HomeMy WebLinkAbout2016-01000 - mechanical CITY OF ORONO * 2 0 1 6 - 0 1 0 0 0 *
� 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016
ORONO, MN 55356-
R
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3683 NORTH SHORE DR
PIN : 08-117-23-34-0053
LEGAL DESC : CRYSTAL BEACH
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 16,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
REPLACE: I HEATING SYSTEM(BRYANT)&PURON PUMP, 1 COOLING SYSTEM(BRYANT), 1 GAS FACTORY FIREPLACE,
VENTILATION: 1 KITCHEN EXHAUST AND 3 BATH EXHAUSTS
APPLICANT MECHANICAL 200.00
THARALDSON PLUMBING STATE SURCHARGE MECH(VALUATION) 8.00
5680 MANITOU RD TOTAL 208.00
SHOREWOOD,MN 55331- Payment(s)
(952)474-7400 CHECK 5741 208.00
Minnesota State License#:plbg-PC675647
OWNER
RESSLER,JON
3683 NORTH SHORE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIVT
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 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 l80 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 Pe tee Signature Date Issued By Signature Date
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FOR CITY USE ONLY �`b��
City of Orono (p
� �O� P.O.Box 66 Date Received: �'Permit# �
� 2750 Kelley Parkway �(/ ��
Crystal Bay,MN 55323 Approved By: � Amount$: b
Phone(952)249-4600 Fau(952)249-4616
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Ft �.�' CITY OF ORONO—MECHANICAL PERMIT
�'�E S H O�
(Ali Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalO
GENERAL INFORMATION
l. 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 retum 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 S1TE.
3. Mechanical Desi�ns—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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
I (Check All That A 1 )
� Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additional ❑Repairs [�Replace ��'Lm ���
Job Site/Owner Information:
Site Address: ���Z(���t�,,�..�Y� �f .
Owner: Mailing Address:
City: (��''o� r� Zip: � �Z�j
Home Phone: Alternate Phone:
Contractor Information:
Contractor: I�,,are��asa�, �u�n�i�r.l�F�+�^) Contact Person: !�����-. ��C.,4��
Address: �Z,� f�-k�n�ko,� P-� State Bond#: %oGo�Q�'Z�
City: ��,a:��,,�ort:� Zip:��'3�1 Expiration Date: `�l/a'�Z�i�
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Phone: ���—i-11�i —14 u� Alternate Phane: c�,�'2.—tvg� S'13t�
[� Insurance—Current: 1�,�„ -��,.,,�]„ � 1 927�'
] E�p�• �s :Z.l�tlzo;�
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Note: 11 Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS T S GEOTHERMAL? ❑Yes []�o
HEAT NG SYSTEMS
Quan ity: 4 i
M�t�� a�►-I- ,B ' Pl,�-
Moa : 9/s�5l� 3 �r�a�—
Fuel: qa S' �� /,J,�.. p vrhp
Flue ize: Z'�
Input�TUs: QU,o�
Outpu�BTUs: 7$ ,moO
CFM:� l 3(7t7
COO G SYST'�EMS
�� ri: I 1
Make: J��} ihi4nl�'i
�
Mode �ZL g �.�T-e-��—
Tons: � /_ �'
H.Po er
FIREP ACES
� Gas Factory Fireplace Brand Name:
VI✓ood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE ATION
1� No. � Kitchen Exhaust�"�duct recirculating ��cfm
[,]� No. �_ Bath E�chaust(must have duct outside) _�cfm
❑ No. Other Fans: Locations cfrn
FUEL TORAGE (MWst be approved by Fire Marshall if proposing to abandon tank�n plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Qther:
GAS L E ONLY
❑ Outdoor Grill ❑ Other/List What&Where: �'.P �. �a�;,
2
PERMIT FEE CALCULATIONS
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
jT�� X.o�as $ L�v
(contract price) (minimum$50.00)
2. STATE SURCHARGE
� I ��Gi;� x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ v
� V
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 induding 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 perrnit 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.
1'VIECHANICAL 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 st ments made on t ' piication are comptete,true and correct.
Applicant's Signature: ' Date: �f 1� )Za%��
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� DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTIO Oa��C r O SCHEDULED �
PERMIT NO. +o e COMPLETED
ADDRESS � �� ��
OWNER � TELEPHONE NO.��`i.���Ol
CONTRACTOR r�` ��
� DESCRIPTION
4~j ❑ FOOTING ❑ i -F ❑ SEPTIC FINAL
Q ❑ POURED WALL � ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPR OF L ❑ TREE REMOVAL
Z ❑ RADON SLAB M CHANICAL I ❑ SITE INSPECTION
Q ❑ FRAMING ❑ M CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ W14TER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S�PTIC INSTALL
2 OYYNERICOMRACTOR TO ET Y�OU:�YES_NO
c�n COMMENTS:
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W RKSATISFACTORY: EED � ❑PROJECTCOMPLEfE
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� ❑(�RRECT WORK,CALL F REINSPEICTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CON N WITH�N HOURS. p pHOTO TAKEN
INSPECTOR WFLL R URN i
�STOP ORDER POSTED. ll INSPE�R �CITATION ISSUED
❑INSPECTIONREQUIRED� ALLTOAR NGEACCESS.
Call for the xt inspedtion 24 hours in adva 49-46��
OwnerlContractor site:
Inspector:
Whits Copy speetor's Filp Canary CopylSite Notfes
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DATE TIME
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED —� — �V �
PERMfT NO. ���' ��r o� COMPLETED
ADDRESS ����g� �� ���'2�liY`�- ��
OWNER TELEP �NO.
CONTRACTOR � � � �'�
� DESCRIPTION ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERfCONTRACTON TO MEET YOU:_YES_NO _
� COMMENTS: /� P rGYi r a�c � 4'S /�� �✓�a �+•c�z�`-
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0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
���SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector: �i - ��
White CopyAnapector's File C�nary CopylSfte Notke
��� � T TIME
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CITY OF ORONO cr►LLED IN 7 ��
INSPECTION TIC scH�ULED 3 -
PERMR NO. —��� COMPLETED -
ADDRESS �
OWNER '(��2�2�-���
CONTRACTOR
'' DESCRIPTION t �� �
� ❑ FOOTING ❑ D MO-FI AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P4UMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPR F ❑ P4UMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M�CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ M CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ W�D BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ W TER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ S�WER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNFR�COKTAACTOR TO YWI:_.YES_NO
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❑ RECT WORK�P EO O ISSUE CERTIFlCATE OF OCCUPANCY
0 �CORRECTYIfORK�LL R REINSPE TION TEMPORARY
V BEFORECdNERING �, PERMANENT
❑CORRECT UNSAFE CON N WITHI�J HOURS. ❑pH0T0 TAKEN
INSPECTOR YVILL R URN i
❑CITATION ISSUED
❑STOP OROER POSTED. LL INSPECT�R
O INSPECTION REQUIRED. LL TO AR NGE ACCESS.
CaM for the inspection 24 hours in advanoe. (952) 249-4600
OMmerlCorttractor s�
inspector: '
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