HomeMy WebLinkAbout2016 - 00777 - mechanical CITY OF ORONO 111111 111 I I 11111 1 011011 IHIE 11111 1 111 11
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2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4575 WOLVERTON PL
PIN : 31-118-23-31-0007
LEGAL DESC : FOXFYRE ESTATES
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 20,700.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)BRYANT FURNACES AND(1)A/C
APPLICANT MECHANICAL 258.75
STATE SURCHARGE MECH(VALUATION) 10.35
AIR MECHANICAL, INC. MAIL-IN FEE 2.00
16411 ABERDEEN ST NE
HAM LAKE,MN 55304 TOTAL 271.10
(763)434-7747 Payment(s)
Minnesota State License#:mech-MB005122 CHECK 047970 271.10
OWNER
JOHNSON,REBECCA L
4575 WOLVERTON PL
MAPLE PLAIN,MN 55359-
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.
•
Applicant Permitee Signature / Date Issued By Se ature Date
D3-DCI tO EIS
R TTY USE ONLY (V 771
�T City of Orono /7e j/( CEIVED
�OW
P.O.Box 66 Date Rece Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:--JUL
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Phone(952)249-4600 Fax(952)249-4616 -IJ 2016
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ESHO� k CITY OF ORONO—MECHANICAL PERMIT '+1l'Y OF ORONO
(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.
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: 1151,5 IND I VCr+Vfl P1 o cr
Owner:K&I I_ I ILfl 1 Mailing Address: 515 Wt.IllW-DA Pio,Gcj
City: DDD Zip: 65559
Home Phone: 10 I 2-qqq .52418 Alternate Phone:
Contractor Information: I ,^�^ II
Contractor: I-I I V Mdal rl i Contact Person: Canssa.40:2
Address: 110411 Rhexcletr1 t Nttate Bond#: Iv160u5P 2_2__
City: HOL.m LitKel Zip>G �I-,Expiration Date: 5 25 Ji
Phone: -11193" L.4.31,1 'T1 t-ll Alternate Phone: 103 - 1-10 3740
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes IYNo
HEATING SYSTEMS
Quantity:
Make: I Q.II aat
Model: a U ' LP / 1101/2-- 4201000-1
Fuel: I V Ct t til CLS i J a F c s
Flue Size:
Input BTUs: 10. 000 LoO1 Ob D
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: l i ► U g
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
El Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons D Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
El Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%} of contract price with a(Minimum Fee of$50.00)
4 2_0,1D02_0,1D0 '00 x.0125 $ 2-53O0 16
(contract price) (minimum$50.00)
2. STATE SURCHARGE n O ' 1 DD -00
L x.0005 $ � 0 .35
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2� I ' 1 a
■ * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with t . .inances of the City and the regulations of the State of
Minnesota,and certifies that all • atemen,, made on this application are complete,true and correct.
Applicant's Signature: _A, Date: I f / I V
3
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DATECITY OF TIME i
INSPECTION ORNO CALLEDHEDIN i w p
N TIC SCHEDULED W /Jwr(�J('v�
PERMIT NO. J�D•-( -7??COMPLETED
ADDRESS % s7 C.(_) O I L/e r-f-tom
OWNER TELEPHO E NO.74 3 1/3 y--77q
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CONTRACTOR lir 7 IQ 0 ki
DESCRIPTIONAY. l � �'F S ��Th'
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAA' `.
Q0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FIIm/
O0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB "MECHANICAL RI 0 SITE INSPECTION
' 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
'4/ 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 PTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
vim, COMMENTS:
W
R.. a - net..) 4ar,wee$ - / - e (tSL,.ss ce.ct.KS
llv( I1&) V t ab .4-; ' t5 !iyte —
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LU 0 WORK SATISFACTORY:PROCEED , ROJECT COMPLETE
t4 ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C3 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
LI STOP ORDER POSTED.CALL INSPECTOR
LI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.<- /ill-
_
c
White Copy/Inspector's File Canary Copy/Site Notice