HomeMy WebLinkAbout2014-00168 - mechanical ., CITY OF ORONO * 2 0 1 4 - 0 P1 1 6�
f 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4055 ELM ST
P1N : 06-117-23-41-0106
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 009
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 28,500.00
N07'E;: 1 BRYANT NAT GAS EURNnCE
1 MUNCKIN E30ILGR NAT GAS
1 BRYANT 4 TON AC
5 BATH FANS
1 GAS [,INE TO FP
APPLICANT MECHANICAL 35625
STATE SURCHARGE MECH (VALUATION) 14.25
HERNKES HEATING&COOLING INC. TOTAL 370.50
419 E. HOFFMAN ST
CANNON FALLS, MN 55009- Payment(s)
CHECK 5101 370.50
OWNER
FRITZ, MATT
9125 LOUISIANA AVE N
BROOKLYN PARK, MN 55443-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicablc City approvals,and [he
State Building Codc. This permi[is for only the work described and does
not grant permission 1'or 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 da[e of issuance,or if construction is
suspended for a period of 180 days a[any time afrer work has commenced.
The applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any tim fbr due cause.
2- 2 -/ � / /
Ap I� Permitee Si ture Date Issued By nature Date
!
% , FOR CITY USE ONLY
City of Orono G, � O �
! �-O�O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay.MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fas(9�2)249-4616
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CITY OF ORONO-MECHANICAL PERMIT
lqKES H��� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply far 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 Designs—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. Al] 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 reqaired)
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: �O �S— ��� s7�Y � �
Owner: M� 1 R � �Z Mailing Address:
City: OfQ^'� Zip: S�S"3 S-'�
Home Phone: �ol Z - o o z-� os 3 Alternate Phone:
Contractor Information:
Contractor: �-(��'�� �{ �f �a�^-� Contact Person: W-t�F ��'�N ►e �
Address: �o. T3 0�c � �o State Bond #: f�l �✓ o o�Z � `7
SSo� � l � �
City: C�`'^�' o"� �,4C �S Zip: Expiration Date: � , � � Z o �
Phone: �'7 - 3� Z - 9�3 �' Alternate Phone: s�� 7 - Z Ce"3 - 83 3 -7
❑ Insurance -Current:���f=c�...� �•4••.� �'� �,�. S �
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MECHANICAL SYSTEMS BEING 1NSTALLED
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Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes QNo
HEATING SYSTEMS
Quantity: ____�� �
a_;���-
Make: (��ya..�'L G(�...o c Ic i r�
�
Model:
Fuel: Na� • No-+�.
Flue Size: 2 � �`� � `�-�� 1� �G
Input BTUs: c�Q,po� �O.o o .�
oUtput BTus: 7�/,�,o � yG��
,
CFM: � � o o N
COOLING SYSTEMS
Quantity: T
Make: Rr,�� '�
Model: 3��
Tons: `�
H. Power �
FIREPLACES v o-�r(���G�
/� p -�m.�L 3 �
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION �
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. c Bath E�aust(must have duct outside) �d cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshu/1 if proposing to abandon tank in pluce.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill .�- Other/List What& Where: �` R� ��'9''C-t=
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets afl 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; excludin�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 � 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above does not apply; follow �uidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00)
l
2 3,sfl� X .o�2s $ � 5(� . Z
(contract price) (minimum$50.00)
2. STATE SURCHARGE � c�,Z�
x .0005 $ �
(contract price)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ Z.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��O • ��
■ * 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 charaed
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. ln 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.
MECHANICAL 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 state�nents made on this application are complete, true and
correct.
Applicant's Signature: —��� Date:
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CITY OF ORONO CALLED IN � ��"
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INSPECTION NOTI p SCHEDULED - - ' D� /'
PERMIT NO. � �OD �OO COMPLETED
ADDRESS �D SS �Lh� �f
OWNER TELEPHONE N0.��7 34Z ��,3�
CONTRACTOR E rn�P ,�/�"
� DESCRIPTION �� -- /r St
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
'� ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAfiD COVER qEMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in dvance. 952) 2 9-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File nary CopylSfte Notice
�ITY OF ORONG�� ,�,�Q�p CALLED IN �C�AT�"� ���IE ✓
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� INSPECTIO OTI E SCHEDULED ,�� �
PERMIT NO. I� E� COMPLETED
ADDRESS �-t�� ��F'"� S��
OWNER c � TELEPHONE NO.� �2"G3.� 1
CONTRACTOR ��$
� DESCRIPTION �� � r�� ' '�""" _c�
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� ❑ POURED WALL MECHANI � ❑ IAKESHOREIWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan ) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
,�5 �e�— �A T�ME �/
CITY OF ORONO CALLED IN �
INSPECTION OTI E SCHEDULED � /l�.; CJO
PERMIT NO. � COMPLEfED
ADDRESS `�(�S5 �f'Yl S�
OWNER TELEPHONE NO. 5b7 �JDZ GJ'339'
CONTRACTOR �P�''hL�P. 7�1e�-�L V�GI
� DESCRIPTION ��r���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING O MECHANICAL FINAL p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
Q O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO ME U: YFFS_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COYERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. ) 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � �`^' DATE TIME �
CITY OF ORONO CALLED IN �-�'I -1 �
INSPECTION TI QSCHEDULED �—/O-I� �
PERMIT NO. �l `�' COMPLEfED
ADDRESS ���J G1/Y1 S
OWNER TEL PHONE N � '
CONTRACTOR
�; DESCRIPTION �
�
� ❑ FOOTING _❑�LUMBING FINAL ❑ EXCAV/ DING/FILLING
y ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WEfLANDS
Q ❑ FRAMING ❑�JIECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. � ,24 46QQ
OwnerlContractor on site:
Inspector. '
White Copyllnspector's Ffle anary CopylSite Notice
� _� ce c\� DATE TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOTIC SCHEDULED 7
PERMIT NO. COMPLETED
ADDRESS
OWNER EPHONE N�P� 77S�7d��—
CONTRACTOR����`e,� -
�; DESCRIPTION _ �-�'���N-��'GZ:�%`� ���
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� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
° C MMENTS: �e/� Sc��P�S �/�a ��4?e�0
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V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White yllnspector's File Canary CopylSite Notice
,�� DATE TIME
CITY OF ORONO --�A
LLEDIN
INSPECTION NOTICE SCHEDU�ED — �
PERMIT NO.� -D COMPLEf
ADDRESS
OWNER TE PHONE NO. - Q '
CONTRACTOR
� DESCRIPTION `� � /-��� � �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORENVETLANDS
Q ❑ FRAMING �°�MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �1�5 1�K� {•�.a�t,� � l S {►ol,Q i.t,�
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W �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0���CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C x i ' 24 hours in advance. (g52) 249-460�
Owner! tor on sit • - �TL
.
Inspecto
ite Copyllnspector's Ffle Canary CopylSite Notice