HomeMy WebLinkAbout2017-00289 (Mechanical) {
CITY OF ORONO * z 0 1 � - 0 0 z 8 9 *
2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1212 ARBOR ST
PIN : 10-117-23-24-0022
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 300.00
NOTE: ALL TESTING REPORTS SHALL BE ON S[TE AT FINAL INSPECTION.
VENT LOWER LEVEL BATHROOM
RELOCATE COMBUST[ON A[R VENT
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUAT[ON) 0.15
SERBUS HEATING&COOLING TOTAL 50.15
272 INDUSTRIAL BLVD. Payment(s)
WACONIA, MN 55387
(952)443-2819
OWNER
529 Indian Mound St Spydernt
401 LAKE ST E
WAYZATA, MN 55391-
AGREEMEIVT 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 goveming 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
requeste in conformance with the State Building Code.This permit may be
revoke at�ny time for due cause. �
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A� ic nt Permitee � ature Date Issued Signature Date
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' OR C Y USE ONLY
' City of Orono
��� P.O.Box 66 Date ReS��� �� . Permit# --����
� 2750 Kelley Parkway �
Crystal Bay,MN 55323 Approved By: Amount$: �QI�
Phone(952)249-4600 Fax(952)249-4616
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�qk�SHp��CG CITY OF ORONO-MECHANICAL PERMIT
(All Coinmercial permits must be approved by the Building 0lficial or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat�ain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New �dditional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �L l Z ff7��n ti- �(',
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: ���s ��� '_��g Contact Person: /�'�t �$
Address: �`1 L ���.��`� �j�l'c� State Bond #: ILI�Ov�/�7 v
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City: (�tJ�r�/r1 Zip:� Expiration Date: // /� 1�
Phone: �SL' �/tf�-?-��y Alternate Phone:
❑ Insurance -Current: t/�
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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 BTUs:
Output BTLJs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. _� Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel 0i1: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
���� x .0125$
� (contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL 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 installations are fumished by the
owner, tenant or any other parly, 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 f issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordin ce of the City and the regulations of the State of
Minnesota,and certifies that all statement m de on this application are complete,true and correct.
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Applicant's Signature: � Date: "� -
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DATE TIME
CITY OF ORONO CALLED IN ��/7
INSPECTION N TICE SCHEDULED —07�L7 ' �
PERMITNO. ���— � COMPLETED
ADDRESS ���� ���G'� ���
OWNER / T L PHONE NO.��- ���'5.3.3�
CONTRACTOR �
� DESCRIPTION \� — � �`�"�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB �MECHANICAL RI ❑ 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 ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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O INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector:
White Copyllnspector's File Cenary CopylSite Notice
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CITY OF ORONO (��� CALLED IN
INSPECTION NOTICE ,, ,. EDULED __;���I�I � �
PERMIT NO. OMPLETED
ADDRESS � �.�� '�Z— �-� � �7�:i" C�•1_
OWNER TELEPHONE NO.��2��L���� �`'�'�
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Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEEi YOU: Y _NO
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w ❑CARRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Owner/Contractor on site:
Inspector:
White Copyllnapector's File Canary CopylSite Notks
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DATE TIME
CfTY OF ORONO CALLED IN
INSPECTION NO ICE /�'l��J SCHEDULED �7 �
PERMR NO. ���vv—`" � C MP ED "� "/ 7 eC7
ADDRESS � �� �� ��
OWNER TE EPHONE NO.
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CONTRACTOR � S �
� DESCRIPTION �
Ly ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
�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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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? OWNERlCONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECOMERINO PERMANENT
❑CORRECTUNSAFECONDiTiON WffHIN HOURS. p prypTOTAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
site:
Inspector.
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White CopYIlnsPector's Fils C�nary CopY181b Notic�