HomeMy WebLinkAbout2017-01129 - mechanical r CITY OF ORONO * 2 0 1 7 — 0 1 1 2 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/14/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 2465 NORTH SHORE DR
PIN : 09-117-23-44-0012
LEGAL DESC : UNPLATTED 09 117 23
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
SET&VENT WOODBURNING INSERT ONLY
APPLICANT MECHANICAL 50.00
WALTER MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 1.00
517 WEST TRAVELERS TRAIL M�►IL-IN FEE 2.00
BURNSVILLE,MN 55337 TOTAL 53.00
(952)895-1992 Payment(s)
Minnesota State License#:mech-MB003448 CHECK 006592 53.00
OWNER
LINDAHL,B JOHN
2485 NORTH SHORE DRIVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
1'he 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 gant permission for additional or related work which requires separate
permits. All provisions of Iaws 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 construcrion is
suspended for a period of 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conforcnance 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
_ _ �5�'
� OR CI Y USE ONLY
City of Orono / Gy
�O� P.O.Box 66 Date Receive t, Permit# ���= �� e2- l
� 2750 Kelley Pazkway .
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fau(952)249-4616
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REC �`
KfSH���G` CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
SEP
ENERAL INFORMATION
��� Q� �l'�Y'o1f 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. Per►nit 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.
'' '` ' ' ' ^ -�- �- "-�����'�+L calculations,details and specifications are required for each
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' ``�� - , `�'-tion,humidification-dehumidification,and air conditioning installation including
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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 tbe Uniform Mec1�a�;�a;C�u.,;��a�.,liu:�u:..s:;.,u�
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required) [Backflow Device: Q AVB ❑ PVB]
❑ New ❑Additional ❑ Repairs �Replace/ �J �
�
Job Site/Owner Information:
Site Address: ��� � ivd��� \ ���� � �✓����
Owner: �,` `� �'�V�, Mailing Address: ����-- � �S ~��
City: Zip:
Home Phone:���' �'Z'��Z� ��`� I Alternate Phone:
Contractor Information:
\ n��,.,���,, I ` n /
Contractor:V�'��� ►"� ���lC(,��,\ Contact Person: �-1(; �;1 �(,�;�`t�-(
Address:��� VV ����V��C�S ��I�. State Bond#: ��� � �� ��S
1 � _ �;
City: n��v� Zip✓��Expiration Date: � J� �
� �'�, 15�.�
Phone: � � -' ��� � `1`� � Alternate Phone: � � '� ��� � � �
❑ Insurance—Current:
1
,
� �,v11ti, l� -.�y�i�t � (1S� � �'.�:, .
� i:
� 1 MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �o
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
Fi�PLACEs �;� d (�,1��� (,�t7����,-VY7��i� 11'� S-e-�f� br��`��
� Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ 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 Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��1� � x.0125$ �L `V�
(conVact price) (minimum$50.00)
2. STATE SURCHARGE � I
�� x.0005 $ l ` �'�
(c ntract 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 fiu-nished 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 AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinan es of the City and the regulations of the State of
Minnesota,and certifies that ail statements, de on s application are complete,true and correct.
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Applicant s S�gnature• �Uy` , Date:
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CITY OF ORONO cnLLED IN � �S
INSPECTION N�� �`�I/Z� SCHEDULED <<��—�� ��
PERMIT NO. COMPLETED
ADDRESS d >.S �- , i � ,�,�'�
OWNER TE PHONE NO. ,
CONTRACTO Z_ �-�CC � � �
� DESCRIPTION ����'l� ��
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
"j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ,�MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNFR�CONITRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑VMORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ,t�ORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERIN(3 pERMANENT
❑CORRECT UNSAFE CONDITION WRHIN H��• ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
CaN torthe next inspection 24 hours in edvance. (952) 249-4600
OvrneNCoMractor on sRe:
Inspector: �i� �
Whib CoPyMspsetor's FlN C�nary CopylSlb NWles