HomeMy WebLinkAbout2014-01277 - heating systems CITY OF ORONO * z 0 1 4 - 0 1 2 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/30/2014
� ° ORONO,MN 55356-
(952) 249-4600 FAX: 952) 249-4616
ADDRESS : 480 RUSSELL AVE
PIN : 02-117-23-31-0003
LEGAL DESC : AUDITOR'S SUBD.NO.307
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 9,346.00
NOTE: 1 BRYANT HEATING& I BRYANT AC
APPLICANT MECHANICAL 116.82
STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 4.67
130 PLYMOUTH AVENUE N. MAIL-IN FEE 2.00
MINNEAPOLIS,MN 55411- TOTAL 123.49
612-8242656 Payment(s)
CHECK 47422 123.49
OWNER
CARPENTER,NICKY&JOSEPHINE
480 RUSSEL AVE
WAYZATA, MN 55391-0659
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 specitied 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Appl►cant Perm�tee Stgnature Date Issue y Signature Date
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CITY OF ORONO—MECHANICAL PERMIT
(All Commemial permits mus[be approved by the Building Official or Inspeetor 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. �F•.,
2. Pennit cards will be sent by retum mail after a r�view is completed. PERMITS ARE NOT �� 'r'�,��' '
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE. OCT � Q ZO�4
3. Mechanical DesiQns—Complete calculations,detaiis and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation includi��TM QF �R���O
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manuYachuer 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(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
T'YPE OF PERMIT
__ (Check All That Apphr) �
�Residential �Commercial(Approval Required)
❑Ne�� ❑Adclitii�nal ❑Kepau-s �Replace
Job Site/ O��ner Information:
Site Address: �/
Own r. r� �a�Iing Address: `>GV»-��
c��: � � z�p: SS3c(f
Home Phone: 2 � ����ernate Phone:
Contractor Informatiou:
Contrac�r�ndar � � ning Contact Person:
130 Plymouth Avenue North
Address: MinneaPo.l.is, MN 55411-3445 State Bond#:
61�
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
�` MECHANICAL SYSTEMS BEING INSTALLED � �
� Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official.
IS TffiS GEOTHERMAL? ❑ Yes�No
HEATING SYSTEMS
Quantity: �
Make:
Model: -j-�J
Fuel: �,$
Flue Size:
Input BTUs: �1��v
Output BTUs:
. EFM: - _ _ _ _ _ _ _ _ _ _ __
COOLING SYSTEMS
Quantity:
Make: G►-y�T
Model:
Tons: � /
H. Power � Z"—
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
� No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath F,xhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approve�l by Fire Marshall if proposing to abmtdon tank in place.)
❑� Instailation � Removal
Fuel Oil: gallons ❑ Unclerground �In,ide �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Uther/Li�t VJhat�X Vvhere:
2
, � � � PERMIT FEE CALCULATION(S)
BASED OFF -2�}O2 S7'ATE STATUE
[� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the foliowing requirements:
I. Does not require modircation to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fi�:ture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,iY this applies; Cost of Permit $ 15,00
5tate Surcharge $ 50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee �
PERMIT F�E CALCULATION(S)—JOBS O�ER�SQt�:UO
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.2�%of ntract pFice with a(Minimum Fee of$50.00
t� /
�� ` � Y .oi2s $ �P- �---
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� ��}� x.0005 $ � `� /
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Oniy on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� (
�
■ * CONTRACT PRICE or JOB COST means the actual or estunated 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 fiimished 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
aniount of the job cost, the City may request the submission of a signed copy of the actual contract.
• �*The STA17;SURCEInRGF,is.0005 of the Building llcpartment at(9�2)249-4600 for the pnce.
� MECHANICAL PERMIT 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
Minnesota, and certifies that all statements n this application are complete, true and
correct.
Applicant's Signature: � te: � � �
Reset Form
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� DATE T�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Y -�`t�� l�- �G� �
PERMIT NO.�-��'�' � G�a 77 COMPLEfED
ADDRESS `l� '��'' �G7� `, � � ( /�� � -'
OWNER TELEPH NE NO �
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CONTRACTOR � u��
� DESCRIPTION �' ���--�1 -T�--ivt��-C - �C[���
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tL ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMB FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M ANICAL RI ❑ SITE WSPECTION
Q ❑ FRAMING ECHANICAk FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUIIT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑ KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RHECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLI REfURN
❑STOP ORDEfl POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. 52) 249-4600
OwnerfContractor on site:
Inspector.
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White Copyflnspector's File Canary CopylSke Notke