HomeMy WebLinkAbout2014 - 01441 - mechanical CITY OF ORONO 1131111111111113111111111111111111111311
2750 KELLEY PARKWAY DATE ISSUED: 12/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2610 WEST LAFAYETTE RD
PIN : 21-117-23-24-0043
LEGAL DESC : SHORE HILLS
: LOT 011 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 24,350.00
NOTE: (1)BRYANT FURNACE-NATURAL GAS-2"FLUE-80,000 INPUT BTU'S- 1400 CFM
(1)BRYANT A/C-3 TONS
(10 BATH EXHAUST- 110 CFM
APPLICANT MECHANICAL 304.38
STATE SURCHARGE MECH(VALUATION) 12.18
ZAHLER HEATING&A/C MAIL IN FEE 2.00
6429 W.218TH STREET
JORDAN, MN 55352 TOTAL 318.56
(952)492-5558 Payment(s)
Minnesota State License#: mech-MB004790 CREDIT CARD 1478 318.56
OWNER
ENQUIST,CYNTHIA
2610 WEST LAFAYETTE RD
EXCELSIOR,MN 55331
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.
/ j / /
Applicant Permitee Signature Date Iss /d By Signature Date
! 12. 8/2014 09:10 9524927729 ZAHLER HEATING & A/C PAGE 05
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Crystal Flay. Approved 13y: AmountS; { 'Phone(952) fax(952)249-4616a�`�<'tkEsttoRt`G` OF ORONO—MECHANICAL PERMIT
(All C ommils 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 TH,F
,PERMIT CARD IS POSTED ON THE JQB.SITE.
3. NvlechaniulPesigns—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 A• $l
)kiResidential ❑Commercial(Approval Required)
0 New ❑Additional ❑RepairsReplacc
_Job Site/Owner Information:
Site Address: 2 410 W +r4 erk.
P-..A _
rr
. 2tro W c, RA
Owner:..0 O$L� 6+ Mailing Address:
City: 01(0110 , tAN _ Zip: ,
Home Phone: Alternate Phone: (017-' -38'1"G7t1-4
Contractor Information: — J
Contractor: ada.,,,AdialtAn 4CContact Person: L--1 re� [ kI e-+'
Address: 64.2-01 W . 0 Gt State Bond#: MQ DO 7 9 0
City: JOiLn Zipt xpiration Date: 1 Li / i IP
Phone: 6159,' 1112- Alternate Phone: l l-'n 7- "'
El Insurance-,Current: �� L
1
1 16/2014 09:10 9524927729 ZAHLER HEATING & A/C PAGE 06
��5' 717
-71
Note: All Geothermal Systems will now require a Site Plan&,Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes (No
HEATING SYSTEMS ll
Quantity:
Make: ryam t. .m.::. .w.
Model: 171251PdSOQ
Fuel: iii L�7a
Flue Size:
Input BTUs; ---
Output BTUs: -- — —�
CFM: 140°
COOLING SYSTEMS
Quantity: ,`1'a�
Make: �ry wr 1 1
Model: 174144k --
Tons: 3
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VEN77ILATJ.ON
E No. Kitchen Exhaust duct recirculating cfrn
No. . Bath Exhaust(must have duct outside) ( (0 cfrn
❑ No. Other Fans: Locations__-- —cfm
FUEL STORAGE (Must be approved by Fire Marshall f proposing to abandon tank in place.)
❑ Installation 0 Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
CCAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
4 1.'x.6/2014 09:10 9524927729 ZAHLER HEATING & A/C PAGE 07
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0 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 t 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 $ 5.00
Mail-in Fee(If Applicable) $ 2.00
Total Permit Fee $
al M" w n *,rr,^n t Ny' .*fix', ii ',Eli Y
If above does not apply;follow guidelines below'
I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$+0000))
.0
244.1760 x.0125$ i11 • ;g
(contract price) (minimum 550.00)
2. STATEAJRCHARGE
''Pt, 7,51) x.0005 $ _ �� •!
(contract price)
3. POSTAGE& FIANDLING(Only on Mail-1n Applications) $ 2.00,
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 L . 5(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.
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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.
Applicant's Signature: �_ Date: f 741 If 11 +
3
r,1) 3A—
- DAT TIME I
VVVCITY OF ORONO CALLED IN A.A.
INSPECTION VD,,/(l/ SCHEDULED ice' �a ,y: ad
PERMIT NO. `f 7/�1 COMPLETED �/�
ADDRESS �4 .Lr� � 2 / / / '7"T:✓
OWNER TELEPH4 "N•. '6 fif,
;Tr
• ir
CONTRACTOR � M y-
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DESCRIPTION 4.."
)' "Pak '
lu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
U. ❑
Q POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL IDTREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING '1 ECHANICAL FINAL 0 PROGRESS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
IQ 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO -
yCOMMENTS: / ' PGA `••4C CO L. - r,.4•;L "1-
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LuCI WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
tii
L71 CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
LI 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
OwnerContractor on site:
Inspector. J.—
.14
White Copyllnspector's File Canary CopylSite Notice
CDATE TIME'
CITY OF ORONO CALLED IN l -
INSPECTION NOTICE /'/ SCHEDULED — - _ /D.'3 v
PERMIT NOS ) ' AVW
DL COMPLETED
ADDRESS 02 /� l2 / /�,X
OWNER TELE' • EINO. 6:1-2c)Sc*c 5P
CONTRACTOR W, /j/� ;N / C ' '
DESCRIPTIONArhe--(- --- g— ap/ 4°
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
C:1
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
4:I 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
Z ❑ AS BUILT-SURVEY ElSEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
cc
W
a
cc
O Icc
O
7W
CC
Q
W
W
CC
ECC RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. n
i \
Call for the next inspection 24 hours i ativanc¢. ,/ ) ' '-4600
Owner/Contractor on site: -
Inspector.
White Copyllnspector's File Canary CopylSite Notice