HomeMy WebLinkAbout2010-00795 - mechanical w
• CITY OF ORONO PERMIT NO.: 2oiaoo�9s
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/02/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1330 SIXTH AVE N
PIN : 26-118-23-31-0010
LEGAL DESC : UNDERHILL FARMS
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,500.00
NOTE: 1 CARRIER NAT GAS HEATING SYSTEM
1 CARRIER 3 TON AC
APPLICANT
MECHANICAL 50.00
SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00
7221 UNIVERSITY AVE NE
FRIDLEY,MN 55432 MAIL-IN FEE 2.00
(763)572-0459 MISC FEE 0.00
TOTAL 57.00
OWNER
BOHACH,WALLACE&SUSAN
1330 SIXTH AVE N
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. 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 specified herein.This permit will
expire and become null and void if consuuction authorized is not
commenced within 180 days of the date of issuance,or if wnstruction 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 ca�e.
��VIA�( �-vt l l l l
Applicant Permitee Signature Date Issued ignature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
FOR CI'fY USE ONLY
�¢p�, City of Orono
�O \� P.O.Box 66 Date Received: Permit#
� ,:, , l 2750 Kelley Parkway
� p`'�� ��I Crystal Bay,MN 55323 Approved By: Amount$:
� ''+,}�� .t.o�:` Phone(952)249-4600 Fa�c(952)249-4616
��.,;�t�o�t;�
CITY OF ORONO—MECHANICAL PERMIT
(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 ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN LJNTIL THE
PERM[T CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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
Check All That A 1 )
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Repiace
Job Site/Owner lnformation:
s�te aaaress: � 330 6th Ave. No.
Wall Bohach 1330 6th Ave. No.
Owner: y Mailing Address:
c;�,: Orono Z;p: 55356
Home Phone: �952� 476-Z746 Alternate Phone:
�Contractor Information:
Contractor: Sharp Heating &AC Contact Person: FIO�/C� ,JOSWICI(
�22, ����e�s�ty A�e. N.E. 3904119
Address: State Bond#:
F rid le 55432 Z
City: y Zip: Expiration Date:
Phone: (763� 572-0459 Alternate Phone:
❑ Insurance—Current: YeS
1
r _�. ,. . .
.. ,
_ ..
`�� � ��� � ��-=
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? 0 Yes ❑No
HEATING SYSTEMS
Q��ri� �
M�e: Carrier
Ivtoc�et: 58MVC080
F„el: Nat. Gas
Flue Size:
Input BT'[Js: 80,��� 80,���
Output BTUs: '
CFM:
COOLING SYSTEMS
Q�t�ri: �
• M�e: Carrier
Mo�el: 24APA536
Tons: 3
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burning F'veplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen Exhaust duct recirculating cfin
No. Bath E�►aust(must have duct outside) cfm
No. Other Fans: Locations cfrn
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
.
r ,
. . . .. . .,� ._. _ ,. -, �_ .,.,_. . ,.
. . -.• �.. .. ,
. , . ;: ,� . � � `�.r
� y
:� �
��� .;-
� Yes,this section applies
The replacement of a Residential fi�cture or�ppliance that meets all three of the following requirements:
i. Does not require modificatio�to el�trical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next s�tion,if this applies; Cost of Permit $ I 5.00
State Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
` ��� . ."r����.`� �: : � ;`°,
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of cont�act price with a(Minimum Fee of$50.00)
3500 X.o12s� 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE *•Add the State Bld�Code Div.Surcharge(Minimam Fce of 55.00) '
X.000s $5.00
(contract price) (minimum S 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $57.�0
� * 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 fumished 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 sign�copy of the actual contract.
■ **T'he STA'FE 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 Pemut, ag�ees 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.
Applicant's Signature: Date: 9-�-2���
Res+dt For+�rt 3
, ✓� TE TIME
� CITY OF ORONO CALLED IN � b
INSPECTION NOTI E �l��sCHEDULED o � •�
PERMIT NO. '���' COMPLETED
ADDRESS � � �JC~ �,-�1 J �C� I n
OWNER TEL HONE N0.��741 "�/r7Cv �a 7�{(p
CONTRACTOR ������' ��/�f
>`; DESCRIPTION ��"� �u-����� � V"l/C-r-�-t-'� f `�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
_ ❑ -FINAL SEPTIC INSTALL ❑ HARD COVER REMOVAL
J PLUM ING RI ❑ E TIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERI ONTRACTOR MEET U: YES_NO
� MENTS: `
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 24J-46��
OwnerlContractor on site:
Inspector. /7� S � �'
White Copylinspector's File Canary CopylSite Notice