 000 BLOCK 002
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 12,250.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW: 1 HEATING SYSTEM(DAY&NIGHT), 1 COOLING SYSTEM(DAY&NIGHT)
VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUST
GAS LINE: 1 MAIN GAS LINE
APPLICANT MECHANICAL 153.13
LEGAND SERVICES INC. STATE SURCHARGE MECH(VALUATION) 6.13
P.O. BOX 382 TOTAL 159.26
LORETTO,MN 55357- Payment(s)
(763)479-5002 CREDIT CARD 3280 159.26
Minnesota State License#:plbg-PC644501,mech-MB005090
OWNER
Everlast Enterprises Inc
4109 NORTH SHORE DR
MOUND,MN 55364-
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 d ause.
Applicapt hKmitelSignature Date Issued By Signature Date
Mar 10 17 05:22p Legend Services Inc 763-479-6003 p.4
City of Orono FOR CITY USE ONLY
� O P.O.Sox 66 Date Received:
Kelley Parkway /l yn 7 Leta
fJ Crystal Bay,MN 55323 Approved By: --YY'C�,6,�'/—Amount b:
Crystal
Phone(952)249-4600 Fax(952)2494616
CITY OF ORONO-MECHANICAL PERMIT
rAKf S H pmt (All Commercial permits must be approved by the Building Oficial or Inspector andlor Fire Marshall)
GENERAL INFORMATION
I. 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 Desietts—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)249-4640.
(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 ❑PVBI
Q New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �30 T�rf4 �C
Owner: L-a�rL-4,iMailing Address: `x/107 Nay?, 54e-z �K
City: mt4wi41 Zip:
Home Phone: lv 11 - K6— 07'V9 Alternate Phone:
Contractor Information:
Contractor: u 5tvice s -4c- Contact Person: RI K e-
Address: Jo &X 30.), State Bond#: W Px450 q p
Citv: Low too Zip:0551 Expiration Date:
Phone: 7 6 3.-y7y-5CVP, Alternate Phone:
Insurance-Current: �ov►,i rL+:
1
Mar 1017 05:22p Legend Services Inc 763-479-6003 p.5
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [ONo
HEATING SYSTEMS
Quantity:
Make: + +� r 13itaA
Model: i��fy1S�Wt �-IaO�
Fuel:
Flue Size:
Input BTUs: �d rdQt?
Output BTUs: ] 3 p bed
CFM: /(f,90
COOLING SYSTEMS
Quantity:
Make: • u,�
Model: U 4A 33&69f
Tons: 3
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION <yt
[
�No. � Kitchen Exhaust � duct recirculating cfm
['f No. ,� Bath Exhaust(must have duct outside) �L ofm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Mast be approved by Fire Marshall if proposing to abandon tank=place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where: JAI �eAw
2
Mar 10 17 05:23p Legend Services Inc 763-479-6003 p.6
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
I ,0c) x.0125$ i X3, '3
(contact price) (minima"550.00)
2. STATE SURCHARGE t 15'a i
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL.PERMIT FEE(Add Lines 1-3 Above) $ j
■ * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
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: ' ,t Date: 34-17
3
U ;
DATE TIME \
CITY OF ORONO CALLED IN � V
INSPECTION N TICE SCHEDULED - _'eT-�
PERMfT NO. ,Z COMPLETED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR 6112
DESCRIPTION
�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ 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 ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ TIC INSTALL
Z OWNERJCONTRACTOR TO MEET YOU: YES_NO
H COMMEN
a;
- 6 a G
WO
W
W
z
W
Ct
J
W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContracttoor on e-
Inspector. `v
White Copylinspector's File Canary Copy/We Notice