HomeMy WebLinkAbout2018-00333 - mechanical CITY OF ORONO I � 'H� I� 111 ! l 1 I IL
* 20 1 8 - 00333 *
2750 KELLEY PARKWAY DATE ISSUED: 03/22/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1580 BOHNS POINT RD
PIN : 09-117-23-33-0008
LEGAL DESC : UNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 800.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
BATH EXHAUST
APPLICANT MECHANICAL 50.00
COUNTRYSIDE HEATING COOLING STATE SURCHARGE MECH(VALUATION) 0.40
1960 COUNTY ROAD 90 TOTAL 50.40
SUITE 200 Payment(s)
MAPLE PLAIN,MN 55359 CREDIT CARD 1056 50.40
(763)479-1600
Minnesota State License#:mech-MB680636
OWNER
LARSON,WILLIAM
1580 BOHNS PT 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. /I
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Applicant Permitee Signatur Date Issued By Siature Date
From:000NTRYSIDE HEATING & COOLING 763 479 2518 03/21/2018 13:20 #238 P.001/003
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st City of Orono v / ��`g/�
f V P.O.Box 66 Date Rec veff` ( Permit# /
0 \ 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount S: '
Phone(952)249-4600 Fax(952)249-4616
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F�9k£SHOR�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. 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)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 0 PVB]
❑New ❑Additional 0 Repairs 0 Replace
Job Site/Owner Information: //
Site Address: 520 l&oI!hS
Owner: Mailing Address: Q /
City: oIVL4o Zip: S-531
Home Phone: Alternate Phone:
Contractor Information: PaCeiContactContractor4Ltit Srad ilei Person: r l r►q
Address: /g6000laW61o 4200 State Bond#: /fig 68063,6
City: !'10 Pea4k Zip:5535 Expiration Date: (/////g
Phone: 76g.`(?g. /6 DO Alternate Phone:
N. Insurance—Current: dhi 13201 Rk Gib u(
1
From:000NTRYSIDE HEATING & COOLING 763 479 2518 03/21/2018 13:20 #238 P.002/003
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 SYSTEMS
Quantity: — — _......
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power -
FIREPLACES
O Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
g No. 1 _ 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 0 Removal
Fuel Oil: gallons 0 Underground ❑Inside 0 Outside
LP Gas: -gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 03/21/2018 13:20 #238 P.003/003
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract
price with a(Minimum Fee of$50.00)
PtrO.00 x.0125S 5O
(contract price) (minimum 550.00)
2. STATE SURCHARGE /�OO O'0 x .0005 $ D- 7
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5•R-YQ
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted 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 pplication are complete,true and correct.
Applicant's Signature: Ale Date: 3/2/lQ
3
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DATE TIME ri
CITY OF ORONO CALLED IN v��`f"`rt-`'
INSPECTION NQTI F�033 SCHEDULED /�t�c, l
PERMIT NO. oo�I / PL ED
ADDRESS /5:10 W PL
fit" ied
OWNER ELEP N /7� / ('
CONTRACTOR e V' •
161 dS
32 DESCRIPTION f ��7// ' J
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE El SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
9 COMMENTS: 6 orm x � �h S !'c/Ib d hcc
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0 S1 //e-C' prow%rk `2/40tvr'tS O* -H.%) S
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0
W
cc
Q
W
CC
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 on site:
Inspector. i/P
White Copyfnspectoes File Canary Copy/Site Notice