HomeMy WebLinkAbout2016 - 00919 - mechanical CITY OF ORONO 11111111111011111111111
* 2016 - 00919 *
2750 KELLEY PARKWAY DATE ISSUED: 08/04/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 332 WESTLAKE ST
PIN : 05-117-23-23-0039
LEGAL DESC : HILLSIDE PARK
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)TRANE HEATING SYSTEM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.75
PRACTICAL SYSTEMS TOTAL 51.75
4342B SHADY OAK RD
Payment(s)
HOPKINS,MN 55343
(952)933-1868 CHECK 8711 51.75
OWNER
BICHANICH,JENNIFER
332 WESTLAKE ST
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 •
revok-a , . y ti le for a e cause.
f • 4ete) 5 IL/ iric,
Applicant Permitee Signature Date Issued By it ature Date
t F R CITY USE ONLY
�OW
City of Orono 17 otd/(0 _ 9/ 9
P.O.Box 66 Date Re et Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 7.5
Approved By: Amount$:"�G 1
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
kES H0iL (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
J Residential ❑Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
❑ New ❑Additional ❑Repairs 'Replace
Job Site/Owner Information:
Site Address: 33a wt,,5*\G1e S+
Owner:3\G e, tlox c.h Mailing Address: 33a. ' 5.41GIc.e�i
City: 6('Ono Zip: 55354
Home Phone: Utt'1kn0 W r Alternate Phone: ci52-'773- 4 (101
Contractor Information:
Contractor: -P(`(leA- S Uistrir6 Contact Person: LD f'rct,G l.!sizieSpr t
Address: 43tia?S1-, tate Bond#: IY1$Ob351 O
City: 1G.1 Y),s Zip:S53 Expiration Date: 1 Ii L.
Phone: q -q3'5--1%(o% Alternate Phone:
❑ Insurance—Current: Li es
1
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 14 No
HEATING SYSTEMS
Quantity:
Make: IR.(One-
Model:
re-
Model: S9v.C.100UL{?SA• eZ
Fuel: 1' \ 9Q S
311
Flue Size:
Input BTUs: (Q5,000//00,Dub
Output BTUs: (.S10497)000
CFM: 16200
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 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:
2
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
3500 .00 x .0125 $ SO.Uc�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
35 00•too x.0005 $ t .15
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -2771T-
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 'J 1 ` 15
■ * 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.
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: e(911...11CLu8(,00'r1 Date: S 13) )L4
3
DATE TIME
CITY OF ORONO CALLED IN U—E-1
INSPECTIONTIC p SCHEDULED 9-/!o //."6�
PERMIT NO.a-0/P- et91 c/ COMPLETED
ADDRESS ,35,9\ ��C./ • / -c1€
OWNERTELEP ONE NO. ' - 4:4111 ACONTRACT 1 r5k44 LW'L
DESCRIPTION � UiJ .44
ty 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
• ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
IT 0 FRAMING pQECHANICAL FINAL 0 RATED WALLS
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
,, ❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
r.)• COMMENTS:
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FLA ivtaie ref I•
0 - (4',r_c i i 4 //G.it b/bey -E ,4.$ tib --
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W
Lu ❑WORK SATISFACTORY:PROCEED !�I Rn.IFCT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
.1 BEFORE COVERING PERMANENT
LI CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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
Owner/Contractor on site:
Inspector /�'1'�
White Copy/Inspector's File Canary Copy/Site Notice