HomeMy WebLinkAbout2018-00514 - mechanical � ' • CITY OF ORONO �
2750 KELLEY PARKWAY * 2 0 1 8 - PJ 0 S 1 4 *
DATE ISSUED: 04/25/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1540 SIXTH AVE N
PIN : 26-118-23-32-0005
LEGAL DESC : REG.LAND SURVEY NO. 1418
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,355.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX HEATING SYSTEM
(1)LENNOX COOLING SYSTEM
APPLICANT MECHANICAL 116.94
SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 4.68
1408 NORTHLAND DR-SUITE 310 1�1�IL-IN FEE 2.00
MENDOTA HEIGHTS,MN 55120- TOTAL 123.62
(952)881-9000 Payment(s)
Minnesota State License#:mech-MB004143 CREDIT CARD 1741 123.62
OWNER
SCHLOBOHM,ARTHUR&MOLLY
1540 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 pern►it 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 acid 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 I80 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 cause.
C /�.5 /�
Applicant Permitee Signature Date Issued y S gnature Date
Ap r, 24. 2018 2: 15PM No. 6048 P, 1
;., :�,:�: .:,�o c�,., ,,►�s�oru�x�,�,; �:,�:;;:;;.r�,;.;
CltyoPprono ` '
� ��
,
�0� P_O.Box66 batoRe�V ''�d�Pe�qiiG#� ����� �a��
� 2750H.elleyPerkwny "�' �i:;��::''.', ,, .., .�.: :�;;..;_,:; ,. ry ,
Cryetel Bay,MN 55323 ''ADR�Y�BY�:";' '<;i4otouot:8,, ' �:! �c.�
°� �;���: •,��.,
phona(952)249-46b0 pdx(952)2A9-4616 `?',.�,.,�i�.�r:...,i:.:,",'�.l;.r`.��;."i'';,;�;i';;..;n.',."(:;.'�;i,.:�.: .
�� �.�~� CITY 4F QRQNQ�MECHANICAL PERNIIT ..
�k�S��� (Ali Coromccisl pecmila rouet be appmved by�he Building OfPciel ar InspecCor eoNor F've Me�shelf)
. . D*����� �T ,,
,�.1'�� Qj�lY� �l�l .i�'1 � �;i �;_'G,,�; �" �� � ; �i,;
1, You may apply For mechanical pemaits by mail or in person at the Ciry offices. Applicationa will
be reviawcd and a parmit rwill be issued within two workiug daya.
2. Permit cards will be sent by return mail after a re�view is completed. PLI�MITS ARa NOT
� VALID UNTII.,YOU RECEIVE A p$RMIT. 'WOItYC M�'BT 1V� T B�CYN Y7N"Y'T�,'Y'T�E
,��RMiT CARD IS POSTED ON THE JOB 31'I`�.
3. M�chehen�ical Dre,si�s—Complete ealeula[ious,details and apeeifieations are required for each
heating,ventitation,humidificacion-dehumidif'ication,and air condidoning installation including
heat loss/heat gain csleulaCion,design temperatures,equipment ratings and idenafication as m
type,manufachuer and model. Data shall be presented on form provided.
4. When any new consaucaon or rcmodcling is invol�ved,a separate building pe�r►it must be
obtained.
5. All work rnuat be done in accordance with the Uei�oran Meehanieal CodelState Building Codo
requirementa.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(Z4-48�our notice require�
7. XTouse�Teating Test�tecord must be submitted before final.
. ,
,�:��.....:I:'....,.:::��.:�.�-..., .�F.t. ',�',• - "��,�,:
..: . . ...�..
�,,
, ...... ......�.... . .!,� �S.,i
.....
:...,.
. .:.,i� .��::•:
�,�,... . .,. .. . ,:::�1�:
. .,
�..,�;f.� ,.�:�::�• ..:.':..:.'.:f: ... '..' ..:.��..�,.i..� _ 'y''..
, . ,;.:;.,�
. ,�':.... .,"' '
. ...: :..�.�... .. ...... ......�.... ,. �. ... ..:......�': �:Y�!���:ti:��l.�.�:
,. , .. .... . . . . . , :..: ;E �:! -
,. , , , .,.�:. .. . . . .::.... . ..
„�
T,; ;..,,,. ->:::
, , :,. .,,,: ..�:.: .::. ..•�,:,. :;:,'° ��?;;:�.:,;,�::
,:... ,.
�;;
, .. ,.,.:. -_
.. . :.. .... ... ..:...:.,.,..:: : .. .,:
� . .... . , , ' .. , ° ,:; ,:..
.. ... ,....�:-� .' ;.;;.;- ;;�;: �if;;� ;,�;,:,.... .
�" G�eck A11.Tliat tl ��T +
;.
�Residential ❑Commercial(Approval Required) [Bacltffow bevice:❑AV� ❑PyB]
❑Ncw ❑Addirional ❑Ttepairs ❑Rcplaca
,<7ob;:Site'/:O!�me;�<:Infq;l�iia.tion,=, -- '��`�i';;::�..'.
... ..
.
..
..::.
.:.... . .... .. . .. -:, ,..::` �.��,;:
.�;...5.. .
Site Address; s � . � �.q
Owner: �' 1.l- l.(�.. Maiting Address� F �. �
C1ty: �yVl/L,D Zip: ��:�5�n
�
Home Phone: Alternate�hone;
--� -
. .: . .,.. ,.
,..,. .. :;
C.onh'actar,Ynfort(i�tio�►� � .
Contractor: � vt� Contact Person:
Addr�ss: ��U$� lU 0%�'k.�.� �Y� State Bond#: � �
City: y�n. �.� G�1Li�: SJZu Expiration Date:
Phone: �Sd"�1��(/W Altemate Phone: '
[� Insurance—G�,trrent
1
Apr, 24. 2018 2: 16PM No, b048 P, 2
Note;All C,�eothermal Syetems will now require a Si 8c Rg�e�vv by our Building Official.
IS TTiIS CEOTI�EAMAL? ❑Yes ❑No
HEATING SYSTEMS
QuantiCy: +
Makc: 'l..
Model; � �� � L"LpU�.
�el:
Flue Siu:
Input BTUs: U
Output BTUs�
C�'M:
COOT,YNG SYSTEMS
QUBTitity; �
� Make:
Model: � Z
Tone: ��s .
H.Power
�'IR�pY,AC�S
(] Gas Factory�ireplace Brand Name:
❑ Vflood Bu�ning Fireplace
❑ Wood 5torre Model No.:
❑ Wood stor�e with�lue/Masonry
'VENT�TI�1
❑ No. T�.itchen Exhaust duct recirculsting cfin
❑ No. Bath Lxhaust(must hava duce outside) cfm
[� No. Orher Fans: Locations cfm
FUEL STORAC� (l�lWst be approved by 1411re Marsl�a!!if propoaing to abanr!'on tank Pn pdac�)
❑ Installation ❑ Removal
k'uel Oil� gallons ❑ Underground ❑Insido ❑Oubide
LP Gas; galloas
Other:
GAS T,YN�ON'X,'�
❑ Outaoor Qri1l ❑ Othar/List What&'UVhere:
2
Ap r. 24. 2018 2: 16PM No. 6048 P, 3
l. COAiTRACT pYtYC� '"is 1.25%of conaact price with a(Minimum�'ee of 550,00)
���5' � x.0125$ � � �a•���
(conlrac6 price) (minimum 5�.00)
2. STATESURCAARGE
q�55. YO �.000s $ � ,��I
(coWcC�Ct priCe)
3. POSTAGE 8c HA1�TbT,TNO(Only an Mait-In Applications) �
4. TOTAL PERbllT�E�(Add Lines 1-3 Abovc) � �� �� � /�✓' '�"`
■ "` CONTRACT PR.[C� or J'OB COST mea�ns the actual or estimated dollar arnount c.hargcd�'or the
permitted work includ'mg materials,labor,g�'ofit,and othcr fixed coste. It is the amount to bo chargtd
to the customcr for thc work done, �f any material,equipmcnt,labor o�iytstalladons ere furnishod by�the
owner, tenant or any other party, the reasonable market aalue of such items must be addcd to Che
estimated cost or contraet priee for permit fee putposes, In rhe e�vent t�at there is a dispute on the amount
of the job cost, the City ma�+ request the submission of a signed copy of the actual con�act.
The undorsigned hereby applies to tha City for iaeuance of a Mechamical Permit,agrees to do ail
work in strict accordaneo with the ordinances o�the City and the reguladons of the State of
Minnesota,and certifiea that atl statetnents made on thia application are complete,hue and correct.
Applicant's Signature: � Date: �'0'�f'����
3