HomeMy WebLinkAbout2016-01120 - mechanical � CITY OF ORONO * Z 0 1 6 - PJ 1 1 2 0 *
� 2750 KELLEY PARKWAY
DATE ISSUED: 09/15/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1135 HERITAGE LA
PIN : 10-117-23-13-0021
LEGAL DESC : FOXHILL
: LOT 000 BLOCK 003
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW FURNACE&A/C(GOODMAN)
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
RC HEATING&A/C TOTAL 117.00
4880 MCALLISTER AVE.
ST. MICHAEL, MN 55376 Payment(s)
CHECK 3761 117.00
(763)286-3943
OWNER
MARKUSEN, LOCKIE
1135 HERITAGE LA
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 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 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 ode.This permit may be
revoked me for due cause.
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Applicant P mitee ignature Date Issued By Signature Date
•� � FOR CITY USE ONLY
City of Orono �� 2 el �
r �ON P.O.Box 66 Date Received: � t Permit# r0'� �
� 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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!q`�FSHO��G CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 Desiens—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). Cail(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(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�New �`Additional ❑ Repairs ❑ Replace
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Job Site/Owner Information:
Site Address: //.,�j /-�t�� 7'�c cs�° ��✓
Owner: Mailing Address:
City: �J''o-�r Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: C 17� f �� 0� I`YC�. Contact Person: /�C.t`'�� (/
Address: �,�f�i� �/� �.�f State Bond #: �j3D����j y
City: �� �IG Zip: ����J Expiration Date: �Q�C�
Phone: �G�3�-�6'(p- 3��� Alternate Phone:
❑ Insurance-Current:
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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: __�_ �� �>,V' �Tk.0 �
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Make: ��"^cl..J /�X(�j � 'r �� � l 11�
, __--� i/
Model: (,�-f✓�U�l r�F/� � S� 6J� �, ,
Fuel: � j �v :
��--.���4Lr�
Flue Size: � `�
� � v./'/�/ �r v2 ���Za.�..-�
Input BTUs: '�,S p'�1�, y�Qt� U�- D2 S�t,/
� tiV�/1�'�U
oUtPut BTus: �� o-� � l/ o � ��✓��
CFM: '� '%a�v
COOLING SYSTEMS
Quantity: `
Make: �j -?�1J�(,,•4,,�,/
Model: �ff✓�D/�r�C f�
Tons: �, ��Z
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust
❑ No. duct recirculating ��
Bath E�aust(must have duct outside)
❑ No. Other Fans: Locations ��
cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside
LP Gas: gallons ❑Outside
Other: ;
GAS LINE ONLY
❑ Outdoor Gril] ❑ Other/List What& Where:
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� � �U� x .0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark 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
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: 9�— /S —/�'
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CITY OF ORONO CALLED IN =r-'�
INSPECTION NOTICE SCHEDULED
PERMtT NO.2c�1(� -�//ZC� COMPLETED
ADDRESS I I��� , lE',�"i'J��I�� �!�
OWNER TEL�PHONE NO.�lr�3 Z��' '-��'�
CONTRACTOR / �-�-���� �'�����f/Z�
� DESCRIPTION ���� ��
4~j ❑ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICOPfTRACTOR TO MEET YOU:_YES_NO
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W ❑V110RKSA7ISFACTORY:PROCEED CIPROJECTCOMPLEfE
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspectfon 24 hours in advance. (952) 249-4600
OvmerlContractor on site:
Inspector:
WhiM CopyAnspecto�'s File C�nary CopylSlts Noties
L%%G�' `� ` �/ TE TIME J
CITY O ORONO cnLLED IN - l �
INSPECTION OTIC SCHEDULED — I�`�7 .
PERMIT N O //� COMP ETED T_
ADDRESS ��� � �-�
OWNER T E ONE NO.��'Z��-3��
CONTRACTOR '
�`' DESCRIPTION �
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WAITER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL �/�� �
2 OWNENCOKTRACTOR TO MEEf 1I�U:_YES_1� QRd�'�w
� COMMENTS: a ✓1 r��-�f N�� �a'� {�l C�
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� YMORKSATISFACTORY:PROCEED PROJECT COMPLEfE
C�ECT WORK 3 PROCEED ❑I CERTIFICATE OF OCCUPANCY
O ❑(:ORRECTYYORK�►LL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PEqMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Cafl for N�e next inspection 24 hours in advance. (952) 249-4600
OwnerlContracMr on site:
i���:�� �
VYhite CoPYMnspector's Fila Cana►Y�PYISits Notiee