HomeMy WebLinkAbout2010-00796 - mechanical CITY OF ORONO PERMIT NO.: 2oiaoo�96
-� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/OZ/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2690 RAINEY RD
PIN : 04-117-23-43-0016
LEGAL DESC : TREES TO BE
: LOT 003 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALLTATION : $ 4,100.00
NOTE: HEATING SYSTEM:
(1)BRYANT-MODEL#310AAU 11�,NATURAL GAS,4"FLUE, 11 Q000 INPUT BTU'S,85,000 OUTPUT BTU'S, 1600 CFM
COOLING SYSTEM
(1)BRYANT-MODEL 126BNA042,3.5 TONS, 1/2 H.POWER
APPLICANT MECHANICAL 51.25
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 5.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 56.25
(763)42&3677
OWNER
LINDBLOOlv1,JULIE&CHAD
2690 RAINEY 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 sepazate
permiu. 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 apd 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 uired inspections aze
requested in conform with the State ing Code.This permit may be
revoked at an tim due caus . �
��' ^ /� � ��v
Appli ermitee Signa re Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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� FOR IT 'USE ONLY
,., p City of Orono � �
� � P.O.Box 66 Date Received! �v Permit# �a�O � ��
��; � 2750 Kelley Parkway � �_
� � � {`�- Crystal Bay,MN 55323 Approved By: Amount$: ' �
����o� Phone(952)249-4600 Fax(952)249-4616 �
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 TAE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations, details and specificarions 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 pernut 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)
❑ New ❑Additional ❑ Repairs �Replace
Job Site/ Owner Information:
Site Address: � �o ��' �•��� ��
Owner: ��;� ���1� � � �� :.-L Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��fl'��i vt� �.� �'�tact Person: �� l�� � '��
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Address: �������� �'� State Bond#:
City: �6. Zip: Expiration Date:
Phone: ��} ��� -��' �7.� Alternate Phone:
❑ Insurance— Current:
1
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quanrity: !
Make: �`'�/���
Model: �d��//0
Fuel: /�i�-
�U
Flue Size:
Input BTus: _�/D, �����
Output BTUs: D o �°
CFM: l��
COOLING SYSTEMS
Quantity: �
Make: —�=—�—`f'-� •
Model: ���
Tons: �,s.
H.Power l�i-
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Eachaust duct recircularing cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLTEL 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:
2
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total 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 Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
'�� b C7 x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
x.0005 $
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 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 STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00.
The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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.
ApplicanYs Signature: Date:
3
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CITY F ORO�JO CALLED IN U
INSPECTION�IOTICE ! scHe�u�e� a �
PERMIT NO.�ZD��I�� OMPLE�ED /���
ADDRF�SS /�
OWNER ° E HONE NO.��—� �57�
CONTRACTOR `y `�'�L�
a DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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��WORK SATISFACTOFlY:PROCEED �ROJ ECT COM PLEf E
W ❑CORRECT NVORK 8�ROCEED ❑ IS6UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,C,�LL FOR REINSP�CTION TEMPORARY
V BEFORECOVERINCs PERMANENT
❑CORRECTUNSAFE�ONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPEICTOR W! L RETURN
❑STOP ORDER POST�.CALL INSPECI'OR ❑CITATION ISSUED
❑ INSPECTIdN REQUI�ED.CALLTOAR�tANGE ACCESS.
Ca11 for th�next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector.
White Capyllnspector's File Carrery CopylSite Notfce