HomeMy WebLinkAbout2017-00644 - mechanical r �
CITY OF ORONO * 2 0 1 7 - 0 0 6 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/14/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3286 NORTH SHORE DR
PIN : 08-117-23-41-0024
LEGAL DESC : N/A
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,600.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GASLINE FOR OUTDOOR FIREPIT
APPLICANT MECHANICAL 50.00
QUALITY PLUMBING CO INC STATE SURCHARGE MECH(VALUATION) 0.80
2610 SNELLING CURVE#2 TOTAL 50.80
ROSEVILLE,MN 55113- Payment(s)
CREDIT CARD 5889 50.80
OWNER
KANSABACK,JOEL&ANN
3286 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. 1'his permit is for only the work described and dces
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 hereia This permit will
expire and become null and void if consttuction 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 ermitee Signa re Date Issued By gnature Date
r � � � FOR CITY USE ONLY
O City of Orono
� �O P.O.Box 66 DatE Received: Pe+mit# Q� �
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:�t
Phone(952)249-4600 Fax(952)249-4616
y�qK�s oR�.�'� CITY OF ORONO-MECHANICAL PERMIT
H (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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�—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 fmal). 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
�esidential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
�
❑ New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
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Site Address: � 'RQ•
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Owner: ��'� 1Z --� �'\ RN SAN ��Iailing Address: '�
City: ` =._J (L��`-�: Zip: � � .3 � `�
Home Phone: �-�S 1 � ��� �� � b � Alternate Phone: �
Contractor Information:
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Contractor: � is� � �� ��Vi • U-�-=� , Contact Person: �l Lt-�,i��--Y� l��i�1� �
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Address:"��' � �' �`"`"l � C��� State Bond #: (�� . ��- 6 6 �-z-�7 � 1--31-� ?
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City: � ��� � �� Zip S �j Expiration Date: l - �'-�--'1� ( 1-3 t�y'�
Phone: `� � a' ``�1 2 S 5 `�1� Alternate Phone: ����--
❑ Insurance- Current: :��E"�� ��i,,.-,
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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 No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
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 cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
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: O ��G���f�--
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
� �j G� Ci �� x .0125 $
,-
(contract price) (minimum$50.00)
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 puiposes. 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 far 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.
�'� C � r �----- �
Applicant's Signature: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN — -�
INSPECTION NOTICE p� 1 HEDULED - �� � � �
PERM(T NO. ����� vv���l�� MPLEfED '
ADDRESS � ��`�' vl ��I/( 1/l oVL �L �,
OWNER T LEPHONE N �S°�— `�/'a- �`�S
CONTRACTOR ` �
� DESCRIPTION `r �'��' Jv�- �"r�
W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: .
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W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� CORRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT NfORK,CALL FOR REINSPECTION TEMPOMRY
V BEFORECONERINO PERMANENT
❑CORRECTUNSAFECONDITION WffHIN HWRS. p pHpTOTAKEN
INSPECTOR WILI RETURN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContrsctor on sRe:
Inspector: ��''���
vn,+�e covrn���ors Fiu c.�ary cov�r�sn.Natcs
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � ��� � i�3�?'►'i'►
PERMfTNO. Z�� � " ����" COMPLETED
ADDRESS �2� N O�V�V� _�v� G�'�.
OWNER TELEPHONE NO. ��L- ��� ��l�
CONTRACTOR �Q�
� DESCRIPTION ��� �l�Y�-" �Ilw�x�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATEFiPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ 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
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� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 dWNENCONTRACTOR TO MEET Y'OU:_YES_NO
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� �RK SATISFACTORY:PROCEED �PROJECT COMPLETE
W - p GORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPIANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERINO PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pF{pTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (952) 249-480�
OwnerlContractor on site:
InSpector: i��y�`G
White CopyAnspecto�'s Ffla C�nary CopylSlt�Notiee