HomeMy WebLinkAbout2017-00322 - mechanical � � CITY OF ORONO * 2 0 1 7 - 0 0 3 z z *
2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616 �
ADDRESS : 135 LUCE LINE RIDGE
p�� : 31-118-23-34-0007
LEGAL DESC : PAINTERS CREEK
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(I)LUXAIRE NATURAL GAS FURNACE
(1)LUXAIRE AlC UNIT-3 TON
(1)BATH EXHAUST
APPLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUAT[ON) 3.00
BEN SCHERER PLUMBING& HVAC INC. TOTAL 78.00
4520 85TH STREET SE Payment(s)
DELANO, MN 55328- CREDIT CARD 7621 78.00
(763)972-8137
Minnesota State License#:mech-MB003633,p1bg-PC648530
OWNER
JOHNSRUD,MICHAEL&SUZANNE
135 LUCE LINE RIDGE
MAPLE PLAIN, MN 55359-
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 specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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 ignature Date Issued B ignature Date
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k F CITY USE ONLY
'` �O A TO City of Orono
1 y P.O.Box 66 Date Received: /� � Permit# ��/7` a �
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: ����
Phone(952)249-4600 Fax(952)249-4616
y��q ��.`'1 CITY OF ORONO-MECHANICAL PERMIT
kESH� (All Coinmercia]pennits must be approved by the Building Official or Inspector antUor 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
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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. Al]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 fmal.
TYPE OF PERMIT
(Check All That A 1
�.Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: � �� �-L� L.,',,.,� }�r��('�
Owner:�}'j!�Z�[ �� �i��i.5 Tvc� Mailing Address: r �� ��'e- ����cQ�,
City: vfu� Zip: -�����_
Home Phone: Alternate Phone:
Contractor Information:
Contractor: f�-s,. �c�Tc,� ��%� Contact Person: (�-��
Address: N�Zv ��r�` S/`Y'-c��L'' State Bond#: n`�j 66 3�33
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City: Un Zip: �� xpiration Date: /�v-)`Z-��P
Phone: Lr11�-,� ,��- �'S9� Alternate Phone:
❑ Insurance-Current:
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MECHA��+�A�,�S'YS?'��`$E�G-,��'�'�%���: �=x�` , �.. _; n' ,� .
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
��riri� �
Make: �v � �i��e
Model: �C��S
Fuel: ��"""�
Flue Size: J
Input BTUs: �r�QQ0
Output BTUs: ! ���da
CFM: � �d U
COOLING SYSTEMS
Quantity: f
Make: Xt.�.�r�'
Model: C`+�'�I13
Tons: �
f�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: Locarions ��
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 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)
(1���G d. �� x .0125 $
(contract price) (minimum 550.00)
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 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.
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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: '���l
3
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DATE TIME J
CITY OF ORONO CALLED IN
INSPECTION N(J�C��_ �� � H�uLED � �
PERMR NO. �'` OMPLETED
ADDRESS �'�� �CL �'`-�--
OWNER TELEPHONE NO. �0�2 Z 3 L �l�'I g
CONTRA��R `1 � �
�. DESCRIPTION f C(.�-�`� '`t ��/-t��"Y
1~y ❑ FOOTING ❑ DEM AL ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
Vj ❑ FOUNDATION WATERPROOF MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 dWNERICONTRACTOR TO MEET VOU:_YES_NO
� COMMENTS:
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� VMORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� OORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OOCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN H��- ❑pHpTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
CaY forths next inspectfon 24 hours in advance. (952) 249-4600
OMmerlCoMractor on site:
�nspector: /�a�/G L-.
yYhib CopyAnspector's Flls Canary CopylSita Notks
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3 DATE TIME
OF ORONO cnLLED IN � �
INSPECTIO N E �y HEDULED
PERMIT N i �`�MPLETED
ADDRESS I � ( .l�CP P Ll Q �-Aii��.
OWNER TELEP�NE NO. �p�2 Z � Z "1 Sq�
COMRACTOR S r ` �
�� DESCRIPTION
❑ FOOTING DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL � ❑ EXCAV/GRADING/FILLING
Q0 FOUNDATION WATERPROOF l�1AAB1Al1!"A� � TREE REMOVAL
2 ❑ RADON SLAB ❑ SITE INSPECTION
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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOI�fTRACTOR TO MEET YCU:_YES_NO
� COMMENTS:
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W �WORK SA7ISFACTORY:PFiOCEED ❑ PROJECT COMPLETE
,�a CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINa PERMANENT
❑(�RRECTUNSAFECONDITIONWRHIN H��• ❑p►{pTOTAKEN
INSPECTOR WlLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Csll ford�e next inspection 24 hours in advanoe. (g52) 249-4600
OMn�ICoMractor on site:
Inspector: •��'1••�-� L.•
WMM CoPyAnspecto�s Flk Canary CoPYISke Notics
�� �p—�--- V
� 0��1 pATE TIME
CITY OF ORONO c�►LLED IN
INSPECTION NOTI�F,^�3��SCHEDULED "�—/ �
PERMIT NO�/ / COM�ETED •
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ADDRE.SS �3S � �� ����
OMINER TE PHONE NO.�I� -�� 957��
CONTRA�R � � _
� DESCRIPTION �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/(3RADIN(i/FILLIN(3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TAEE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPWNT
� ❑ FiNAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� dMIN�I�MRACTOR TO MEET YOU:_1168_NO _
� COMMENT� `�0� /S i K< "
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�fee�cr wo�c a�oc�n ❑issue ca�n�►�oF ooa�cr
o O�CT WOfiK,CALL FOR REINSPECTION TBdPORAFn
L ���� PEipdANBdT
❑COfiRECTUNBAFECOIddT10NWITHIN HOUR3. ❑PHOTOTAKEN
INSPECTORIMLLRETURN
❑8TOP ORDER P08TED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION f�QU1RED.C/1LL TO ARFiAN(iE ACCES3.
c.11 bru�e next inspectio�24 no�n in ad�ranoe. (952) 249-4600
on sitx
inspecta; ` �'
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