HomeMy WebLinkAbout2014-00831 - mechanical CITY OF ORONO * z 0 1 4 - 0 0 B 3 1 *
' ' 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014
'� ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
AD ESS : 3115 SUSSEX RD
�'[N : 04-117-23-32-0015
�.E L DESC : FOX BEND
: LOT 004 BLOCK 002
PE IT TYPE : MECHANICAL(>$500)
FR ERTY TYPE : RESIDENTIAL
CO TRUCTION TYPE : COOLING SYSTEMS
�i'A ATION : $ 2,500.00
I�OT TRANE COOLING SYSTEM-4 T01�
APPLICANT MECHANICAL 50.00
RA ICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.25
3�42 HADY OAK RD MAIL-IN FEE 2.00
OP S,MN 55343 TOTAL 53.25
9S2) 3-1868 Payment(s)
CREDIT CARD 0961 53.25
OWNER
R SKOB,DANIEL DELMORE&
115 S SSEX RD
QNG AKE,MN 55356-
' REEMENT AND SWORN STATEMENT
h�wo for which this permit is issued shall be performed according to
e iappr ed plans and specifications,applicable City approvals,and the
tate B ing Code. This permit is for only the work described and does
ot,gran ermission for additional or related work which requires sepazate
rqnits. lI provisions of laws and ordinances goveming this type oFwork
a�l be mpied with whether or not specified herein.This permit will
pjre become null and void if consVuction authorized is not
mmen d within 180 days of the date of issuance,or if construction is
s spend for a period of 180 days at any time after work has commenced.
e appl ant is responsible for assuring all required inspections are
r queste n conformance with the State Building Code.This permit may be
r vaked any time for due cause.
� � O / /!
plic Permitee Signatur Date Issu By ignature � Date
9 9331869 19:09:52 08-01-2014 214
T .
EOR CITY USE ONLY
, ,�O A rO City of Orono
+y P.O.Box 66 Dnte Reccived: Pcrmil#
�I 2750 Kcfley Paii:way
Crystai Bay,MN 55323 Approvcd By: Amount S:
Phonc(952)249-4600 �ux(952)249�616
i y �\
`���es N��`` CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be npproved by thc Building OCEicial or insp�xtor and/or Fire Marshall)
GENER.AL INFORMATION
1. You may appfy for mechanical permits by mail or in person at the City offices. Applications wil(
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 XOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanica)Desiens—Complete calculations,details and specifications are required for each
, heating,ventilation,humidification-dehumidification,and air conditioning instailation inc(uding
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 ncw construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance wiEh die Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2448 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 Address: ._�1{`7 .`�11��',r x h��
Owner: I X'��Xlc>;t'. Mailing Address: ���1�oh �.`�,5':a��r.x �C�
City: l�;t��,nc� Zip: '=,�=�?,r�la
Home Phone: G)`a2� ,�=>`Is•��`�,2`� Alternate Phone:
Contractor Information:
.�
Contractpr: 1'f'"'nC.��Cr�� .��`;tr.rYt`:> Contact Person: ��'C� ��,�� �
�
Address: -�-",`42� `'>r�x't� � t),�.�( t�Gl State Bond#: ,�A�-,-(��;=5-�I U
,
City: I�o�Y;t`�� Zip:�;��f¢3 Expiration Date: �-�i/1�
Phone: ��'-�7_ �12;-'� i �(a$ Alternate Phone:
❑ Insurance—G�rrent:
1
9 9331869 19:10:08 08-01-2014 3/4
� .
; 1v1ECHANICAL SYSTEIVIS'BEING INSTALLED
1�tote:All Geothermai 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:
�
i, Output BTUs:
I
i
CFM:
COOLING SYST�MS
Quantity: I
Make: I,S{�il<'.
Model:
Tons: �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No, Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Mursleall if proposing[o abandon ta�rk in place.)
❑ Installation ❑ Removaf
Fuel Oil: gaUons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What&Witere:
2
9331869 19:10:20 08-01-2014 4/4
, . . ,
i
PERMIT FEE CALCULATION(S)
` BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets aIl three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$540.40 or less;excludin¢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 $ 5.00
Mail-Tn Fee(If Applicable) $ 2. 0
Total Permit Fee $
PERMTT FEE,CALCULATION S -JOBS bVER$500:00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
)`-�>.`" x.0125$ ��.'a� .�1: Z`�
(contract pricc) (minimum 550.00)
2. STATE SURCHARGE �,
i`�C;li.``— x.OU05 $ /,�`'�
(controct price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��_, `-;�
• * CONTRACI' PRiCE or JOB COST means the actual or estimated dollar amount eharged for the
permitted work including materials,labor,profit,and other 6xed costs. It is the amount to be charged
to the customer for the�vork 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.
1v1ECHANTCAU PERIvIIT.APPLICATION A.GREEMENT
The undersigned hereby appiies 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 ali statements made on this application are complete, true and
, correct.
�-} �/i%/y
Applicant's Signature: ')���� � � Date:
,.- .
3
/
�—i` DA TIME �
OF ORONO CALLED IN '�
1 SPECTION NOTI E �? SCHEDULED � �
MIT NO. D —��/ �/ COMPLETED
DRESS .3l 15 S��G �I
NER ' TELEPHONE NO. �'�2 g33 ��h�
NTRACTOR /�Q-C.'�1 C.� ��T�i�'�'
� ESCRIPTION Fi
� FOOTiNG ❑ P MBING FINAL ❑ EXCAV/GRADING/FIWNG
POURED WALL ECHANICAL RI � LAKESHORE/WETLANDS
FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
INSU ION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
R SLAB ❑ WATER HOOK-UP ❑ PROGRESS
INAL � SEWER HOOK-UP ❑ COMPLAINT
q DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
�ii DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
{� PLUMBING RI O SEPTIC FINAL ❑ FOUNDA710N/REMOVAL
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� NERICONTRACTOR TO MEET YOU:_YE3_NO
� MMENTS:
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W WORKSATISFACTOR�F.PROCEED PROJECTCOMPLEfE
� CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
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I O CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours advance. -46��
ctor on site:
Inspector.
White CopyAnapector's File Canary CopylSite Notiee