HomeMy WebLinkAbout2014-00115 - mechanical • s
CITY OF ORONO * 2014 - 0011S *
2750 KELLEY PARKWAY DATE ISSUED: 02/05/2014
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 3740 TOGO RD
PIN 17-117-23-31-0023
LEGAL DESC TOWNSITE OF LANGDON PARK
LOT 000 BLOCK 010
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 5,500.00
NOTE: IN FLOOR HEAT IN BASEMENT
ELECTRIC BOILER
ALTERATIONS TO EXISTING DUCT SYSTEM
MOVE EXISTING GASLINE(MAYBE)
1 BATH FAN
APPLICANT MECHANICAL 68.75
HOLLYWOOD HEATING&A/C,LLC STATE SURCHARGE MECH(VALUATION) 2.75
3390 COUNTY RD 123 TOTAL 71.50
WATERTOWN,MN 55388- Payment(s)
CHECK 4128 71.50
OWNER
EMERY,DARYL&KRISTI
3740 TOGO RD
WAYZATA,MN 55391-
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 fora peri f 180 days at any time after work has commenced.
The applicant is re onsible for assuring all required inspections are
requested in con rmance with the State Building Code.This permit may be
revoked at an me for due cause.
Ap li itee Stgnat Dae ssued By ature Date
FOR CITY USE ONLY
�O w TO City of Orono
{Y P.O.Box 66 Date Received: Permit
2750 Kelley Parkway I ��
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
y�
kFSHO��G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 Desians—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)2494600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
r544?esidential
1
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: o ��/
Owner:{���fc� �_ �/� Mailing Address:
city: /� Zip: a. ff91
Home Phone: �D�Z`��`C� r7 Zy�Altemate Phone: �34
Contractor Information: I '
A
Contractor: 1 Y
)"Contact Person:
Address: 3390 l Z,3 State Bond#: M 7
City: JAYAgellba4l Zip, Expiration Date:
Phone: Alternate Phone: 722
Insurance—Current:
1
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: f''� �G�T°(, 4�f �Iv iL
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
pWood Stove Model No.:
� ❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
No. _ I Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
I Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
r LP Gas: gallons
Other:
GAS LINE ONLY ��15
❑ Outdoor Grill ❑ Other/List What&Where: rv
2 �✓f K�d4C>✓
❑ Yes,this section applies
The replacement of a Residential fixture or ap 1p iance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding 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-In Fee(If Applicable) $ 2.00
Total Permit Fee $
0..
.31dvt�`.,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
00.0"""x.0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
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.
za
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 a tatements made on this application are complete, true and
correct.
Applicant's Signature: 4,4
Date:
3
DATE /L TIME
CITY 0 ORONO CALLED IN 2
INSPECTION N TICSCHEDULED
PERMIT NO. "� ,0/1S COMP D
ADDRESS
OWNER TE NO.
CONTRACTOR
DESCRIPTION
0 FOOTING ❑ PLUG FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBIN93L. ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
Z OWN NTRACTOR TO EET YOU: YES_NO
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W/�Sl70FIIrSATISFACTORY:PROCEED ❑PROJECT COMPLETE
tW ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
I for the next ins ion 24 hours in advance. (952) 249.4600
Ov+ne ntra r on s
Inspector.
White Copy/Inspector's File Canary Copy/We Notice
"\ sv" -7 E p TIME
CITY OF ORONO CALLED IN v
INSPECTION NOTI E `t SCHEDULED �l - l
PERMIT NO. COMPLETED
ADDRESS 3740 Togo lla
OWNER TELEPHONE NO. 4111" Z9Z 93 7-
CONTRACTOR U U)0 O If *
DESCRIPTION f vl eCk./ 4,-C-
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG
44.1
Q Cl POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI Cl SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W ❑WORK SATISFACTORY PROCEED ❑PROJECT COMPLETE
RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C Ion 24 hours in advance. (952) 249-4600
ctor on site: A
tlnspector.
White opyflnspomoor's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N6� COMPLETED r
ADDRESS 37S'
OWNER TELEPHONE NO.
TE,
CONTRACTOR Ir - - 7�
Or
DESCRIPTION
El FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS
❑ FRAMING A�HANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP El COMPLAINT
r ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
Zi
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS:
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❑WORK SATISFACTORY:PROCEED JECT COMPLETE
w ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
ite Copyllnspector's File Canary CopylSite Notice