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CITY OF ORONO * 2016 - 00891 *
2750 KELLEY PARKWAY DATE ISSUED: 07/27/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 2494616
ADDRESS : 2425 OLD BEACH RD
PIN : 21-117-23-22-0016
LEGAL DESC : THE MARSH AT LAFAYETTE
LOT 003 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,928.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT NATURAL GAS FURNACE
(1)BRYANT AIR CONDITIONER
APPLICANT MECHANICAL 111.60
UPTOWN HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.46
3110 WASHINGTON AVE.N. MAIL-IN FEE 2.00
MINNEAPOLIS,MN 55411- TOTAL 118.06
(612)827-4674 Payment(s)
CHECK 38287 118.06
OWNER
WALCHER,ERIC&SUZANNE
2425 OLD BEACH RD
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. 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.
Iry 71271 A
Applicant Pertnitee Signa Date Issued Signature Date
City of Orono F R CI USE ONLY
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r V P.O.Box 66 $�qqv@'. ermit# `�v�n/
2750 Kelley Parkway 1�M
Crystal Bay,MN 55323 Approved By: Amount$:f F
Phone(952)249-4600 Fax(952)249-460141
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CITY OF ORe b he$ w in. ffiICAL PERMIT
(All Commercial permits must be a cial 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 final). Call(952)2494600.
(2448 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 ]RLReplace
Job Site/Owner information:
Site Address: IL�Z`5 C))&' geo,,(_v, �o
Owner:(-1C- 0QA0Aer- Mailing Address: 1� . ROCA�
City: VCpvvr' Zip:
Home Phone: = Alternate Phone:
Contractor Information:
Contractor: U� o '� C Contact Person: 0., Liz,
Address: �1 �Q � ov\ Ne State Bond#: LG (3 -5011-
City: �.�rAtwego�1 Zip: ) Expiration Date: �13
Phone: L'�_-501— Alternate Phone: ��`�-E-_l SLAM
❑ Insurance—Current: Aon kt-,xk qt
1
MECHANICAL_SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ELNo
HEATING SYSTEMS
Quantity: �j y
Make:
Model: °tZb� (ofoil�V1�
Fuel: PM• Gal
ll
Flue Size: 3 U
Input BTUs: �1DIf50c�
Output BTUs:
CFM: "Loc G
COOLING SYSTEMS
Quantity:
Make: vlo-
Model: Il��Naa`t�i�P�v
Tons: "I l b Ilk
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 efm
❑ No. Bath Exhaust(must have duct outside) 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$50.00)
-0D x.0125$ Wt bb
(contract price) (minimum$50.00)
2. STATE SURCHARGE 9 ,
1-9)L-V x .0005
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � Lq.Ob
■ * 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 regulations of the State of
Minnesota,and certifies that all statements made on this appl' ton are complete,true and correct.
Applicant's Signature: i 1 Date:
3
ME
45�101 DATE
CITY OF ORONO CALLED IN
INSPECTION NOTICE /SCHEDULED
PERMIT NO. COMPLETED
ADDRESS �r1-7
OWNER TELEPHONE NO. /
CONTRACTOR 1/�}kowIll
DESCRIPTION1�w �� ��
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ 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
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ IC INSTALL
OWNEWCONTRACTORTOMEET YOU;, YES NO
COMMENTS:
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LM ❑WORK SATISFACTORY PROCEED �1QPROJECTCOMPLETE
>D RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours In advarom (952) 249-4600
�rrtractor pn site:_ c v
Inspect
White CopyAnspecWs File Canary Copy/Site Notice