HomeMy WebLinkAbout2017-00192 - mechanical . CITY OF ORONO * z 0 1 7 - 0 0 1 9 z *
' 2750 KELLEY PARKWAY DATE ISSUED: 03/OU2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1415 PARK DR
PIN : 07-117-23-42-0042
LEGAL DESC : SAGA HILL REVISED
: LOT MB BLOCK 15
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 21,000.00
NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADDITIONAL MECHANICAL: 1 HEATING(CARRIER)& 1 (TRIN[TY), 1 COOLING(CARRIER),
VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUST
APPLICANT MECHAMCAL 262.50
TREATED A[R COMPANY STATE SURCHARGE MECH(VALUATION) 10.50
9954 166TH COURT MAIL-IN FEE 2.00
BECKER, MN 55308- TOTAL 275.00
(763)262-0707 Payment(s)
Minnesota State License#: mech-MB003789 CREDIT CARD 3100 275.00
OWNER
BRANTER, BRIAN
1415 PARK DRIVE
MOUND, 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 does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 I 80 days at any time afrer 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 Permitee Signature Date Issued By Signature Date
_,.
FOR C7TY USE ONL1'
� Ciiy of Orono �j � )�l 1 �-C.��7-C> ' l `"� 2�-
P O.Box 66 Datc Reccived: Permit h4
� �0 2759 Kelley Parkway � � � �� r�.
Cryslat Bay,MN 5�323 Approv�^d By: �/"}� .4moun t S: �
Phone(952)249-0600 Pax(952)249-4616
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`�� ;��� CITY OF ORONO-MECHANICAL PERIVIIT
'�KES H�� (A31 Commercial permits must be approved by ihe Building OtT3cial or)nspecto�and/or fire Marshall)
GENERAL IIVFORMATiON
1, You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewcd and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. P£RMITS.ARE VOT
VA1�ID UNTIL YOU ItECEIVE A PEEtMIT. WORK MUST NOT BEGIN UNTI�,THE
PERMIT CARD i5 POSTED O1�F TNE JOB SITE.
3_ Mechanical Desi ns—Comptete caicuiations,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. Vdhen any new construction or remodeling is i�volved,a separate building permit must be
obtained.
5. A!1 work must 6e done in accordance with the Uniform Ntechanieal CodeiState Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-46D0.
(24-48 hour notice required} �
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A I �
�Residential Q Commercial(Approval Required) �Backflow Device:�AVB ❑ PVB]
❑New �Additionaf ❑Repairs �Rep{ace
Job Site/Owner Information:
Site Address: 1 ��j� '��✓'��
Owner: �1,�:�*��I��C� Mailing Address:
? �3G�/
cr�y: I�iw,�,� . z��:
Home Phone: Alternate Phone:
Contractor Information:
� /_ n �,/c` (�c:i'�,��.-,
Contractor: JI'�CvT�u� f�i �/�w�� Contact Person: �
Address: �L(��� �loG��G�.Sf State Bond#: �� ������
City: �ec.�c� - ___ Zip� Expiration Date: �/�G /fu
Phone: -aC -U�� Alternate Phone:
❑ lnsurance-Current:
1
6'd ZEE6-Z9Z-E9L a�1!W �0� �6 L� 60 a�W
MECHA,1riICAL SYSTEMS BEING INSTALLED
A1�te:AI1 Geothermal Systems will now require a Site Plan 8t Revie�v by our Bui3ding Officia�.
IS TH1S GEOTHERMAL? [] Yes ❑No
HEATING SYS'i'EMS
Quaztiity: � /
� �
Make: r''f.t/ 1�rr. �j
Model: �?SLS/� � ��/Q
Fuel: I��,� ,� �r��
Flue Size: ��� ��" �,.• NL
InputBTUs: I6d,�"v�J ��` //!>�GU�
� /vJ t�crJ
Outpuc BT'Us: � l� , _
CFNi: �V �� -
COOLLr(G SYSTEMS
Quantity: ,
Mafce: �G�i�r-c/
3�•lodel: ��'/�� �y�'
Tons: 3 2
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Eireplace
� Wood Stove Model No.:
❑ W ood 5tove with Flue/btasonry
VENTILATION
[� No. � Kitchen Exhaust�_duct recirculating cfrn
❑ No. �_ Bath Exhaust(must have duct outside) �_��
❑ No. Other Fans: Locations cfm
FUEL STORAGE {Must be approvpd by Fire�Na�skall if proposing ta abarrdort fank in plac�)
❑ Instailation ❑ Removal
Puel Oil• gallons ❑ Underg�ound ❑]nside ❑Outside
LP Gas:. gallons
Other:
GAS LINE ONLY
❑ Outdoor Gnll ❑ Other I List What�Where:
2
Z'd Z££6-Z9Z-£9L 8�I!W �Ob�L 6 L l 60 a�W
PERMIT FEE CALCULAT[ONS
1. CONTRACT PRICE " is 1.25°/a of contract price with a(Minimum Fee of$50.00)
! i• �
�� 'C!1) x.0125 $ ��'� ��� �
(contract pricc) (minimum$50.00)
- ��'v'
2. STATE SURCHARGE � v� x.0005 $ ` V
/ y
�COf�1TaCt�ICICe�
;. POSTAGE&HANDLING(Only on NEail-In Applications) $ 2.Q0
,L
„.:..� L-1 ,
4. TOTAL PERMI'1'FEE(Add Lines l-3 Above) $ � t '
■ * C�NTRACT PRICE or JOB COST rneans the actua4 or estima[ed dollar amount charged for the
pecmitted work including rnaterials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. [f any materiaf,equipment,�abor or ins�aJlations 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 pwposes. In the event that there is a dispute on the amount
of the job cost, the City may request the submission of a sigaed copy of the aetual contract.
MECHANICAL PERMIT APPLICATION AGREEMEI�T
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance ��ith 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.
A licant's Si natnre: �'�� �' �U'����'�' Date. ���`l� /�
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„ DATE TIME�/
CITY OF ORONO CALLED IN �_
INSPECTION NOTICE �7 SCHEDULED `� '� �L- �`
PERMIT NO. � ���% � �C�/7�COMPLETED
ADDRESS � L�l c� / "C.t_.�_ IL ��i�_
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OWNER TELEPHONE NO. � �' �
CONTRACTOR '� '"�';z���'!�? � �"`'
� DESCRIPTION �- � �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ TIC INSTALL
2 OYYNERICONTRACTOR TO MEET 1�fOU:��YES_NO
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H COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
��CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR W{LL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on s�te:
Inspector. �S �'� ��� �� -
White Copyflnspector's Ffle Canary CopylSfte Notks
C�/�.----_-_
,� � -f [�ATE � TIME
CITY OF ORONO CALLED IN `�' ' ��j
INSPECTION T1CF,, � G,��� CHED ED —' ' "`�
PERMITNO. �' � E� 3-� 5-17
ADDRESS � �� �� G�i�t.-��--- ���„
OWNER T P�iQNE N0.7�3 �Z�Z-D7D7
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CONTRACTOR I✓� ;'Tif.`1� ,Lj�,
� DESCRIPTION �v ��� ///jjj ��
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL H'j���
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/�ILLING
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
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTtiACTOR TO MEEf Y'OU:_YES_NO
��., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�8Q(1SPECTION REQUIRED.CALL TO ARRANGE ACCESS.
v �
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �f!w 7�' -
White Copyllnspector's File Canary CopylSits Notke
� �� �C V
CITY OF ORONO CALLED IN
P� 17 nMe
INSPECTION N TICE SCHEDULED - - n1: �7
PERMIT NO. U �� � COMPIETED
ADDRESS ��l 1`l,
OMINER TE HONE NO?.�3^"-'//�,, ���7
CONTRACTOR r v'�
� DESCRIPTION � �
ly ❑ FOOTING DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL PLUMBING RI � EXCAVlGRADING/FILLIN(3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TAEE REMOVAL
Z � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dwN611CONTRACTOR TO MEET Y�U:_VES_NO
� COMMENT� �
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4 GC ��J►•��_A'.�1 e2 �` /'�S�q� �v�C '
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� �'�K SATISFACTORV:PROCEED O PFiOJECT COMPLETE
W ❑CORRECT WOF�C a PROCEED O ISSUE CERTIFICATE OF OCaIPANCY
0 ❑OORRECTMI�ORK CALL FOR F�INSPECTION TEMPORAfiY
V BEFOF�COVERINO PERMANBrT
❑�CT UNSAFE OONDITION WITHIN FIOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑BTOP ORDER P08TED.CALL INSPECTOR O qTAT10N ISSUED
❑IN8PECTION REQUIRED.CALL TO ARRANOE ACCESS.
caa�uie next Mspectbn u nows�ed�►anoe. (952) 249-4600
on site:
Inspector: �
WMb CoPY����FIN C�mry Cap�Nolk�
� � N
� ,,--'��� DATE TIME
CtTY OF ORONO CALLED IN --�-�
INSPECTION NO E/� SCHEDULED � �-�
PERMIT NO.���� v D��� COMPLETED
ADDRESS � �l � �"�� 1� k-- � ��--
O'WNER TELEPHONE N��� ���`� �-'� 7C7
CONTRACTOR � ^�-� �
�'` DESCRIPTION }
❑ FOOTING ❑ DEMO-FINAL ❑ SEP IC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SAEPTIC INSTALL
? OMfNEAICOKTRACTOR TO MEEi Y�OU:�YES_NO
� COMMENT'�
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OSvp�,/i�,s , /'c�4�r�ls �o� rl.� �
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� �MIQRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
��O WRRECT WORK h PROCEED ❑ISSUE CERTIFlCATE OF OCa/Pl1NCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY
V BEFORECdNERINO pERQAANENT
❑CORRECT UNSAFE CONDITION WRHIN HWRS. p p�{pT0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REWIREO.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-4800
OwnerrContractor on site:
Inspector:
CopYAnapector"s FII� Canary CopplSib Notle�