HomeMy WebLinkAbout2015-01304 - mechanical CITY OF ORONO
* 2015 -
2015 - 0 1 3 0 4
2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 755 TONKAWA RD
PIN 05-117-23-33-0003
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 001 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 4,250.00
NOTE: GASLINE TO GARAGE HEATER
APPLICANT MECHANICAL 53.13
STATE SURCHARGE MECH(VALUATION) 2.13
STANDARD HEATING&AIR CONDITIONING TOTAL 55.26
130 PLYMOUTH AVENUE N. Payment(s)
MINNEAPOLIS,MN 55411- CHECK 49744 55.26
612-824-2656
OWNER
ROGERS,JOHN&LOUIS
755 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 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 time for due se.
-5 �
Applicant ermitee Signature Date Issued By Onature Date
r 1007/2015 09:10 6517722440 STANDARD HEATING PAGE 01/031
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City of Orono
P.O.Box 66
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2750 KelleyParltway i. a;i!i•,!" ;Si,;;.!;;.i,"
Crystal Bay,MN 55323
Phone(952)249-4600 Fax(952)249-4616 ,!:,� ,;...;::;'!,, •:.......,�.,::,.,,::. .�• .. ,..:...... :::::, •.,...
�ttkesr{o�`�G� CITY OF ORONO—MECHANICAL PERMIT
(All Comt'aercial permits must be approved by the Building Official or Inspector and/or Fire 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_TIIE
PERMIT CARP IS POSTED ON THL JQB SITE.
3. Mechanical Dcsisrns—Complete calculations,details and specifications are required for each
heating,ventitation,humidification-dol►umidification,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 mast be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subruJued before final,
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Wllii
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XResidential ❑fCommercial(Approval Required)
�
�w l�Q•Additional ❑Repairs ❑Replace
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Site Address:
Ownef j 1 � t�Y� Mailing Address:
City: � l Zip: 'Z�S?)S (12
Home Phone: 7 6 A.IteIEte hone:
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Contractor: Contact Person:
Standard Heating&Air Conditioning
AddreW Plymouth Aver►ue North State Bond#:
Minneapofi$,M 554"-3445
City: 612-824-2656 Zip; Expiration Date;
Phone: Alternate Phone:
❑ Insurance—Current:
1 I
10/07/2015 09:10 6517722440 STANDARD HEATING PAGE 02/031
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+ + I
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes No
HEATING SYSTEMS /
Quantity: 1
Make: �.
Model: LC MP
Fuel: rn`t�
Flue Size: _
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations of n
FUEL STORAGE (Must be approvedby Flee Marshall ifprgposing to abandon tank in,place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill X Other/List What&Where:
( (^ Q I
2
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10/07/2015 09:10 6517722440 STANDARD HEATING PAGE 03/03
E] Yes,this section applies
The replacement of a Residential fixture or applimce that meets all three of the following requirements:
1. Does no require modification to electrical or gas service.
2. Has a total c 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 $ 1.0
Mail-In Pee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE 'r is 1.25°/a of •ontrac price with a(Minimum fee of$50.00)
O x.0125$ /
(contract price) (minimum$50.00)
2. STATE SURCLIARGE (0 — f
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.
4. TOTAL PERMIT FEE(Add Dines 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 arc fumislted 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.
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 and
correct. l
Applicant's s SignatureC)rv�C-Vl-7ate! /
3
C-5 Sot- �/
DATE TIME
CITY OF ORONO CALLED IN 10-7-45
INSPECTION TI / — HEDULED
PERMIT NO. � COMPLETED pp �
ADDRESS GCSx-
OWNER TELEPHO NO.l;-2-
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILING
Q ❑ 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/REMO�AL
2
v ❑ DEMO-SITE ❑ SE TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: —NO
y COMMENTS:
ac
J
O
o�
O
W
cc
Q
W
W
j
Uj ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED EIISSUE CERTIFICATE OF OCCUPANCY
OO O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hw in adv K249-416 0
OwnerfContractor on site:
Inspector.
White Copylinspector's File Canary Copyl Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION bjQTIQE SCHEDULED
PERMIT NO. G/-i - COMPLETED 7,
ADDRESS 7S.5- lOnlefi- z /R- .
OWNER TELEPHONE NO.
CONTRACTOR 544,44,1A • f C
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLI G
❑ 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 M'�OLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v
[I DEMO-SITE ❑ SEPTIC INSTALL �
Z oWNERIcoNTRACTOR To MEET You:_YES_No
COMMENTS:
I
jdz- W401
C•r �cs�` *�r_A6` — 15
W
ct
Q
W
J
4j ❑WORK SATISFACTORY:PROCEED Qjj0jECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITIONWITHIN HOURS. Cl PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTM REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours in advance. (952) 249-46010
OMmerrAmdractor on site:
Inspector: A /
White Copyllnspectoes File Canary Copy0ft Notice