HomeMy WebLinkAbout2016-00064 (mechanical) CITY OF ORONO * Z � 1 6 - 0 0 0 6 4 *
• 2750 KELLEY PARKWAY DATE ISSUED: OU19/2016
� ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 3287 CASCO CIR
P[N : 20-117-23-43-0044
LEGAL DESC : WINSHIPS SUBD SPRING PARK
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,600.00
NOTE: NEW: 1 HEATING SYSTEM(YORK), 1 COOLING SYSTEM(YORK),VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUSTS
& 1 GAS LINE FOR KITCHEN RANGE
APPLICANT MECHAN[CAL 145.00
STATE SURCHARGE MECH(VALUATION) 5.80
DAN'S HEATING&A/C INC. TOTAL 150.80
8875 CO. RD.43
CHASKA, MN 55318- Payment(s)
Minnesota State License#:mech-MB005127 CREDIT CARD 5327 150.80
OWNER
STRUCK,JAN& SARAH
3862 NORTHERN AVE
SPR[NG PARK, MN 55384-
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. �i, )
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Applicant Permitee Signature Date Issued By Sign�ture Date
FOR CITY USE ONLY
. City of Orono r� � ` � y�
�O� P.O.Box 66 Date Received: �'" /"�- �%Permit# �_ ��� k` �-'��11 jp �
� � 2750 Kelley Pazkway rt � � n
Crystal Bay,MN 55323 Approved By: � Amount$: f�, .
Phone(952)249-4600 Fax(952)249-4616
�'F L�
lqkFs}�o��. CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalQ
GENERAL INFORMATION
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 RECE[VE 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/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 A 1
�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �� � '� ( �t.�<c, �`-;�c /
Owner: ��i�4 c/C Mailing �lddress:
City: �T��1 n v Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��r,� ����, 4����.� Contact Person: /��n ���7��`"�z�r«�,,,
Address: �'�'7.S �c /Z,/' S'� State Bond#: �/��O:.S ���
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City: � �. < < Zip:SS Jj Expiration Date: �.� /�
Phone: ���- ���'' '7�1,�.5 Alternate Phone: � S Z� y5',- :,ti�/r�
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� Insurance-Current: ���������,�<<�
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MECHANICAL SYSTEM� BETNG INSTALLED' '
• 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: ����CJ�"OQ/2j'J/�//
Fuel: �`�t.� �
Flue Size: .���PU�
Input BTUs: �L��t,�U D
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Output BTUs: � , )� )
CFM: /,�
COOLING SYSTEMS
Quantity: _�__
Make: �
Model: f C.���v ,J/
Tons: •���
H. Power �
FI RE PLAC ES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE1�1T[LATION
,� No. ` Kitchen Exhaust�_duct recirculating /�_cfin
��7I No. � Bath Exhaust(must have duct outside) Sv cfin
��,.
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fue(Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: galions
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: ���� l/-r-� /�:=n f �
2
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�� � � � � PERMIT�FEE�CALCUL;ATIONS.� ��� ��� �� � � �
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
l/, ����� X.oi�s $
�tract price) (minimum$50.00)
2. STATE SURCHARGE
%/� 6 o a X.000s $
—' (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.
; MECHAI�IICAL"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: ' lrit Date: /— ���(�;
3
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DATE TIME�
CITY OF ORONO CALLED IN /f� -/.�
INSPECTION N TI E CHEDULED / -a?//�¢ oZ�a
PERMIT NO. �OMPLETED
ADDRESS ��8 ���✓� �U,�
OWNER � ELEP�O�O.�a�5�� 70�
CONTRACTOR �
� DESCRIPTION
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P MBING 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
�+J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 95 49-460�
OwnerlContractor on site:
Inspector. ,
White Copyllnspector's File Cenary CopyfSite Notice
` 2DA��� TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTICE SCHEDULED /' � 7-L L� /•�—
PERMIT NO. � � COMPLEfED
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OWNER LEPHONE NO.�/�O��S
CONTRACTOR
� DESCRIPTION _� - -`�`� " �'� "��
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �'.�IECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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V BEFORECO'VERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector: h-
White Copyllnspector's File Canary CopylSite Notke
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CITY OF ORONO cALLED IN ��—l'�
INSPECTION N �l � _r,y SCHEDULED � �5—!� �
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�; DESCRIPTION � �.- �� � �� �� D�f�"�
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ;�(v1ECHANICAL 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
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑ OP ORDER POSTED.CALL INSPECTOR
SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. Q 1�► �
White Copyllnspector's Ffle Cenary CopyfSfte Notice
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DATE TIME
CITY OF ORONO CALLED IN —���-----------
INSPECTION NOTICjE �(�y SCHEDULED �
PERMIT NO. ��`� � COMPLEfED
ADDRESS ���5 � ��',L1���7 ��r`�-�
OWNER TELEPHONE NO. � � � ������Q��
CONTRACTOR _ � f1{�-
� DESCRIPTION � l 1� ' ��S � ' �
ty ❑ 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 �1ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION `❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
2 OWNER/CONTFiACTOR TO YES_NO
� COMMENTS:
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V BEFORECObERiNG PEFMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail t inspection 24 hours in advance. (g52) 249-46��
Ownerl ontractor on i : �l
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice