HomeMy WebLinkAbout2018-00354 - mechanical LIi�� I 'I! I; � I' ,I'II1III
CITY OF ORONO * 20 1 8 - 00354 *
•
2750 KELLEY PARKWAY DATE ISSUED: 03/26/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3325 CRYSTAL BAY RD
PIN : 17-117-23-41-0018
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)GOODMAN HEATING SYSTEM
(1)GOODMAN 2-TON A/C
(1)KITCHEN EXHAUST-6"DUCT- 150 CFM
(2)BATH EXHAUST-80 CFM
GASLINE FOR OUTDOOR GRILL,STOVE AND DRYER
APPLICANT MECHANICAL 162.50
C&M HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 6.50
13862 WINTERGREENSTREET MAIL-IN FEE 2.00
ANDOVER,MN 55304- TOTAL 171.00
(612)490-1444 Payment(s)
Minnesota State License#:mech-MB005432 CREDIT CARD 6149 171.00
OWNER
OLSON,TODD&ANGIE
3325 CRYSTAL BAY 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.
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Applicant Permit ignature Date Issued By gnature Date
From:Meghan Sharpe FaxlD:763-295-3010 Page 2 of 4 Date:3/26/2018 09:41 AM Page:2 of 4
RECEIVED
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Penni Nof ORON\ 2750 Ke ley Parkway II A cued AmountS'
none Bay, 49 55323 ppr By=Phone(952}249-4606 Fax(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/o-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:0 AVB 0 PVB]
I New ❑Additional 0 Repairs ❑Replace
Job Site/Owner Information:
Site Address: 2) 3 Z C ��r y S 41 f b y u �
Owner: J()c CI lJ .54! Mailing Address:
City: Zip:
`
Home Phone: s!` - 9S C/,-% Alternate Phone:
Contractor information: �/ L
Contractor: CY //t'a f, Contact Person:
Address: /., ttp6 /hk` '9 yerilState$ond##: /17 6 O/25-(7/5.z
City: /in C(/i//1 Zip:4? /LExpiration Date: Zd17
Phone: 6j/� V9 —P/W Alternate Phone:
❑ Insurance—Current: J e
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From:Meghan Sharpe FaxID:763-295-3010 Page 3 of 4 Date:3/26/2018 09:41 AM Page:3 of 4
•
M ANY"CikL:S' STEMS'B O SSALI: i?
Note; Ail Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes E No
HEATING SYSTEMS •
Quantity: 1
Make: ci I314
Model: � � 7vd 3B Fuel: /+i Gt
"
Flue Size:
Input BTUs:
Output BTUs: 7(O, FLj 6 _
CFM:
COOLING SYSTEMS
Quantity: I _
Make: 0v,.�rv� cry sitar r'
Model: t)/'� X5-til)
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 6 A ductrecirculating clip
❑ No. 4„ Bath Exhaust(must have duct outside) p cfcn
❑ 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 0 Underground ❑Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
jg. Outdoor Grill 0 Other i List What&Where: 5/-,c4.,', tryr(
2
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From:Meghan Shame FaxID:763-295-3010 Page 4 of 4 Date:3/26/2018 09:41 AM Page:4 of 4
PI✓RM)<1 -FEE CALCI LA' G IS
1. CONTRACT PRICE •is 1.25%of contract price with a(Minimum Fee of$50.00)
/3// dCC x.0125$ //‘Z.,
S
(coritract price) (minimum$50.00)
2. .STATE SURCHARGE l m
x.0005 S e(m price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S /7/
• * 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 prioe 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.
Ml CHANI.CAL.P'E MIT APPLICATION AGRfi EiNT
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.
/ �/ j
Applicant's Signature: �e-ic Date: —�Sr-��i'
3
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DATE _T.IME
CITY OF ORONO CALLED IN 'A/- /4
INSPECTION SCHEDULED 'J 1 FR. /D•
PERMIT NO. ��� A ���5� MPLETED
ADDRESS
OWNERr EPHONE NODI ' 0 •••
CONTRACTOR ��
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DESCRIPTION .46 - d-y(__„, I
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Q
❑ LATHE MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
cCOMMENTS:
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;490‘4".
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT PPICORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
141
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0
O 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 e:
Inspector. f e--- i
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