HomeMy WebLinkAbout2016-01495 (mechanical) CITY OF ORONO * Z 0 1 6 — 0 1 4 9 S *
- 2750 KELLEY PARKWAY DATE ISSUED: 1ll30/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2413 CARMAN ST
PIN : 20-117-23-12-OOII
LEGAL DESC : NAVARRE
: LOT 000 BLOCK 002
PERMIT TYPE : MECHAN[CAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 10,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)GOODMAN NATURAL GAS FURNACE
(1)HOT DAWG GARAGE HEATER
(1)FUJITSU COOLING SYSTEM
GASLINE FOR FIREPLACE AND GARAGE HEATER
APPLICANT MECHANICAL 125.00
STATE SURCHARGE MECH(VALUATION) 5.00
LEGEND SERVICES, WC TOTAL 130.00
201 N MEDINA ST Payment(s)
P O BOX 382 CHECK 8190 130.00
LORETTO, MN 55357-
(763)479-5002
Minnesota State License#: mech-MB005090
OWNER
BLUTH, PETER
2413 CARMAN ST
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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requesred in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applican P itee ignature Date Cssued B ignature Date
OR CI Y USE ONLY
City of Orono '' //
�O�O P.O.Box 66 Date Receiv � �"Permit# ���� � �
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: �3� �
Phone(952)249-4600 Fax(952)249-4616
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l�kfSH���G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial perm�ts must be approved by the Building Official 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 wiil 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
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanicai Designs—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 t
Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �l y I 3 C ur���v 5 i
Owner: ��+� �'��`� Mailing Address: 5'�'�'"�-{ -'n �����
City: S� -rs �-hv� Zip:
Home Phone: `�s� � 3�'�'- �'fi`�� Alternate Phone:
Contractor Information:
Contractor: �-?y�-u� Sti'�<«y�� ContactPerson: 111��t
Address: �� ��v'� 3�'� State Bond#: Y1����'��'��
City: L-o�z � Zip:�535 r Expiration Date: � � � " ��
Phone: ���'J �`���"S��'� Alternate Phone:
❑ Insurance—Current: ;� 1�.v1�'s
1
� MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes i-- o
HEATING SYSTEMS
(',r�t i�BT�
Quantity: � i
Make: C����,e�,� ,.��T a�w�
ModeL•
Fuel: N � �' �' � �
Flue Size:
Input BTUs: �d,�C� l�U�Cd D
Output BTUs: 7�, �10(�
CFM:
COOLING SYSTEMS •
�1-'z,,�. �ri�i �5�'I
Quantity: �
Make: �u��TSN
ModeL• �q�tl�R�-x�Z
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Firepiace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfrn
Q No. � Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Instaltation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
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❑ Outdoor Grill [�' Other/List What&Where: I 5� ti.;;R -�i rr �.mca G•tnM� �u:rrft2.
2
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE # is 1.25%of contract price with a(Minimum Fee of$50.00)
/L�� �'��� x A125 $ �'� '6�/�)�
(contract price) (mioimum$50.00)
2. STATE SURCHARGE
� ��� (.���U X.���$ $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /3�
■ * CONTRACT PR10E 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 FERMIT 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: -{�!1���� �G��'�� Date: %!���A-/�
3
Cc�"" TE TIME �iI
CITY OF ORONO LED IN ��3�
INSPECTION NQT C���/.I�� SCMEDULED I�—�—�� -��
PERMIT NO. ��� �� C MPLETEO
ADDRESS
OWNER LEPHONE NO. - TS�y
CONTRACTOR ��
'' DESCRIPTION �� � �' v `-�
� ❑ FOOTING ❑ D MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ
"j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �auIECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
i dWNOYCOKTRACTOR TO MEET Y�OU:_YE$_NO
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� ``�J�ORK SATISFACTORY`.PROCEED O PROJECT COAAPLETE
W�❑OORRECT WORK a PROCEED O ISSUE CERTIFICATE OF OCCUPYINCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPOMRY
V BEFORE CdVERINO PERAAANENT
❑CORRECTUNSAFEOONDITIONWITHIN HWRS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REW IRED.CALL TO ARRAN(3E ACCESS.
Caq forthe next inspectbn 24 hours in sdvance. (952) 249-4600
OMmedContraator on site:
Inspector: "�-
WMts CopyAnspectors FIN C��ary Cop�rfSib NoNa
�o . ,� �
� � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7
PERMR NO.�n ��U� coM�ErED -��
ADDRESS ���� .� � a�Y1CbN1 Jl
p�WNER TELEPHONE NO. 7�3 �Z��
CONTRACTOR I�-�-L'c� rn� ��Y'(/ �
� DESCRIPTION /-�l C �(�� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ
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
Q 0 FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
Z dwNBYCONTRACrOR TO MEET 1f�U _YES_NO ' � _
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WOfi1C a PqOCEED O ISSUE CERTIFlGATE OF OOCUPI�INCY
� ❑OORRECT W�OHK,CALL FOR REINSPECTION TEMPORARY
���� PERMANENT
❑(�pRRECT Iq�SAFE OONDITION WITHIN �1�- O PHOTO TAKEN
INSPEC'TOR WILL RE7l1RN
O STOP ORDER P08TED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
caM ror u,e next�spectlon u nows in ad�►anoe. (952) 249-4600
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