HomeMy WebLinkAbout2016-01222 - mechanical CITY OF ORONO * 2 0 1 6 - 0 1 Z 2 2 *
' ' 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1932 FAGERNESS POINT RD
PIN : 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,800.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
KITCHEN EXHAUST-6"DUCT 300 CFM
3 BATH EXHAUST-80 CFM
GASLINE TO OUTDOOR GRILL,FIREPLACE,RANGE,DRYER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.40
MINNESOTA MECHANICAL TOTAL 51.40
3738 97TH STREET NE Payment(s)
BLAINE,MN 55449- CHECK 163 51.40
(952)500-2401
OW NER
CROOKS RESIDENCE
1932 EAGERNESS PT 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 E3uilding 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 construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for 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 wrth t State Building Code.This permit may be
revoked at any time for��� se. �
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App�can rmitee ignature Date ssued ignature Date
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, , FOR USE ONLY
�O� City of Orono ���/_ dl�a�
O P.O.Box 66 Date Rec Permit# �U
2750 Kelley Parkway �j'
Crystal Bay,MN SS323 Approved By: Amount$: V ��
Phone(952)249-4600 Faac(952)249-4616
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F`�KfSH���G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Otticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 a�d 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 PERM[T
Check All That A 1
[►�'Residential ❑Commercial(Approval Required) [Backflow Device:� AVB ❑PVB]
❑ New [�dditional [�'�epairs [�]'I�place
Job Site/Owner Information:
Site Address ��1�3 } r-,,.•,�,¢rc�s s .���.� ��.r�
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Owner: Mailing Address:
City: �for►o Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���r�,.��h- ,/``�c�l�.n 1��-f Contact Person: �z�F L:.��.m,s•.d��
Address: 3?3,y �/7 '�'�" �� .r�/' State Bond #: f�9�3�5 U�,-5 t�
City: j�l��.�..� Zip: �5���Expiration Date: 7��l/�
Phone: g5�-��v�-� �/e/ Alternate Phone:
❑ Insurance—Current: �cc �1�•.��
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, FOR USE ONLY
' �O� City of Orono ��//„ ���a�_
O P.O.Box 66 Date Rec Permit# {v
2750 Kelley Pazlcway �j
Crystal Bay,MN 55323 Approved By: Amount$: V ��
Phone(952)249-4600 Fau(952)249-4616
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`qk£SH���G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pertnits must be approved by the Building Oflicial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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 RECEIVE 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) [Backflow Device:Q AVB ❑PVB]
❑New [�Rdditional [�'�epairs [{'[�lace
Job Site/Owner Information:
Site Address: ±�1� � �=,,..,�.,-�z�s 5 .���.� �a.��
,
Owner: Mailing Address:
City: �-,�,a r Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ����,.��h- c��n 1��-� Contact Person: �1z�=F 1,:�n�.w•,�dc—
Address: 3?3v�'' �/7 '�"'` rr� �i/' State Bond #: ���3�7G�•,-5�t�
City: j���..��r�.-� Zip: 5 5c�y Expiration Date: 7�� �/�3
Phone: g5,�-��v-31/ey/ A(ternatePhone:
❑ Insurance—Current: �ct ,r��..��
1
' � MECHANICAL SYSTEMS BEIIriG 1NSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
� No. � Kitchen Exhaust �► �� duct recirculating ���'cfm
� No. � Bath Exhaust(must have duct outside) ' .� cfin e�-��
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE OI�ILY
�i tr' /fj'.u 1 vt Gv S
� Outdoor Grill [�� Other/List What&Where: �;�c pl��--
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2 )J 4'y.c.-/'
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�. g�� x.0125$
(cott�act price) (minimem 5511.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(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 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 made on this application are complete,true and correct.
�
Applicant's Signature: � . �3-- Date: �1� �i�/(�.
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CITY OF ORONO � CALLED IN
INSPECTION NOTICE �HEDULED --,���' —�
PERMIT NO. r-l�=I (r_� '- �I� COMPLEfED
ADDRESS � � �J� ���YYIF'--��`� �`� �
OWNER TELEPHONE NO. �`����Q Z-yO)
CONTRACTOR � �� � Y��
� DESCRIPTION / ► �� �-�� ! � � �I r��5+
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �AAECHANICAL 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL � �i,�� t/1M ,C ��,�'��
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2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � J
� COMMENTS: `i � i�l i.-�--� (,�5 C� � �C_�
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W��.j�40RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W VO CORRECT W'ORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Ca11 ror the next inspection 2a hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector: ���
YVhite CopyAnapector's Flle Canary CopylSib Notks
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G i�'`.� p TIME `�
CITY OF ORONO CALLED IN 1� � ��'
INSPECTION N�tOTICE SCHEDULED / ' ' �
PERMfTNO.r�`� � ���1 aa'�COMPLETED
ADDRESS � � �t_ � ;�-��---c;��J � o�
OWNER TELEPHONE NO. S -S��
CONTRACTOR �`t �'4�u C
4�'' DESCRIPTION
j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADtNG/FILLIN(3
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINEAICONTMCTOR T ET Y�U:_YE$_NO c-�
y COMMENTS: � � ' v
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W ❑VMORK SATISFACTORY:PROCEED OJECT COMPLETE
� ❑OORRECT WORK 8 PROCEED O ISSUE CEFiTIFICATE OF OCCUPANCY
W
0 O CORRECTNfORK,CALL FOR REINSPECTFON TEMPORARY
V BEFORE CdNERiNO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN H��• ❑pHOTO TAKEN
INSPECTOR WILL RETIJRN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OvvnertContractor on
Inspector: ��
VYhits CopYAnapectors FIN C�nary CoprlSlt�Notics