HomeMy WebLinkAbout2016-0035 - mechanical _�, CITY OF ORONO * 2 0 1 6 - 0 0 3 5 3 *
� � 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1375 PARK DR
PIN : 07-117-23-41-0079
LEGAL DESC : SIDWELL ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: ADDITIONAL: 1 COOLING SYSTEM(MITSUBISHI)&2 BATH EXAHUSTS
APPLICANT MECHANICAL 112.50
AIR QUALITY SERVICES IN. STATE SURCHARGE MECH(VALUATION) 4.50
7900 EXCELSIOR BLVD TOTAL 117.00
SUITE#750 Payment(s)
HOPKINS,MN 55343- CHECK 22216 117.00
(952)401-3838
Minnesota State License#:mech-MB003119
OWNER
GEHL,LARRY
1375 PARK DR
MOLJND,MN 55364
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 dces
not grant permission for additional or related work which requ'ves 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 requ'ved 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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A i S ature Date Issued By Signature Date
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P.O.Box 66 a � O ��1��
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0 2750 Kelley Parkway !� ��� ' �
Crystal Bay,MN 55323 ' � ` ,� ` � �� _��""
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Phone(952)249-4600 Fax(952)249-4616 � �� �� � " � °'� � �.��
�`�t �.��� CITY OF ORONO—MECHANICAL PERM
�k�SH�4 (All Commercial rmits must be a roved b the Buildin Official or Ins IT
pe pp y g pector and/or Fire Mazshall)
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1. 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 cazds 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 Desi�ns—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(mugh-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
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�Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB]
�New �Additional ❑Repairs ❑Replace
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Site Address:. � � �� ��� ��-
Owner:�� �H�-- Mailing Address: ,�z
c��y: C�2Drv� z�p: 553 �/
Home Phone: Alternate Phone:
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Contractor: ���` �Z�.�t�5 Contact Person: , ^�i�
Address: �9� ����s�� �l,�v �'L��State Bond#:
City: Zip:5y�u3 Expiration Date:
Phone: �iS�Z"�'��3��� Alternate Phone: �/�3�
Insurance—Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �`No
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HEATING SYSTEMS
Quantity:
Ma1ce:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: l
Make: N4t�3c��-9w
ModeL•
Tons: �
H.Power Z��
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfrn
No. �_ Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fi�e Marshall iJproposing 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
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
���� x.0125$ ��Z.Sd
(contract price) (minimum$50.00)
2. STATESURCHARGE
�� �� x.0005 $ ���O
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
60
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ j��'
■ * 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 chazged
to the customer for the work done. If any material,equipment,labor or installations aze 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.
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 ade this application aze complete,true and correct.
Applicant's Signature: Date: �
3
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CITY OF ORONO ��LED IN � �--� T�ME
INSPECTION TICE ��?, HEDULED ����'-=1d2 �
PERMR NO. � '�`"�� �MPLETED �
ADDRESS �3 7S ��C/4.�- �.V`C
OWNER � L PHO NO. �a
CONTRACTOR ���v
� DESCRIPTION �� �''`-�
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01NNERK:ONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS: ^
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 24 hours in advance. (952) 249-4600
OMrnedContraotor on site:
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Inspector:
Whits Copyllnspector's FiN Canary CopylSke Notiee
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� DATE TIME
CITY OF ORONO ����j� cnLLED IN �yLT,—
INSPECTION NOTICE O�`�"— SCHEDULED ����f;i
PERMR NO.� '� COMPLETED
ADDRESS ! ��T � �G�h I�.- l.�rZ.
OWNER TELEP ONE �
CONTRACTOR �` �`�
� DESCRIPTION /� �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL /v
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL ll ���
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION�'��
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMO S�.
v ❑ DEMO-SITE ❑ E IC INSTALL
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��MICRIE6ATISFACTOR1/:PROCEED ❑PROJECT COMPLEfE
Wr O CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
.
Inspector:
White Copyllnspsctors Ffle Cenary Copy/Ske Notiee
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DATE TIME
CITY OF ORONO � CALLED IN �`S—��
INSPECTION N Q TICE 3`� CHEDULED (�--t —� f G.' ~
PERMIT NO. -� J COMPLETED
ADDRESS l3� t��/�-�--- �" '
OWNER LEPHONE NO. ��Z � S 7 �
CONTRACTOR
� DESCRIPTION � � ��t�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary Copy te Notice