HomeMy WebLinkAbout2010-01184 - mechanical � CITY OF ORONO PERMIT NO.: 2oiaoiisa
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 12/10/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2160 SIXTH AVE N
PIN : 27-118-23-31-0017
LEGAL DESC : PHILLIPS WOODLAND TERRACE
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
` CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,963.00
NOTE: 1 BRYANT GAS FURNACE
APPLICANT MECHAMCAL 74.54
PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 5.00
7588 WASHINGTON AVE S
EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00
(952)835-7777 MISC FEE 0.00
TOTAL 81.54
OWIYER PAID WITH CC# 2284
SCHERER,KEVIN
2160 SIXTH AVE N
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 sepazate
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 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 foEdue cauSe.
�%�Z,� �l i � i i
Applicant Permrtee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
1
FOR CITY USE ONLY
O�O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Paiicway
��� Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Faac(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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 BEGIN UNTIL THE
PERMIT 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 ❑� Replace
Job Site/Owner Information:
site aaaress: 2160 6TH AVE N
Owner: K EV I N S C H E R E R Mailing Address: 2160 6T H AVE N
clri: ORONO Zlp: 55356
Home Phone: �952� 334-9774 Alternate Phone:
Contractor Information:
PRONTO HEATING&AC WADE SEDGWICK
Contractor: Contact Person:
7588 WASHINGTON AVE S 9389583
Address: State Bond#:
EDEN PRAIRIE 55344
City: Zip: Expiration Date:
Phone: (952� 835-7777 Alternate Phone:
❑ Insurance—Current: F E�E RATE�
1
1
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: �
M�e: BRYANT
Model: 355CAV042060
FUeI: GAS
Flue Size:
Input BTLJs: b�; ��U
Output BTUs: S�i 0 0 V
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
VENTILATION
No. Kitchen Exhaust duct recircutating 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 place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What&Where:
2
�
� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electricai 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 section,if this applies; Cost of Permit $ 15.00
State Surchazge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
5,963.00 X.o12s$ 74.54
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00)
5,963.00 X.000s $2•98
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $79'S2
■ * 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 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.
■ **The STATE SiJRCHARGE is.0005 times the Contract Price or a minimum of$5.00.
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 made on this application are complete, true and
correct.
Applicant's Signature: G�' � Date: ��' ` � d
3
� �J`�' ��— � �rDATE� TIME
CITY OF ORONO CALLED IN / ' 4��/ 1
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. ��,(O-D�/C�COMPLETED �
ADDRESS O��� O /�Iif �� /V
OWNER T EPHONE NO.
CONTRACTOR
>; DESCRIPTION ��
� •
� ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP I INAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTOAY:PROCEED :P�ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ IfVSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24��in ady��g52) 249-4600
OwnerfContractor on site: �✓'� S
Inspector.
White Copyllnspector's File Canary CopylSite Notice