HomeMy WebLinkAbout2016-01456 - mechanical • ' CITY OF ORONO * Z 0 1 6 - 0 1 4 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 1U2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 100 BAYSIDE TR
PIN : 06-117-23-22-0026
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTIOH TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 19,156.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON.
(2)LENNOX FURNACE
(2)LENNOX A/C UNITS
(1)KITCHEN EXHAUST 6"DUCT AND 300 CFM
(3)BATH EXHAUST 210 CFM
APPL[CANT MECHANICAL 239.45
STATE SURCHARGE MECH(VALUATION) 9.58
O T HEAT[NG&COOLING TOTAL 249.03
10020 DOGWOODNW#A3 Payment(s)
COON RAPIDS, MN 55433- CHECK 3153 249.03
(763)496-9772
OWNER
NORD, RANDAL
4420 HARBOR LA
PLYMOUTH, MN 55441-
AGREEMENT AND SWORIY STATEMENT
"rhe 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 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 1 SO 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 with the State Building Code.This permit may be
revoked at any time for due cause.
"���,�-� ��" i � 1 �� � !( � �� �/�b
A Permitee�ig�rd�ure Date ssued By S� ature Date
, '« , FO CIT 'USE ONLY
• � - �O A T City of Orono � � ,/�
<y� P.O.Box 66 Date Receive�: �Pennit#� 5�'
2750 Kelley Parkway � ��
Ciystal Bay,MN 55323 Approved By: Amount$:���--
� Phone(952)249-4600 Fax(952)249-4616
.� .�. -
y �
F � / �
�qk�SHpR�G CITY OF ORONO —MECHANICAL PERMI O� ��!i
(All Commercial permits must be approved by d�e Building Ofiicial or Inspector and'or ire 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—Coinplete 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 pernlit 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 ly)
�Residential ❑Commercial(Approva] Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: �J� 6a� s� �� �r.Q-� �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: r�� 1�-�-�f�n� � �--•�J <<< Contact Person: �
�
Address: 1��z�' ��'�''��"� S f N�#�;State Bond #: /�� �� `��� 7
City: ���^ '�� -���� Zip: ��'�'� Expiration Date: 0/�2�'�20� T
Phone: ���" y��' � 77 z Alternate Phone: ��� � � T� -� `� �� �
❑ Insurance —Current:
1
MECHANICAL SYSTEMS BEING INSTALLED � � � � �
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: � �
Make: Lft:., „oX LC�!?hd x
Model: E � ��C(JN/1 GS(✓�t�'C �G 2�C(lN D'lo�(�/3�fy'
Fuel: �a S �`Z S
Flue Size: S�� �lz
Input BTUs: °fi� 72 ��`l 3
Output BTUs: ��� ��
CFM:
COOLING SYSTEMS
Quantity: r 1
Make: ���ox
Model: 5��J6 . 03� - 23� /3 A��C -v3o'- z 3n
Tons: 3 7.J
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 r�^�•d recirculating 3"�' cfin
No. � Bath Exhaust(must have duct outside) �r� cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be upproved by Fire Marsl�all 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&Wliere:
2
. �
� � � ` � l /�►��
PERMIT FEE ALC LATIONS
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
l;`- lJ��� O� x .0125 $
(contract price) (minimum$50.00)
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 far the work done. If any material,equipment,labor ar 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 ar contract price for pern7it fee purposes. In the event that there is a dispute on the amount
of the job cost, the Ciry 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 Pennit, agrees to do all
work in strict accordance witl� the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all state�nents made on this application are complete, true and correct.
�
�%
Applicant's Signature: Date: / Z � J�
3
� ,.. � .___. � .
F _ ,
�� .,r
�� _� ,
_ _. ;,; . . �
OT HEATING&COOLING LLC 3152
10020 DOGWOOD ST.NW APT A3 �
COON RAPIDS,MN 55448
t 7-7000/2910 20
/ Z � / / 7443447186
r ( Ca
Date
Pay to the r Q���O
Order of �' �y �
�-_-, � $ l T/_ D j
[7n,.e /��.,o�%,�o� ��f n+'� �3 .
, t7✓l,e �rs �w e> --�-�
Dollars �p �
�
`tCf TCF Nationai Bank
bank tcfbank.com �
i' c%""
Memo '-�ri�-+-� �
�: 29 LO 7000 L�: 744 344 7 186��■ A 0 3 15 2 � �
i+adane aane
� � ,
OT HEATING 8�COOLtAlG LLC 31 cJ3
10020 DOGWOOD ST.NW APT A3
COON RAPIDS,MN 55448 »-�000/2910 20
Z/ �� 7443447186
ate
Pay to the /
Order of_ �/Y y A� �i�n v Q ^�� �' y
w < �7
`p �
yL—✓12 h �_Y G��� � �Z.n r/ � /O v� --....
J Dollars �p s"a^'r.`�
D9�aitrovmy
,'t(,'f TCF National Bank
bank tcfbankcom
Memo �,o•"�^-� •� �
�: 2 9 �0 7 0 0 0 1�: 7 4 4 3 4 4 7 l 8 6 u■ ��0�3, l 5 3 ��~�L�.O ��4.
����«,
�— �
DATE TIME �
CITY OF ORONO CALLED IN //—�/ /b
INSPECTION I�OTICE SCHEDULED ,//—a,a—lJ��/ � 3 �
PERMIT NO. �� COMPLEFED `
ADDRESS �� �-Q
OWNER TELEPHONE NO. 3 ��� �77 y
CONTRACTOR �_ �-
� DESCRIPTION �� � ' ` �
ty ❑ FOOTING ❑ DEMO-FINAL ❑
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
"j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ��.pAECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BUFiNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCOKTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
� Sw,�,�l��5 . r��c✓�,S — D�
o - �ra.�y � ��,., � v�.���DK
�. ' �+��� �i S�/, � ���,Q/., ,:,, /_ . �� �F-
� � ,
° Q�i� � � 1,�.�.�Jly c n, G L ��.. �� �,�P�
W - n
Q '��,li �!f G Ci$.SC� ,
� � /�d G�cs��t� I,Jb�� �a✓ �"/a ��, r�.�nt �"��s .
� �q 5 lirl �S — Cv,O/J�� — ar�.=� ¢es� �-�.ti►�
��
� �al�itiS��f�s� -
�
� v
W 0'YVORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑OORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERING PERMANENT
�CORRECT UNSAFE CONDITION WRHIN HOURS. p pF{OTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4g00
OwnarlContractor on site:
inspector: �^-
Whits CopyAnapector's Flle Canary CopylSH�Notke
L �n �
� — O�,
DATE TIME
CITY OF ORO O CALLED IN �/_ 5 -/�
INSPECTION OTICE / SCHEDULED `t'- !P - i 7 /:�`�-'
PERMITNO.' � -� � COMPLETED .
ADDRESS l G�O �'� �--��
OWNER LEP,klON N0.7� ������7�
CONTRACTOR � � � • � �"�
� DESCRIPTION ���
ly ❑ FOOTIN('i ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION WOOD BURNER/FIREPLACF ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNFR�CONTiiACTOR TO MEET Y'OU:_YES_NO
y COMMENTS:
W � � - F/ y� /, - ' �•..� . ' �_ a r7 . �+ - t
� �, .�
j —L _/_ /? % r�
O 4�r .�
).
�
�° �.'i'f- -. �%�Si�F�- ��;�� �rnm �- 02��-1�, �-�'/
Q Cc� rr� ��"� e n,�` C� r''�'���
�
W � � .
� �G�lY E� /Y`C�i�P''i� lo/rJ o h e�,�7 /.��E? �'Y�/a�,
W
�
�
�
� WORK SATISFACTORY:PROCEED _LB.�ROJECT COMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OMmerlContractor on site:
Inspector: /"'�'�,�-�' G_
Whits Copyllnspector's Flle Canary CopylSite Notke
���-.�- �--��..,
DATE TIME�-,
CITY OF ORONO CALLED IN __��I1�
INSPECTION NOTICE SCHEDULED '� ��
PERMfT NO. `,'-(�:i l4�"(����pcoMP��e�
ADDRESS � (`..'�-., t�?�-r� �{`j i c�-� -�h�
OWNER TELEPHONE NO. ��'� ������1�7Z
CONTRACTOR f� � �
1�`� /}� ., ��
� DESCRIPTION � v \��� � ► 'A--C��� I ��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 O'WNERICONTFiACTOR TO MEET YOU:�YES_NO
y COMMENTS:
�9gs 1��e/�6 n� ' C�eG�C �io r•+� C�S rrl e'�G/�a Crr ��� 5�y.5���,,
, ` � �v ' G�c�GdGGC `3�a�� �7
O !
� /I� /71S �Owe.r 7D �7s'�i( �,��[s o/ rG'�G �l�
� GI � C �e�b�- �
Qt0�� \ �i/rN �'�ou•Cr.0 �'t f �1��' e.�l'�'
� G�����f
2
W
�
w
o�
�
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT V1fORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�ECTION REWIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OMmerlContractor on site:
Inspector: �. i�' �
VYhite CopyAnapector's File Canary CopyfSite Notke