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
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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
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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
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DESCRIPTION GIYY‘eCit-0.i'a 6
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1... ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
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❑ 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:
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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
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/ DTE ` TIME
CITY OF ORONO CALLED IN
INSPECTION NOS � _�/�CHEDULED /e2- `f—i5 /1.' 2c)
PERMIT NO. O((J ���onn� ED ��
ADDRESS oae
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OWNER i TELEPH 6 %1 NO612- �a15 7
CONTRACTOR i
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�: 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:
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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