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Home My WebLink About2017-00705 - mechanical CITY OF ORONO * 2017 - 00705 * 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 2494616 ADDRESS : 4545 NORTH SHORE DR PIN : 07-117-23-31-0019 LEGAL DESC : REST POINT PARK LAKE MTKA LOT 006 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE COOLING SYSTEMS VALUATION $ 3,400.00 NOTE: (I)RUUD A/C UNIT 2.5 TONS APPLICANT MECHANICAL 50.00 CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 1.70 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 BUILDING A TOTAL 53.70 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 21025 53.70 Minnesota State License#:mech-MB003503 OWNER ALBRECHT,HAROLD&CAROL 4545 NORTH SHORE DR MOUND,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 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. / 1, "F) '& c- A, Applicant Permitee Signature Date Issued By gnature Date SE ONLY City of Oronok12;rLj7 �Oi VO P.O.Box 66 D Permit#o?DI` 705 2750 Kelley Parkway Crystal Bay,MN 5532RECEIVED Approved By: Amount$: Phone(952)2494600 Fax(952)24911616 CITY OF ORONO—MECHANICAL PERMIT 3 Z017 H04 (All Commercial pets rrlu t1.MW the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION lel'VR 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 final). Call(952)2494600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) ®Residential ❑ Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information:` " Site Address: 4545 NORTH SHORE DRIVE Owner:KATHLEEN/ HAROLD ALBRECHT Mailing Address: 4545 NORTH SHORE DR City: MOUND, MN Zip: 55364 Home Phone: 952-472-1898 Alternate Phone: 612-244-7414 Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RDState Bond#: MB003503 City: GOLDEN VALLEYZip: 55422 Expiration Date: 06/16/2017 Phone: 612-244-7414 Alternate Phone: Indemnity Insurance Co.of North America Policy#WLRC49106257 [XI Insurance—Current: of-o1-17 to o1-o1-18 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 SYy TEMS Quantity. Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: RUUD Model: RA1330 AJ1 NA Tons: 2.5 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATIOIN ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STOWE (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 O Y ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMT FEE_CALCULATIONS , 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3400.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 3400.00 _x.0005 $ 1.70 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.70 ■ * 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. MECHANICAL 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 statements made on this application are complete,true and correct. Applicant's Signature: Date: 06/16/2017 3 INSPECTION NOTICE DATE TIME v CITY OFOra/1f9 CALLED-IN SCHEDULED PERMIT NO.,V7 ad7S-T-' COMPLETED-/Z{-17 .`pc' ADDRESS �f.S �fs Nares dor-c Dr- OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND.DRAINAGE ❑BUILDING FINAL ❑SPR NKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL ❑ ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: z ' . S eonK�`T J W J Z O W rL cc O R O W W cc Q Z W W cc O cr- FURTHER CORRECTIONS MAY BE REQUIRED XPERMIT FINALED WO 'WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: