Loading...
HomeMy WebLinkAbout2016-01337 � � CITY OF ORONO * z 0 1 6 - 0 1 3 3 7 * 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3960 BAYSIDE RD PIN : OS-117-23-22-0015 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS ACTNITY : O/S GENERAL VALUATION : $ 2,100.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. HEAT N GLO GAS FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.05 CONDOR FIREPLACE& STONE CO. MAIL-1N FEE 2.00 8282 ARTHUR ST NE TOTAL 53.05 SPRING LAKE PARK,MN 55432 (763)786-2341 Payment(s) CREDIT CARD 6743 53.05 OWNER LOVELESS, CHRISTOPHER&KATIE 3960 BAYSIDE RD MAPLE PLAIN,MN 55359- 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 onty the work described and does not grant permission for additional or related work which requires sepazate 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 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 cause. / / Applicant Permitee Signature Date Issued By Signature Date ' � FOR CITY USE ONLY ���0 cirv of orono ; ( �3�j P.O.Bn�66 = Date Received: Permit���` i 27�0 Kcllcy Park�v�y � - �' r ,'� Crystal Lia��.MN 5532:� Approvcd By: _ Amount 5:�� � � �, � 'i Phonc{953)?d9--{GU(} Fax(952)249-�161( _ _ i � � ,c, i \ � �`F�-,,�.��f��>>t�" ' CITY OF ORONO - MECNANICAL PERMIT _ _ (All Conimcrcial pcnnits must bc approvcd by thc Building Otticial or Inspcctor and/or Firc Marshnll) --- ------ ..__._ _._.._ .__.—_ --- GENERAL INFORMATION i. �Y ou may appiy tor mecnanicai permits ny maii ot�in person at the l,ity oItices. Appiications wi'li bc rcviewed and a permit will be issued within twu workinb days. 2. Pennit cards will be sent by return mail after a revicw is com�letc�l. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUS'l'NO"I� BEGIN UNTIL'['HE PERMIT CARD IS POS"I'ED ON THE Jt)B SI"I'E. 3. Mechanical Desi�ns - Completc calcufations, details and specifications are required for ench heating, ventilation, humidification-dehumidification, and air conditioning installation inclttding heat loss/heat gain calculation,dcsign temperatures,equipment ratings and i�entification as to type, maiiufacturer and model. Uata shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pennit must be ohtaincd. 5. All work must be done in xcordai�ce with the Uniform Mcchanical Cocfe/Statc Building Code requir�ments. 6. All work must be inspected(rough-iiz and final�. Call (952)249-4600. (24-48 hour nuticc rcyuired)- 7. House lieating"I�est Record must be submitted before final. __— -- --- --- -- _______� TYPE OF PERMIT _ _ (Check AlI That Apply) �lZcsiclential ❑ Commcrcial (Apprvval Requircd) [Backflow Device: ❑ AVB ❑ PVR� �c�v ❑ Additional ❑ Repairs ❑ Rcplace L.- ---�. .,. ,_,...�_ ob Site /Owner Informatzon: � Site Address: v� � �Sl-�G � r � 1 ��� t. �1\, 1 1 _ - - Owner:__ � l_..:(�. . �,..�� '�.. � \ �.y l ,,.. � � c__..���. �` � � �- Muilin�J � � ; , �-1 �- � Acl�lrttiti: u < � City: ��,_'��L'" ��--'��U'�,�`� ZiP: .__---- -�, Home Phone: � �� �� ��.i��1 � ��.,a � ,�Alternate Phone: _ __..__. �....... Contractor Information: _ _�_ �_____ � � j J` �' « � � )��` .�_--, �, .' r^� ., / � ��, ��_�.- Contractor: � � 1 �''�., ; c. �)t(�`�iii�tacft'Pci�c�n: , ._. : U �� , „ , , , � _ , -L_ � � ��}, � Address: �i�r� ��.�"t.;��1,t,U�., �� Statc I3ond #: `� '�, � � ��C_ ; , , . �� , ,, , City: �� �"�U �.�1 ���i��• �..1 �' �.���ir�ition f��it�: � � v��.� �-� l/�' ��' _� ��1�� � � ,�� -- � � � Phone: r_�`,,���,-���'. .. � �1lternatc ('he>n�: � � -� �� �>\� 1' ❑ Insurance - Current: t _ __._ _-- -- -^ _.. _ --- � MECI�-IANICAL S�S"I'EMS BFING [NST�LLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes��� HEATING SYSTEMS Quantity: ��lakr: Model: Fuel: Flue Size: Input BTUs: _.__�..______--__-- Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power 1�IIZE:PLACI:S Gas Factory Fireplace Brand Name: t�.� ��. � �� � � __- - - � ' 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 abando�t tunk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Whcre: 2 -— -.—_ _--_ _. _- -- C'ER1�1IT FCE CALCUL�1TtON�i � 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) �'` � � x .0125 $ � � �' _ _ .__. _— (contract pncc) (minimum SSQ.00) .. , M :. �1;111'. �liKl li,-�Kt�l'. -! _� � � ') � --� �� x.0005 � .�. (conti�act pricc) 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 actua] or estimatcd dollar amoun[ charged for thc 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 o[her party, the reasonable market value of such items must be added to the estimated cost or contract price for perrnit fee purposes. In the event that d�ere is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. --- .. _ ---- - -------_— ---... ..____-- MECI�.�1N1C.�L PERMIT APPLiCATION AGREEMCNT � 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 �_ � ,' � -" " Date: � � I � � . -r; �_�+ ----.._ ....... . � 3 �_!� / 'D� TIME CITY OF ORONO CALLED IN G� INSPECTION I SCHEDULED � — � -��-�"� PERM�T NO. �� coM Ereo ADDRESS 0 � OWNER TE E ONE 0�2 � ��� 7�� CONTRACTOR � DESCRIPTION ��� � � � ❑ FOOTING ❑ DEMO-FI L p D� ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ���` � ❑ EXCAV/GRADING/FILLINQ O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �MECHANICAL RI �S� ❑ SITE INSPECTION Q�RAMING�Te���(, ❑ MECHANICAL FINAL ❑ RATED WALLS Z' G�l-1�i/��-+i4'1"•-� � ❑ INSULATION �❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ��UNDA � L � ❑ DEMO-SITE ❑ SEPTIC INSTALL Q O�INNERICOKTRA(."T TO MEET YiOU:_YE8_NO y CO MENTS: � - �• � �� �'�'^ � � `�' r-��. S � �G C.✓G. �l"�.. G , OI`'V �i�i✓► I Z.�• v �. - .� J s G�� C � � � - rJs S �/� a� ' � 1'D G c.J � � �'�cr' n,-,, ;.. , /xr -�l'h � rv�..�.s � t� Q �• C" ' 3. � � • ,s �.. ,� ,r,�,a, S. W ' � �- � G� � � ' . D� �, � e.�a ,,.�,.,-, �� s �,. �- �.�. a L I I � L ✓L s ��+� r✓a,�� G� G,rT� �� C r1w C��� �,,� y� (. .c _ K s-G � � .c7r e.ti ,',�,L L/'•:. 4�j ❑WORK�FACTOR'9:�ED , ❑ ECT COMPLET � � � �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMIPORARY V BEFORE CONERINd PERMANENT ❑CORRECT UNSAFE COND�TION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TAT10N ISSUED ❑INSPECTION REWIRED.CAIL TO ARRAN(iE ACCESS. Call for the next inspectfon 24 hours in advance. (952) 249-4600 Owr�IContraator on sRe: inspector: Whits CapyRnspacto�'s FiN Canary CopylSit�NoGe�