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HomeMy WebLinkAbout2015-00295 - mechanical ' ` CITY OF ORONO * Z 0 1 5 - 0 0 2 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3399 CRYSTAL BAY RD pIN : 17-117-23-44-0021 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 018 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: TRAVIS GAS FACTORY FIREPLACE-MODEL#98500193 APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 53.25 (952)933-1868 Payment(s) CREDIT CARD 5815 53.25 OWNER V MCKINNEY,STEVE SOBIENIAK/ 3399 CRYSTAL BAY RD WAYZATA,MN 55391- AGREEMENT AND SWORI�i 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 permiu. Ali 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. !�/1Q.L� �� /�j/� Applicant Permitee Signature ' Date Issued Signature Date 9529331869 13 36 26 03 12 2015 1 !3 OR TY U ONLY� � /i��A' Ci of Orono � � G7� �VO P.0 oz G6 Da1c Rcu•.' ��Pcrmit� � � � / 2750 Kc11cy Parkway ! Crystal Day,MN 55323 Approved IIy: _Amaunt�:��� ( �l, Phonc(952)249-4600 }=ax(952)249-a616 \I �. � , � f�',��1 t{���`' CITY OF ORONO—MECHANICAL PERMIT (All Commercial perniits must be approved by rhe IIuilding Officiaf or Inspcc�or ancUor firc Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in persoti at the City offices. Applications�vill be reviewed and a permit wil!be issued within two working days. 2. Perrait cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK NICJST NOT BEGIN UNTIL THE PERMIT CARA IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are requircd for each heating,ventilation,humiditication-dehumidification,and air condiEioning 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 ne�v construction or remodeling is involved,a separate building permit must be obtained. 5. AI}work must be done in accordance�vith the Uniform Mechanical Code/State Building Code requirements. 6. Atl work must be inspected�rough-in and final). Call(9S2)249-46Q0. (24-48 hour notice required) 7. House Heating Test Record must be submitted before tinal. TYPE OF PERMIT Check All That A 1 [�Residential ❑Commercia)(Approval Kequired} ❑iVew ❑Additional ❑Repairs (�Replace Job Site/Owner Information: Site Address: ?i3Q� �RySTAL F�Y RL1AU-WA�1�_.�CTR.�� 55?�91 Owner:W1LLIAM 1ti10t_�SUL� Mailing Address: �IO NOCtT��,��,.� RD c�cy: �,�1Av�A�t"A z��: �"'a 3q t Home Phone:���1� , '(.D�a�J Alternate Phone: Contractor Information: Contractor: �PGTICAL SySTEMSContact Person: S�RRI� ���'AD Address: �3���C�K R�State Bond#: City: ��Pk.l�S Zip:S��-{3 Expirarion Date: Phone: Cq5Z�q33-la(o8 . (952) Q33' 18(flq Fr�x: ❑ Insurance—C`urrent: 1 9529331869 13:36-42 03 12 2015 2/3 ;. MECHANICAL SYSTEIvIS BEING INSTALLED Note:Alt GeothermaI Syste�ns 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 BTtJs: Output BTUs: CFM: COOLING SYSTEMS Qaantity: Make: Model: Tons: H.Power FIREPLACES [� Gas Factory Fireplace Brand Name: �,/�V�S ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: QS5�4 t�i3 ❑ Wood Stove with Flue/Masonry VENTILATIOAI ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FCJEL STORAGE (Mtrst be approved by Fire Marsha/l if proposing to obando�:tank i�t placc:) ❑ Insta{lation ❑ Ttemoval Fuet Oit: gaqo�s ❑ Underground ❑Inside ❑Outside LP Gas: gaElons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 y9529331869 13:36:54 03-12-2015 3/3 < PERMIT FEE CALCULr�#TION(S) BASED OEF-2002 STATE-STATUE ` ❑ Yes,this section applies The replacement of a Residential fixtwe or ap�liance that meets all three of the following requirements: 1. Does not require modification to electricai or gas service. 2. Has a t 1 cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State 5urcharge $ 5.o0 Mail-In Fee(If Applicable) $ 2.0 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER'$500.00 If above does noi apply;follow guidelines below: 1. CONTRA.CT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) (�2�JVIJ•W x.0125$ �Q.Vt1 (contract pricc) (min3mum$50.00) 2. STATE SURCHARGE �Z� 'rJ�•Q7 x.0005 I•Z {contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $� S!. Z.�j ■ * CONTRACI' 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. Tf any material,eyuipment,labor or installations are furnished by the owner,tenant or any other party,the reasonabfe mazket value of such items must be added to the estimated cost or contract price for permit fee purposes. Tn the event that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actuai contract. 1VIECHAIVICAL PERIVIIT 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 Mi�uiesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signatur : a- C G!� Date: � �2 �S 3 � DATE T CITY OF ORONO cnLLED IN ' � INSPECTIO OTICE �S SCHEDULED L����� PERMR NO. ��'� COMPLEfED �_ ADDRESS 33QQ t� �O�'� � OWNER TEL PHONE NO.��� ' �� ��� CONTRACTOR � DESCRIPTION r 4~j ❑ FOOTING ❑ DEM INAL ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: � a �C�Kt� �6� �Sgc- �• � " � Ue.���.�c�-Q+K O /�r��,�.w rl'Lfitic�EGfit�+�-� 5�isc s �r �'�iXi rovrC� � � drowK� v��� n..�;.r. — � - ��r.w..�� ,�;, - o I� W �/ � - nv r- .� . o, ��� �,A,� ,�.s �..�Q — Q � W 6K -,� �-o vt r/ �/e.�ct�i�o . ._ W � � � /'/!I'��ri �� �` .� � � �SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: � �^^� Whits CopyAnapector's File Cenary CopylSite Notke �� DATE TIME� CITY OF ORONO CALLED IN 3�� �a '�'�' INSPECTION NOTIC� SCHEDULED 3 a Co \a� PERMIT NO. aU\5 -��aq�COMPLETED ADDRESS �3� � �T� � � ' � � OWNER ��� TELEPHON`N . � a ��� CONTRACTOR �'K''�'��'�-�- � � S'e-�c- � � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �Jv1ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAI ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR T EET YOU•_YES_NO v�i COMMENTS: �0.S �� � `� � W a � J O �. � O � W - � � � Q � 2 W � W � � J W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CO ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. �9 -46�� OwnerlContractor on site: � Inspector. � White Copyllnspector's File Canary CopylSite Notice � � � DATE � TIMLL'/ CITY OF ORONO CALLED IN ;6 -�— /-5 INSPECTION N T �`;�XscHEDULED �O� � PERMIT NO. 1�+ '�J PLETED ADDRESS OWNER � EP ONE NO. � CONTRACTO . � DESCRIPTION W ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVEfi REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET Y�OU:_YES_NO ��., COMMENTS: � W a � O ). a� O W � Q � 2 � W � a/. , W O WORKSATISFACTORY:PROCEED P JECT COMPLETE � ❑CORRECT VYORK 8 PROCEED UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Ca��forthe next inspection a tw • a �(952) 249-4600 OwnedContractor on site: Inspector: J White Copyllnspector's File Canary CopylSRa Noties