HomeMy WebLinkAbout2016-01138 - mechanical 4 CITY OF ORONO * 2 0 1 6 - a i 1 3 8 *
� 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2060 NORTH SHORE DR
PIN : 10-117-23-31-0003
LEGAL DESC : LJNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : F-�ATING SYSTEMS
VALUATION : $ 8,871.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FMAL INSPECTION.
REPLACE:HEATING SYSTEM(BRYANT)
APPLICANT MECHANICAL 110.89
STATE SURCHARGE MECH(VALUATION) 4.44
UPTOWN HEATING&�COOLING MpIL-IN FEE 2.00
3110 WASHINGTON AVE.N.
MINNEAPOLIS,MN 55411- TOTAL 117.33
(612)827-4674 Payment(s)
CHECK 38441 117.33
OWNER
GODFREY,LYLE&NORMA
2060 NORTH SHORE DR
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 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. ,� �
� � � R ��.���U (� ��/ � �D
Applicant Permitee Signature Date Issued By Signature Date
�
' , FOR CITY USE ONLY (��
' � City of Orono f� '•, � t �
%�,/�ONO\ P.O.Box 66 Date Received: �� Permit# �V)Y/ �
'� 2750 Kelley Parkway �j
Crystal Bay,MN 5�323 Approved By: Amount$: ��
f Phone(952)249-4600 I�a�(952)249-4616 �
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\ y�. ' �;
V�,�kF��+����/ CITY OF ORONO- MECHANICAL PERMIT
,_._ __ (All Commercial perinits must be appro�-ed bti the ftuilding Official or Inspector and/or I�ire Marshall)
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 Desi�ns—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
(C�heck All That Apply) ��
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
❑ New ❑ Additional ❑ Repairs ,�Replace
Job Site/Owner Information:
Site Address: �Q��'' ���>''�� �fl��z ����
Owner: � ?� ��c�:C� "v Mailing Address: �-�U u �^C''� �f I U�
� ..
City: �!�p�� Zip: � S�� �
Home Phone: ���� l��-�C��-� Alternate Phone:
✓
Contractor Information:
Contractor: �����'^'�''� � �� Contact Person: �� ��� ���5
�1,�f7 � S�v � �
Address: U� `�,���� �,v� i� State Bond #: ��(����� 3
c�
City: � � Zip:��''��� Expiration Date: �� �� 20 �
Phone: ��,�L—��—�j�Z—�� / Alternate Phone: �
� lnsurance-Current: ��P,���'o��,,�
1
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �lo
HEATINC SYSTEMS
Quantity: _ �
Make: �T
Model:
Fuel: � +�3 (.;�C�
Flue Size:
Input BTUs: � (��
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 Exhaust duct recirculating _cfm
❑ No. _ Bath Exhaust(must have duct outside) cfm
❑ No. _ Other Fans: Locations cfm
FUEL STORAGE (Must be approved bp Fire Marshnll if proposing to abandon tank in p/ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LN Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.
PERMIT FEE CALCULA'FIONS
1. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00)
X .��25 ,D_ � �V'i ���
contract price) (minimum$50.00)
2. STATE SURCHARGE � � �j�
x .0005 $ t �
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMI"1' FEE(Add Lines I-3 Abovej $_ , � J
■ * 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.
�� MECHANICAL PERMIT APPLICATION AGRE`EMENT �
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 regulatians of the State of
Minnesota,and certifies that all stateme s made on this application are plete,true and correct.
f �� �
Applicant's Signature: � Date: �� �
3
� �-'1 �
DATE TIME
CITY OF ORONO r,�►LLED IN
INSPECTIO�pQT� ' E ` SCHEDULEO
PERMfT Nl7o�/I '��`� COMPLETED
ADDRESS �b CQO /v��- �
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �;, " � ���
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB -�-MESF�IANJGALBI` ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINA ❑ RATED WALLS
� ❑ INSULATION W RNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNFR�CONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
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� ❑WOFiK SATISFACTORY:PFiOCEED �OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY
O ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CfiVERINd PERMANENT
O CORRECT UNSAFE(�NDITION WITHIN Ha1RS• ❑p►{pT0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
a�wr�erlContractor on site:
Inspector: �-� ^"�
White CaPYnnspector's Fils Canary Copyl8lN Noda