HomeMy WebLinkAbout2011-00080 - mechanical CITY OF ORONO PERMIT .
N .•
o 2011-00080
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 02/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 650 TONKAWA RD
PIN 05-117-23-33-0005
G LEGAL DESC PARTENS POINT 1 ST DIV
i
LOT 002 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 6,408.00
NOTE: HEATING SYSTEM:BRYANT 355BAV6080-NATURAL GAS-2"PVC FLUE-80,000 INPUT BTU'S
AND 74,000 OUTPUT BTU'S-2000 CFM
COOLING SYTEM-MODINE-HD-60-NATURAL GAS-4"B-VENT-60,000 INPUT BTU'S
AND 45,000 OUTPUT BTU'S
(l)KITCHEN EXHAUST-300 CFM
(3)BATH EXHAUST
(1)COOKTOP
APPLICANT MECHANICAL 80.10
HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 5.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 85.10
(763)428-3677
OWNER
ADAIR, MICHEAL&JEANNIE
650 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 construction authorized is not
commenced within 180 days of theda f issuance,or if construction is
suspended for a period of 180 days at n time after work has commenced.
The applicant Eca
for assuri all required inspections are
requested in coith th Building Code.This permit may be
revoked a e.
A t ermitee Siture Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
;t
• F RQ. X USE ONLY
O�p�O City of Orono Q O v
P.O.Box 66 7Dateceivle Permit# o t!`-6
2750 Kelley Parkway
Crystal Bay,MN 55323
A
PProved By: Amount
.v (952)249-4600
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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 Designs—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)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
F7777 TYPE OF`PERMIT
(Check All That Apply)!';:!
,,,-<Residential
ly)
Residential ❑ Commercial(Approval Required)
❑ New ❑Additional `
❑ Repairs Xeplace
7ob�Site/Owner Information:
/O
Site Address: O,� l
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
''Contractor Information:
Contractor: Contact Person:
HEATING &COOLING TWO INC.
Address: 185511 County Rd. 81 State Bond#:
Maple Grove, MN 55369-9231
City: (763) 42�8$-3677&
ati1p
Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
r .t1V1ECH'ANIG�USYSTEMS�EING TNSTALI,ED ;}�<� ��'� °�� '��' � �:
HEATING SYSTEMS
Quantity:
Make: NoW
Model: j/e 'y V40
Fuel:
Flue Size: ? ri
j ✓�
Input BTUs: '0 O 00,10
Output BTUs: 0,69199)
CFM:
COOLING SYSTEMS
Quantity
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. �_ Kitchen Exhaust duct recirculating3�" cfm
N
❑ o. _ Bath Exhaust(must ave duct outside) yi eo_ /j f / cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill [ Other/List What&Where:
A 1i v z
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F
ill! 11110
11111' 10 R
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F1 Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500A0 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above Ydoes not apply;:follow guidelines below:
1. CONTRACT PRICE *is 1.'25%of contract price with a(Minimum Fee of$35.00)
x:0125$
(contract price)
(minimum$35:00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge`(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ik 1.50
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 reasonablemarket 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.
**The STATE SURCHARGE is.0005 of the Building Department at(952)2494600 for the price.
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 stateme made o this application are complete, true and
correct.
Applicant's Signature: - Date:
3
C_ DA E/ TIME V
CITY OF ORONO S44AEeD IN I
INSPECTION NQTICE SCHEDULED l •( (}
PERMIT NO. COMPLETED
ADDRESS LQy O
OWNER TELEPHONE NO.
CONTRACTOR l`
DESCRIPTIONli� T�� TYI //1 illG1� �'-!
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
Q El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v
11 PLUMBING RI ❑ SEVC
FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED 1-1 PROJECTCOMPLETE
LU ❑
W ORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
Q ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 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
Owner/Contractoret
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
C (� ✓
CITY OF ORONO ��r y� CALLED IN +r�DAj� TIME
INSPECTION NOTICE l..0 SCHEDULED 4 1191SI�
PERMIT NO. COMPLETED
I ' `� COMPLETED
ADDRESS (���1" T <'c 1 'r., �nL�
OWNER TELEPHONE NO. `6� /
CONTRACTOR C�f't I� C oli
DESCRIPTION I ( I_TmoocMh
tW ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI -- ❑ SEP I�FINAL ❑ FOUNDATION/REMOVAL
OWNF,RII;ONTRACTOR TOMEET 1CeU: YES_NO
COMMENTS:
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Wj�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
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
Owner/Contractor on site:
Inspector. _ —s
White CopylInspector's File Canary Copy/Site Notice