HomeMy WebLinkAbout2016-00447 - mechanical . CITY OF ORONO * Z 0 1 6 - 0 0 4 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 960 FERNDALE RD W
PIIv : 02-117-23-44-0017
LEGAL DESC : COUNTRY CLUB ESTATES
: LOT 000 BLOCK 000
PERMIT TYPE : MECHAN[CAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUAT[ON : $ 2,842.00
NOTE: (1)LENNOX FURANCE-4"FLUE,60,000[NPUT BTU'S,48,000 OUTPUT BTU'S,830 CFM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.42
DITTER COOLING&HEATING TOTAL 51.42
820 TOWER DRIVE Payment(s)
MEDINA,MN 55340 CREDIT CARD 7511 51.42
(763)478-9558
Minnesota State License#:mech-MB003161
OWNER
BROOKS,JOHN&JOAN
960 FERNDALE RD W
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 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 date of issuance,or if construction is
suspended for a period of]80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoked at any time for due cause.
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Applicant Pe itee Signature Date [ssu y Signature Date
04i27i2016 14:53 DITTER INC � 9522494616 N0.991 D02
,
MOIi C[TY US�:OIV4Y
Ci1y of Qrono
�.��/� P.0 Box 66 naw Rconivr�i: 7crmit 11
V 27S(?ticllcy Pt�rkway
Crysrol O�y,MN 55323 �1ppT�vGd�y: Amuunt$;_,.,.,,._„_,,,,,
Phune�9�2)z�19-a600 Fax(4Sz)2�tya6i 6 '
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`� ��' CITY OF 4174N0—MECY�ANICAL PFRMIT
rR�`ES h►��' (qll Commcrcini permits�nusc ba aPprovea by ilie Building officinl or CnspeGot ond/or rire MarSha�U
c��r���At���ro���raw
I. Yau iroay apply For mEch�nical permits by mail or in�erson Rt the Ciry offices. Applicatians will
be reviewed and fl permit will be issuod within two working clays.
2. Permit cards will be sent by return mail after a revietiv is campletEd. PCRMITS AR�NOT
VALIT7 UN'�IL'YOU R2CC(V�A.PERMIT- WORK M ST NOT B�,GIN UNT1L T�F,
PERMIT CARb'IS P $7'E�D ON TI•1�.l�R SITE.
3. Mechanicll T]es��nS-�Comnlcte cmlculations,det�ils nntl specifications are req�iired For each �
heatin�,ventilation,httmidification-dehurnidifie�ttion,And Air eonditioning installation including
heat loss/heflt gain c�lculacior�,design cemperatures,aquipment ratings and identifention as to
type,mRnui�eturer and mode). Da�a sltall be presented on form��rovided.
4. When any new consiniCtion Or Ye�lodelins is invoNecl,a separatu building permit musl'be
pbtained.
S. RIl work must be done in Record��ce widi che UniCarm Meclaanical Code(St�te i3uilding Code
requirements.
G. All work must l�e inspeo[ed jrough-in and final). CAI1(9S2)244�1600.
; (24-49 hour notico required)
, 7. Flouse 1-leatii�g Test Record musC be submitted before final.
TYPE QF P�RMCT I
Ch�ck All That A l I
��l2esiden'tiAl �Commercial(Approval fZequired) [Bflckflow Device:❑AVI3 ❑PVB)
�New ❑AddicionaJ ❑Re�>nirs �R�pl�ce I
dob Site/Uwner lnfc�r�ration. �
Site Acldress: 1�7d r Wn�°��'e �Q�S�
Owiler:�v}1'�l �Y`c'��J� Ma,iling Address:
i C�tY: Z�P� I
Flome Phone: Alternate C'hone: ����-����� �
Cant.rActor Infarmatian:
Contractbr� ��}4��r ��- CoilC�cc�'Erson: �i r^ �n �' ��
Address: ��� �Oin��� �9V� SCace Bond#: �'��d31�� _
� City: �V�c.� Zip:SS�`10Fxpiration Date: � -7l ���
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�� Phone: `3�3��-4`-1`�` `i 5� ,a.lterna.te Phane: ��3 ��`�6-�__�_)
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❑ Insurance—Current: �n -��,��
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04i22i2016 14:53 DITTER INC � 9522494616 N0.991 D03
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, ��' r � )li � p: �1 � y.�^ �in � �<�� ''4 ;�"+
�,'�.r .I•� ,�i �� 7 n' �� 'la'f� I II��l.fi, i�. � { I �.� 9 �X"r�fiAl I. �
1Vote:All Geotherm�l Systems will now require a.�ite Plan&Review by our Quilding Official. I
IS"CHIS G�OTHERNlA�? �Ycs �No
HEATyNG SYSTEMS
Qiiantity: (
Make: h�,1f>l�l� ,_
Madel, �...��,� �oQ'�i U�l:'� �W'��
Puel_ o � I
��
Flue Size:
Input STUs: �C _,cIUC�
Output fiTUs: ���T
II
cr-M: $3d
i
C(TQy.rNG SYSTEMS �
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Quantity:
Make:
Model: ._..
04i27i2016 14:53 DITTER INC � 9522494616 N0.991 D04
�16,�"���� ��,i,�'r,'!'�����+ �'�`�lif� p ; ,i i �� � �, .� �?i6�hCsl.;�
1. CONTRACT PRIC� '"is 1,25°/n aCconcrAct price with a(Minimum Fee oF�50.00)
��.��l 1� �� �
x.0125$
(contrscl price) �(minimum SgQ,00) I
�, STATE StIRCIIARG�: � a�y.�� x.p045 � � `�� _ _
ccomrocc prsce) ._......
3. POSTAGG 8c,1-IANI�LING(Only oo Mail-ln Applicn#ions) $ Z.aO �
[ ��
4. "fOTAL PERMLT f EE(Add Lines 1-3 Above) � �J ' • �
I ■ '� CONTRACT PRI�CE or J�D COS'I' means tltie A�tual or estimatetl dollar amount charged for tht
permitced work including mQterials,la�or,prafie,end other fixod costs. It is the amount to be charged
I to the custonier for the work done. I Eany material,ec�uipinent,labo�or installacions are fiirnislled by the
' owner, tenant or any other party, the reasonable inarkel value of such itents must be added to tlte
estimatad cost or contract pricc for pennit fee purposes. In tl�e event thati there is a dispute on the amount
af lhe joh cost, tlie City mey request the submission of 1 signed copy of the flctual contract.
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� The undersigned hereby Applies to the City for issua,nce of a PJlechanical Permit, agrees ta do all
I work in strict �tccordQ,nce r�vitlt the ordinances o�the City and the re�ul�tions of che State of ;
�Vtinnesota,anCl certifies that ztll stal'ements made on this application are cnmplete,tru�and correct. '
Applicanl's Signature: �"'��� l�ate: �^"Z�' ��
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CITY OF ORONO CALLED IN �— D� TIME
INSPECTION OTIC _�� SCHEDULED S- - 3=�3�
PERMIT NO COMPLETED
ADDRESS � GC'��C-
OWNER EL HONE NOT S � �
CONTRACTOR �1
� DESCRIPTION /� " /!./' fI
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ IN�N ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J
❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
I
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO �
� COMMENTS:�_�iKe �.� ���5'd— !� � ..,� -
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W4LL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.�/w f�-
White Copyllnspector's File Canary CopylSfte Notiee