HomeMy WebLinkAbout2016-00505 - mechanical '' CITY OF ORONO * Z 0 1 6 - 0 PJ 5 0 5 *
r 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1955 HERITAGE DR
PIN : 10-117-23-13-0014
LEGAL DESC : FOXHILL
: LOT 001 BLOCK 004
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : UNDEFINED
VALUATION : $ 600.00
NOTE: REWORK IN FLOOR TUBING IN MAST�R BATHROOM
APPLICAIVT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 030
ZAHLER HEATING&A/C TOTAL 50.30
6985 WASHINGTON AVE S
EDINA, MN 55439- Payment(s)
(612)282-2959 CREDIT CARD 1478 50.30
Minnesota State License#: mech-MB004790
OWNER
WILSON,JENNY&THOMAS
1955 HERITAGE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 specitied 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 l80 days at any time atter 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 a time for due cause.
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Applicant Permitee S g ature Date Issued By Signature Date
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FOR CITY USE ONLY
1 ;-���� City of Orono � �� �0�� _
� P.O.Box 66 Date Received: �� 1 ermit# ���
2750 Kelley Parkway 3�
�) Crystal Bay,MN 55323 Approved By: �� Amount$: �� '
� Phone(952)249-4600 Fax(952)249-4616
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�kF�H����`� CITY OF ORONO—MECHANICAL PERMIT
______- (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. 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 UN"1'IL THE
PERM[T 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 calcu(ation,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: ❑AVB ❑ PVB]
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: _) -� '( � `- ' �P�
'(, �-- �.
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Owner: �i��iM '. �'.i°� ��! ���G6n MailingAddress: iC`i`�`� � tf'(�i �Z't��� ��
City: �,^�r:i����,'-�; ���C.t_ Zip: � `_� ��'� �
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �;���•�..�t'.� }-`�(u,�,�:, ` ��� Contact Person: � �r�'�' �l�i.�'��-��
Address: �`�`�`j''_� � C�, i��"�� "r��tate Bond#: ��(���-}-��� �
�- _�1 �
City: C��f1,'�l�% �� Zip:��`" �j�Expiration Date: � � � � �
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Phone: � ��7 _i �i � Alternate Phone:
❑ I nsurance—Current: ��:1.L1 �h 5 .
' �4,�1���� �252�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:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
M ake:
Model:
Tons:
H. Power
FIREPL S
❑ Gas Factory Fireplace Brand Name:
� Wood Burning Fireplace
�f ❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENT AT N
Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
FUEL� ORA E (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.)
Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
\ f
GAS LINE �ILY
Outdoor Grill ❑ Other/List What&Where: �� (il� a r F~ � � ���J�"�
l � �' �
2 �`v b �,� � , ,.� /���s-�-�,
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PERMiT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
y�` G �
l�)�t x .0125 $
contract price) (minimum$50.00)
2. STATESURCHARGE
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
wark in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all st tements made on this application are complete,true and correct.
Applicant's Signature: �� Date: � 1 � —/ �
3
J
DATE TIME
� CITY OF ORONO CALLED IN �
INSPECTIO NO ICE ; SCHEDULED •�"�""
PERMIT N �COMPLETED
ADDRESS � f�C ,�v t� !Q.
OWNER TELEP ONE NO.��(.� �`�' �J�
CONTRACTOR -��
� DESCRIPTION ��� -
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF I�MHU�I FI� NAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M HANICAL RI ' ❑ SITE INSPECTION
Q ❑ FRAMING fifc�€iNAL ❑ RATED WALLS
� ❑ INSULATION OOD BURNER/FIREPLACE ❑ COMP�AINT
Q ❑ FINAL ❑ WA ER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL r�'���
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑�RK SATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ours in adv 249-46��
Owner►Contractor on site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice