HomeMy WebLinkAbout2014-00246 - mechanical w •�
CITY OF ORONO * Z 0 1 4 - 0 0 2 4 6 *
2750 KELLEY PARKWAY DATE ISSUED: 03/28/2014
ORONO, MN 55356-
952) 249-4600 FAX: 952 249-4616
ADDRESS : 480 SUSSEX LA
PIN : 04-117-23-31-0013
LEGAL DESC : FOX BEND
: LOT 002 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,724.00
NOTE: (1)YORK 5 TON A/C UNIT
APPLICANT MECHANICAL 71.55
STATE SURCHARGE MECH(VALUATION) 2.86
STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00
130 PLYMOUTH AVENUE N.
MINNEAPOLIS,MN 55411- TOTAL 76.41
612-824-2656 Payment(s)
CHECK 45998 76.41
OWNER
MCMILLAN,WILLIAM&MARY
480 SUSSEX LA
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 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 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 asswing all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issu By Signature Date
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FOR CITY'LTSE ONLY
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;:�'��0��` P.O.Bo.• 6 � 1 Date Receiced: _ Yemut=
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CITY OF – ECHANICAL PERMIT
(All Commercial pemiits must be approved by the Building Official or Inspector and/or Fire Marshall) �w��'�J�"�
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GENERAL iNFORMATION : ZO�4
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. C��y OF ORONO
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT 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
Check AIl That A 1�.
�Residential �Commercial(Approval Required)
❑Ne�� ❑Additional ❑Repau�s `/�eplace
Job Site/O�vner Information:
Site Address: ��S�
Owner: �i jl�i ng Address: J {.�5��- ��
�1�: rc�»v Z� : SS35�
Home Phone: �� � /—�� e ate Phone:
Contractor Information:
Contrac�r�ndar ' ing Contact Person:
130 Plymouth Avenue North
Address: Minnea 11is, MN 5541�1-3445 State Bond#:
City: Zip: Expirarion Date:
Phone: Alternate Phone:
❑ Insurance–Current:
1
.;MECHAN�CAL S�STEMS BE�`N�1NSTALLED
' Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
� IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: (
Make:
Model: �s e.��
Tons:
H.Power �_
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Butning Fireplace
� Wood Stove Model No.:
• ❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must ha�e duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
� Installation a Removal
Fuel Oil: gallons ❑ Underground �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Uther/List What b�Where:
2
� � ' PERM�T��E�AI.CLTL�TIQN(S}
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� Yes,this section applies
The replacement of a Residential fixture or apnliance that meets all three of the following requirements:
1. Does not require modification to electcical 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
.���2�i�E c�.�u�a�r� ���,�oss a����a�:na ,.=..
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract pric with a(Minimum Fee of$50.00) �
��� x.0125$ � ' S
(contract pric (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Co e Div. Surcharge(M;nimum Fee of 5.50)
y x.0005 $ � ' o
contract price) (minimum$ .5 )
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '
• " 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 putposes. 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 SURCHARGE is.0005 of the Building Departrnent at(952)249-4600 for the price.
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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 regularions of the State of
Minnesota, and certifies that all statements e on this application are complete, true and
correct.
Applicant's Signatur . Date: �
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5��AT�� � L�E �
J� CITY OF ORONO CALLED IN �
v INSPECTIO I r SCHEDULED � ��� I�
PERMIT NO. ��Z- 1ocOMPLETED
ADDRESS ���d ��x C9nsV
OWNER W ��Q_-<<��•� TELEPHONE NO.��2-�1�"O3 X�P
CONTRACTOR ��— I�a--�� '�C_-c).
� DESCRIPTION ' � `'�" C��'�� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENYEfLANOS
y � FRAMIN ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INS ION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ DON SLAB ❑ WATER HOOK-UP O PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
? OWNEWCONTRACTOR TO MEET YiOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WfORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIIJ HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OHDER POSTED.CALLlNSPECTOR-
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 95 249-46��
OwnerlContractor on site:
Inspeator:
White CopyAnspector's File " Cenary CopylSke Notice