HomeMy WebLinkAbout2015-01069 - mechanical ,, � CITY OF ORONO * 2 pJ 1 5 - 0 1 0 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 08/21/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2730 SILVER VIEW DR
PIN : 33-118-23-42-0007
LEGAL DESC : MEYER DAIRY ADDN
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
NOTE: (1)KITCHEN EXHAUST 6"DUCT-300 CFM
APPLICANT MECHANICAL(<$500) 50.00
SER�[JS HEATING&COOLING STATE SURCHARGE MECH(<$500) 1.00
272 INDUSTRIAL BLVD TOTAL 51.00
WACONIA,MN 55387- Payment(s)
CHECK 11964 51.00
OWNER
MONSON,DALE&CAROL
2730 SILVER VIEW DR
LONG LAKE,MN 55356-
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. 1'his 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 goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if consVuction 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.
'Che applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
re ke t any time for due a e.
. �t,s � �21 � 15 gr � .2l � �.S
li ant Permitee a re Date Issued Signature Date
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r � FOR CITY USE ONLY
�O A rO City of Orono
<y P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amo�mt S:
Phone(952)249-4600 Fa�c(952)249-4616
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`� �.� CITY OF ORONO—MECHANICAL PERMIT
t�kES H�� (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 A���IOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—Complete calculations,details and spec�cations aze 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 Qr 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
Check All Th�at A 1
'�,Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site/Ovmer Information:
Site Address: �7�� 5� ���`-�'�C�J �'�
Owner: ���80� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Gontractor Information:
r ;CL� �-`
Contractor: ���s �a�� =��'-5 Contact Person: (�w ��-�
Address: z�Z—�'��-��c� �'"�•State Bond#: �� OO�'`S7 �
City: �A-tc�r,� Zip����Expiration Date: �� �� !f�
Phone: �'-1�-" `��'3��g Alternate Phone: �(Z-��b ��33�
❑ Insurance-Current: �[FS
1
. .
� a MECHt�ICAL SYSTEMS BF.�NG INST�I,L�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building O�cial.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Firep e Brand Name:
❑ Wood Burning Firep e
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/ asonry
VENTLLATION
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No. � Kitchen Exhaust � duct recirculating 3�� cfm
No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfrn
FUEL STORAGE (Must be approved by Fire Marskall ijproposing to abandon tank in plac�)
❑ Installati n ❑ 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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�`E�'i'F��� ..Lt�U�:A�"��`{��._ ::
B��OFF-2�S�`AT���i+�'!�
�] Yes,this section applies
� �
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Dces 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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Tot�l Permit Fee $
FERh�IIT FE�CALCULATI � =.#�'S 4"�TER SSOA.�
If above dces not apply;follow guidelines below:
l. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
�6� '� x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PWCE 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, laboc 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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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 statemen ade on this application are complete, true and
correct.
Applicant's Signature: Date: �Z� ��
�
3
DATE TIME �
CITY OF ORONO cnLLED IN
INSPECTION NOTICE q SCHEDULED
PERMfT NO. a��^'��b_[ COMPLETED ��
ADDRESS o�7�3� �S'•��''�'�r V�cw 10/' -
OWNER TELEPHONE NO.
CONTRACTOR S'�r`J�rs ��"t'• 'E' �oo C•-�-�
� DESCRIPTION ���- �'�'�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �GECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z dWNEWCO1�fTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� O YVORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT W�ORK�PROCEED �O ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY
V BEFORECOVERIN(3 PERMANENT
❑C�RRECTUNSAFECONDITIONWITHIN HWRS- p pHpTOTAKEN
INSPECTOR VYILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owne�IContractor on site:
Inspector: �c •••.�
WMb CoPYMspector's Flls C�nary CoPYISIN Notiee