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Home My WebLink About2017 - 00782 - mechanical CITY OF ORONO 1111111111111111 111I iiiiII II 11 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 DATE ISSUED: 07/10/201 7 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1099 WILLOW DR S PIN : 10-117-23-24-0016 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 19,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. FURANCE,BOILER,A/C UNIT 3 BATH EXHAUST APPLICANT MECHANICAL 237.50 STATE SURCHARGE MECH(VALUATION) 9.50 NMS MECHANICAL TOTAL 247.00 15981 JORDAN AVE SE JORDAN, MN 55352- Payment(s) CHECK 6409 247.00 OWNER DOWNING,KATHERINE 1099 WILLOW DR S WAYZATA, MN 55391- 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. • Terkh 7 /4 ll� Appli u t ermitee Signature Date Issued y ature Date F CI 'Y USE ONLY City of Orono �OW ofDate Receive ?7 Pernt#-- - ao i2750 Kelley Parkway '/Cr}stal Bay.MN 5532+ Approved By. Amount$:�y/rPhone(`152)249-3600 fax 1952)249-4616 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 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!leafing Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑Commercial(Approval Required) [Backflow Device:0 AVB 0 PVBJ El New 0 Additional ❑Repairs 0 Replace Job Site/Owner Information: Site Address: \OC\q u.D\1\Q u _) ( Owner: O RC1 A) )\Yl Mailing Address: /Ogg ( )Io (A): (-- City: A) —City: bcuul7G(- Zip: 1,C'1 1 Home Phone: (01 -6(.09)03 Alternate Phone: Contractor Information: Contractor: /J/1 file hap ea I Contact Person: 14a C Le, Address: JAI ICIOA1 I JQ SE State Bond#: Pk\ /4 ( 2)90 City: V _ Zip:65Expiration Date: f/ i IA 11 9 Phone: C 9 JJ j i l3 Alternate Phone: g S Z ° (o n Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? El Yes 144No HEATING SYSTEMS Quantity: ) J ,12,47-Th,12,47-ThMake: ,tt, NA/Ad, Model: Fuel: Ni„ s,/ Flue Size: G /1 Input BTUs: /` J 1 V k Output BTUs: a)/` / D tA( CFM: ,d0 COOLING SYSTEMS Quantity: 41K ZiYibin Make: P1'(' 1t„ Model: I/AG/3A/ 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 1❑ No. a Bath Exhaust(must have duct outside) 31-d- 0 No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in placed ❑ Installation 0 Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price price with a(Minimum Fee of$50.00) J7 b x.01255 (c tract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ .J V c 0-0 • * 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:/// Date: 7p0/ ( 7 3 'V\ DATE TIME CITY OF ORONO CALLED IN INSPECTION NATI E n SCHEDULED (/-17-/ PERMIT NO. ,2(0( 7-C L.i Y COMPLETED ADDRESS C9(2 k21&t.) Or S ' OWNER ( J TELEPHONE NO.j4'/�s�- 5-_ 4 CONTRACTOR lj A-f J MSC L JC.S[4yL DESCRIPTION A-4C6 t( W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNERICONTRACTOR TO MEET YOU:_YES NO te) COMMENTS: cc a 4 it .FPkrs se/ cc cc 0 W W z Lu cc J W NVORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT 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 in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �� l\ White Copyllnspector's File Canary Copy/She Notice r if Se—i— DATE TIME \/ CITY OF ORONO CALLED IN 7/Lo -17 INSPECTION NOTICE_ - SCHEDULED �//--17 6/% PERMIT NO. )1/ Dn7��COM LET ADDRESS l0 99 led 01-0 Dr S - OWNER T LEPHONE O. p/ -.3p3- q/D 3, CONTRACTOR 'L e i WDESCRIPTION - ,11( • 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 5( ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O ❑ RADON SLAB *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 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: 4. Q. Zn f/oar - le..t - L C16, ti3 opt o a /M _ '' - 4( 0- t es,✓ ,( • 4 4S 60 /Sc. lc 0 W S ,-�- • a: f rOut b� o2 yid c le a✓ Q i .1 A•4r Caherec`— w -6 r v c c� -- ) -6-- G )(- --- B: W 0 WORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE WCCQBBECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 advance. (952) 249-4600 OwnedContractor on site: Inspector. C /n1. '# White Copyllnspector's File Canary Copy/She Notice L4 DATE TIME / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED N 2c..) q,3c.' PERMIT NO. /6-1 ($ COMPLETED ADDRESS E def 9 `�3 3.L OWNER TELEPHONE NOT" LSI SI`"1,3 CONTRACTOR N K\S °k`s -- DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBI AL 0 TREE REMOVAL O ❑ RADON SLAB 4111IMENV 0 SITE INSPECTION Q 0 FRAMING ■ ' ' NICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ws ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc O. �, ,4 . - St:/ hes , /etc4r .4s - DIC - O a 64:6.4. G-3 - .1./e..,eek :Sea(-4 r 04 (r C,ct;eyid,"✓td c OO — a- C - L./ l ) -f •-,4-4 - c ,06S� y,.-4(_, GaIC± W cc Q - Cbppe/ 74s f .r¢ - Aga 4 r4K5 c - 4,c t c>t Iid 40,,.s () 30,s c, S.-=re.. '--.07i''T Lu et -OK asoe,oae - W` NORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 advance. (952) 249-4600 OwnerlContractor on site: Inspector._ I w✓ sti— White Copy/Inspector's File Canary Copy/Site Notice