HomeMy WebLinkAbout2016-00433 - mechanical , � CITY OF ORONO * Z 0 1 6 - 0 PJ 4 3 3 *
2750 KELLEY PARKWAY DATE ISSUED: 04/26/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1250 FRENCH CREEK DR
PIN : 10-117-23-32-0013
LEGAL DESC : FRENCH CREEK
: LOT 005 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: REPLACE: 1 HEATING SYSTEM(LENNOX)& 1 COOLING SYSTEM(LENNOX)
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
TOTAL COMFORT MAIL-[N FEE 2.00
4000 WINNETKA AVE N
SUITE 10 TOTAL 119.00
NEW HOPE, MN 55427- Payment(s)
�� CHECK 3505 119.00
OWNER
MORRISON,TRUXTUN&ADRIENNE
1250 FRENCH CREEK DR
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 Ihe
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 goveming 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. �t,,
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Applicant Permitee Signature Date [ssued By Sig ture Date
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P.O.Box fiC+ B:iie Recrrvetl:f � Pi-rmit���. V
� Q� 2750 Kcllry Parkway � : ;. � -�
+ Crystal BaY.MN 55323 ! Appmved IIy .�pm�unt 3:
I � Phone(952)249-4600 Fax(952)249-4616 I �� _�
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��kFs�o��� CITY OF ORONO—MECHANICAL PERMIT �
(AIt Commerc�el pamtts must 6c approved by the Buddmg O�c�sl or inspector andlor Fire Mars � �
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l. You may apply for mechanical pemuts by mail a in person at the City offices. Applications will
be reveewed and a permit will be issued within two working days.
2. Permit cards wrill be sent by retum mail after a review is completed. PERMITS ARE NOT
VALiD UNTIL YOU RECEIVE A PERMiT. WORK MUST NOT BEGL'�1 UNTIL THE
PERNIIT CARD IS POSTED ON THE TOB STfE
3. Mechanical Desiens-Complete calculations,detai]s and specifications are required for each
heating,venalation,humidification-dehumidification,and air conditioning installation inctuding
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer aad model. Data shall be presented on form provided.
4• Whea any new construction or remodeling is in�olved,a separate building permit must be
obrained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Codc
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24d8 hoar notice requlred)
7. House Heating Test Record must be submitted before fmal.
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� R T1�P�'�1�P�RMTT `_
- - - � �-'jCheck Ail That'A}�pl�l�
�Residen6al ' ❑Commercial(Approval Required) [Backflow Devlcc:�AVB ❑PVB]
/
❑New ❑Addiuonal ❑Rcpairs �Replace
IP'��ite1 t3vvn�c�tn��c�'_; f ', -
SiteAddress: j� �/�i�(�� (of� �, � ���� (1/l� ���-j'�
Owner:�rQ�.Q � �1 y�lr Mai(ing Address: �4�
City: ��i� Zip: ��
Home Phone: �l��g�-`— -�j'�7 p��rnate Phone:
�on[ract4r or��t�n;
Contractor: rT�L��� Contact Person: ���'��
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Address: ��� �(�,�,'��e Bond#:�`� ��j��_
City: J�1 v,) . . Zip��piration Date:
`¢ as f..�)��';�
Phone: �7,Es.�-�$3���� AltematePhone: - r�_►.:�I � E 1
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❑ Insurance—Current:
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1Vote:All Geothcrmal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOT'HERMAL? ❑Yes ❑No w�k8-
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HEATING 5YSTEMS
Quantiry: J
Make: __1��
Model: ��^;���-1-f v�
Fuel:
Flue Size:
[nput BTUs: �_
Output BTtJs: �(�
CFM:
COOLING SYSTEMS
Quandty: �
Make: -���y��—
Model: �_
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buraing Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue 1 Masonry
VENTiLATION
❑ No. Kitchen Ext�aust duct recuculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. 016er Fans: Locations cfrn
FLTEL STORAGE (Musr be approved by Fire Marshal!if praposing to abandon tank in p1ac�J
❑ Inscailation ❑ Removal
Fuel Oil: gallons ❑ Undere ound ❑Iaside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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• . • �'
t. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00)
♦�� x.0125$ �b���
(coniract pnce) (wlnimum 550.60)
2. STATE SURCHARGE
x.0005 $ �5�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00
4. TOTAL PERMIT FEE(AddLines 1-3 Above) s ll�
GrJ
• * CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be cl�arged
to che customer for the work done. if any material,equipment,labor or installations are fumished by the
owncr,tenant or any other parry,the reasonuble mazkct valuc of such items must be addecl to thc
esrimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount
of the job cust, the City may request the submission of a signed copy of the actual conh�act.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do atl
work in strict accordance w�the rdinanccs of the City and the regulations of the State of
Minnesota,and certifies thaYall s men ade on this application are complete,true and correct
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ApplicanYs Signature:� , Date: ���o
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J / D T TIME
CITY OF ORONO CALLED IN� �
INSPECTION NOTIC �CHEDULED �
PERMIT NO. �� co PLETED �
ADDRESS ���� ��l,vL��( 2°
OWNER ELEPHO NO.��-��-a 93�
CONTRACT�R �� OYi'�!�f/Y�
� DESCRIPTION v
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l� ❑ FOOTING ❑ 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
Q ❑ FRAMING 4ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ,��iOJECTCOMPLEfE
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W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. � /r-� �
White Copyllnspector's File Canary CopylSfte Notice