HomeMy WebLinkAbout2015-01369 - mechanical 1111111 IN 11111 IN 1111 IN 11111 IN III Im
CITY OF ORONO * 2 0 1 5 - 0 1 3 6 9
2750 KELLEY PARKWAY DATE ISSUED: 10/23/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 825 WILLOW DR S
PIN 10-117-23-22-0001
LEGAL DESC UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE HEATING SYSTEMS
VALUATION $ 680.00
NOTE: GARAGE HEATER THAT'S ALREADY BEEN INSTALLED. OK'D BY ROGER,WE JUST NEED TO INSPECT THIS.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.34
KRJ HOMES TOTAL 50.34
16890 80TH PL N
MAPLE GROVE,MN 55311- Payment(s)
CHECK 10764 50.34
(612)850-5260
OWNER
JAGLO,JEFF
16890 80TH PL N
MAPLE GROVE, MN 55311-
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requested in conformance with the State Building Code.This permit may been
revoked at any time for due cause. W
Ap lic t Permitee Signa re Date Issued By Signature Date
FOR CITY U ONLY
�O�T City of Orono 1
1 V P.O.Box 66 Date Received: `Permit# V
2750 Kelley Parkway L ---�
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
d�t�xE oR�G~� CITY OF ORONO—MECHANICAL PERMIT
S H (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 Desi ns—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)
residential ❑ Commercial(Approval Required)
2<ew ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: Y)S Y�', llow br ..S8J '
Owner: lokf/ r3ru" >'(o Mailing Address: 7�a S �1C,1,t,' �► Sa
City: &rb"D Zip: �5�a
Home Phone: G l a aa r (4 '10t Alternate Phone:
Contractor Information:
Contractor: 1/</�it 9641CS- Contact Person: � f
Address: (� �a l CcState Bond#:
City: Zip: S << Expiration Date:
Phone: Alternate Phone:
e
[Insurance—Current:
1
1
ST, LLE
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑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:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ 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 I
❑ Outdoor Grill ❑ Other/List What&Where:
2
.r
t
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
("lW x.0125$
(contract 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) $
■ * 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:
3
DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS `eA 0/1"//aT j 6 f-' s-
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING PI&EWANICAL FINAL ❑ RATED WALLS
❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP „ OLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
0 COMMENTS:
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W
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12
W
W
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LAj ❑WORK SATISFACTORY`.PROCEED CPAOIECT COMPLETE
cc W ❑CORRECT WORK R 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
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectlon 24 hours in advance. (952) 249-4600
OvmerlContractor on site:
Inspector.
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