HomeMy WebLinkAbout2017-00721 - mechanical CITY OF ORONO * z 0 1 7 - 0 0 7 2 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/28/2017
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 : MECHANICAL-MULTIPLE
VALUATION : $ 120,965.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION.
(2)NTI NATURAL GAS FURNACE
(4)MITSUBISHI ELECTRIC HEATING SYSTEMS
(2)MITSUBISHI A/C
WOOD BURNIGN FIREPLACE
(1)KITCHEN EXHAUST
(6)BATH EXHAUST
GASLINE FOR BOILERS,RANGE
APPLICANT MECHANICAL 1,512.06
STATE SURCHARGE MECH(VALUATION) 60.48
SELECT MECHANICAL SERVICES 1NC. TOTAL 1,572.54
6219 CAMBRIDGE ST Payment(s)
ST. LOUIS PARK, MN 55416- CREDIT CARD 4447 1,572.54
(952)926-4488
Minnesota State License#: mech-MB003390
OWNER
LINDAHL, B JOHN
2485 NORTH SHORE DRIVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which Ihis 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 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. ,
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Applicant Permitee Signature Date ssued B ignature Date
FOR CITY USE ONLY
City of Orono ���� ,'��J
���0 P.O.Box 66 Date Received: Permit# �
2750 Kelley Pazkway �/ S (`i
Crystal Bay,MN 55323 Approved By: Amount$: ��/ � � �
Phone(952)249-4600 Fax(952)249-4616 �
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�l9KfSH���� CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pernrits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,venrilarion,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Q Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB]
/
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �l��,S /'�0�� ���� ���1�.�
Owner: ,��'01'�'N �iND�� Mailing Address: ��� s dS�O�f����.
c��y: ORQ�vO z�p: ��.�/
Home Phone: Alternate Phone: �O�Z����� y��i�
Contractor Information:
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Contractor: /`'l�'cf/_�.����C- ��1/X�ontact Person: �f//�l� �191�,a`LA�
Adaress: �`i2l$ CAI�BR��G,�<I'T, State Bond#: /LI�D0�3`�O
City: ��L.S d Zip:��(e Expiration Date: 9 ��
Phone: �SZ•�2l�•yY�� Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THI5 GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: � �
Ma1ce: � 1 1 �t1",sU�t��1
Model: I� I I � �U��Z�A� !
Fuel: N 1��1��. G/1"� ��Z..�CT���
Flue Size:
3"
Input BTiJs: � �D� -
Output BTUs: �s ��_ !�
CFM: I O o O
COOLING SYSTEMS
Quantity: Z
M�e: M ITSUB 1 SN 1
Model: MX��C��l�+q��
Tons: _�
H.Power �
FIREPLACES
❑ Gas Factory Fireplace Brand Name: /�'��� �����
� Wood Burning Fireplace
Wood Stove Model No.: ���/�.ld./�
❑ Wood Stove with Flue/Masonry
VENTILATION
� No. / Kitchen EJchaust_�duct recirculating �oDD cfm
� No. �_ Bath Exhaust(must have duct outside) ��
No. Other Fans: Locations ��
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: �0%i,�K/J �Q���
2
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
%Zo��S.� X.0�25$ �Sl 2. Ol�
(contract price) (minimum$50.00)
2. STATE SURCHARGE ��O, 4�� a� �
/ , x.0005 $ ��, �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �'�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��/2 y 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 fiirnished 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 pernut 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 ordinances of the City and the regulations of the State of
Minnesota,and certifies that all statements ma�de on this application are complete,true and correct.
✓
Applicant's Signature: ` Date: �D Z� 0
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CITY OF ORONO CALLED IN
INSPECTIO NOTIC � r SCHEDULED f l/� W"( 3°'
PERMIT NO -X)" I COMPLETED
ADDRESS J&CoS k..) -or S+�xz `Cr' rr,,,,
OWNER TELEPHONE NO ` "94.40 3--'
CONTRACTOR L '
DESCRIPTION \ i ,(.0.-tcrg
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Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 4EUAECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v 0 DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector- 11.-
White Copy/Inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , SCHEDULED 12--?--i7 3'-S'Q
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PERMIT NO.c 7- 067 CpMPLETED
ADDRESS e2 / North i Thr
OWNER TELEPHONE NO. 5 a-v2 92-0/6 aZ
CONTRACTOR $e1& /i'& • &(et,l.
DESCRIPTION /1167-C IL i'T
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES NO
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 2 i Sd L'
White Copyllnspector's File Canary Copy/Site Notice
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CITY OF ORONO CALLED IN / ` ��
INSPECTION NQ I9E7 .1/SCHEDULED / Id --1 th
PERMIT NO. o►�_ /-a)7O11 COMPLETED
ADDRESS 94S 14 , N` - ) v
OWNER LEPH NE NOyD'- -'/l /o?-
CONTRACTOR (.4-,. allYi/ji- - [ , /
DESCRIPTIOM1/I1t '/`.C7 " " "d Vg "'
W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLU ING FINAL 0 TREE REMOVAL
❑ LATHE ECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
'IT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
IQ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
INSP TION REQUIRED.CALL TO ARRANGE ACCESS.
CaII for the • : t ins ion 24 ho • :dvance. (952) 249-4600
Owner/Co1111"ntrac
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Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
/�� DATE TIME
CITY OF ORONO CALLED IN
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INSPECTION NQT CF^ o0-7) SCHEDULED $ e�J/O f? ti 7(
PERMIT NO. pLo //, °/��,J COMP ED
ADDRESS 8 IO / V O4 5��� ,/
OWNER ELEPHONE NO. / ` X—' 3.
CONTRACTOR �- -apI
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DESCRIPTION /
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W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
QW ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS: /11-0G 4 /QZ G G
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1' BEFORE COHERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on she:
Inspector:_____ __5_e_b____Ar°
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White Copy/Inspector's File Canary Copy/Site Notice
D E/�j TIME
CITY OF ORONO CALLED IN `2 ``�+
INSPECTION MO 77 7aCHEDULED Mar /: 3
PERMIT NO. COMP ETED
ADDRESS • c c- 41 / vie-
OWNER ,Si_e_ e_e_e_75,T PHONE O? -01-&•Y��
CONTRACTOR
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DESCRIPTION
LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
3 ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
• 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
• ❑ LATHE --MECRANICAL RI 0 SITE INSPECTION
R 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
co COMMENTS:
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C.I BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho • advance. (952) 249-4600
OwnerlContractor .
Inspector:
White Copyllnspectoes FIN Canary Copy/Sits Notice