HomeMy WebLinkAbout2018-00255 (Mech) • •
CITY OF ORONO 1111111111111111111111 1 I1I 11 11
* 2018 - 00255 *
2750 KELLEY PARKWAY DATE ISSUED: 03/08/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3895 BAYSIDE RD
PIN : 05-117-23-23-0009
LEGAL DESC : HILLSIDE PARK
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
RADIANT IN FLOOR HEAT
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
PRIORITY PLUMBING TOTAL 91.00
17325 EUCLID AVE
Payment(s)
FARMINGTON,MN 55024- CHECK 17197 91.00
(763)292-1615
Minnesota State License#:plbg-PC644739
OWNER
STRANDBERG,CAROLYN&JEFFREY
3895 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 a e for due cause.
7e- 1 c5e
ppl''. 'e v ee Signature Date Issued By S ature Date
F RCI Y USE ONLY
of Orono F wW�
..0.Box 66 Date Receiv • `/GJ' aO/Permit# L
U . 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: 91. 1,z7
Phone(952)249-4600 Fax(952)249-4616
' O� CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
'
,VFORMATION
apply for mechanical permits by mail or in person at the City offices. Applications will
xd and a permit will be issued within two working days.
is will be sent by return mail after a review is completed. PERMITS ARE NOT
TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
'ARD IS POSTED ON THE JOB SITE.
Designs—Complete calculations,details and specifications are required for each
'lation,humidification-dehumidification,and air conditioning installation including
gain calculation,design temperatures,equipment ratings and identification as to
urer and model. Data shall be presented on form provided.
.1 construction or remodeling is involved,a separate building permit must be
�.
.ii 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
(Check All That Apply)
residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑New Additional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 3 �-- .2/5"---(4Y(C '01
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTAL
Note: All Geothermal Systems will now require a Site Plan&Review by our d
IS THIS GEOTHERMAL? ❑Yes i- o
HEATING SYSTEMS
ao
Quantity: 0.4-Aso — °Fr,
7-1--...A)
�
Make: �"'o °\ Sod
Model:
Fuel:
Flue Size: /24..At .-d'-17/2 /�o I te
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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 cfm
❑ 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
I
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
7 a7/`°
x .0125 $
(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) $ 9/.
• * 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: '-5 - I
3
\/c DATE
/
DATE TIME
ITY OF ORONO CALLED IN
INSPECTIONOTICE ,...„,„__SCHEDULED 3-2d -If I I.3d
PERMIT NO.lO IS ^ )O 2S> OMPLETEDA
ADDRESS U 7.5.-- S)dote
OWNER iiELEPHONE NOF l 2 1WS
CONTRACTOR P, o ri'�/ kg- ,'
DESCRIPTION til • litICF
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
11.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
. ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES NO
y COMMS TS: -0 •°Pir - P'6715.--
ccLa Fe-OC 4t4.6.17 net c9-11 r7.9' . r4 ,0.4 "
a.
0
•••• a.;r ti.3�_ j,rp, .
cc — 6(6.4.5 to,r0b•e a eP /Aru - . de✓eee-
0
Q pe�„Ac a J$ - �6 - 2.�•_ ve,
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P/1#0c or to aet ve -,i s yP .d,...t e.4
ci e-of'ee 6.4- oR ' i'a46•a'1 f
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
Wme-CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0
❑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
OwnedContractor on site:
Inspector. (3/..--
White Copyllnspector's File Canary Copy/Site Notice