HomeMy WebLinkAbout2017-00511 (Mechanical) ' CITY OF ORONO * 2 0 1 7 - 0 0 5 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: 05/17/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 4765 AUGUSTA ST
PIN : 06-117-23-33-0009
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,700.00
NOTE: ALL TESTMG REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADDING:(3)FIREPLACES-(HEAT&GLO IN GREAT ROOM,LOWER LEVEL&PORCH)
APPLICANT MECHANICAL 108.75
STATE SURCHARGE MECH(VALUATION) 435
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN,MN 55352 TOTAL 115.10
(952)495-2927 Payment(s)
Minnesota State License#:mech-MB005786 CHECK 24926 115.10
OWNER
Curt Swanson Homes LLC
1360 HAMEL RD
MEDINA,MN 55340-
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 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
requested in conformance with the State Building Code.This permit may be �
revoked at any time for due cause.
.
I Y �l,l � C�l.1`.f ���(-�C� �'..�_� � / / � / � 7
Applicant Permitee Signature Date Issued By Signature Date
i
FOR CITY USE ONLY �
� Permit# � �'�� �
Q City of Orono Date Received: �'�� � ��
� NO P.O.Box 66 �,f� ' Amount$:�j
2750 Kelley Parkway Approved By. _�-
Crystal Bay,MN 55323 249-4616
Phone(952)249-4600 Fax(952)
�� �� CITY OF ORONO-MECHANICAL PERMYT
�'�k�g Ei04'� (pll Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
CrENEKAL INFORMATION
�, You may apply for me
chanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued withm two working aY �
TS ARE NOT
return mail after a review is completed. PE1tNII
2. permit cards will be sent by wORK MUST NOT SEGIN UNTIL THE
VALID UNTIL YOU RECEIVB A PER�T.
PERMIT CARD IS POSTED ON THE JOB SITE.
echanical Desi ns—Complete calculations,fdcat o Zaand a rCl o�n�rtioning in sulladon inclu ing
3. M �
h�atine;ventilation,humidification-dehumleratures,equipment ratings and identification as to
heat loss/heat gain calculation,design temp resented on form provided.
type,manufacturer and model. Data shall be p arate building permit must be
4, When any new construction or remodeling is involved,a sep
obtained.
5.
All work must be done in accordance with the Uniform Mechanical CodelState Building Co e
requirements. rou h in and final). Call(952)249-4600.
6, All work must be inspected( g '
(24-48 hour notice required)
'7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
Commercial(App
roval Required) [Backflow Device:[�AVB ❑P��
�Residential � �Replace
�Repairs
New ❑Additional �I
Job Site L Owner Inforznationf_�_;_
S
ite Address: �� � ' ���
�_ ` Q� Mailing Address:
Owner. � ��' S�,3�"L
City. � �" � Zip:
.- Alternate Phone:
, Home Phone: '��� � j ���
/
Contractor Information: ,/� /��
,,,,�� ffii i�77�--�
, ��i�,�-�f%i'�;ontact Person:
Contractor: ' �/��S�
I� �•��j �f� State Bond#:
Address: / • 1� � �
/ 5 j'��,xpiration Dat.e:
�� G'�l Zi�:,
City:
�j �D � Alternate Phone: �
Phone: l, �`� U 22 r lG "." U
Insurance-Current: l
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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 BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES ���
' /� , l�?J�
�
� Gas Factory Fireplace��� Brand Name: ���� ll„J '
- ❑ Wood Burning Fireplace
❑ Wood Stove Model No.: ��2-Z Q' �/� �
❑ Wood Stove with Flue/Masonry ���,�� ,^^y�� ��,_ , >
1,�ir- 0��,i
,
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL 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 � � �_����'�
�
❑ Outdoor Gril ❑ Other/List What&Where:
2
• � .
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� / � �� x.0125$ / � O � ��
(conuact price) (minimum 550.00)
2. STATE SURCHARGE �n�� (�U �
� X.0005 $ � 3 s
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ! / �� �v
■ * 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 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.
�. �` �� r7
Applicant's Signature: Date:
3
� �n
� �.-�
DATE TIME
CITY OF ORONO CALLED IN q
INSPECTION NOT CE SCHEDULED /
PERMR NO.' - � / COMPLETED
ADDRESS � � " ��- .
OWNER TELEPHONE NO.����'��
r--,
CONTRACTOR " --� �
� DESCRIPTION � C� -
t~i� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P�UMBING FINAL ❑ TREE REMOVAL i
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION V
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �•�
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ��
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ���
J ❑ DEMO-SITE ❑ SEPTIC I STALL / U
2 OWNERlCONTRACTOR TO MEEf YOU:�YES�NO Q
��., COMMENTS: ; ; n � ,T �-�` �"t .I �lcl
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT V1fORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (952) 249-46�0
OwnerfContractor on site:
�
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notks