Loading...
HomeMy WebLinkAbout2015-01440 - mechanical CITY OF ORONO 1111111 I 111 I 111111111111111111111 * 201 S - 01440 * 2750 KELLEY PARKWAY DATE ISSUED: 11/09/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 820 OLD CRYSTAL BAY RD S PIN : 04-117-23-43-0008 LEGAL DESC : AUDITOR'S SUBD.NO.229 : LOT 027 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,000.00 NOTE: (1)TRANE FURNACE ADD DUCTWORK FOR ADDITION TO NEW BATH VENT BATH FAN RUN NEW DUCT IN CRAWL SPACE (1)REALLOOK OWNERS CONDENSER (1)KITCHEN EXHAUST-600 CFM (1)BATH EXHAUST- 110 CFM GASLINE TO KITCHEN RANGE APPLICANT MECHANICAL 137.50 STATE SURCHARGE MECH(VALUATION) 5.50 RAY N. WELTER HEATING CO MAIL-IN FEE 2.00 4637 CHICAGO AVE MINNEAPOLIS,MN 55407- TOTAL 145.00 (612)825-6867 Payment(s) Minnesota State License#: mech-003163 CHECK 030065 145.00 OWNER FREES,KEATON&HANS 820 OLD CRYSTAL BAY RD S 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. 6-7/141/(kle_L) ki0 Or' Pei z) /// , /_ Applicant Permitee Signature Date Issued By nature Date FO ;IT/ USE ONLY ¢,0\ City of Orono /'P.O.Box66RECEIVED Date Receive[ � Permit# ds6/ S-0� 2750 Kelley Parkway14. V/ w. Crystal Bay,MN 55323 Approved By Amount$: Si CJ aPhone(952)249-4600 Fax 440v244izois CITY OF OtlFANICAL PERMIT (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) ❑ New Additional ❑Repairs ❑ Replace Job Site/Owner Information: aot 43Q°lJyn k aK �w�`eb ea 9� X 15 '�1`d� Site Address: 7,Q0 (1W Oily S i L 1 )4 1 `Of 3 ,y 4� 553,5&;. Owner: ji( i&tiS, tiiLfL.,E Mailing Address: City: 7/ Oiiic) Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: !' N t14 /!4 *Contact Person: atbilt I Address: 3) h l4'1Cx►&s' /16 State Bond #: 016 &)3 /63 City: P(S 1 lin L Zip:S(h&lExpiration Date: Y'A i—i 6 Phone: G/g- Alternate Phone: n Insurance—Current: l]LrY 1 M * +C CAL STWSWI ATG INSTALLED° Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: / Ok &Ji litiL) ask Duc4dhk Make: it n i ?v 064J 64 01- — 1/-'44 13e fiFA.V '5 14J Model: `rge 06,0 NW Cit e- Ili 64/MA ccS I'1/ Fuel: Otra9.) Flue Size: 3 ' 0k, Input BTUs: 6d )(V-C) Output BTUs: 5K 400 CFM: COOLING SYSTEMS + /,. ��f i 1 Quantity: I KO 1100/ '4) L°k% coej 7CN Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace . ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILA'I1ON PE', No. No. Kitchen Exhaust duct recirculating "Op cfm Ll� No. Bath Exhaust(must have duct outside) / JD cfm ❑ 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 ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Other/List What&Where: Kilt iaL 4.1 figa6 2 • . T D ow „ # a ❑ 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 cost 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 $ PERMIT FEE CALCULATION(S)—JOBS OVER 500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5°0100 x.0125 $ J32` (contract price) ( imum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) / OBD OZ. �o x.0005 $ (contract price) (m;..: . , -5 0e) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 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 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 STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATIOAGREEMENT .> 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: //- 6-is" 3 L......., —_5 ' aet. DATE TIME CITY OF ORONO CALLED IN /.7.-1 5 INSPECTION NOTICE SCHEDULED /w2---/ ]15 ' 3 d PERMIT NO. a0/.S D/W O COMPLETED ADDRESS 21.AO Old S FAL £ S OWNER TELEPHO NO. 3 " (9-. .V.29CONTRACTOR U)2J d a / S 7 DESCRIPTION GIYY‘eCit-0.i'a 6 W 7.yrr...5 1... ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL it. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF 0 MBING FINAL 0 TREE REMOVAL ❑ RADON SLAB .ME HANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL Z v 0 DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES NO y COMMENTS: CC a CC n �J � CC 0 4 W /Z Q ,..___Y' 2 W Z 0 W • 'IRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW A 6•RRECT WORK&PROCEED IA ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance 249-4600 Owner/Contractor on site: Inspector. i1 White Copy/Inspector's File C� Canary Copy/Site Notice EC---3 L5t11-- / / DTE ` TIME CITY OF ORONO CALLED IN INSPECTION NOS � _�/�CHEDULED /e2- `f—i5 /1.' 2c) PERMIT NO. O((J ���onn� ED �� ADDRESS oae , _/1 _ OWNER i TELEPH 6 %1 NO612- �a15 7 CONTRACTOR i lPMI , / / 4 c9yL_____ �: DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL it. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING cel O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL El TREE REMOVAL ❑ RADON SLAB -M€CHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL Z v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc IQ uVO ftas - 0k - o i b4t2k 4 -r -- OiC CC r .v ,1Gl „t0 `cwt — OK Io - _ PO V 44 e /'L��i is✓x- c t - 4 /r r /oorti W !i cc Q ." Pin sa 'foes to-k-- v /N5kl - — Z —r 7 AA4. . 15f.//7 ,oey ka4.e- LAJ / �^ j ( r#O'I e 5 4e/04,-1 fc-Z�Lc,V. - O✓ e'r-44i a W ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE CC W �/ i9.GGRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY tj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: G -,t !Ay D ,t c*,e3- Inspector: //--./ ite Copyllnspector's File Canary CopylSite Notice