HomeMy WebLinkAbout2014-01345 - mechanical CITY OF ORONO * Z 0 1 4 - 0 1 3 4 5 *
f . � • 2750 KELLEY PARKWAY DATE ISSUED: l U18/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3825 NORTH SHORE DR
PIN : 17-117-23-22-0046
LEGAL DESC : SHERRI LAKEVIEW ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHAMCAL-MULTIPLE
VALUATION : $ 12,700.00
NOTE: (1)GOODMAN FURNACE
(1)GOODMAN A/;C
(1)KITCHEN EXHAUST
(3)BATH EXHAUST
(1)BATH FAN
APPLICANT MECHANICAL 158.75
STATE SURCHARGE MECH(VALUATION) 6.35
MACDONALD HEATING&AIR TOTAL 165.10
11848 305TH AVENUE Payment(s)
PRINCETON,MN 55371-
(612)919-0538 CREDIT CARD 8804 165.10
OWNER
LANDSOUCE
3845 NORTH SHORE DR
MOiJND,MN 55364-
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 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 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 aze
requested in conformance with the St � ing Code.This permit may be
revoked at any time for due xse.
� '`_' (� � I � / / �
icant rm i at Date Issued y Signature Date `
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� FOR CTi'Y USE(3NLY
� City of Orono
t . g-��O P.O.Box 66 Date Received Permit#
2750 Keliey Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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tqkESH�R�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Buiiding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
i. 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 wiil 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 aze 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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE`C7F PER`1VIIT
(Check A1,1 Th�.t A 1 '
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑ Replace
dob SitE I Owner Inforrnation:
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Site Address:,_
Owner: �� ��� �O�� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
JJ 1" I� Person: i N aC�
Contractor: 1 � �GI O ' Contact �
Address: ( (��� `���1 �!�('> State Bond#:
City.�r 1�(�G��d� Zip� Expiration Date:
Phone:� �a � I "I � �5�g Alternate Phone:
❑ Insurance—Current:
1
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Note: All Geothermal Systems will ow require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes o
HEATING SYSTEMS
Quantity: '
Make: �
Model: � � �� 1� �
Fuel: N
Flue Size:
� '� �-
Input BTUs: r6 Q' � O C} C�
ou�ut BTus: q 7 � �1�5
CFM: � ��do ,
COOLING SYSTEMS
Quantity: 1
Make: �O Q
Model: V �j ���
Tons: �
H. Power �`3�V�t�`
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust � � duct recirculating �J`O cfin
❑ No. 3Bath Exhaust(must have duct outside) ,,�cfm
❑ No. _�_ Other Fans: Locations e�i1�' �C�cfin
IA� �3 �l�s�"�11 ?^ S
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in pti�e.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this section applies
T'he replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
l�. � �oc� x.o12s$
(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 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.
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 Staxe of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: ' Date: � � � �� � �
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OWNER TELEPHONE�. �
CONTRACTOR
� DESCRIPTION �l 1-��
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC STALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/FEMOVAL
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V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
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2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING G�MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ COMPLAINT
J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
TION REQUIRED.CAL�TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �/•r-� �
White Copyllnspector's File Canary CopylSite Notice
� TE TIME
CITY OF ORONO CALLED IN
INSPECTION SCHEDULED C! fCJ'�� �
PERMIT NO. COMP ED
ADDRESS °2—S �' ��"`�-�
OWNER TELEP E NO. � �� ���
CONTRACTO �� �
� DESCRIPTION ' /�-��� �%�n�-�`� � ���OI�Y�C�
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Q ❑ POURED WALL ❑ PLUM NG RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ P BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. (952 9-46��
OwnerlContractor on site:
Inspector. -
White Copyllnspector's File � Canary CopylSlte Notke