HomeMy WebLinkAbout2016 - 01527 - mechanical CITY OF ORONO 1 1 I II I I I IIII6iII I II*
f _ 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 865 WINDJAMMER LA
PIN : 07-117-23-12-0028
LEGAL DESC : PIRATES COVE
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 19,750.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)HEATING SYSTEM
APPLICANT MECHANICAL 246.88
STATE SURCHARGE MECH(VALUATION) 9.88
COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00
11238 RIVER ROAD NE
HANOVER,MN 55341- TOTAL 258.76
(763)208-6471 Payment(s)
CHECK 011094 258.76
OWNER
CUMMINGS,DANIEL
865 WINDJAMMER LA
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 due cause.
Pi /417- lb
Applicant Permitee Signature Date Is Signature Date
12/12/2016 13:34 7634987618 COMFORT MATTERS HTGE PAGE 01/03
• City of
66
P 0.Box Orono date Retea?d �` Parmit#+2b I45- 7
94 0 2750 Kealey Parkway
Crystal Bay,MN 55323 " p70ved$y �' oWlt -+
} Phone(952)249-4600 Fax(952)249-4616
t G~ CITY OF ORONO—MECHANICAL PERMIT
tKBS l i ORS (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marsha)
rc ta.,rl eS TfQN
l. 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 OTIL THE •
PERMIT CARD IS POSTED ON THE JOR 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.
•
Wilect:Altalbat.A1)11
Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑;PVB]
❑New 0 Additional 0 Repairs ❑Replace •
ob bite/�vv ei Infori> atlo�
Site Address: /1 t orA--
Owner: O(kmne ir-t5,17,is Mailing Address:
City: V-krtAIRA. Zip: 56" ,f4
Home Phone: 41? Alternate Phone:
,nti a for Info matron
Contractor: .t` (S. Contact Person:
1rr
Address: a � (:),4 State Bond#: V--'l ' 7�,��
City: Olr Zip: !Expiration Date: A` tcn
Phone: IJQ"L °'14-11 Alternate Phone:
LI Insurance—Current:
1 •
12/12/2016 13:34 7634987618 COMFORT MATTERS HTGE PAGE 02/03
Note:All Geothermal Systems will now require a Site Pl &Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yeso
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 Nance:
❑ Wood Burning Fireplace
❑ Wood Stove Modcl No.:
❑ Wood Stove with Flue/Masonry
VENJLATJON
❑ No. Kitchen Exhaust duct recirculating oftn
❑ No. Bath exhaust(must have duct outside) cfni
❑ No. Other Fans: Locations cfrn
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place)
❑ Installation ❑ 'Removal
Fuel Oil: gallons 0 Underground 0 Inside ❑Outside
LP Gas; gallons
Other:
SGAS U E ONLY
❑ Outdoor Grill El Other/List What&Where:
2
12/12/2016 13:34 7634987618 COMFORT MATTERS HTGE PAGE 03/03
•
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
(coe�6 V x.0125$ 0'eJ �
fractprice) (m1ntmum$50.00)
2. STATE,SURCHARGE Q�
x.0005 $ art "FJ
(cohtract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00`
4. TOTAL PERMIT FE E(Add Lines 1-3 Above) S �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 ofsuch 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 sigied 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 s •temeztts made on this application are complete,true and correct.
Applicant's Signature: Date: � �
I 1
. 3
,15 _ , S?±--
DATE TIME
CITY OF ORONO CALLED IN /Z-2-6-/(‘7' ,tel
INSPECTION TI _D/ 5p. CHEDULED /2 2/ /� 3 . U v
PERMIT NO..7�� / OMPLET
ADDRESS E'' d) , / , ,g4/1"
OWNER AlI /a. A,SI / T ON 2-1- -GDW
CONTRACTOR ..taa j
WoDESCRIPTION -)- l
V �[°v -0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
11) 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
CI ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING FINAL 13 RATED WALLS
• ❑ INSULATION v❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL IDWATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
ct OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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IQ0 WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. 9 ,� 7`4
L
White Copyllnspector's File Canary Copy/Site Notice