HomeMy WebLinkAbout2017 - 00489 - mechanical 1 1111 111111 iii 1111111111111
CITY OF ORONO * 2017 - 00489 *
2750 KELLEY PARKWAY DATE ISSUED: 05/12/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 155 WEAR LA N
PIN : 33-118-23-34-0013
LEGAL DESC : ROLLING MEADOWS 3RD ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,460.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADDITIONAL:GAS LINE FROM METER TO MECHANICAL ROOM TIE INTO EXISTING LINE,EXTEND EXISTING LINE,TEE OFF AT
GARAGE HEATER,EXTEND LINE TO GENERATOR AND INSTALL REGULATOR
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.73
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 52.73
(952)933-1868 Payment(s)
Minnesota State License#:mech-MB003510 CREDIT CARD 0097 52.73
OWNER
JOHNSON,ROSS
155 WEAR LA 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 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.
M ot:(
Applicant Permitee Signature Date Issued By Signature Date
May. 12. 2017 11 :40AM PRACTICAL SYSTEMS No. 3210 P. 3
FOIL CITY USF ONLY
City of Orono '1 e Z- 0I 7 C,/AA -
' DI VO p.0.Box 6G Dale Received_7 "� permit tJ )
2750 Kcllcy parkway — I
Crystal Bay,MN 5532] Approved By: �/�� Amount$:
Phone(952)249-4600 Fax(952)249-4616
ti
�°K sHo�``G1, CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
i. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3, Mechanical Designs—Complete calculations,details and specifications arc required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Codc/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600,
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
1Residcntial ❑Commercial(Approval Required) [Backflow Device:❑AVE ❑PVB]
❑New [dditional ❑Repairs [Ii Replace
Job Site/Owner Information: LI Lake M
Site Address: )55 ea `�
r Lane !v ake , r `k 5$S
Owner: R055 J D h n 5 4/? Mailing Address: 5;4e e .d fres 5
City: Qt o a d Zip: 55 356
Home Phone:(42 -7490- uZL1 Q Alternate Phone:
Contractor Information: //��
Contractor: Kline Coe?ABA R.cI;v.151sic.s Contact Person: (_.}lir S
Address: 43'1Z g Shdr a415 141' State Bond#: 1MF50036I 0
City: Hipp 'VAS Zip:5S343 Expiration Date: 1 - 17 - 16
Phone: N-133 .184-5 Alternate Phone:
❑ Insurance—Current: yes
1
May, 12. 2017 11 :40AM PRACTICAL SYSTEMS No. 3210 P. 4
Note; All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? El Yes El 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:
El 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 cfni
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place)
0 Installation ❑ Removal
Fuel Oil: gallons 0 Underground 0 Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY (s(1.y Nice {row re/et' #o r'eCj)v c°1I room
};( ,4F0r;sig l ,e, CK�e�cl e,e,"•Y q�
- f ie, fee
❑ Outdoor Grill Other/List What&Where:n a� (�a/o.ci�Hec-lel;Lnl�CicI I enc +O benrrstcr
.T4611.l1 requfaior
2
May, 12. 2017 11 :40AM PRACTICAL SYSTEMS No. 3210 P. 5
•
°i'_ln. 111:ir ii l i. ..',1J'1 l iL.:,, illi). ;
1. CONTRACT PRICE m is 1.25%of contract price with a(Minimum Fee of$50.00)
1/10] x.0125$ 51"C)
(contract price) (minimum 550.00)
2. STATE SURCHARGE
(r y�Op x.0005 s O 7
(contract price)
3, POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00
4. TOTAL PERMIT PEE(Add Lines 1-3 Above) $ 5Z • t 3
■ * 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 arc 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.
',. , ,, I i id.it .'iP!-`1 Jk '.'.7.1‘,1 ,'., ;,l,l;hll " iii I' -.-.. .. . -
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: 014 ity Date: 542- 17
3
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Lj DATE TIME vv
CITY OF ORONO BALLED IN `
INSPECTION NOTICE 7 SCHEDULED C6%/ 7 oil
PERMIT NO. ,, ty 7 C0/VA I COMPLETED
ADDRESS / S 5 L'J--k ciL,L, (cZ/- /lF
OWNER TELEPHONE N .; 9.3 3
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CONTRACTOR / >" i �.' ,•S C _'1�.
DESCRIPTION /- / 'i ' / Cc-<1 4 i!'1.L
6.44, ❑ FOOTING ❑ DEMO-FINAL/) /to- 0 SEPTIC FINAL
11.
❑ POURED WALL ❑ PLUMBING RI 4 0 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL —%'�; ❑ TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI /' 7`-�,k ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL / ❑ RATED WALLS
Z
❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ElFINAL El WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v -SITE ❑,:fEPTIC INSTALL
OWN RACTOR TO MEET YOUYES_NO ll
COMMENTS:, Gia- ( /;.2, 71-v07 c;VO
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W ❑WORK SATISFACTORY:PROCEEDPROJECT COMPLETE
CCW
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
0 INSPECTION REQUIRED-CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ?I rw'
White Copylinspector's File Canary Copy/Site Notice
/
DATE TIM
CITY OF ORONO CALLED IN
INSPECTIONO _ICE SCHEDULED / J
C I -i . .s Ais
PERMIT NO. 1-Cu(.3 I COMPLETED
L1 i 'L,' -L_ cam.., L A N'
ADDRESS
OWNER TELEPHONE NO.ct£ �1 ± i
CONTRACTOR I—>✓ C C.i c,t_ ! 5
E DESCRIPTION r i. {- T E- `_ L- ICit_ Li. 1'\S---
k 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
n ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
O
2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z N OWNERICOTRACTOR TO MEET YOU: YES s NO
voi COMMENTS:
IX 7 6 L At l�:,3 so
c S,%�rs,e A2=oz cam/ 3= o S 64,7/ ��
cc 50 /�S/ 0 7b AQD y7 90S Ale- 7b
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WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
El
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours In advance. (952) 249-4600
OwnerrContractoronsite:�. y�GZ--•'"Inspector: ,. -2 '��'_
White Copy/nspector'e File Canary Copy/Site Notice