HomeMy WebLinkAbout2016-00112 - mechanical CITY OF ORONO * z 0 1 6 — 0 0 1 1 2 *
� � 2750 KELLEY PAF.KWAY DATE ISSUED: 02/03/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1105 BROWN RD S
PIN : 10-117-23-24-0004
LEGAL DESC : UNPLATTED 10 1 l7 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ��y�j MULTIPLE
VALUATION : $ 18,485.00
NOTE: (1)AIRE-FLO FURNACE
(1)AIRE-FLO A/C
(1)KITCHEN EXHAUST
(6)BATH EXHAUST
APPLICANT MECHAN[CAL 231.06
STATE SURCHARGE MECH(VALUATION) 9.24
SEDGWICK HEATING&A/C MAIL-IN FEE 2.00
1408 NORTHLAND DR- SUITE 310
MENDOTA HEIGHTS,MN 55118- TOTAL 242.30
(952)881-9000 Payment(s)
CHECK 16384 242.30
OWNER
Norton Homes
18215 45TH AVE N, #D
PLYMOUTH,MN 55441-
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. �
C�l�lr u�c.�cQ� -�l� �--i �-- i l �
Applicant Permitee Signature Date Issued By �gnature Date
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1 ��—{ �', JL
��� FOR CITY USE ONLY
• � /�O^ >O City of Orono
� ��/ P.O.Boxry Date Received: Permit#
2750 KcIIA���j����
rr Crystal Bay,MN 55323 Approvcd By: Amount$:
� � Phone(95��-4�0� ���2)249-4(,16
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�\��.�,�.FS��,��.`' ��������RONO—MECHANICAL PERMIT
�_.,._,�� (All �� cr t c approvcd by the Building Official ur Inspcctor and/or Firc 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�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/l�eat gain calculation,design temperatures,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
�1. When an��ne-v cons±ructior.or remodeling is involved,a separate r��uilding pe��nit rnust 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)
[� New ❑ Additional ❑ Repairs ❑ Replace
��
Job Site/ Owner Information:
Site Address: � � �5 �1�1,1NV1 �G� ,
Owner:N�N'��V1 Mailing Address: � � �� �V'llWVI � �� •
City: (;��/1;YU, Zip:
Home Phone: Alternate Phone:
�ontractor Information:
Contractor: �� °' � i �� Contact Person: � �� ��U-�
Address: ��0� �G'1��Vl,�GW1,F,� �V� State Bond#:
City: M{,�� � t�l �t���Zip: �SIL� Expiration Date:
Phone: �5� "��( '�''I (�l��l� Alternate Phone:
❑ Insurance—Current:
1
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• � _ MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �J No
� �
HEATING SYSTEMS
Quantity: 1
Make: Y � ��
Model: ��f� �j �,���ld
Fuel:
Flue Size:
Input BTUs:
Output B i Us: �
CFM:
COOLiNG SYSTEMS
Quantity: �
Make: { -T l U
Model: ��C�31��3�p _
Tons:
H. Power _
FIREP�,ACES
❑ 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 Mm�shall if proposing to aban�lon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Undergrc�und ❑ Inside ❑ Outside
LP Gas: _ gallons
Othcr:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: �"L�' Z X '�"��/Z f��(,l.�Q i 1����� ' ���'�1�'
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2 ���
. . . .
rERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
1 � t-��S . �sU X .oi2s $ Z� I o(o
� (contract price) (minimum$50.00)
2. STATE SURCHARGE /' q �L
I �� `-t�S. � x .0005 $ I �-7
(contract pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOT'AL PERMIT FEE (Add Lines 1-3 Above) $ �����b
■ * CONTRACT PRiCE or JOB COST means the actual or e�timated dollar amount �harged fe. the
permitted work including materials, labor, profiit, and other fixed costs. It is the amount to be charged
to the customer for thc work done. If any material,equipi��ent,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.
�-�� MEC�`HAMCAL PERMIT APPLICATI�N AGREEM�NT �
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.
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Applicant's Signature: Date: � —� � "��..P
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE /� ( SCHEDULED �(p � V
PERMfT NO. ���� -d V�`�COMPLETED
ADDRESS I l � � �I'2.?z,vf'1 1C �
OWNER TELEPHONE NO. � � � 3b3��'d�
CONTRACTOR ��'�C.cJ% C �� �
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� DESCRIPTION ��`f f �' �-eU �o -
ty ❑ FOOTING ❑ DEMO-FINAL �.�� ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ,�p�1ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING v❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE nEPTIC INSTALL
2 OWNER/CONTRACTOR TO_ M�U: YES_NO
v�i COMMENTS:
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W� .,�J�fARKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
���CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0
Owner►Contractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION„NO ICE _ scHe�u�E� �� � j.�
PERMIT N �C "' - '�I� Z- COMPLETED
ADDRESS I I C1� ��Ck,c�� �-� I�
OWNER TELEPHONE NO.�,'�---��� ' �ti�
CONTRACTOR �P�C�(:t��C f� � ��-�r�
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� DESCRIPTION -� , � �'1"P'�� ��-�
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF INAL
❑ TREE REMOVAL
� RADON SLAB MECHANICAL RI
Z ❑ ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: Y NO
y COMMENTS:
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W RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� CORRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUE
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a rs in a n . 952) 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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`� D TE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED ����r� /�
PERMIT NO.�D l(o— �I�6MPLETED
ADDRESS ��� � -S
OWNER T�LEPHON NO. �'3 `I �
CONTRACTOR C
� DESCRIPTION ��'�-�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLU BING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ OJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECWERING 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 hou 'n a 5 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSfte Notice