HomeMy WebLinkAbout2016-00332 - mechanical CITY OF ORONO * Z 0 1 6 - 0 0 3 3 2
2750 KELLEY PARKWAY DATE ISSUED: 04/05/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)2494616
ADDRESS 755 TONKAWA RD
PIN 05-117-23-33-0003
LEGAL DESC AUDITOR'S SUBD.NO.217
: LOT 001 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,357.00
NOTE: VENTILATION: 1 KITCHEN EXHAUST,2 BATH EXHAUST AND 1 GAS LINE TO RANGE
APPLICANT MECHANICAL 104.46
STATE SURCHARGE MECH(VALUATION) 4.18
GENZ-RYAN PLUMBING&HEAT TOTAL 108.64
2200 HIGHWAY 13 Payment(s)
BURNSVILLE,MN 55337 CHECK 153620 108.64
(952)767-1838
Minnesota State License#:mech-MB003541
OWNER
SARAH BUSTON,JULIE BROWN
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 any time for due cause.
►c ermit i e Date Issued By ature Date
V,VI(A "t( GU'kxjM Genz — Ryan No, 0446 P. 3
FOR CITY USE ONLY
�r City of Orono
P.O.Box 66 We Received: y -6"1('Fermit# z D/If 3�Z
2750 Kelley parkway Q�
V Crystal Bay,MN 55323 Approved By: 9L Amoi=$:
Phone(952)249-4600 pax(952)249-4616
G�
a �� CITY OF ORONO-s-M11 CHANICAL PERMIT
kits (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAf,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 RF-CFIVB A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS]POSTED ON THE JOB SITE.
a. 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.
TYPE OF PERMIT
(Check All That Apply)
5Xesidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVBJ
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address:
Owner:&a�Aj—
()U Mailing Address:
City: �Wkl 0 Zip:
Home Phone: Alternate Phone:
Contractor Information: 11
Contractor: g�alL Contact Person: u 11V rt
fU
2 M r.
Address: o G® State Bond#: PI' I b",6 V��P
City: Zip4:633]Expiration Date-
Id /31 j ,)NI-E'
Phone: 5 J? 1p Alternate Phone:
❑ Insurance--Current.
1
Apr. 5, 2016 9:08AM Genz — Ryan No, 0446 P. 4
Note;All Geothermal Systems will now require a Site Plan&Review by our Building Oficial.
XS TEas GmTHERmAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM;
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FYR)Ep)LACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stovc with Flue/Masonry
VENTILATION
[r No. 1 Kitchen Exhaust duct recirculating M cfm
[' No. Bath)Exhaust(must have duct outside) F1 U—cfm(t
❑ No. Other Fans: Locations cfm
FUELSTORAGE (Must be approved by Fire Marshall f proposing to abandon tank In place.)
❑ Installation ❑ Removal
Duel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY 1
El Outdoor Grill Other/List What&Where:r' I IAC 40 �[?
2
Apr. 5, 2016 9: 09AM Genz — Ryan No. 0446 P. 5
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee/off$50.00))
U6-1 x_0125$ ,Dq f
ko-
(contract price) (minimum 550.00)
2. STATE SURCHARGE
x.0005 $ l ((JJ
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ '—roo
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ V , `ti
q —
■ : CONTRACT PRICE or ,TOB 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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'ERIVII UTIV, V " ,i „i"a+sa(it r
T:APP
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 statepnents made on this application are complete,true and correct.
Applicant's Signature Date: �DI
3
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE -7 SCHEDULED
PERMIT NO. C201 _5i>~OMPLETED
ADDRESS _M� 10"24LL('
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
t~N ❑ FOOTING [I DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB / HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ M HANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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WC [IOWORK SATISFACTORY PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
RECT WORK,CALL FOR REINSPECTION TEMPORARY
FORE 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 on site:
Inspector
White Copylinspector's File Canary Copy/Ske Notice