HomeMy WebLinkAbout2016-00615 - mechanial � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 05/3U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2775 DEER RUN TR E
PIN : 04-117-23-13-0015
LEGAL DESC : CRYSTAL BAY PRESERVE
: LOT 008 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTiAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,200.00
NOTE: (1)AMANA A/C UNIT
APPLICANT MECHANICAL 65.00
STATE SURCHARGE MECH(VALUATION) 2.60
BLUE OX HEATING&AIR MAIL-IN FEE 2.00
5720 INTERNATIONAL PKWY
NEW HOPE,MN 55428- TOTAL 69.60
(612)238-9709 Payment(s)
Minnesota State License#:mech-MB671957 CREDIT CARD 0100 69.60
O W IYER
PRAUS,JEFFREY& SANDRA
2775 DEER RUN TR E
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
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 Iaws 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. ` •
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Applicant Permitee Signature Date Issued y 'gnature Date
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C G� 111� ,Ce� JOB ���� 0�'�� ��'..��,�. '��`'�'►�.��;'.'�
FAR CI USC OY�,X _-
City of Orono rr,;� . /� ��f/�/n `�
�O� P.O.�ox 66 Dato Rccc�'we�, ���;�crmic tJ -�L-"��C''' (/�/`��`�
0 2750 Kclley Purkwuy � � � c f
Crysial Hny,MN 55323 Approved By: Amount S:� 1' �✓'
Pt�onc(952)249-4600 fax(952)249-4616
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�t., �.�� CITY OF ORONO—MECHANICAL PERMIT
r�s Kati
(All Commerciol portni�s musi bc appravcd by ihe Suilding Ofticial ar lnspecior nnd/or Fire Manshall)
GENERAL INFORMATION
1. You may apply for mcchanical permits by mail or in person at the City offices. Applieations will
bn rcvicwcd and a permit will be issued within Zwo working days.
2. Pcrmit cards will be sent by return mail after a review is eompleted. pCRMTTS ARE NOT
VALID UNTIL YOU RECEIVE n��RMIT. 'V✓012�C M�JST N07"�3�;GXN CJIVTI�,x'X�k;
PERMIT CARD IS POSTF.D Qti TiiT,�0�SX'���.
,li 3. Meehanical Dcsiens—Complete calculations.details and speeifications are reyuired for eaeh
hcating,ventilation,humidification-dehumidification.and air conditioning installation ineluding
hcat loss/hcat gain calculation,desigr�temperatures,equipment ratings and identificacion as to
�i typc,manufacturer and model. l7ata shall be presented on form provided.
4. Whcn any ncw constructipn or remodeling is in�olved.a sepArate building perm;t musi be
'I obtaincd.
', 5. All work must be done in accordance with the Uniform Mechanical Code/Statz L�uilding Code
� requirements.
� C_ AlI work must be inspecied(rough-in antl final). Call(952)249-4600.
' (24-08 hour noticc rcquircd)
� 7. House Heating Test Record must be submitted before final.
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;,�,�,�,��3;,I,i��'u,,,������r�, ,. TYPE OF'RER1VfI�'r'�, ,,,,,, ;,,
��'+�'�"`� �� � � Ch�ck AII Thnt A I -
❑■ Resldential ❑Commcrcial(Approval Required)
❑New ❑Additional ❑Repairs -I�'gepjace
' ,'J,ob'„Site'�/O�vu�r�In,£onnatioaa,
Site Address: ���� ��'� ��k�1 �� � •
Owncr: �e�� ���v S MA�l�ng.A.ddress: ���
City: Y'o�a zip: ��3'�CO
Home 1'hone: �`�^�''�'�` a��� Alternate Phone:
i,G'4��k�,���ornia�4�;�,,l!
Contractor: � ��'C71�1��1`�' Contact Persnn_ Jenn�e WOOd
5720 Internationaf Pkwy
Addxess: State Bond#: ��(o�1�1��
New Hope MN
City: Gip� Expiration Date: o�U��'
Phonc: 612-238-9709 Alternate PI�o�ze: ,r
❑ 1»su��ance—C�rxent: Owner's Insurance
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� ,� ��{'�N�' EC�i1�JI��'Ali';�SYST�EMSi;BE'I�G���IST;4L��''ED�1��;,�„',,,����1���',:k��l�a�l���;�,-���,: �������
j Notc:All Creothermal Systems will now require a Sit�e Plan&Review by our Building Official.
� YS'I'HIS G .O�'H�RiVZAL? ❑Yes ❑■ No
iH�;ATING SYS MS
Quantity:
MaRe:
Model:
Fuel:
Flue Size:
lnput 13TUs:
Output BT'Us:
' C1�M:
COOLLI'G SYSTEMS
, Quantity; �
' Makc: �qh�
�oa�i: /�t`�x 1
Tons: 'i
H.Power r.�._... _....__.._,....._ �...._... .
FIRFPT.ACTS
❑ Gas Factory l�ireplace 13rand Name:
❑ Woocl 13urning Fircplacc
❑ Wood Stove No.:
[] Woo Slove with Fluc/Masonry
V�;NTILATION
❑ No. Kitchen Exhaust duct rccirculating cfm
❑ No, Bath Exhaust(must have du side) cfm
❑ I��o. Othcr Fails: Locations cfin
FiTF,i.STnRAf;R (Must roved by�ire Marsl�a!!ijproposin,�to abandon ta►tk i�t place.)
❑ installation ❑ val
Fue]Oil: gallons Underground ❑inside ❑Outside
i,P Cras: __... gallons
O�her:
G,AS.I,1Nk:ONLX
❑ Outdoor Grill ❑ /T.ist Wfiat&Where:
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f� I P Yr� � i lA �� i n ���� T(� ,'V.)^�i �,Y;�'�� r� Vi.yr ,1 r;�i'1
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� ��,ro'�»�,.�M�+°�?�n,C,�`�C�. �u�,�,��'„����;BA'u`ED.oFFt-.;20,o2��S��T��r�?�sTA��'�t�t'TE�G,}i��,a,�lr,�����,{a};�i�l�i�t.�� �'r�:�°'�+r��,,r!°�r�t��<<,
❑ Ycs,tllis scction app� .
� The replaccmcnt of a Rcsidcntial fixture o liance that meets all three of the followins requircmcnts:
1. Docs not rcquirc modi�ication to cicctr or gas scrvicc,
2. Has a total cost of$500.00 or Icss;cxcludin e cost of the fixturc or appliancc:and
3, Is improvcd,installcd or rcplaccd by thc homco cr or licensed contractor.
I Skip ncxt scction,if this applics; Cost of Pcrmit � 15.00
Statc 5urchargc $ 5.00
Mail-In Fcc(If Applicablc) $ 2.00
' '�otul�'crmit Fcc
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�1 If above does not apply:follow guidelines below:
I�I 1. C�N'�'1ttA.Cx�121C� *is 1.25%of contract price wi�h a(Minimum Fee of$50,00)
'�� 5�o� C��
� x.OI25�
, (contract pricc) (minimum$SUAU)
2. STATE SURCHARGE ��,('O � � ��
x.0005 $
', (cOn�rBCt�7ricC)
3. POSTAGL�HANDLING(Only on Mail-In Applications) � "�(�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `-'''� ' `� p
i ■ * COIVTRACT PRICE or JOB COST mcans the actuaI or estimatcd dollar amowtt chargcd for the
P permittcd work including materials,labor,proft,and other fixed costs_ 1t is the amount to bc chargcd
� to the customer for zhe work doi�e. Zf any materiaC.equipnnei�t.iabor o�•ic�stallatiocas are furnished by
� the owner,tenant or any other paity.the reasonable marEcet value of such i�ems must be added to the
� e�timated cost or con�ract price for pe�•nnit fee purposes. In the event thai there is a dispute on the
� amounc nf tf�e job cost, che Ciry may request Lhe subanission of a sisned copy of the accual contract.
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'I'hc undcrsigned hereby applies to tl�e City for issuance of a Mechanical Pemiit,a�rees to do a!I
work in strict accordance with the ordinances of the City and the regulations oC the State of
Minnesota, and certifes that all statements made on this application are complete, truc and
correct.
, � ,��
Applicaut's Signature: Date:
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� . �
`'" DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC L�� ,r�"SCHEDULED —�_-�G� 7:G'�.
PERMIT NO. ���j� � PLEfED
ADDRESS ��7 %..C�.�. /�L(��( �� ��`C,� 6
OWNER f �u S LEPHO E NO.�l'Z-7SO-Z -�
CONTRACTOR� � -�� �U✓/ �-- "
� DESCRIPTION ��� � ` `�G�� �
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 ``�JVIECHANICAL 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 ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �QJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site: ���
Inspector_ ��"�`—
White Copyflnspector's File Canary CopylSite Notice