HomeMy WebLinkAbout2017-00219 - (mechanical) � .
CITY OF ORONO * z 0 1 7 - 0 0 2 1 9 *
2750 KELLEY PARKWAY DATE ISSUED: 03/08/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2732 CAROLINE AVE
PIN : 20-117-23-24-0041
LEGAL DESC : REG. LAND SURVEY NO. 1451
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 350.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GASLINE FOR RANGE IN KITCHEN
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.18
B& B PLUMBING TOTAL 50.18
25593 109TH ST Payment(s)
ZIMMERMAN, MN 55398- CHECK 3841 50.18
(612)239-6149 6
Minnesota State License#: plbg-PC675878,mech-MB704145
OWNER
LUND, ROBERT
2732 CAROLINE AVE
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
Statc 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 l SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
request d,itf�conformance with the State Building Code.This permit may be
revoke t,�ny time for du��ause. ��'""`��
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Appl cant Permitee Signature Date [ssued By ature Date �
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� � FOR EITY USE ONLY
�OA T City of Orono �GI
<y P.O.Box 66 Date Received: Permit# ���`�-
0 2750 Kelley Pazkway �
Crystal Bay,MN 55323 Ap�ovtd By: Amount'��df�
Phone(952)249-4600 Fa�c(952)249-4616
�`��'q �.�� CITY OF ORONO-MECHANICAL PERNIIT
'rES H��' (All Commercial permits 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 will be sent by return mail after a review is completed. PERNIITS 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). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMTT
' Check A�i Th�t A 1
[�,]Residential ❑Commercial(Approval Required) [Backflow Device: 0 AVB ❑PVBJ
❑New [}�Additional ❑Repairs ❑Replace
Job Site/Ovtmer Information:
Site Address: 7� 3� �c�,,•o1►n� ���
Owner:�pl�e,r-� l_�,�„c� Mailing Address: 2-13Z Cc..rc�\�+�, ►A�e>
City: C�2;Y.c5 Zip: SS3�C 1
Home Phone: Alternate Phone:
Contractor Information: ;
Contractor: �I3 �l�rv�ln;� Contact Person: �r'�c,..� Ve�.��.
Address: 25�93 �09�'" 5t/A.J State Bond#: �Q�7o�1 J'-rs
City: 2�rn�ne+�wt�r Zip:,� Expiration Date: �-2(�-►8
Phone: �l2-�iY-t�'�Z Alternate Phone: `��3--�3�(r� felsf�
� Insurance-Current: LkS�U,� «,.�,1 �,uu�.►�w
1
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 BTLTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Modei No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: (—�i,r� ���
2
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.011)
��� x.0125$ ��•�
(contract price) (minimum$50.00)
2. STATE SURCHARGE G�
3`��- x.0005 $ e �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �2• �g
`" * 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 chazged
to the customer for the work done. If any material,equipment,labor or installations are fumished 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.
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 tements made on this application are complete,true and correct.
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A licant's Si nature: ---"`f✓' Date: � " l �
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CITY OF ORONO CALLED IN �
INSPECTION OTICE SCHEDULED
PERMIT NO. � " 'C��� COMPLETED
ADDRESS r� �� ��-� ��x l�c";I I/1�.- �`�-��
OWNER TELEPHONE NO. '�--�L -��/ ��c�'�/'�7
CONTRACTOR ��j �� � �� ��'��
� DESCRIPTION � � ���i�Yl �`�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SE TIC FINAL
Q ❑ POURED WALL �LUMBING 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
v ❑ DEMO-SITE EPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU• YES_NO
«� COMMENTS: �
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W� / 6(p6KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOUFS. ❑ PHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: ��/��
VYhite Copyllnspector's Ffle Cenary CopylSite Notke