HomeMy WebLinkAbout2017-01245 - mechanical � CITY OF ORONO
2750 KELLEY PARKWAY * Z � 1 7 — 0 1 2 4 5 *
DATE ISSUED: 10/03/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1300 SHORELINE DR
PIN : 02-117-23-31-0018
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,425.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
iLENNOXFURNANCE
APPLICANT MECHANICAL 5531
STATE SURCHARGE MECH(VALUATION) 2.21
OWENS COMPANIES,INC. MAIL-IN FEE 0.00
930 EAST 80TH STREET
BLOOMINGTON,MN 55420- TOTAL 57.52
(952)854-3800 Payment(s)
Minnesota State License#:mech-Mb003718 CHECK 14703 57.52
OWNER
BROWN,RICHARD
1300 SHORELINE DR
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 Ciry 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 laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized 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 wnformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applwant Permitee Signature Date Iss d By Signature e �� Date
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FOR CITY USE ONLY
�O�O City of Orono
P.O.Box 66 Date Received: = Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By:, Amount$:
Phone(952)249-460o Fax(952)249�616
�Ftq �.�'`� CITY OF ORONO-MECHANICAL PERMIT
xFS H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENER.AL 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 THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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. 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
Gheck All That A 1 '
[�Residential ❑Commercial(Approval Required) [Backflow Device: 0 AVB ❑PVB]
[ -
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 'i� Q`�,p���(r,�. ��
Owner: f"1l(,{�G�r p( (-,�U�y,n Mailing Address: (� �U►�'e 1tn�I�r
City: �1��7V\O Zip: �� �
Home Phone: ��L-�Sy���'5�9� Alternate Phone: "I�JZ-��� �J�l
Contractor Information:
Contractor: �Lv1� ��1 eS� Contact Person: h
Address: � F�a.c,�} �''` ��s�' State Bond#:
City: ��'Yt!►'�Q� Zip:��'120Expiration Date:
Phone: �j?.�(��'�j'I�-�� Alternate Phone:
❑ Insurance-Current:
1
.
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes�No
�
HEATING SYSTEMS
Quantity:
Make: 1 O�
Model: �i?�(/�V�1lbX�b�
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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 cfm
❑ 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 plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2