HomeMy WebLinkAbout2017-00703 - mechanical w
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CITY OF ORONO II I III I 11 I I !I III
2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 7 0
DATE ISSUED: 06/26/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 500 OLD CRYSTAL BAY RD S
PIN : 04-117-23-42-0029
LEGAL DESC : CRYSTAL BAY RETREAT
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYI'E : RESIDENTIAL
CONSTRUCTION TYPE : FIX')'URE
VALUATION : $ 500.00
NOTE: ALL TESTING REPORTS SHAD,BE ON SITE AT FINAL INSPECTION.
REPLACE GAS DRYER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.25
MN PLUMBING&APPLIANCE INC.. MAIL-IN FEE 2.00
14105 RUTGERS STREET NE
PRIOR LAKE,MN 55372- TOTAL 52.25
(952)469-8341 Payment(s)
Minnesota State License#:cont-58455-4M CHECK 9054 52.25
OWNER
i
MERZ, BRIAN&KATIE
2412 BLACK LAKE RD
SPRING PARK,MN 55384-
AGREEMENT AND SWORN STATEMENT
The work for which thil permit is issued shall be ierformed according to
the approved plans and pecifications,applicableity approvals,and the
State Building Code. This permit is for only the 4ork described and does
not grant permission for additional or related wor which requires separate
permits. All provisions of laws and ordinances go'eming this type of work
shall be compied with whether or not specified he$ein.This permit will
expire and become null and void if construction agthorized is not
commenced within 180 days of the date of issuan ,or if construction is
suspended for a period of 180 days at any time aft r work has commenced.
The applicant is responsible for assuring all requir d inspections are
requested in conformance with the State Building ode.This permit may be
revoked at any time for due cause.
614--"‘ej I kfiSOL) A4 . de ) /7
Applicant Permitee Signature Date Issued By Sfg4ature Date
i
r .'h w r USE ONLY
City of Orono ���! / r Permit# 070r-7-- "oleo
ON PO.Box 66 CED rt .'C
2759 Kelley Parkes
Crystal Bay,MN 35323 Approved By: Amount$:
Phone(952)249-460 16
s'iKL"sHOS?. —MECHANICAL PERMIT
(All Commerci ermits must approved by the Building Official or Inspector and/or Fire Marshall)
ENE INFRRMATION
l
1. You may appy 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 ill be sent by return mail after a review is completed. PERMITS ARE NOT
VALID L NT L YOU RECEIVE A PERMIT. WORNJVIUT NOT BEGIN VNTIIt THE
PERIVIJIT C RD IS pQSTED QIktTHE JQB_SITE,
I 3. Mgchanical esiggs—Complete calculations,details and specifications are required for each
heating,venti ation,humidification-dehumidification,and air conditioning installation including
1 heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufa4turer and model. Data shall be presented on form provided.
4. When any ne construction or remodeling is involved,a separate building permit must be
obtained.
5. All work muss 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 hourotice required)
7. House Heatin�Test Record must be submitted before final.
TYPE OF PEST
'F' (Check Ail That Apply)
Residential , 0 Commercial(Approval Required) [Backflow Device: 0 AVB ❑PVB]
]New ❑Additional [] Repairs ❑Replace
4b Site/ _4Ow 1 fetteatiett
Site Address: �� • r 1€! P
Owner' IIA I A C _ Mailing Address:
City: ,C)irb' ` Zip: ---
S S tQ
Home Phone: ( k. — i S —11%7 q Alternate Phone:
E ontractor Info 2:,tion:
Contractor: M( IUNOt I... (cu1CLContact Person: C If mile I)
Address: 141,0f) 2\ 41\(r State Bond#: #(19 i •.
City: PbçLnJ' . ZipExpiration Date: 13— )7
Phone: 95- -(--)Lcf -ey I Alternate Phone:
Insurance--Current:
1
, . 1't '
Note: All Geotherrrtal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? 0 Yes 0 No
HEATING SYSTEMS
Quantity:
Make:
Model; _
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CIFM:
COOLING SYSTEMS
Quantity:
Make:
Model;
Tens:
H.Power ,
rifffridAckh
Gas Factory Fireplace
Wood Burning Fireplace
Wood Stove Model No.:
Wood stove with Flue/Masonry Brand Name:
xantAjwir
No. , ._ Kitchen Exhaust duct recirculating
No. 72Bath Exhaust(musthave ductoutside) cfm
No. Other Fans. Locations
f jauipmpx (M I be ttpproved by rim Marshall ifproposing to abandon tank in place.)
0 Installation 0 Removal
Fuel 04; ,_gallons 0 Underground 0 Inside 0 Outside
LP Cias _._ gallons
Other
'UA.k.1 JANESila
0 Outdoor Grill 0 Other I List What 4k.Where:
2
e 0 . . e)C11) 11-Adfir
1
R 2 9' ✓
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125 $ a-e
(contract price) (minimum$50.00)
2. STATE 0,,JRCHARGE ,----
x.0005 $ I a`S
(contract price) ..
3. POSTAGg&HANDLING(Only on Mail-In Applications) $ 2.00 /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5C)-�S
i * CONTRACT P IC>~. or JOB COST means the actual or estimated dollar amount charged for the
permitted work in !uding materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer forl 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.
i
The undersigned hey applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accor nce with the ordinances of the City and the regulations of the State of
Minnesota,and certifi s that all staj- ants made o this pplication are complete,true and correct.
1
Applicant's Signature Alai ate: k. ✓
D t---' 17
3
c..--_ 1 s(J---
DATE '-7 TIME
CITY OF ORONO CALLED IN 7- /Sl-r' /
INSPECTION NOTICE SCHEDULED 7-/ 17 /t
PERMIT NO. r 1-0-0703 COMPLETED
ADDRESS 5OOOld 61-7S1-rr-1_ a / -s
OWNER TELEP ONE NO.9- - N7k-9f4c
CONTRACTOR 10 P/10; ti / A le ir
DESCRIPTION
f ' - /
t4, ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
A0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C El FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY El SEWER HOOK-UP 0 FOUNDATION/REMOVAL
Z
,, ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
14, Gas /i, & rlr�G�r- or "ri• - ie.S ecQ
o 'W/ f eta) A o f.,5, /,Q�
cc pp / OGn
O
� — Vael6 .,r 5 - d.ie i4 Owt 4e�l. .c -0 ✓Sre✓
W /
CCQ
Wtz)6 P/4 (ten,ept i0(elf e 1 WO 041-S a.At
W 0 WORK SATISFACTORY:PROCEED AOJECT COMPLETE
ItW
El CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ?in.,- 94---
White Copyllnspector's File Canary CopylSIte Notice