HomeMy WebLinkAbout2016-00779 - mechanical '" CITY OF ORONO * Z 0 1 6 — 0 0 7 7 9 *
, 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3120 SUSSEX RD
PIN : 04-117-23-32-0009
LEGAL DESC : FOX BEND
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 9,752.00
NOTE: REPLACE COOLING SYSTEM(CARRIER)
APPLICANT MECHANICAL 121.90
STATE SURCHARGE MECH(VALUATION) 4.88
PEAK HEATING&COOLING, INC. TOTAL 126.78
7801 PARK DR. Payment(s)
CHANHASSEN,MN 55317 CHECK 7253 126.78
(952)401-1195
Minnesota State License#:mech-MB003156
OWNER
ANDERSON,BRETT&STEPHANIE
3120 SUSSEX RD
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 addi[ional 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
sus ended for a period of 180 days at any time after work has commenced.
Th plicant is responsible for assuring all required inspections are
req e ed in confor nce with th S e ilding Code.This permit may be 1 %)
revo e at any time f due caus _ ��
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Applic t Per �ee Sig ture Date Issued By Sig ature Date
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� F�R CITY USE ONLY
� '�' �O�T Citv of Orono _ �Q ��y1 �
'�1 yO P.O.Box 66 Date Received:�2�� Permit# 2L���0 "
2750 Kcllcy Parkway / '7�
� Crystal Bay,MN 55323 Approvcd By: � Amount$: l �'�O '
� Phone(952)249-d600 Fax(952)249-dG16
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���.�k�5 NOR��' CITY OF ORONO —MECHANICAL PERMIT
__� (All Commcrcial permits must bc approvcd by thc Building Ofticial or Inspcctor and/or Firc Marshall)
GENERAL INFORMATION
L You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations, detaiis and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtai ned.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted befiore tinal.
TYPE OF PERMIT
(Check All That Apply)
� Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑Repairs �Replace
Job Site /Owner Information:
Site Address: ��� O ���<; E'� ��
Owner� �-�' (����� Mailing Address: �/.2�fl J �5 S-z�" ��/
City: ���`�1.c� Zip: S�S ���
Home Phone: �l�— S� I— .��!Ce � Alternate Phone:
Contractor Information:
Contractor:� �� �1 ontact Person: ��f� �.
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Address: ��U% �V � �� State Bond #: /1�� �?� ,�/��
City: � � f,. � Zi����piration Date: '$�— ��?l— �(.,
Phone: ��5��' �'��l`��� � Alternate Phone:
❑ Insurance—Current:
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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: �-�/���`tT
Model: ? ��
Tons: 6
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 cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� �S�r� x .0125$
(contract price) (minimum$50.00)
2. STATESURCHARGE
x.0005 $
(contract price)
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 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.
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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 regulations of the State of
Minnesota,and certifies that all statements mad on this applica ' n are complete,true and correct.
Applicant's Signature: Date: � —,�y '��
3
F�/ ��..� �---'_.� .
L/ %_r�.___.
DATE TIME
CITY OF ORONO CALLED IN �I�_/ �
INSPECTION Nl�jl c,SCHEDULED l � ' •`✓�
PERMIT NO. ���-' ���/COMP ED
ADDRESS � � �"�`5
OWNER t� ELEPH N . ��z�yJ�`'���7
CONTRACTOR �
� DESCRIPTION " ` ` /��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
' Q ❑ POURED WALL ❑ PLUM RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PL BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WA�LS
� ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
' W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OYVNER/COHTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hou in advance 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice