HomeMy WebLinkAbout2017-00153 - mechanical • CITY OF ORONO 11111111111111 11 111111111111 111 I I I II
2750 KELLEY PARKWAY * x 0 1 7 — 0 PJ 1 5 3
DATE ISSUED: 02/21/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 500 OLD CRYSTAL BAY RD S
PIN : 04-111-23-42-0029
LEGAL DESC : CRYSTAL BAY RETREAT
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 15,000.00
NOTE: ALL TESTING REPORTS SHALL E ON SITE AT FINAL INSPECTION.
NEW: 1 HEATING SYSTEM(AMANA), I COOLING SYSTEM(AMANA), I GAS FACTORY FIREPLACE
VENTILATION: 1 KITCHEN EXHAUST,6 ATH FANS&GAS LINE
APPLICANT MECHANICAL 187.50
STATE SURCHARGE MECH(VALUATION) 7.50
MIKE'S CUSTOM MECHANICAL INC
P.O.BOX 171 MAIL-IN FEE 2.00
CHAMPLIN,MN 55316- TOTAL 197.00
(763)568-7148 Payment(s)
Minnesota State License#:mech-MB005582,plbg-PC64492 CREDIT CARD 1743 197.00
OWNER
MERZ,BRIAN&KATIE
2412 BLACK LAKE RD
SPRING PARK,MN 55384-
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 gov ing this type of work
shall be compied with whether or not specified hereih.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.
/1417/y,
Orb:
Applicant Permitee Signature Date Issued By Signature Date
Feb 17 Z017 12:01:B0 Via Fax -> 95ZZ494616 Vonage Page 006 Of BOB
FOR CTl Y U5E.ONLY,,,•.
city of Orono
;.,,: •,.\\ a:..:: ' -Permit
A.O.Box.CNS •Tfot'C•lL'cCtii�ed::. „„_A -l�emtlt lb". ' • ,�.. IS-�
1,./j.
I 27.,10 Kelley Parkway .' ; ,,., ..
CryxtalBay,MN'55323 Aaproveii•13v;:':: /Afiiirurit'S;. Oo
Phone(952)2494600 Fax(952.)249-4616 ,.'.: . ,. . .,,:
`:lkt5e0.°.-V CITY OF ORONO—MECHANICAL. PERMIT
- (All Commercial pe mits must be approved by the Building Official or Inspector and/or lire Marshall)
GENER L 1-1V RM.'ATION::.,:,
:.:GENE
ML
You may apply for mechanical permits by mail or in person at the City offices. Applications will
he 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 U 11L YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD ISPOSTEDON THE JO! SITE.
3, Mechanical es s.—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gyain calculation,design temperatures,equipment ratings and identification as to
type,manufat:turcr 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 M,ecbanic al Code/State Building Code
rcquirements4
6. All work must be inspected(rough-in and final), Call(952)249-460().
(24.48 hour notice required)
7. House Heating Test Record must be submitted before final_
NResidential 0 Commercial(Approval Required) (Backflow Device:0 AMC.) []PV.13j
New 0 Additional 0 Repairs • 0 Replace
,
•
.
Site Address. ,. 7
Owzzer::� uL.y\-. . t" rr � g ,..... _
Home Phone: _ Alternate Phone:
[SiOrittietorinformation:-.
.:. .m_.� 1 •.
`..: G0.16.45:1-41
•t �•
i.j1, t ( c '-Contractor: . ,.. .4,. Kt � v Contact Person: Pl.0tr ,Cl
Address: „ i� 52_ 6:' (`.._4-_ State Bond#: _1113 00f6<.
i, lW r tt�1 �` IiG
City: \� , Zip: 1--) Expiration Date: . _,_j ' th —
Phone: III::,,, k,1,1111_,-- Alternate Phone: . ; 1c �•*1 -`_ „ ',
Insurance Current:
Feb 17 2017 120121 Via Fax -> 9522494616 Vonage Page 007 Of 008
MINWOIIIRMIOINg:alliia200gOggalgE22612212122iij
Note: All Geothermal Systems will now require a Site Plan.&Review by our Building Official-
IS THIS GEOTHP1IVIAL? El Yes $No
HEATING SYSTEMS
Quantity:
Make:
Model: _
Fuel: • .
Flue Size: V -r,
Input BTUs: ‘s14.--
Output BTUs: _7177 IA ,
CFM;
COOLING SYSTEMS
Quantity:
Make: .
IN.
.......-.
Model:
„ .
Trios: w , CMIMW,V1
1-1.Power
FIREPLACES
Gas Factory Fireplace Brand Name::
• Wood Burning Fireplace
O WoOd Stove Model No.:
O WoOd:Stove with Flue Masonry
V' 1,AN_ZMILQN
...it C' •
Kitchen Exhaust fr duct ecirculaling 79
efin
No. IA Bath Exhaust(must have duct outside) ctrn
No Other Fans: Locations cfm
FUEL STORAGE liOnst be approved by Fire Marshall f(proposing to abandon tank In place.)
0 Removal
Fuel Oil: , gallons 0 Underground 0 Inside 0 Outside
LP Gas gallons
Other:
(AS LINE ONLY •
IX Outdoor Grill 0 Other/List what&Where: •
2
. Feb 17 2017 12:81:34 Via Fax -> 9522494616 Vonage Page 888 Of 008
,
I. CONTRACT PRICE ' is 1.25%of contract price with a(Minimum Fee of$50,00)
r C,)
(Contract prim) (oinimnm$59.0(0
2. STATUURCHARCE -• _ 5 o
P f v t1) :y A,000$ $ 7
(contract price)
3. POSTAQE&HANDLING(Only on Mail-In Applications) �...?.:�El w.�_........__..
4. TOTAL PERMIT FEE(Add.Lines 1-3 Above) $ I q
a * CONTRACT PRICE or 1013 COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed cosh. :It is the amount to be charged
to the customer f�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.
,+
W9h,�n
74,
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 alt statements made on this application are complete,true and correct.
'a r f 4/7AlsPlicant's Signatu — �. �' x'.,z,'.:. t f : Date: 2--- 7 .1 r'!
1 3
1
E.--
-- DATE TIME \/
CITY OF ORONO CALLED IN 3 15 -/7
INSPECTION NOTICE SCHEDULED 3—!(e.--/ 7 '0-0
PERMIT NO. i 7--M/53 COMPLETED/
ADDRESS _6-60 bid!' S 13Av ,(1__3-
OWNER
1SOWNER N��,J" A TEL HO Og 1 /i - ��
CONTRACTOR in L-�- �' ,Cn44L. /�"
DESCRIPTION / k_e_l_.,,p& e-
Qin__
1...W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
14 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
0
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
4.. ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2• OWNERICONTRACTOR TO MEET YOU:_YES_NO
cn COMMENTS: / �f
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0
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W
W
CC
W �WORKSATISFACTORY:PROCEED LI PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. O 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
OwnerlContractor site:
Inspector. L
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN I 47
INSPECTION NOTICE SCHEDULED LI-Lf l 7 fib:00
PERMIT NO. �Wl-a2/ 1 ,COMPPLEETED /��p
ADDRESS 5 G/ / 6 GJ� .t __$
OWNER TELEPHONENO.�P' ?/D"
CONTRACTOR V 4 '//r
- � -1('_2- a41(L_
DESCRIPTION e — G- 5it
k.W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
ti)
Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB S1ECI1ANICAL RI 0 SITE INSPECTION
Q 0 FRAMING Y❑ MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WO0b BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WAT4R HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2- OWNER/CONTRACTOR TO MEET YOU:_YES NO
WCOMMENTS: ‘.475 - �"r e 4" —
a 1J G.L. � JO w� iaz�o �z 4� L� $ sP
e sale,
o p,L 0014�G C r..t 1 .f- r r,.t_a. ,,-- ka-»,,
ct - &c.,,,/`d �, /e-4.4,445 - Gz
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Q F►h 5e
tel 9,X 51c 4S s :.t m�-. r� -
a -Ca/ver 745 lr•us - a.% f.P.3 AnZaes @�
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LU 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CCPer-W
CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN _HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
O
0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE,ACCESS.
Call for the next inspection 4 hours in advance. (952) 249-4600
Owner►Contractor on site: r
Inspector. !"u
White Copyllnspector's File Canary Copy/Site Notice
c}(-4 3'
..J DATE
V TIME
CITY OF ORONO CALLED IN ` lK l�� Cr�r-
INSPECTIO ?TICE SCHEDULED
PERMIT N - O 1� GrCOMPLETED
ADDRESS U CO Cr-0.317 Q rckS
OWNERTELEPHONE NO.2L�--' -
CONTRACTOR ► - Q G\
• DESCRIPTION , -egN 12ic----- 6-9
t~y 0 FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
6. ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v▪ ❑ DEMO-SITE 0 SEPTIC INSTALL
2▪ OWNER/CONTRACTOR TO MEET YOU:_YES_NO
foi COMMENTS: / Ma01 -fe,h Ane 0
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A .da441l,.,S. 0
o ,2 ..r4../. 0,e.-- ,-...1vGs
• yL445. / wlz,/ •1, ,
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Q Sat/7-0091Sa617- obael-?
W
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dW WORK SATISFACTORY:PROCEED PROJECT COMPLETE
• '
IQ
IQ CORRECT WORK 4 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN__i_HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANG E ACCESS.
Call for the next Inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: I /V "
White Copyllnapector'$File Canary CopylSlte Nodes