HomeMy WebLinkAbout2017-00254 - mechanical _ ' CITY OF ORONO * Z 0 1 7 — 0 0 2 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 03/17/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 BOHNS POINT RD
PIIY : 08-117-23-44-0025
LEGAL DESC : BOHNS POINT WEST
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATIOK : $ 3,400.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION.
GAS FACTORY FIREPLACE-MENDOTA,MODEL FV34
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.70
TW[N CITY FIREPLACE STONE CO INC
6521 CECILIA CIR MA[L-IN FEE 2.00
EDINA, MN 55439- TOTAL 53.70
(952)777-4125 Payment(s)
Minnesota State License#:mech-MB682977 CHECK 21913 53.70
OWNER
MOITZ,TODD A
100 3RD AVE S, SUTIE 3601
MINNEAPOLIS, MN 55401-
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 l80 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.
� ' /� - � -� �-� /7 i
Applicant Permitee Signature Date Issued By gnature Date
RECEIVED
�O City of Orono ,a FO CITY USE ONLY
/ � �T P.O.Box 66 ��� 1 .j `011 Date R ,�a� pe�»t# .�D �� � ��'-S�
/ O 2750 Kcllcy Parkway
Crystal Bay,MN 55323 Q Approved By: Amount$:�L�
��/ Phone(952)249-�t��S���I6
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�qk f s H���`' CITY OF ORONO—MECHANICAL PERMIT
�_/ (All Commercial pennits must bc approved by the Building Official or Inspector ancUor 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. PERMITS ARE NOT
VAL1D UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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(9S2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before 6na1.
TYPE OF PERMIT
(Check All That A 1 )
[3�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additiona( ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 1535 Bohns Point Rd
Owner: Moitz Mailing Address: 1535 Bohns Point Rd
Ci : Orono Zi
h' P�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Twin City Fireplace Contact Person: Ken Kokaisel
Address: 6521 Cecilia Cir State Bond#: MB682977
City: Edina Zlp. 55439 Expiration Date:
Phone: 952-777-4125 Alternate Phone:
❑ Insurance—Current:
1
I
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTAERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTUs:
CFM:
CUOLING 5Y5TEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
� Gas Factory Fireplace B�na rrame: Mendota
❑ Wood Burning Fireplace
❑ Wood Stove Model No.: FV34
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshalt if proposing 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:
2
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3400.00 x.oi2s$ 50.00
(contract price) (minimum$50.04)
2. STATE SURCFIARGE
x.0005 $ 1.70
(conuact price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
53.70
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 installarions aze 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.
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.
ApplicanYs Signature: ������.e Date: 3/16/17
3
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CITY OF ORONO cnLLED IN
INSPECTION �CE��� scHEnuLED - �o� �
PERMIT NO. COMPL
ADDRESS ���� �1� �.S ��
OWNER TELEP ONE . �/��Zg-2'J�/�
CONfRACTOR�
.
�1 DESCRIPTION — ^
❑ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINEAlCOKiMCTOR TO MEET YiOIl:_YES_NO
� COMMENTS:
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� �IIORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK d�PROCEED �ISSUE CERTIFlCATE OF OCCUPANCY
O O CORRECTYNDRK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERIN(i PERMANENT
�CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REdUiRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advarroe. (952) 249-4600
O�merlContractOr on��
Inspector: � a
wnne c.oprnnapsc�ors Fi�. C�nary CopylSib Notiee