HomeMy WebLinkAbout2016-00845 - mechanical � � CITYOFORONO * 2016 - 00845 *
` 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016
ORONO,MN 55356-
� (952)249-4600 FAX: (952) 249-4616
ADDRESS : 333 HOLLANDER RD
PIN : 25-118-23-43-0005
LEGAL DESC : REG.LAND SURVEY NO. 1281
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATI01�1 : $ 4,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)KITCHEN EXHAUST-6"DUCT-300 CFM
(1)BATH EXHAUST-50 CFM
GASLINE TO COOKTOP
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 2.00
TANNER,JOHN&DONNETTE TOTAL 52.00
333 HOLLANDER RD Payment(s)
WAYZATA,MN 55391- CHECK 1144 52.00
OWNER
TANNER,JOHN&DONNETTE
333 HOLLANDER RD
WAYZATA,MN 55391-
AGREEMENT AND SWORI�i 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 additiona►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.l'his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he 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 aze
requested in conformance with the State Building Code.'This permit may be
revoked at any time for due cause.
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Ap 'cant Permitee Signatuce Date Issued Signature Date
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� 2750 Kelley Parkway � ,��
Crystal Bay,MN 55323 Approved By.c��►"„'i Amount S%[�!��v v
Phone(952)249-4600 Fax(952)249-461b
�`��.�k fs o��.�� CITY OF ORONO—MECHANICAL PERMIT
H (All Commercial peratits must be approved by the Building�cial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
i. 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 PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERMiT CARD IS POSTED ON THE JOB SITE.
3. M�chanical Desig�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculadon,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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
Check All That A 1
[g Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVB]
❑New [�Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ��� ��`�� +�•
Owner: `� 1�nn�f Mailing Address: 33 3 �//� �
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��Ty: w�. Z�p: �.s 3� �
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Home Phone: 6 3 `1�7 3 �Z Alternate Phone:
Contractar Information:
Contractor: �0�'`°� �� Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Altemate Phone:
❑ Insurance—Current:
1
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Note:All Geothermal Systems will now require a i P &Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [�io
HEATING SYSTEMS
Quanrity:
Make:
Model:
Fnel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H.Power
�3FP�cES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VErTTILATION
4
❑ xo. 1 ��n���t G au�c ���g 3°� ��
❑ No, ( Bath Exiiaust(must have duct outside) S� cfin
❑ No. Other Fans: Locations cfrn
FUEL STORAGE (Mtest be approved by Fire Marshell if proposing to abandon tank in plac�)
❑ Installarion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: �'S I�^'` � Cclvtc�or
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1. CONTRACT PRICE 'is 1.25°/a of contract ptice with a(Minhnum Fee of$SII.00)
�{P �� x.oi2s$
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c�c�ce) cmw.ti�sso.00�
2. S,�'ATE Silit �LAR �,/��d .�
�� x.0005 $
(���ce)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ .2:d�
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ � � ��
■ * CON'I'RACT 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. ff 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.
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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: 7 � �6
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION N��C�����(�:G�scHEouLED �
PERMIT NO. � COMPLETED
ADDRESS �3.3 •t--1 (;I I � �_� I2-�-
OWNER �� J,�;� ���� TELEPHONE NO. � � a �� � �17
CONTRACTOR
� DESCRIPTION �e L��
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑_A��1�ILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL
JDEMO SITE PTIC INSTALL
� OMINER�'.�lTMCTOR TO MEET YOU• YES_NO
� OMMENTS:
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��YORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE
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O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERINf3 PERMANENT
❑CORRECTUNSAFECONDITION WRHIN HOURS. O PHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REUUIRED.CALL TO ARRANGE ACCESS.
Call ior the next inspectfon 24 hours in advance. (952) 249-4600
OMn�eNContractor on site:
Inspector: L� �-�' ��
YYhite CopYAnspector's Fil� C�nary CopylSib Notltx
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DATE TIME
CITY OF ORONO cnLLED IN � �
INSP ���-l�-�r fc sc►+�1LED
PERMR N `'�-� COMPLETED
ADDRESS 33
pMINER � � )��� TELEPHONE NO. � � -�
CONTRACTOR
� DESCRIPTION �Y�n���-°`-Q � _
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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O ❑ FOUNDATION WATERPROOF P NG F � ❑ TREE REMOVAL
Z 0 RADON SLAB ❑ MEC ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
i O�NEIYiCOff TRACI'OR TO YEET Y�U:_YE8._NO
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W ❑YMOFiK SATISFACTORY:PROCEED ❑PRW ECf COMPLETE
��f�ORRECT WOF�IC A�PROCEED ❑ISSUE CERTIRC/1TE OF OCaIP1�1NCY
O ❑QpqpECT WppK,CALL FOR i�INSPECTION TB�APORARY
V B����� PFAMANB�IT
O OORRECT UNSAFE COIdDIT10N WITHIN HOUH3. ❑PHOTO TAKEN
INSPECTOR 1MlL RETURN
O 8TOP ORDER P08TED.G1LL INSPECTOR O qTATION ISSUED
❑IN3PECTION REOUIRED.CALL TO ARFiANf3E ACCES3.
caM ror n,e next b�spectlon u nours in ed�►anoa. (952) 249-4600
Inspectoe (��s�
1Alhl1�CaP11���� Canary Copyf811�Wolic�
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� � ATE � TIME
CITY OF ORONO ���c��CALLED IN
INSPECTION OTIC SCHEDULED /�-/ 7 �.�
PERMIT NO. ��_ COMPLETED
ADDRESS � ���� �
OWNE�`l Vl ��%��!� TELEPHONE NO. ���
CONTRACTOR
� DESCRIPTION ��-�'��-� S� ��r d �'e��` �-�
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OYYNERlCONTHACTOR TO MEEf YOU:_YES_NO
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� �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANEN7
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILI RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner►Contra�on sije:
Inspector: '� �
White Copyllnspector's File Canary CopylSite Notice