HomeMy WebLinkAbout2016-00804 - mechanical CITY OF ORONO * 2 0 1 6 - 0 0 8 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2895 CASCO POINT RD
PIN : 20-117-23-31-0053
LEGAL DESC : SPRING PARK
: LOT 099 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,600.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX FURNACE AND A/C
APPLICANT MECHANICAL 95.00
STATE SURCHARGE MECH(VALUATION) 3.80
SEDGWICK HEATING&A/C MAIL-IN FEE 2.00
1408 NORTHLAND DR-SUITE 310
MENDOTA HEIGHTS,MN 55118- TOTAL 100.80
(952) 881-9000 Payment(s)
CHECK 16821 100.80
OWNER
NAYLOR,JOHN&JODI
2895 CASCO POINT 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 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 construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of ISO days at any time afrer work has commenced.
The appiicant 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. �
'� � � - 7 � /.�� / (�
Applicant Permitee Signature Date Issued Signature Date
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OR ITY USE O�LY (�J,�/
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�'� City of Orono � � G��/�—
� �����, P.O.Box 66 Date Rece ��� � Permit# �Ln ��/��
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�� 37>0 Kcllc)'Parkway' C ♦ Y
� � Cq�stal Ba��,MN 55�23 Approvcd E3y: Amoimt S��
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� ? Phone�95 2 1 2-19-ab00 Fax(9�2)249-4616 ^ '�{ '�(�1,C
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�<9,�.� ���, ; CITY OF ORONO—MECHANICAL PERMIT (���/(� ORON
� �5��� (nll Commcrcial permits must bc approvcd by thc Building Official or[nspcctor t�nd/oi I�.irL''Ma�Al��df� �
GENERAL INFORMATiON
1. You n�ay apply for mcchanical permits by mail or in person at thc City officcs. Applications will
be reviewed and a pennit will be issued�vithin t�vo�vorking days.
?. Pennit cards will be sent by return mail after a revie�v is completed. PERMITS AItE NOT
VALID UNTIL YOU [ZECENE A PERMIT. �VORK MUST NOT F3ECIN UN'1'IL TIIE
I'ERMI"C CARD IS POSTED ON THE JOB SITE.
3. Mechanical Dcsi�ns—Complete calculations,details and spccifications are required for cach
hcatinb,vcntilation, l�umidificarion-dehumiditication, and aii-conditioning installation inchiding
heat loss/heat gain calculation,design temperatiu•es, eqtiipment ratings and identification as to
rype, manufacturer and model. Data shall be presented on form provided.
4. When any ne�v constniction or remodcling is involved, a separate building permit must be
obtained.
5. All work must be done in aecordance with the Unifornl Mecha��ical Code/State Building Code
requirements.
6. All�vork must be inspected(rough-in and final). Call (952) 249-4600.
(24-48 l�our notice required)
7. House Heating Test Record must be submitted before (inal.
TYPE OF PERMIT
(Check All That Appl )
�] Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
✓�
❑ Ncw ❑ Additional ❑ Repairs ❑ Rcplacc
Job Site / Owner Infonnation:
Site Address: �� 0� � ����,� ��� �d�Yl,� � 1�-
( �
Owner, �� � �� Mailing Address:
c�ty: D!�'v'Yl.o z;p: v :5.3��
IIome Phone: Alternate Phone:
Contractor Information:
Contractor: �_ � z � � .�L.fl f�.�� Contact Person: )���� �-� "�l
Address: I'��� �V�G'���.�-G��� �1'� State Bond #:
City: ��.Ci�1�.�.H�1� Zip: ��� i� Expiration Date:
—.T
Phone: �5� " ���� ��'1 U�� Alterilate P11onc:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
l�ote: All Geothermal Systems will now requirc a Site Plan & Review by our Building Official.
IS TI�IIS GEOTHERMAL? ❑ Yes ❑ No
}iEA"I'ING SYSTEMS
Qtiantity: �
Make: � I�.i L�
Model: ��jX o`� ��. ��a�
Ft�el:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
QL18t121ty: �
Make: �' .i�' '�
Modcl: ����.)(U3�
Tons: _�__ —
H. Po���er
F�REPLACES
❑ Gas Factory Fireplace Brand I��aine:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE\TTILATIOl�'
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Gxhaust(must have duct outside) efm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must bc npproverl hy Fire Marslrull if'prnpusi�r,to abrurdo�t t�nik iii p/ace.)
❑ Installation ❑ Rcmoval
Fuel OiL• gallons ❑ Undcrground ❑ Insidc ❑ Outsidc
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT 1�EE CALCULATIONS _�
l. CON"1'RAC"T PRICG * is 1.25'%of contract price with a(Minimu�n i�ee of$50.00)
�(.G �U. U� X .o��s � °�S�. Ov
(contract pricc) (minimum$5p,pp)
� 2. STATE SURCHARGI�
� �P G ll (JU X .000s � S. �D
(contract pricc)
3. POSTAGE &HANDLING(O��ly on Mail-Tn Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � � L'�l• �1�
■ * CONTRACT PRICE or JOF3 COST means the actual or estimated dollar amount charged foi• the
permitted work including materials, laboc, pr-ofit, and other fixed costs. Tt is the amount to be charged
to the customcr for the work done. Tf any i7�aterial,equipinent,labor or installations are fiirnished by thc
owner, tenant or any other party, the r-easonable market value of such items must be added to the
estimated cost or contract price for permit fee put-poses. 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 conh-act.
M�CCHANICAL PTRMIT�APPL�ICAT[ON AGRECM�NT ��
The undersigned hereby applies to the City for issuance of a Mecha�lical Pernzit, agrees to do all
work in strict accorda��ce with t11e ordinances of the City and thc rcgulations of the State of
Minnesota, and certifies that all statements il�ade on this application are coinplete,true and correct.
Applicant's Signature: �� ��� � Datc: �—� �� �
3
����
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION N�TI E���� SCHEDULED — —
PERMIT NO. COMPLEfED
ADDRESS � �
OWNER � �a ���Tp�E�EPHONE NO.
CONTRACTOR l��-C�GCJ
� DESCRIPTION �/�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4J �J AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES'�NO
� COMMENTS•
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GW ❑WORK SATISFACTORY:PROCEED �ECT COMPLEfE
� �ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING 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. (952) 249-460�
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Cenary CopylSite Notiee