HomeMy WebLinkAbout2016-00944 (mechanical) ' ' CITY OF ORONO * 2 0 1 6 - 0 0 9 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 525 KEENE AVE
PIN : 02-117-23-31-0027
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK O15
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON.
(1)BRYANT FURNACE
(1)BRYANT A/C
(1)KITCHEN EXHAUST-300 CFM
(6)BATH EXHAUST-380 CFM
OTHER FANS-HRV 200 200 CFM
GAS FACTORY FIREPLACE
j.
APPLICANT MECHAMCAL 150.00
STATE SURCHARGE MECH(VALUATION) 6.00
LARSON PLUMBING INC. TOTAL 156.00
3095 162ND LANE NW Payment(s)
ANDOVER,MN 55304 CHECK 30902 156.00
(763)427-7680
Minnesota State License#:plbg-0841699
OWNER
H&J Development Prtnrshp
DETTLOFF,HB&JC
1001 TWELVE OAKS CENTER DR#10
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 as uring all required inspections are
requested in conformance wit e te Building Code.This permit may be
revoked at any time fo se ,
6 rL �y i -l�i
Appli Permitee S' ature ate Issued Signature Date
.
OR C°1TY LrSF.ONLY
�f-� A _ City of Orono � /r�� k,-��:,� � /'�//,�
ol�I P.O.I3ox 66 Date Receid d�1 Permit�1 �V �`�� �7`
/ � 2750 Keiley Parkway 1
Crystal Ray,v1N 55323 Approved By Amount$:��
Phone(952)249-4600 Fa,e(952)249-4616 �
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�����,��r��ti��' CITY OF ORONO-MECHANICAL PERMIT
`��__�__,.,- (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMA"I'ION �
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 issucd within two working days.
2. Permit cards will be sent by return mai(after a review is completed. PF,RMITS ARE NOT
VAi,ID UNTIL YOiJ RECEIVE A PERMIT. WORK MUST NOT BEGiN UNTIL THE
PERMIT CARD IS POST�D ON THE JOB SITF..
3. Meclianical Desi�ns—Complete calculatioils,details and speciGcations are req�iired for each
heating,venti(ation,humiditication-dchumidification,and air conditioning instaltation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacriirer and model. Data shal]be presented on form provided.
4. When any new consCruction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be donc in accordance�vith the Uniform Mechanical Code/State Ruilding Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House I leating Tes( Record must be s�ibmitted betore final.
TYPE OF PERMIT
(Check All That A 1
,�Residential ❑Commercial(Approva]Required)
�New ❑Additionai ❑Repairs ❑Replace
_ �
Job Site/Owner Intormation:
Site Address: "-� �� �' ' , �F�
Owner: Mailin�Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information: �_�
Contractor: Lqr�jr��IUYr�i nG��L Contact Person: `���� KY'(�1i1�-�
Address: ,�J� �LUa`t' I v� I� State Rond #: m1j(;�3l�13
Cit��: �r�c�OVeY' �'Y1►1 Zip��� Expiration llate:
Phone: �(q 3-�a��� �Q Alternate Phone:
❑ Insurance—Current: �e�
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: .: �' < It�E�HA�i���4:I,��°�'�M�BE rl�;��„�`�''��L,��.. . . ,.A,,.,. , ,.x .... :
Note: �\ll Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS T IS GEOTHERMAL? ❑Yes �No '
HEA 1NG SYSTEMS �
Quar�tity: I
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MaMe: �`}RKT • �
Mo�lel: ���� �l�.S�(vU/Oa $2(
Fuel: /'/�t �
j 3�� --�----
F�ue Size:
�
I�put BTUs: _ ��
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�hutput BTUs: g$�iCJ�"o' _.. _ �
ICFM: � ��'6' �
,
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COOLING SYSTEMS
! Quantity: �!r�v�"�'- �
! Make: /Z � .
�� Model: � ,�'�t/J N�zl�fT'/�/J
i'
Tons: �' 70"�
� H.Power !v/�
_ _---
FIREPLACES
�
� � Gas Factory Fireplace Brand Name: �
� �_ -
� ❑ Wood Butning Fireplace ,
❑ Wood Stove Model No.: j
❑ Wood Stove with Fluc/Masonry
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VENTILATION
� No. Kitchen Exhaust duct recirculat' g ��' efin
� No. � Bath Exhaust(must have duct outside) 'T� 3&'o cCm
❑ No. Other Fans: Locations �//Q li �C3 d .2�a cfin
i —
FUEL STORAGE (Musi be approved by Fire Mars{tall if proposing to abandon ta,�k in place.)
❑ lnstallation ❑ Removal
Fuel Oil: _gallons ❑ Underground �Inside ❑Outside
i LP Gas: gallons ;
Olher: �
GAS LINE ONLY
I � Outdoor Grill ❑ Other/List What&Where:
[(o r��'/�7l(
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- --—
��PER.MIT FEE�CALCULATION�S) �
I3AS�?D C)FF -2002 S'�'aTE STA"I'ttE � � �•�
❑ Ycs,this section applies
Tl1e replacemei�t of a Residential fixture or ap�liance that meets all three of the following requirements:
1. lloes not require moditication to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the tixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cosl of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Pcrmit Fcc �
` PERMIT FEE C�1I.CULATION S)-JOBS OVER$540.00 :
if above does not apply; Coliow guidelines below:
1. CONTItACT PRICE * is 1.25%oFcontract price with a(Minimum Fee of$50.00)
` C'�'�� x.O125$
icontract price) (miniun�m�50.00)
2. STATE SURCHARGE
x.0005 $
(contract pricc)
3. POSTAGE&HANDLTNG(Only on Mail-In Applications) $ 2.00
,' `-�(c, �
� �
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial 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 fhe work done. lf any material,equipment, IaUor or installations are furnished by
the owner, tenant or any other party,the re�sonable markct 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 si�ned copy of the actual contract.
MEC'HANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby app(ies to the City for issuance of a Mecllanical 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.
�
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Applicant's Signature: � Date:
/ .
3
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L'G/� DATE TIM
CITY OF ORONO r,�►LLED IN
INSP E . MEDULED � ��` �
PERMIT N ��Eo �
ADDRESS �� �
p�WNER TELEPHON NO. �� ��� �°�
,
CONTRACTOR
� DEBCRIPTION � �� " " ��
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL '
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADIN(3IFILLI Q
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBINCa FINAL O�EE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION I
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ;
� ❑ INSULATION ❑WOOD BURNERIFIREPLACE ❑ COMPLAINT i
� � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIRE AL
v ❑ DEMO-SITE PTIC INSTALL
� TO MEEf 1f011� Y68_NO
� COMMENT& �----- �
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W O WiORKSATISFACTORY:PROCEED ❑PRWBCfCOMPLETE
� �CT W�C�PROCEED ❑ISSUE CERTIFlC�ATE OOCIJPI�►NCY
o O OOARECT YMOFpC.CALL FOR REINSPECTION TBA
�1 ����� PERMAN
❑CORRECT UNSAFE COIJDITION WRHIN FIOURS. O PHOTO TAKEN �
INSPEC'fOR NfILL RETURN
O STOP Of�ER P08TED.CALL INSPECTOR ❑CITATION IRSUED
❑INSPEC710N RE�UIRED.C/►LL TO ARFlANt3E ACCE33.
caN 1or u,e next ins�pection u nours 1n�►anoe. (952 249-4600
on site:
.
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WMb OopY���''+� C�rary Notia
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CITY OF ORONO (/,Y�`� ' �D CALLED IN ��D,� � TIME
INSPECTION N�C/L� OD/ L�HEDULED f o� - a-/ � ___l�1•'�
PERMIT NO. PLETEO
ADDRESS �
OWNER TELEPH O. -3l��`�-���v
CONTRACTOR � �
� DESCRIPTION �� � �
ty ❑ FOOTING ❑ DEMO-FINAL S PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING Ri XCAV/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/FIHEPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL /
Q OWNERlCOKTRACTOR TO MEET Y�W:_YES_ �
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� COMMENTS: �!`�� ��� �' � _
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W ❑VMORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED /��//�UE CEFiTIFlCATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERINO PERMANENT
❑CORHECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDEFi POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in edvance. (952) 249-4600
Owr�IContractor on site:
Inspector: l� ��L.
White CoprAnspsctw's Fila Canary CoprlSlb Nodes
,� � ✓
TE TIME
CITY OF ORONO CALLED IN � ' �
INSPECTION NOTIC 60g��/ SCHEDULED l — — �
PERMtT NO. O! �`t� COMPLEfED
ADDRESS `��� ���
OWNER T E HONE NO. �"7 � g�
CONTRACTOR �
� DESCRiPT10N ��� ry �' �"�'
W ❑ FOOTING ❑ D -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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUiLT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OINNENCONfTRACTOR TO MEET YiOIl:_YES_NO
v�i COMMENTS:
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O � ��i �`�n y G.c�'J � {''�'�i�- �.1- /
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W ❑WORK SATISFACTORY:PFlOCEED ❑PROJECT COMPLEfE
� ❑� `CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY
0 18'CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY
��BEFORECANERIN(i
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WFLL RETIJRN
D STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor�site:
Inspector.�'�/
White CopyAnapector's Flls C�nary CoprfSlb Notles