HomeMy WebLinkAbout2016 - 00897 - mechanical CITY OF ORONO 111111111111111111111111111111111111111111111111
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2750 KELLEY PARKWAY * 2016 - 0087
DATE ISSUED: 08/03/22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2075 WEBBER HILLS RD
PIN : 03-117-23-34-0025
LEGAL DESC : WEBBER HILLS
: LOT 008 BLOCK 003
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 3,700.00
NOTE: REPLACE A/C
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.85
RESIDENTIAL HEATING&AIR,INC. MAIL-IN FEE 2.00
1815 EAST 41ST STREET SUITE A
MINNEAPOLIS,MN 55407- TOTAL 53.85
(612)724-1899 Payment(s)
Minnesota State License#:mech-003627 CHECK 27487 53.85
OWNER
MCKEAND,MICHAEL&JENNIFER
2075 WEBBER HILLS 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 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.
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Applicant Signature Date Issued B i nature Date
FOR CITY USE ONLY
BOAT City of Orono RECEIVED �/ _CO gg7
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P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway y }�
Crystal Bay,MN 55323JU1 2 A ?fllR Approved By: Amount$: 5J r�/5
Phone(952)249-4600 Fax 9 ) 4 ,9 1
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kstloCITY tit °MR—MECHANICAL PERMIT 'V py
(All Commercial permits must be approved by the Building Official or Inspector and/or FireRiCE D
GENERAL INFORMATION AUG C 3 2016
I. You may apply for mechanical permits by mail or in person at the City offices. Applicatv�k ORO
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.
TYPE OF PERMIT
(Check All That Apply)
,Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
[' New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 2-61 e—(;)6c-r 1-1 i I i 5 -Oa
Owner:M 1i C 11‘1\ C- Cs_t Mailing Address: --
City: CI) r- 0 n c) Zip: 5 5 3°i (
Home Phone: 919 - L-I17-- 0 9$2— Alternate Phone:
Contractor Information:
Contractor: S.(,_,,t. c,.,\ f•L..xk.� Contact Person: (..../1 r, \(- —
Address: 1$)S .. 1-\\57St - 5c)ii-`4 State Bond #: 4 G OC) 36 2-7
City: •enc-cATcl, lS Zip: 55407 Expiration Date: 0( 12- ' 1 to
Phone: 6 t Z- 72_11-1 8ci Alternate Phone:
111Insurance—Current: -G
1
,A SEMS BEING INSTALLED
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:
COOLING SYSTEMS
Quantity:
Make: C
Model: ZLt
Tons: •-O 3(,060
H. Power 3 _C7
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 cfm
FUEL STORAGE (Must be approved by Fire Marshal!fproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
t i t1 24 i , AltNtrE 'CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
3700 x .0125 $ 2-5 ,06
(contract price) (minimum$50.00)
2. STATE SURCHARGEo�
3� Oct x .0005 $ I , S
(contract price)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 "
( D
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50-
•
0• * 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with t' - ardinances o e City and the regulations of the State of
Minnesota,and certifies that all : . - ents e • is application are complete,true and correct.
Applicant's Signature: Date: 2-1 _ 1k)
3
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'/DATE TIME
CITY OF ORONO CALLED IN
INSPECTION , )()-(6(j�,//SCHEDULED Ng - //
PERMIT NO. ! `)I%I CQMPL• ED
ADDRESS cO7-5 t / A /..5 4'L
OWNER LA-/ 1. C 6 / LEP ONE NO. (/1 (I- q7 7 (4)-
CONTRACTOR .k ✓L/A-
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� � l: DESCRIPTION yam[ Ak
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
t1.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
v•'FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC IN LL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_
vviCOMMENTS:
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CC pild r. -4/ ladeGaW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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CI CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP 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. �%m.
White Copyllnspector's File Canary Copy/Site Notice