HomeMy WebLinkAbout2018-00272 - mechanical � ,
CITY OF ORONO * 2 0 1 8 - 0 0 2 7 z *
2750 KELLEY PARKWAY DATE ISSUED: 03/12/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1448 PARK DR
PIN : 07-117-23-43-0027
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : 1VIECHANICAL-MULTIPLE
VALUATION : $ 8,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)AMANA HEATING SYSTEM
(1)AMANA 3-TON A/C
APPLICANT MECHANICAL 100.00
STATE SURCHARGE MECH(VALUATION) 4.00
BLUE OX HEATING&AIR MAIL-IN FEE 2.00 -
5720 INTERNATIONAL PKWY
NEW HOPE,MN 55428- TOTAL 106.00
(612)23&9709 Payment(s)
Minnesota State License#:mech-MB671957 CHECK 13079 106.00
OWNER
ERICKSON,DAVID&LAREL
1448 PARK DR
MOLTND,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 requires separate
permits. All provisions of Iaws and ordinances governing this type of work
shall be compied with whether or not specified hereia 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 Permitee Signature Date Issue y ignature Date
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/ '�C USE ONLY
�� �O� City of Orono ���vE��/ ld Petmit#�• ,�
�1 O P.O.Box 66 ���� a ���
2750 Kelley Parkway �
Crystal Bay,MN 55323 MAR 1 L Z�i�6��BY: .��t s: /O(o
Phone(952)249-4600 Fax(952)249-4616
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�`�kfSH���G` CITY OF VK(7���1VIE-CHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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 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 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. Aii 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 A 1
"�Residential ❑Commercial(Approval Required) [Backflow Device: 0 AVB ❑PVB]
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site A ess: �1 ��� � •
Y � �r� S�r-� L�{�[ � �G�- I��
Owner: LI� �V Mailing Address:
c��: �'��u.r-�c� z�p: ��3l0�1
Home Phone:"1�a -�7 L{1��I�g Alternate Phone:
Contractor Information:
Contractor: L�1� �X �T �� C'�ontact Person: vu2�Ir1F�1�2- (v l .
Address: 5�v�1� IJ[�,�"'� P� State Bond#: Yv`� � �� �J�
City: ��(1J � Zip:�� Expiration Date: �� �? �� i
Phone: �Q�!�� ��R '�7� Alternate Phone:
❑ Insurance-Current: �(�Q�,
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �i1Go
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HEATING SYSTEMS
Quantity: '
Make: C��
Model: �
Fuel: S
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model: ��
Tons: �.� l�Y �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. 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 ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
(���V x.0125$ } (��_
(contract price) (minimum$SU.011)
2. STATE SURCHARGE ��,,,�1 � L '
�J x.0005 $ "�
(contractprice)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ V
• * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 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.
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T'he 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.
Applicant's Signature: Date: �
3
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3 /A� / TIME
CITY OF ORONO CALLED IN
INSPECTION I _ SCHEDULED � �
PERMIT NO. ���7�OMPLEfE
ADDRESS /�
OWNER p� � �a�TELEPHONE NO. �� �-
CONTRACTOR � � �
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR T MEET YOU:_YES_NO
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W ❑WORKSATI;FACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT W'ORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK����R REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED
�[INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Ca11 brthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on ske:
Inspect
White CopyMnapecta's Flle Canary CopylSRe Notkx