HomeMy WebLinkAbout2016-01254 - mechanical ! . _� CITY OF ORONO * 2 0 1 6 - 0 1 2 S 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3215 LAFAYETTE RIDGE CT
pIN : 17-117-23-44-0088
LEGAL DESC : LAFAYETTE RIDGE
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,840.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
LENNOX NATURAL GAS FURNACE AND A/C '
RELOCATE GASLINE TO NEW STOVE LOCATION AND GASLINE FOR OUTDOOR GRILL
APPLICANT MECHANICAL 148.00
STATE SURCHARGE MECH(VALUATION) 5.92
ABEL HEATING&COOLING TOTAL 153.92
6501 COUNTY RD 15 Payment(s)
MINNETRISTA,MN 55364- CHECK 21367 153.92
(952)472-2665
Minnesota State License#:mech-MB003400
OWNER
WYERS,DAVID&ANN
3215 LAFAYETTE RIDGE CT
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 tt►e
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 pe�iod of 180 days at any time after work has commenced.
The appiicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This percnit may be
revoked at any time for due cause.
. '.
/� ,�3 , 1
Applicant Permitee Signature Date I sued By gnature Date
City of Orono RECEI FOR I1'Y USE ONLY
R ��� �S�
�O� P.O.Box 66 M r�, Receid��C� Pennit#
' 0 2750 Kelley Parkway �l�I �.J ^ /
Crystal Bay,MN 55323 Apptoued By: Amoum$:��-�> Y
Phone(952)249-4600 F�(9`�49�(�6oR
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�tq,��SHag�.�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be appmved by the Building Official or Inspector and/or Fire Mazshall)
G�NEI�AL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City of�ces. 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 UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB 5ITE.
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 PERMIT�"
Check All That 1`
[�Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB]
❑New ❑Additional ❑Repairs [�Replace
Job Site/Owner Information:
Site Address: _�2 � S �a►�-r �••�,..c.�'�t 1c���� �.�r �
Owner: �or-t t �y-cl Mailing Address: �� t,
c��y: s �k�. o.o... z�p: S 5 3� ►
Home Phone: �¢�Z� �'S� l Z�7�o Alternate Phone:
Cantr�ctor Information:
�f —
Contractor: h� k . £�.►� � ontact Person: c�cL. .�•So,.�
�
Address: �-rio \ G. �•!►.l'-i' State Bond#: �''13 O ��`'� a o
City: �����k�•s�'•� Zip:��y ExpirationDate: I(� � � N/��
Phone: Q'S L� �'�Z.,- 2 4 C.S Alternate Phone: ��Z�5(.`�'l" S`1�3
� Insurance—Current: ��-C��✓'et,�� �►'1S �t�'ri�1 C.�
1
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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: 1
Make: L'C�.�e,F..
Modei: �L.'t,'t�4 u N o'1 o X./ 3 V B
Fuel: 1v
Flue Size:
2 �`
Input BTUs: _(,p(��ood
Output BTUs: (o Z�o0 0
CFM: �`�(,�
COOLING SYSTEMS
Quantity: �
Make: _�-[..1�. �
Model: �C.l� -02 �Z?j c"�
Tons: Z'
1
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Eachaust duct recirculating cfm
❑ No. Bath E�►aust(must have duct outside) cfim
❑ No. Other Fans: Locarions cfin
FITEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
Q� Outdoor Grill [7f Other/List What&Where: 4�.1 ec..�t tis 7 � t.�c,. �
ht«� �j �'eJ�C. �ova��s� r
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� �
n, �ya X.o�25$ cy � —
-(conhact price) (minimum$50.00)
2. STATE SURCHARGE Z
� J 1 . �`1� X.000s $ �` S �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
�2
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $� � �j 3 `�
■ * 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 wark done. If any material,equipment,labor or installarions 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.
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: 1 �Z-� ' �L
3
�/� �� OATE TIME �
CRY OF ORONO CALLED IN ' �
INSPECTION sc►iEou�eo ` - — //� : D'D
PERMR NO.�2����2�coMP ED _
ADDRESS e �
O'WNER �TE P ONE NO.�� `�7d��S
CONTRACTOR
�'' DESCRIPTION
� FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVKiRADIN(iIFILLINO
O ❑ FOUNDATION WATERPROOF ❑ PLUMBINCa FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� 0 INSULATION ❑WOOD BURNER/FIREPU►CE ❑COMPLAINT
Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMINBIICONiRACTOR TO YEET YOIJ:_Y�_NG
� COMMENT'& r�� <<� �, �✓1--�c,�
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W 3ATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑OORRECT WOFiK R PROCEED O ISSUE CER'T1FICATE OF O(�l1RANCY
o O OORRFCT WiORK,CALL FOR REINSPECTION TBAPORAfiY
�j BEFORE CONERINf3 PERMANBdT
O(�CT lJN3AFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPEC'POR WILL RETURN
O 8TOP ORDER POSTED.CALL INSPECTOR ❑�TATION ISSUED
❑IWSPEC110N REQUIRED.CALL TO ARRAN(iE ACCESB.
CaM�or u�e next inspect�on u hous�adnanoe. (952) 249-4600
Ownenrcom�on� ,
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WMt�Oop�Ansp�eto�Y FiN Camry Copyl8lN NMk�
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I DATE TIME
CITY OF ORONO LLED IN
qr8PECT10N N TICE SCMEDULED �,[rL���7�TT�
PERMR NO. �� COMPLETED �
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AoonEss Z� - � - ` _ �,�
OMINER TELEPH�� O.��a Y� 2c��'��bs
CONfHACTOR �'
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� DESCRIPTION .�`��� ����
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/F�LLIN(i
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION WOOD BURNERIFIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
v ❑ DEMO-SfTE ❑ TIC INSTALL
Z dINN�TRACTOR TO YEET lf�lh Y68_NO
� COMMENT�
4 �w✓v1 �CC� rGlac� �ai�, -
o � �rod�,c�e e%c�r��=aL ��ri�G —
'' - ��n����� �' ok -
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W �WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
� ❑OOf#tECT WOpK a PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
0 �CORRECT WORIC,CALL FOR REINSPECTION TEMPORARY
V BEFORE CAVEFdN� PERMANENT
❑OORRECTUNS/1FEOONDITIONYVfTHIN IiWRS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑ OP OROER P08TED.CALL INSPECTOR ❑qTAT10N ISSUED
REQUIRED.CALL TO ARRAN(iE ACCESS.
caN tau,s�m�ect�o�24 hours in advanos. (952) 249-4600
on sne:
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WMN OuPy���FlM ��!�P�M�
�, �� � A � �/
I �'��.� DATE TIME
CITY OF ORONO CALL�diN
INSPECTION NOTICE SCHEDULED �� �
PERMIT NO. ���r•' �L`i Z�J�I COMPLETED ' " � � .
ADDRESS 1 � 1 `_ � < <t �C� �'C' t I �. � Cf.
OWNER TELEPHONE NO.�� S���`�� .��
CONTRACTOR � ' �� �' - �
{��['� �I �� r..�. ' r . � �CC �
� DESCRIP'�ION � ;� /��C�` � I � ����'1
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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 ❑' PTIC INSTALL
2 OWNER�CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: ��
� � �� �� � ✓L
� -Ci �O /'D v � /��
o �
� ri G
�O
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� �E;ORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑WRRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CO'VERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOUFiS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra�or qn s�ite:
Inspector: �`'
White Copyllnspectoe's File C�nary CopylSlts Notks