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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. , � �.�� � � , i���7 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: �� � � � � C`Q.� ��iY�-a ' Site Address: � 'RQ• 3 ;�� N,� S �e � Owner: ��'� 1Z --� �'\ RN SAN ��Iailing Address: '� City: ` =._J (L��`-�: Zip: � � .3 � `� Home Phone: �-�S 1 � ��� �� � b � Alternate Phone: � Contractor Information: r n , 1 Contractor: � is� � �� ��Vi • U-�-=� , Contact Person: �l Lt-�,i��--Y� l��i�1� � r « Z_ m.s,,,l�, +n('� 6L�..z.z.,^� t -'3.'�-t c� Address:"��' � �' �`"`"l � C��� State Bond #: (�� . ��- 6 6 �-z-�7 � 1--31-� ? 3 'v"�� � 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,,.-, 1 � . 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�-- 2 �' � �� ��- �� y 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 �-� � 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: . � � G�s /,;,e �.,�� �s� �0/1,� 3a- , ; ,�,�� � - o G' -/�-�7 s.�►c� 3=vo ��.r►-,. � �. � ° - o.� -�o � ��v ��� /,�e W � Q � 2 � W � � , 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 ��� V 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 _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNENCONTRACTOR TO MEET Y'OU:_YES_NO � COMMEN � � ��u �vv � _ � ►� o �- �----i � � �u �z� � 0 � W 1 /* - / � QL�7�ob,� T ire�./��Q C-Pi /n.S�,L�P�,� Q n/�" Q ZGL.D���' ��or�.+�� � / W � J � �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