HomeMy WebLinkAbout2014-00270 - mechanical CITY OF ORONO * z 0 1 4 - 0 P1 2 7 0 *
'" 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2014
�� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1700 FOX ST
PIN : 03-117-23-41-0007
LEGAL DESC : UNPLATTED 03 1 17 23
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 89,440.00
NOTE: (3)LENNOX HEATING SYSTEMS
(3)LENNOX COOLING SYSTEMS
(6)BATH EXHAUST
APPLICANT MECHANICAL 1,118.00
STATE SURCHARGE MECH(VALUATION) 44.72
SELECT MECHANICAL SERV]CES INC. MAIL-IN FEE 2.00
6219 CAMBRIDGE ST
ST. LOUIS PARK, MN 55416- TOTAL 1,164.72
(952)926-4488 Payment(s)
CHECK 3571 1,164.72
OWNER
Craigbank Associates
15407 MCGINTY 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
permi[s. All provisions of laws and ordinances goveming[his type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of Ihe date of issuance,or if construction is
suspended fbr a period of 180 days at any time afrer 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 ate Issue By Signature Date
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, CE���Ep FOR TY SE ONLY
� City of Oro�'{�
P.O.Box 66 O Date Received:� � rmit# ��� �7�
' �O�Q 2750 Kelley Park , 14
Crystal Bay,MN�� _� � Approved By: Amount$:
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1'�kfsHo��' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens-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. All 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 required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑ Repairs �[Replace
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Job Site/Owner Information:
Site Address: ���� �Z'X S�'��-�'
Owner: �����A�� Mailing Address: ��AYZc�iYa
City: ��}r�0 Zip: �.� -3`t t
Home Phone: Alternate Phone:
Contractor Information:
Contractor: St=I,�;Z-� ��-��I�A�-Contact Person: `i6tJl�}(.� v�!��-'�
Address: ��� ��i3���Q�' S i . State Bond#: ���V 3 3�
Cit �7�-j%+��5���'�- Zip:,�lll{o Expiration Date: ���`� �`�
Y�
Phone: `7�� ��O""���g� Alternate Phone: (��—�l S�" � �S �
❑ Insurance—Current: �� J�1 Z�
1 C��l d 3 3�-�oH
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]!uIEC�-IANi�CAL S�'STEMS BETATG INSTALLEI.I �
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: 2 /
M�e: t—�� 1�-��
Model: �"��'�' `��-��
Fuei: �� ��'
Flue Size: •Z �J�'' v
Input BTUs: � � — ,�
output BTUs: �W �� � �'
CFM: 3'� Z,;v /�OC.�
COOLING SYSTEMS
Quantity: / / /
Make: G�=�✓�'� G�►�t'v�� �t"��5�
Modei: �G�� Xcr/S• �c,./�/``
Tons: / � �
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
� Wood Burning Fireplace
� Wood Stove Model No.:
� Wood Stove with Flue/Masonry
VENTILATION
� No. Kitchen Exhaust duct recirculating cfm
No. _�__ Bath Exhaust(must have duct outside) � cfm
� No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.)
� Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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` } RERMIT FEE�ALCtII..ATT�N{S) '
BASED C3�F-2002 STATE STATL�E
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a totat cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. ls improved,installed or replaced by the homeowner or ticensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(lf Applicable) $ 2.00
Total Permit Fee $
�. .��`��`I:�e�►�Q�'����-�£�s�4?�'�R.`$�:�Q! ��
,
[f above does not apply; follow guidelines below:
1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of 550.00)
�`��yyo ' X .ol�s $ /r/��
(co tract pnce) (minimum S$0.00)
2. STATE SURCHARGE
,,���tY�?"� x.000s $_ y`t '7L
(contract price)
3. POSTAGE& HANDL[NG(Only on�tail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /'i6y �a--
• * 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. lt is the amount to be charged
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. 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.
;;;sf.�� £r`� �� a �'•�'' :�. �"'� 5 '3.�'1lJl` �2.:'�, � . �� . � � � .
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 s ments made on this application are complete, true and
correct.
� Q l� � Date: ���
A l�cant's S� nature: �
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CITY OF ORONO CALLED IN ��.1
INSPECTION NOTIC� SCHEDULED � / �__��
PERMIT NO. a0�� ��Z � COMPLETED
ADDRESS I 7�D �l�� ��7�
OWNER TELEP NE NO. �Sa a�'��
CONTRACTOR � ��''C'T �YI�CGI
� DESCRIPTION �7� l T�J,Q �/� T�S f—
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y � FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ SEPT INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU: YES_NO
v�, COMMENTS: %� . G �
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. (g5 49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
S� ATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED ' '�/ �:�U
PERMIT NO. ��'Z7D COMPLEfED
ADDRESS / 7DD �117C- S�
OWNER TELEPHONE NO.�✓z Z���5�
CONTRACTOR (�(eC?a��C��
�: DESCRIPTION /��e� /—"�"-�`"�-
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING �1CAECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
�RECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONOITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 fo ion 24 hours in advance. (g52) 249-4600
Ownerf ontractor on site:
Inspec
White Copyllnspector's File Canary CopylSite Notice