HomeMy WebLinkAbout2014-00042 - mechanical .
CITY OF ORONO * 2 0 1 4 - PJ 0 0 4 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: O1/14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 885 FERNDALE RD W
PIN : 02-117-23-44-0007
LEGAL DESC : AUDITOR'S SUBD. NO. 184
: LOT 105 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 5,000.00
NO"I�t?: ? LENNOX NA�I�GAS FURNnC1:S
APPLICANT MECHANICAL 62.50
STATE SURCHARGE MECH (VALUATION) 2.50
SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00
6219 CAMBR[DGE ST
ST. LOUIS PARK, MN 55416- TOTAL 67.00
(952)926-4488 Payment(s)
CHECK 3520 67.00
OWNER
WOODHOUSE, KIRT
885 FERNDALE RD W
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which diis permit is issued shall be pert�ormed according to
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the approved plans and specitications,applicable City approvals,and the
S[ate Building Code. This permit is t�or only die work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work
shall be compied with whether or not speciYied herein.This pennit will
expire and become null and void if construction authorized is not
commcnced within 180 days of the date of issuancc,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
I'he applicant is responsible for assuring all required inspections are
requested in confom�ance w�ith the State E3uilding Code.This pennit may be
revoked at any time for due cause.
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Applicant Pennitee Signature Date [ssucd 13y Sign w�e Date
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� FOR CITY USE ONLY
�O A'O City of Orono
�y P.O.Box 66 Date Received: Pem�it#
2750 Kelley Parlc�vay
Crystal Bay,MN 55�?: Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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`qKESHO�'�C CITY OF ORONO-MECHANICAL PERMIT
(All Commercial pernuts mnst be appruved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City oftices. Applications will
be reviewed and a permit will be issued within two warking days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NO�I�
VALID LTNTII.YOLJ RECEIVE A PF,RMIT. WORK MUST NOT BEGIN UNTIL THE
PER'�1IT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details aiid specifications are required for each
heating,ventilation,humiditication-dehumiditiratiun,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remudeling is involved,a separate building pennit must be
obtained.
5. All work must be done in accordance with the Uniform Meclianical Code/State Building Code
requirements.
(. All work must be inspected(rough-in and tinal). Call(952)249-4600.
(24-48 hour notice required)
7. I Iotase I Icating�I�est Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑ Ne�� ❑Additional ❑ Repairs �Replace
Job Site/ Owner Information:
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Site Address: � � � � ���U%''��-� �v��� ���
Owner:l� I�'.T l�C�J i-) t'i'J�.�'� c�C,� c��'
Mailing Address: � ����o��� � .�`G ���
c��,: i�J�y�.��T� z�p: `�c:���
/��� j�, �� �,�
Home Phone: � ���1� Alternate Phone:
Contractor Information:
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Contractor: r����,/v�1�1 r c'-��- Contact Person: ��"�� ��-r�'a�
-, ;�� / r---
Address: ��-!/ �1�'�`�1�-����v/ State Bond#:
City: �L���'S� �G��� Zip:.�✓`�`���� Expiration Date:
Phone: ����� %t�lq, ���vic� Alternate Phone:
❑ Insurance-Current:
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotbermal Systems will now req ire a Site Plan& Revicw by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: � �
Make: �aJ►J G'j( �''1 J/�10
Model: 1��L I�u�� /✓���`fri �--
Fuel: �ATU�14L ��':�
v'
Flue Size: � ���—
Input BTUs:
�� Zt�(.> VU �
,
Output BTUs: V ��U �` L �
CFM: �lv iiC�` ����
COOL G SYSTEMS
antity:
Make:
Model:
I�ons:
H. Power
FIREP CES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTI TION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL ORAGE (Musi be approi�ed by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ LJnderground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS L � ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCLTLATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacement of a Residential tixture or appliance that meets all three of the following requireinents:
I. Does not require moditication to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowuer or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I 5.00
State Surcharge � 5.00
Mail-In Fee(If Applicable) $ 2.�0
Total Permit Fcc �
PERMIT FEE CALCULATION S —JOBS OVER $500.00
If above does not apply; ti�llow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
>9
��" C?G�O- ✓ X .oi2s � ��1 , ��i'
(contract price) (minimum$50.00)
2. STATE SURCHARGE �-- � �.-
,-,' )C�'�' x .0005 $ Z. �' �
(con[ract price)
3. POS'I�AGE&I�iANDLING(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 aniount to be charged
to the customer for the work done. If any material, equipment, labor or installations are fumished by
the owner, tenant or any other party, the reasonable market value of such ite►ns inust 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.
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 statements made on this application are complete, true and
correct.
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Applicant's Signature: �,M�� Date: � � /
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� � DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �` �"� G�'T2�.�
PERMIT NO. ��-��4 `e���{Z COMPLETED
ADDRESS ��5�� I�=�'�►'�cl��� �'��-( t�
OWNER TELEPHONE NO. 5� ' �
CONTRACTOR �� 1��
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� DESCRIPTION ��� ��C t �����'
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Q ❑ POURED WALL ❑ PLUMBING RI �na� ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA � ' n�❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI��1►�-�-'�S�ITE INSPECTION
Q ❑ FRAMING MECHANICAL ❑ PROGRESS
� ❑ INSULATION 000 BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
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2 OWNEFUCONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED �PR9.fECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C or the nex ' ion 2a hours in advance. (952� 249-4600
Ownerl ontractor o site: � � � ''�
Inspector. "'� �
White Copyllnspector's Flle Canary CopylSite Notice
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CITY OF ORONO CALLED IN --��
INSPECTION NOTICE SCHEDULED �
PERMIT NO. 1 G/'-� —U�`��eOMPLETED
ADDRESS � � � �������- �V
OWNER TELEPHONE NO���-��� `���
CONTRACTOR ��' I�'�'�� l' 1����-�-r-
�; DESCRIPTION
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l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FI ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL
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2 OWNERICONTRACTOFj,�Q MFET Y��' YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED P�iOJECT COMPLETE
W ❑CORRECT WORK&PROCEED [� IS UE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
Ownerl ntractor on site: r
Inspector. �"'
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
�I�ERMIT NO.�C,� /�'(X��1a2 COMPLETED l�/�y /.`�� ` %
`��� ADDRESS ��`i /=zi��r'l� ✓CCU- �''�
� OWNER TELEPHONE NO.
CONTRACTOR �c����',/7%���'- 5����✓«r_�
�; DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS
��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE 0 SEPTIC MAINT. �fOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL •�❑\HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTFiACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 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 RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advan . (g52 j 249-46�0
OwnerlContractor on site:
inspector. -- 7�
White Copyllnspector's Ffle Canary CopylSfte Notice