HomeMy WebLinkAbout2018-00079 (mech) CITY OF ORONO I*I z 11111111111 1111111 I 111111111
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2750 KELLEY PARKWAY DATE ISSUED: 01/23/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3855 BAYSIDE RD
PIN : 05-117-23-23-0007
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT 063 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 18,700.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX FURNACE
(1)LENNOX A/C
(1)KITCHEN EXHAUST-300 CFM
(4)BATH EXHAUST-50 CFM
ROUGH IN FOR IN-FLOOR TUBING
APPLICANT MECHANICAL 233.75
STATE SURCHARGE MECH(VALUATION) 9.35
KALMES MECHANICAL INC. TOTAL 243.10
15440 SILVEROD ST NW
ANDOVER,MN 55304 Payment(s)
(763)300-6231 CHECK 5938 243.10
Minnesota State License#:mech-MB003631
OWNER
THIESSE,JOHN&SHERRI
3855 BAYSIDE RD
LONG LAKE,MN 55356-
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 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 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.
A nt Permitee S gnature Date Issued B ignature Date
FOR CITY USE ONLY
, , ' �O A T City of Orono
�Itil!VP.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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9kE o4``G~� CITY OF ORONO—MECHANICAL PERMIT
S 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 Designs—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 Apply)
gResidential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: 3,65-S- 4,s 0L ,gel
Owner: . OA') Th/ e.s se__ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: j�r u e•2 Lu..P-5
Address: 15'-/y o S,I ✓PL /aa 51-/JO State Bond#: /tA g v v 3(,3 I
City: Ad ave— Zip: 553all Expiration Date: ?//8//g
Phone: -763- L(2-( 2 .( f 7 Alternate Phone:
E Insurance—Current:
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: LL246bt14 010 X VIfe —
Fuel: /U (PtA S
Flue Size: o? w P✓�
Input BTUs: g t41 Oco
Output BTUs:
CFM: /100
COOLING SYSTEMS
Quantity:
Make: O vl✓l OV-
Model: y L(4.- CIS 6
Tons: 3
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
® No. f Kitchen Exhaust x duct recirculating 3 00 cfm
® No. !/ Bath Exhaust(must have duct outside) 50 cfm
❑ No. Other Fans: Locations cfm
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:
2
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
/R 700 - JJ x .0125 $
(contact 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) $ (13 ./O
• * 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.
M IECI ANICAL PER PLIC., ,_I , to EMENT.
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 correct.
Applicant's Signature: 2 �G� Date: /2,,3Ai)
3
i - \
v( DATE TIME
1 CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED c "C104-/ /0
PERMIT NO.r20171 CO 7 9 COMPLET
ADDRESS 3�55 & Sic
OWNER ' TEL PHONE NO. 263- -702
23
CONTRACTOR rz. na Q S r --
DESCRIPTION A" `te'k RL
❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
O 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ElFINAL ElWATER HOOK-UP ElFOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO SITE 0 SEPTIC INSTALL
- OWNER/CONTRACTOR TO MEET YOU:_YES NO
• COMMENTS: Supply rcfi' d G'.--4.c r k
sct. It;J 11.4 wiz d 1.,1 GI» whH-10nYCC �
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107012 fie '(jZ+ / ' 1 e74:75
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• WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑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. (952) 249-4600
Owner/Contractor on site:
Inspector. ,e7;75 a ti A:24.<-
White Copyllnspector's File Canary Copy/Site Notice