HomeMy WebLinkAbout2015-00858 - mechanical � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 S - 0 0 8 5 8 *
DATE ISSUED: 07/13/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3155 NORTH SHORE DR
PIN : 09-117-23-33-0001
LEGAL DESC : LJNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,500.00
NOTE: (1)CARRIER A/C LTNIT-5 TONS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.25
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 53.25
- (952)933-1868 Payment(s)
CREDIT CARD 5815 53.25
OWNER
MANDEL,JAMES&PAULA
3155 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 pertnit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
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.
( �� � l/� i /S
Applicant Permitee Signature Date Iss e Signature Date
' 9529331869 11:51:57 07-13-2015 2/4
R CI USE ONLY
��� City of Orono 7�3 o?p/S- B•S�
P.O.Box 66 Date Receiv Permit�
� 2750 Kcllcy Parl:�vsy
Crystal I3ay,MN 55323 Approvcd Dy: Amount$:
Phonc(952)249-4600 �ax(952)249r3616
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���kSHv��G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pcnnits must be approved by the l3uilding 017iciai or Inspcclor and/or Pire Ma�shall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City o�ces. Applications wilt
be reviewed and a permit will be issued within two working days.
2. Permit cards wi}I be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED O1V THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Suilding Code
requirements.
G. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-A8 hour notice reqaired)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
[�Residential ❑Commercial(Approva!Required)
❑New ❑Additional ❑Repairs �eplace
Job Site/Owner Information:
site Address: �LS� N6tzT4-t SHC�R� DRtVE—WA�l�..ATP�aMN �3g i
Owner:�tl� �'i,P�j,l?{,,Pt N�Pt1�1DF_(.. Mailing Address: ��55 No�r�t s�o�zE,�R
ciry: 1►�P���„AT'A��F�10,MN zip: _ 55391
Home Phone: �.D12���-q��OO Alternate Phone: C9�j2�y�I'"8��
Contractor Information:
Contractor: PRAGT��1 S_yy�tF1+�15Contact Person: ��L�(,�,�+c,CA1�1R,A�
Address: �3�4'LS�l�AD1I OAK RD state sonc�#: s/�,�4?�(�03�10
City: K��KIi�S Zips53y3 Expiration Date: 0�]�1��
Phone:
(952�933-►8C�o8 F��. Cq52� a33 -18Co�1
❑ Insurance—Current: -1�{�,$UILUF.�Z�CaROUp
1
' 9529331869 11:52 14 07-13-2015 3/4
> IVIECHAIVICAL SYSTEIvIS BEING INSTALLED '
Note:All Geothermal Systems will now require a Site Plan&Review by our Buiiding Official.
IS THIS GEOTHERMAL? ❑Yes [�No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTCJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: (�.A�.R�� .R _
Model: �,�A��„�j r�QQ
Tons: �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove�vith Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
a No. Bath Exhaust(must liave duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Mars/:a//if proposi�rg to aba�rdo��tank irr place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
�ther:
GAS C.INE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
� 95293�1869 11:52:25 07-13-2015 4!4
PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the follo�ving requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exeludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the horr�eowner or licensed eontractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) ,e, 2.00
Total permi#Fee $
PERMIT FEE CALCULATION S --JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$SOAO)
�2,50U•0(a X.oias$ 50.0�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
�Z,��•� x.00OS $ I.Z5
(contrac�price)
3. POSTAGE&HANDLING(On[y on Mail-In Applications) $_ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �.Z—rj
• * 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. Iti 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.
1VIECHANICAL PERMIT AAPLICATION 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 made on this application are complete, true and
cocrect.
A licant's Si nature: ���
rr � �zt�: i� 1� 1�'
3
�' TE.../ TIMP
CI�OF ORONO CALLED IN � ` �
INSPECTION T �q�� SCHEDULED 7-_� ���
PERMIT NO. o OMPLEfED
ADDRESS �l � �
OWNER �' T L H E NO.��'�� "g�0�
CONTRACTOR �
� DESCRIPTION � �/�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICOPfTRACTOR TO MEET YOU:_YES_NO
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W �VYORKSATISFACTOR�FPROCEED 'fIWECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p 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. (g52) 249-46��
OwnedContractor on site:
Inspecto. +�—
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