HomeMy WebLinkAbout2016-01367 - heating system CITY OF ORONO 1111111111111M11111111111 '
2750 KELLEY PARKWAY * 2 1 6 - 0 1 3 7
DAT0 E ISSUED: 10/27/22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 315 TONKAWA RD
PIN 06-117-23-14-0021
LEGAL DESC REG.LAND SURVEY NO.0540
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE HEATING SYSTEMS
VALUATION $ 3,145.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
FURNACE REPLACEMENT
NATURAL GAS
45,000 INPUT BTU'S
43,200 OUTPUT BTU'S
APPLICANT MECHANICAL 50.00
SELECT MECHANICAL SERVICES INC.
STATE SURCHARGE MECH(VALUATION) 1.57
MAIL-IN FEE 2.00
6219 CAMBRIDGE ST
ST.LOUIS PARK,MN 55416- TOTAL 53.57
(952)926-4488 Payment(s)
Minnesota State License#:mech-MB003390 CREDIT CARD 0353 53.57
OWNER
MACMILLAN,MARTHA
315 TONKAWA 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 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 constriction 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 assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. c
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Applicant iteeignature Date Issued&Signature Date
Oct 26 2016 6: 35PM HP LASERJET FAX P. 1
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R Y USE ONLY
o City of Orono Date o Pmmit# /357
O9' +O P.O.Box 66
2750 Kelley Parkway
Crystal Bay,MN 55323 Apgroved.By: Amount
Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fin Marshall)
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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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation includin4
beat loss/beat gain calculation,design temperatures,equipment ratings and identification as to i
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 j
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2448 hour netice required)
7. House Heating Test Record must be submitted before final.
TV OF FE W
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g e&All That A F" *1i
Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs Replace
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Site Address: 3 t5 �pN�,AwA o,fiD i
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Owner:_ e- f e`(t.t o`l Mailing Address:
City: Zip:
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Home Phone: Alternate Phone:
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Contractor. ��uc'3� trSf�Nlc�� Contact Person: 'C�AL,6
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Address: State Bond
city: Ja Zip:'V40 Expiration Date:
Phone: I �Du Alternate Phone:
❑ Insurance--Current: WaT [�3rilp j
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Oct 26 2016 6: 35PM HP LASERJET FRX p. 2
Note: All Geothermal Systems will now require a SitePlan & Review by our Building Officiali
IS THIS GEOTHERMAL? ❑ Yes KNO
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUS:
CFM:
COOLING SYSTEMS
Make:
Model:
Tons:
H-Power
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue I Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm:
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall(proposing to abandon tank In place.)
El mstallation Removal
1-"UQ1 Oil: gallon* ❑ Undorground Lj maid* 0 Oulmide
caner:
UAb L11%9;ONLY
❑ Outdoor Grill ❑ Other/-List What& Whem:
Oct 26 2016 6: 35PM HP LASERJET FAX P. 3
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❑ Yes,this section applies
The replacement of a Residential fixture or&221iance that meets all three of the following requirements:
L Does not require modification to electrical or gas service.
3.
14n_9 a*,,+-I cont of 5500.00 or loon:exoludinc the coat of the fixture or appliance:and
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Skip next section,if this applies; Cost of Permit $ 15.00
State SurchwSo
Mail-In Fee(If Applicable) $ ,00
Total Permit Fee S
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1. l.t/I�iQHGT rAlGFi la L.2J%e�f wuua{.{p{roc whU a(Tr7luuupua 7"tia vl,Jd.00)
�•�� ! r x.0l 25$
(cnntrut trim..) (minimum 550.00)
2. STATE SURCHARGE �j ~J
X .0005 $ I
(contract price)
.S. YUa t Alit&HANDLING(only on man-in Appttcaidons) S 2.00
4. TOTAL PERMIT FEE(Add Lines I-3 Above) S '�
■ CONTRACT PRICE or)OB COST means the actual or estimated dollar amount charged fore
permitted work including materials,labor, profit,and other fixed costs. It is the amount to be charied
to the customer for the work done. If any material, equipment, labor or installations are fureishedi by
tho ow-nor,Conant or uny other party, the reanonabie market value of aueh items muct be added to Rhe
estimated cost or eonLII price fum permitfee purposes.—fn the event that theme is a dispute on the
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 made on this application are complete, true acrid
correct.
Applicant's Signature: Date:
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CITY OF ORONO
INSPECTION N ICE b�� SCHEDULED g 9,
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OWNER OilONE NO�/ 5 77 gfG
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OIMNERJCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY PROCEED CW4*104ECT COMPLETE
IX ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑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.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector.
whits Copynnspectoes File Conary CopylSMe Holies