HomeMy WebLinkAbout2015-01326 - mechanical CITY OF ORONO * z 0 1 5 — 0 1 3 Z 6 *
2750 KELLEY PARKWAY DATE [SSUED: 10/13/2015
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 CASCO POINT RD
PIN : 20-117-23-23-0007
LEGAL DESC : AUDITOR'S SUBD.NO.265
: LOT 007 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 10,000.00
NOTE: REPLACE 2 HEAT[NG SYSTEMS(TRANE)&2 COOLING SYSTEMS(TRANE)
APPLICANT MECHANICAL 125.00
STATE SURCHARGE MECH(VALUAT[ON) 5.00
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS, MN 55343 TOTAL 132.00
(952)933-1868 Payment(s)
CREDIT CARD 3543 132.00
OWNER
BASKF[ELD, MICHEAL& SHARON
2755 CASCO PT RD
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 permi[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 goveming 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[he State Building Code.This permit may be
revoked at any time for due cause. /�p_�
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Applicant Permitee Signature ate Issued By Signature Date
9529331869 15 33 42 10-13-2015 2/�1
_ �OR C[TY OSE ONLY
,�O�� City of Orono 7 ��
�O P.O.IIo�66 Date Received: ��emiit# 2�4 • � 3`�
/ 2750 Kellcy Pa�:�vay � G�O
l Crys(a l IIay,t v f N 5 5 3 23 Approve d Byi �Ainoun t y: �
� � �� � Phone(952)249-4600 Pax(95?)2=19-�616
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`�� �� CdTY OF ORONO—1VIECHANICAL�'ERI�IIT
�"FS1�10\l
\'��-- (A!I Commercial permits mus�hc approvcd by dx;Building 0lficial or[nspcctor ancVor Firc b1ai51�a11)
GENERAI.INFORMATION
1. You may apply for mechanical permits by mail or in person at tha City offices. Applications�vil[
be reviewed and a permit will be issued tvitl�in two working days.
2. Permit cards will be sent by retum mail after a review is completed. P�RMITS ARE NOT
VAL1D UNTIL YOU RECEIVE A PERIvIIT. WORK MUST 1VOT 13GGTN DN'I'IL THT
P�RI�IIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Com�lete calculations,details and specifications are rec�uired for each
heatin�,ventilation,humidiftcation-dehumidification,and air conditioning installation including
heat foss/�ieat gain calculation,design temperntures,equipment ratings a��d identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodelin�is involved,a separate building permit must be
obtained.
�. All wor{c must be done in accordancc with the Uniform Mechanical Code/State Buildino Code
rec�uirements.
6. All work musc be inspected(rouUh-in and final). Cai(952)249-4640.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
�,D Residential ❑Commerciai(tl.pproval Required)
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❑]�ew ❑Additional ❑R�pairs V Repf�ce
Job Site/Owner Infonnation: ��
Site Address: v�7 t���v �FC�.��C��: ��C:, �r '�_i_. E��t.
� > � ` ' ('-r� k-.� �-c�_ ` ���<<r �-; �� `' ���
�- T'�:���� i._. ,...� � �C`�� � I?C:;;� 11 ��.
Own�r: '�� 1`�<'. Ivtailin�Address: �����
CIIy: �,_i\ •�)S\�` Zl�: 4_��_).J�_� �
C,C. ,��� �, ��,`,
Hon�e Phone: �-�-�'��'-��- '��=�� t Alternate Pl�one;
Contractor Info�mation:
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Contractor: I' 1�V:L\ICC��\ 1.,S�C'S��i�Cont'act Person: �-C-t� I ����� L;l.iSI`�i' ��� �
Address: ���'�',S-I-�i?� `�������� ��:'..'�C_ �.-���. State Bond#: ���� �� L�C�':"��-����
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Ciry: `�=��C`i��l.� �4,���� Zip���l�,�r�Bxpiration Date: `_.! � j_.j� ���'
Phone: �'i�J'��C .J`�,�` �� �.c��7
C� { � AlYernate Phone:
❑ Insurance—Cucrent: L(' ���
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9529331869 15 33:59 10-13-2015 3/4
MI:CH�I:NICAL SYSTEMS SEING INSTALLED �
Note: All Geothennal Systems will notiv require a Site Plan&Review by our Building Official.
IS THTS GEOTHERMAT.? ❑Yes�i No
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HEATING SYST�MS
Quantiry: � �— - -- f —Y ^
_,,t--
Make: � I V (.:i� �<�, 1 4��,L.f 1��. —�
Model: 1 lA l-i L..�'jl.,�,!..�r}{;��i,:..JL.I� �I L� {`i�7�')�i(t�;��i��`�,�:1 l,'�� _
L--� c_
1=ueL C.;Cl---- ('� �
F'lue Size: �� !`�-` ��,ly ��� � IC lil-lii �L.
In�utBTUs �' �i`, ��U, C.?�'°{�E
� �� � ,U C_,. W - -- — __�._�
O«t�utBTUs: �,(�` , C! C,e�� (f-�(%, ��U�.i __�_.
,,
cFA�: �'�C�.. 4� ���.�� __ _ l�l.�.;� ('1��::;�.'' --
COOLlNG SYST�MS
QuantitY� � � _ �__
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�, �`
Make: � � l.�,�r��, � }' (,i,ti' l�`_. -----_--__
. ;. -. � -. ;
Model: '--��I� �( �Q�%��,� �`j" ��;��,_�..,�._%��� � � .�--f � �0�� �.�;�t�. `,(��(�1f[..
� �1 �
Tons: ,,.�F Z - � � �- —
I-I. Power
FIREPLACGS
❑ Gas Factory Fireplace Srand Name: _� _
❑ Wood$urnin�Fireplace
❑ ��ood Stove Model No.:
❑ Wood Stove�vith Flue/Masonry
V�1V'I'CX,A'fION
❑ No. Kitchen Erhaust duct _recirculatin� cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Otl�er I'ans: Locations cfm
R[l�L S"f012A(y� (ILfrest be approve[I U��Fire Marshall if proposing to abu�rdon tunk ia place.)
❑ (nstallatio❑ ❑ Removat
Tue(Oil: ;allons ❑ Underground ❑Inside ❑Outside
LP Gas: �allons
Other:
GAS LIN�ONLY
❑ Outdoor Grill ❑ Other/List What&Where: _ _
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9529331869 15 34 12 10 13 2015 4!4
P�RMIT�'EE CALCULATION(S)
BASED OFF-<2002 STATE STATUE
❑ Yes,this section applies
The repfacemeot of a Residentiai fixiure or apoliance that mee(s all three oPFhe following requirements:
1. Does not requir�modification to electrical or gas service.
2. Has a total cost of�500.00 or less,excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeo�vner or ticensed contractor.
Skip nexI section;if this applies; Cost of Permit $ 15.00
State Surcharbe $ �.00
Mail-Tn Fee(If Applicable) $ 2.00
'1'otal Permit I'ec .Fi
�� � PERMIT FEE CAI,CULATION(S�—JOBS OVER$SU0:00
If above does not apply;folio�v buidelines below:
1. CON`�'RACT PRICE *is 1.25%of contract price with a(i�linimu�tx I�ee of�50.00)
`�'��1,'��;�+1',, ��'�- x .0125� � �1_,�'�� �-�-�.;
----�'----__.._......__.
(contract price) (minimum$$0.00)
2. STA'1'E SDRCHARGE ;_:�� �,��,
I���C%�_�;. C�,���. x.0005 �
(COntr,fCt pfiCC)
3. POSTAGE&HANDLiNG(Only orc Mail-Cn Applications) $ 2_00
=t. TQTAL P�R1�11T r�E(Add Lines 1-3 Above) $ ���7'"' -�._.%�''
° * CON�I�R.ACT PRICE or JOI3 COST me2ns the actual or estimated dollar amount charged for the
permitted�vork including materials,labor,proTit,and other fixul costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumislied by
the owner, tenant or any other party,tl�e reasonable market value of such items must be added to the
estimatecl cost or contract price for permit fee purposes. In d�e event that there is a dispute on tlie
amount of the job cost, the City may requesi the submission of a signed copy of the aetual contract.
MECHANICAL PERMITAPPLICATION AGREEMENT
"I'he undersi�ned hereby applies to the City for issuance oY a Meclianical Permit, agrees to do all
work in strict accordaf�ce ��rith the ordinances of the City <uid the regulations of die State of
Minnesota, and ceF•tifies that all statements made on this application ai�e complete, true and
p
con•ect. �
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Applicant's Signature: /('�'-;z��1�f,Ct�'�_ ������`� -�1,��� Date: � � ` ( ��- ���
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DATE TIME
CITY OF ORONO CALLED IN `' �
INSPECTION N TICE SCHEDULED �I�
PERMiT NO. -3�6 co PLETED
ADDRESS a�.SS GD �� �C�
OWNER T PHONE NO.`��� 3 �
CONTRACTOR. rQ �` C ��'Y�
� DESCRIPTION ��-`K�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �=A4�CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS: 07 Fit✓vl�r!e /'e/p/���.,r�c�.ct� _
a � �jcr�✓�cr.25 SES /�r<�S �
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� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE
w ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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 REW IRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector: `--�1� �--' �
White Copyllnspector's File Canary CopylSite Notice
��
�-�D /
CITY OF ORONO CALLED IN _�ATE TIM�/,
INSPECTION NOTI E SCHEDULED j�� ��
PERMIT NO. o� s-D/3�coM LETED
ADDRESS � 7J�S C-d �f d
OWNER TELEPHONE NO.��� ���/��5��
CONTRACTOR �� S �LLS
� DESCRIPTION � ��� ��-�`�l.
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED J CT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector.
Wh e Copyllnspector's File Canary CopylSfte Notice
C ��
-�-""" �(� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT�CE SCHEDULED �
PERMIT NO. G C��Syb/3Zl,�OMPLETED
ADDRESS `� � � � C' � `'.C� /'7` �r�
�/�- z z� -�z�3Z
OWNER TELEPHONE O. -
CONTRACTOR �a- C� � �'
� DESCRIPTION /�� C�-lG1 /��-
lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W4LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. � 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice