HomeMy WebLinkAbout2016-01277 - mechanical CITY OF ORONO * z 0 1 6 - 0 1 z 7 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1050 EDGEWOOD HILLS RD
PIIY : 02-117-23-13-0003
LEGAL DESC : REG. LAND SURVEY NO. 1098
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATIOI�I : $ 74,175.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW:4 HEATING SYSTEMS(2 LENNOX, 1 SEISCO, 1 MODINE),2 COOLING SYSTMS(LENNOX), 1 GAS FIREPLACE(SPARK-NOTE:
FIREPLACE&VENTING BY OTHERS),VENTILATION: 1 KITCHEN EXHAUST,4 BATH EXHAUST,GAS LINES:OUTDOOR GRILL,
F[REPLACE,RANGE,POOL HEATER-EXTERIOR
APPL[CANT MECHAN[CAL 927.19
STATE SURCHARGE MECH(VALUATION) 37.09
SELECT MECHANICAL SERVICES INC.
6219 CAMBRIDGE ST TOTAL 964.28
ST.LOUIS PARK,MN 55416- Payment(s)
(952)926-4488 CREDIT CARD 4447 964.28
Minnesota State License#: mech-MB003390
OWNER
STEINER, BARBARA
1050 EDGEWOOD HILLS 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 docs
not grant pennission 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 construction auUiorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after 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,�ause. �
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Applicant Perm�tee Signature ate Issued By Signature Date
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FOR CTfY USE ONLY
Ci of Orono
���� P.Box 66 Date Received���d � Permit# ���� � � ���
2750 Kelley Pazkway ,
Crystal Bay,MN 55323 Approved By: ��j� Amount$:_� - ��
Phone(952)249-4600 Fa�c(952)249-4616
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�qK�SHO��.�' CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB 5ITE.
3. Mechanical Desi�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pennit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑Additional ❑Repairs ❑Replace
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Job Site/Owner Information:
Site Address: �Ds� CD-�i€WDO� /�IGL.s /SOp�
Owner: ��1�/�/�' /�.�$�I��l R Mailing Address: 51�4 �t,�
c��y: �e�'�Y�A��4 z�p: �s3��
Home Phone: Alternate Phone:
Contxactor Information:
SEL EGT f9E�yJo�/1��C.
Contractor: SF�v1��'.P Contact Person: G'�/I�L1 /��4y�L�K
Address: �2�9 C�4f18R�laCi�'s? State Bond#:
City: �T��J°-�� Zip: SS��� Expiration Date:
Phone: �sZ.�ZG. `�Y�� Alternate Phone:
� Insurance-Current:
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes�No
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HEATING SYSTEMS
Quantity: � ( � d
M�e: LF►��o�C L.EN�oX S��SGD IhOI�INf.S�
Moc1e�: �`�291avl�O�OXV.��3 S�}'09 �"��'(¢0
Fue1: NIOTU,�L �S �L-E'LT�'l� N AT�Q/�l- G�'S
Flue Size:
Z" 2-" �-{ ``
Input BTUs: ��o� ODO �(0�000 3U�71 S (a 0�0 00
ouc�utBTus: � 4 a �3. '�oD 3o���S yF', 0-T0�
CFM: /Z a D �L D O `�
COOLING SYSTEMS
Quantity: � �
Make: LFi��OX G FN�O�C
Model: �(C/�of�3�o xC/�vSO��a
Tons: �J �
H.Power —s
FIREPLACES �,l �.P L�L� � � gY ��'�
� G�as Factory Fireplace V����� Brand Name: S P�4 R�.
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: G��y�
❑ Wood Stove with Flue/Masonry
VENTILATION
� No. Kitchen Exhaust � duct recirculating 1000 cfm
� No. � Bath Eachaust(must have duct outside) 3 So cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire Marshall 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: /�ODC. /��"A?�'2 " ��/�214�
fi R�p�� 2
(LO aI4�
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
'7�1. 175. � X.oi2s $ �Z�. �
(co act price) (minimum$50.00)
2. STATE SURCHARGE �o
�`� l �S, � X.000s $ 37. °9
(co tract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �"6b'�'
/ 2$
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 9�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 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.
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 mad on this application are complete,true and correct.
Applicant's Signature: Date: ��
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CITY OF ORONO C-A7LLED IN �
INSPECTION NO IC����,�'1�'��C}iEDUIED
PERMff NO. �� COMPLEfED
ADDRESS Cic� C�� �-L(_-t�--���"�� �i �;�
OWNER TELEPHONE NO� ���'�9� �
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CONTRACTOR
� DESCRIPTION � �~ �
t1� ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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� ❑ DEMO-SITE ❑ ySEPTIC INSTALL
? O'WNERICOHITMCTOR TO MEET 1POU: ` YE$_NO
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W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCURANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advanoe. (952) 249-48�0
OwnedContractor on s e:
Inspector. �7
White CopYllnspeetor's Fils C�nary CoprlSite Notke
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-� � �j � �' DATE TIME
CITY OF ORON�� •�`�?/ CALLED IN ��;. �,� T_
INSPECTION NOTICE j SCHEDULED --���c-/7 l O = �-�
PERMtT NO. � COMPLETED
ADDRESS I ���-' � •� � I �S I�
OWNER TELEPHO E NO. � �a c�ct c� _�C��
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CONTRACTOR ; � I� C'.t l`�Yl�'��G'�
� DESCRIPTION ��� C�'� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL . ❑ TREE REMOVAL
Z ❑ RADON SLAB v1ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE �S TIC INSTALL
2 O'WNERICONTRACTOR TO MEEf YOU: YES_NO `
v�i COMMENTS• -�4����G'�s /�.rs �u✓ 4�✓ts'� •fz�r_ -
Q � 4 Go�/kr ' np CoKKGc�•c< �`d 4�rs rNz `�r -
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W� �MORKSATISFACTORY:PROCEED�K�v���, ❑ PROJECTCOMPLEfE
� I O C10RRECT WORK 3 PROCEED � �/����` ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION,S���y� TEMPORARY
V BEFORECOVERING r�. ��.��s�� PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOPOFiDEH POSTED.CALL INSPECTOR ���-CITATION ISSUED
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❑INSP CTION REOUIRED.CALL TO ARRANGE ACCESS.
�/'av�a� ��w�-c Ca� o�- s.�
Call forthe�ext inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector: � /iw 9�
White CopyAnspector's Flle Canary CopylSite Notke
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. DATE TIME
CITY OF ORONO �CALLED IN
INSPECTION NOTICE SCHEDULED `' � -'L? �
PERMIT NO. � ��' L�� z��OMPLETED �
ADDRESS / r', -`J7(�c"ci 7� t L'��C� �---C► ( (�
OWNER TELEPHONE NO. �'�2�---c�c���-���S3
CONTRACTOR -~�- ( � C'.�f"
� DESCRIPTION C'�-�� �- � C��I� � �1"1C� �7G�J L l�`�'
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL ��Sj
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ ��J PTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:�Y.YES_NO
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� COMMENTS:
� '�Li!'LG�, �� 94S ��i�7< GJ� ��'4CGf/ W�✓'e �
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W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �/h�- "{C�'
White Copyllnspector's Flle Cenary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I Z I 7,2 8 3 v
PERMIT NO. 20 I Co— I Zl COMPLETED�((
ADDRESS I 05 6 091 tAJ000( RA k Rd
OWNER TELEPHONE NO. 703"400-(0 2.3A
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CONTRACTOR Mt n-Lei./ 61 it
y DESCRIPTION M ► \V Q
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
'
0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
- OWNER/CONTRACTOR TO MEET YOU:_YES NO
y COMMENTS:
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W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
'CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. BSc. N
White CopyInspector's File Canary CopylSite Notice