HomeMy WebLinkAbout2017-00082 - mechanical � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 0 8 2 *
DATE ISSUED: Ol/30/2017
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 : $ 936.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
SCOPE OF WORK IS RELOCATING(1)SUPPLY REGISTER AND(2)RETURNS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.47
ABEL HEATING&COOLING MAIL-IN FEE 2.00
6501 COIJNTY RD 15
MINNETRISTA,MN 55364 TOTAL 52.47
(952)472-2665 Payment(s)
Minnesota State License#:mech-MB003400 CHECK 21664 52.47
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 the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.l'his permit will
expire and become null and void if construction suthorized 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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued Signature Date
� RECEaVED
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City of Orono ��
�1.�1�T� P.o.BaX� AN � 0 .?_Ui 7 n��►� �r�c� !7—�
2750 Kelley P�ay �j
Crystal Bay,MN 55323 Appte>ved By: Anwu�S: ✓ �' �
Phone(952)���a�4616
y`�j.� �.�� CITY OF ORONO-MECHANICAL PERMIT
k�s H�� All Commercial ts must be a roved b the Buiidin Official or Ins
( permi pp y g pector ar►d/or Fire Marshall)
GENERAL INFQRMA'TIl3N ';
1. You may apply for mechanical permits by mail or in person at the City offices. Applicafions 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 dOB SITE.
3. Mechanical Desians—Complete calculations,details and specifications are required for each
heating,venrilation,humidification-dehumidificarion,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 tlie 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.
TYP�OF PERMIT
Chec1�All That A 1
�Residential ❑Commercial(Appmval Required) [Backflow Device:[]AVB ❑PVB]
❑New ❑Additional ❑Repairs ❑Replace
Job Site!Owner information:
Site Address: __3Z-�� l.�.-'�o.,.�..���L ��c�� �o ,• �
Owner: ���►i� � -�f Mailing Address: �t� L�a �c� t��2
�►a G��•
City: � a� t Zip: ���i� (
Home Phone: l�¢�Z-'��'1 S '" (�-� Alternate Phone: �t.
Contractor Inforn►ation:
Contractor: -�-� �� ����� Contact Person: �_ 4ti.S�+-�--
�
Address: �5ti( � ��- 1�j State Bond#: t'1 b a d ''>4 p o
City: �t•���Sk� Zip:�y Expiration Date:
Phone: `�SZ,-y,-12-Zc- c.. � Altemate Phone:
❑ Insurance-Current:
1
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [�No
HEATING SYSTEMS
Quantity: C a �` C�� (15 0� � 1 S r't� l o C cc.��,�✓
` � �
Make: ( v � t ���2l � �2-�—
t
1 � � 1
Model: 1�tT.�r,�1,5 _
Fuel:
Flue Size:
Input BTLJs:
Output BTUs:
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 Eachaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installarion ❑ 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 conira�toprice with a(Minimnm Fee of$50.�)
�3 f" x.0125$ �� �
(contract price) (minimum$50.00)
2. STATE SURCHARGE
��� x.0005 $ • L��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
�Z �
■ * 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 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 Ciry for issuance of a Mechauical Permit, agees 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 conect.
Applicant's Signature: Date: � � �-S � ��7
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CITY OF ORONO CALLED IN �
INSPECTION N ,VW��SCHEDULED -
PERMR NO. M � �
ADDRESS
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CONTRACTOR
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�� DESCRIPTION
❑ FOOTINCa ❑ MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLIN(3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE RENIOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
i ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIRENIOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OwNER�COKTRACTOR TO MEET YOU:�ES_NO
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� �WORK SATISFACTORY:PFiOCEED O PROJECT COMPLETE
W D OORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPYINCY
0 O OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE(�NERIN(3 PERMANENT
p CaqRECT UNSAFE CONdT10N WITHIN H��• ❑pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER P08TED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION REDUIRED.C/1LL TO ARRANGE ACCESS.
caa br n�e next inspection�a nourss�sd�►�oe- (952) 249-4600
N,spector: �3 r»bG. •
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