HomeMy WebLinkAbout2016-00007 - mechanical CITY OF ORONO * z 0 1 6 - 0 0 0 0 7 *
2750 KELLEY PARKWAY DATE 1SSUED: OU05/2016
. ORONO, MN 55356-
(952) 249-4600 FAX: 952 249-4616
ADDRF.SS : 3115 SUSSEX RD
PIN : 04-117-23-32-0015
LEGAL DESC : FOX BEND
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYP : RESIDENTIAL
C01�ISTRUCTION TYP� : HEATING SYSTEMS
VALUATION : $ 2,000.00
NOTE: REPLACE H ATIN�G SYSTEM(TRANE)
AP LICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.00
PRACTICAL SYST MS MAIL-IN FEE 2.00
4342B SHADY OA RD
HOPKINS, MN 553 3 TOTAL 53.00
(952)933-1868 Payment(s)
CREDIT CARD 3543 53.00
I WNER
MARY RASKOB, ANIQ.DELMORE&
3115 SUSSEX RD
LONG LAKE, MN 5356-
AGREEME AND SWORN STATEMENT
The work for which this ermit is issued shall be performed according to
the approved plans and s ecifications,applicable City approvals,and the
State Building Code. Th s permR is for only the work described and does
not grant permission for dditiorpl or related work which requires separate
permits. All provisions laws�ordinances goveming this type of work
shall be compied with w ether ot not specified herein.This permit will
expire and become null d voidlifconstruction authorized is not
commenced within 180 ys of the date of issuance,or if construction is
suspended for a period o l80 days at any time after work has commenced.
The applicant is responsi le for assuring all required inspections are
requested in conformanc with the State Building Code.This permit may be
revoked at any time for e causC.
�1 � � rl f ;� 'y: �,`���i� ����c_.;�—��� I � ��� � I �'
Applicant Permitee Si nature ate Issued�By Sigri'ature Date
�
I �i
E012 CrTY t1SE ONLY
City of Orono ��,�-I� �C t � -'�"� �
P.O.Bo�c 66 Oate Received: ermit� _�
� �� 2750 Kelley Psrkvr�y
Crystal Bay,NfN 55323 Approved By: �Amount�;��,,�i
� Phonc(952)249•4600 Faa(9�2)249�616
r �
��'�' sHo�-�'G CITY OF bRON�-MECHA�VICAL PERMIT
(All Commercial permzts must be appro�ed l��the Building Official or Ir�spectnr ancUor Fire Marshall)
ENE INFQRMATION
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 retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PER'viIT- WORK MUST NOT BEGIN UNTTL T�TE
PE�L1v��'�CA_L2D_TS POS�E_D_Olv TFTr�JOB_ST'CE,
3. Mechanical Desiqns—Complete calculations,details and specifications are required for each
heating,ventilation,humidifscation-dehumidification,and air condi�ioning installation including
heat loss/lieat gain calculation,design temperatures,equipment ratings and identification as to
rype,manvfacturer 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. Al]work must be dono in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). CaII(953)249-a600.
(24-481�our uot�ce requ�red)
7. House Heati�Test Record must be submitted before final-
TYPE OF PERMIT
Check All That A 1
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
ob Si�e/Owner Info�znation:
ite Alddress: �� ( J� sl..lSS�`� �0�.`-- - - --
wnar: �n,{ (��Y'`(`�(�Qr.__ Mailing Address: C � .
ity: C�+�Ofl'Q --- Zip: �J�J�`r7�a
ome Phone: �j�-��„n r�a� Alternate Phone:
Contcactor Information:
r�
Contxactor: ��i.S,�i C� �1;,�'�J�z�tact Person: ��
Address: 4� � ��_�/�State Bond#:
�J
City: � zap:��xpiration Date: q
Phone: �-g�- (S�0� Alternate Phone:
❑ Tnsurance�Current: _��7
1
te: Geothermal Systems will now zequi�e a 'te & eview by our Buildina Official.
I THI GEOTHERN�.4,L? ❑Yes�No
ATI SYSTEMS
anti 1
ake: Y' �
odel: �� b �"-r(c��-{ ��
F el:
If
F ue Siz
I put B s:
t�ut s:
��_ ��
O�OL G SYSTEMS
uanri
ake:
adel:
oms:
.pow
S
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No,: ______ __
Q Wood Stove with Flue/Masonry
N ATION
� No. Kitchen Exlaaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) ��n
' Q No. Other Fans: Locations --- - afm
GE (Musc be approveaf by Ftre MarshalC if proposing to nbanafon lank irt plac�)
❑ I�stallation D Remo�al
Fuel Oil: aallons ❑ Under�round ❑Inside ❑Outside
LP Gas: gallons
Other:
NE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
r
�� -� �� �/
' DATE TIME
C(TY OF ORONO cnLLED IN �- /r
INSPECTION I�i. /,/]� SCHEDULED �—���� ��
PERMtT N . `�w' OMPLETED
ADDRESS � S �S �
OWNER � EL HSN��S s? 3 �
CONTRACTOR f� Y�J'L��
� DESCRIPTION a • �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WAT PRO ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �7(C ❑ WATER HOOK-UP
❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNEI4CONiRACTO T0 M Y�OU:_YES_NO
y COMMENTS:
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W ❑WOFiKSATISFACT R`Y:P EED PROJECT COMPLETE
� ❑CORRECT WORK Pt#OC D �I ERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK, lL REINSPECTION TEMPORARY
V BEFORECOA/ERIN PERMANENT
❑C�RRECT UNSAF CON N WRHIN HOURS. p pHpTO TAKEN
INSPECTOR L�R N
❑STOPORDER EC1. INSPECTOR �CITATION ISSUED
O INSPECTION RE IRED. LL TO ARRANGE ACCESS.
Ca��ror ir�spection 2a taurs in advance. (952) 249-4600
OwnerlContrs on ite:
Inspector:
WMte A tor's Fils Canary CopylSite NoNee