HomeMy WebLinkAbout2014-01238 - mechanical ' ' CITY OF ORONO
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2750 KELLEY PARKWAY DA'r��SSUE�: 10/23/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 195 BROWN RD S
PIN : 03-117-23-21-0022
LEGAL DESC : KROGS ACRES
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
VALUATION : $ 11,000.00
NOTE: 1 LENNOX GAS& 1 LENNOX AIR
APPLICANT MECHANICAL 137.50
STATE SURCHARGE MECH(VALUATION) 5.50
GV HEATING&AIR, INC. MAIL-IN FEE 2.00
5182 W. BROADWAY
CRYSTAL, MN 55429- TOTAL 145.00
�� Payment(s)
CREDIT CARD 7420 145.00
OWNER
ELDER,JAMES& BARBARA
195 BROWN RD S
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he 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.
r�.� � ' �� � ��
Applicant Permitee Signature Date ssued y Signature Date
�
10/2�/2014 14:51 7635354379 GOLDEN VALLEY HTG PAGE 61/64
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City of Orot�o
���� P.p.�ox 66 pate keceived: Permit U _
2750 Kcllev�afk�vay
CrySlel Bay,MN 55323 ApproveQ sy; Amnunt�:
Phonc(952)249-4600 (ax(9S2)2a9�616
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`��., �.`'� CiTX ak'ORONO—MECI�ANICAL P�RMIT
KfStl��` (qit Commercial permiu musf bc approved by fhe Building O�ci�il or lospector and/or Fire 1vEar,hull)
GENE�,AL iNF'ORN�.ATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit wil!be issued wifhin two working days.
2. Permit cat'ds�vill be scnt by s'etum mail after a review is coti�pleted. PERMITS AAE NOT
VALID UN'I"Z�,YOU RECEIVE n PERMIT. WQAK MCJST NpT SEC[N U�1T1L THE
PERM T ARD IS PD ED ON THE S SI'TE.
3. I�ectaanical Desi�ns—Gotnplate calei�laeio�►s,details And speci#ications are required for each
heating,vet�tiSation,hi�midification-dehumidi�cation,and ai�conditioning instal3at�on including
heat Ioss/t►eat�ai��calculatioq,design temperatures,equipment ratings ai�d identifieation as to
type,manufacturer and model. Data shall bo presented on form provided.
4. When any new Construction or rcmode)ir�g is involvod,a separate building permit must bc
obtained.
S. All work must be done i��accardance with the Uniforrt�Mechanical Code/5tate Building Code
requirements-
6. A,11 work must bc i�spected(rough-in atzd final). CaU(952)249,4600,
(�448 hour notice requlred)
7. House Z-[eating'I'est Rccord�nust be submitted before final.
TYPE OF P�RMIT
(Check,All That A l )
�esidentiaa (]Comme�rcaal(npproval Required)
❑New ❑Additional ❑4�epairs ❑ Replace
Job Site/Owncr Ittformation:
Site Address: � � C�� V 1 V��� ' lC� _
Qwtaer: 1 � ���`�� Mailing Address: .
City: Zip:
Home Phone: �� � �_ ,��. /l)��Alternate�hone:
Contractor znformation:
Contractor: Coa�tact Person: C� G�PiCCQ
�d�I�s�.V. HEATlNQ &AIR INC. state so��d #:
61$2
csry: CRYSTAI� MN 554�: �xpiration 17ate:
Phone: Alternate Fhone:
❑ Jnsiira��ce—Curren:t:
1
10/2�/2014 14: 51 7635354379 GOLDEN VALLEY HTG PAGE a2/04
'�EGFi�N�iG:AL SYST`EM�`Br;�1Ci I�iS1`AZ.�ED � r
Note: Ali Geothermal Systert�s will now rcquire a Site lan&Review by our�uilding Official.
IS THaS GEOTI-I�RMAL? ❑Yes �No
I-��A,TIIVG SYSTEMS
Quantiry: �
Mske� _�L�
Miode►� i��1. 4 1 5�(l/�D L�
Fuei'
Plue Size,
Input 6TUs: � v� d
�utputBTUs: � O�O
CFlvt:
COOLING SXSTEMS
Quantity: '
Make:
Model: '4�� ' ' �/
Tons: �
H.Power
FIRE��,AC�S
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Mode1 No.:
� Wood Stove with Flue/Masor��y
VEN�' I.T ATION
❑ No. Kitcheat Exhaust duct recircul3ting � cfm
❑ No. Batll ExhBust(rlaust have duCt outside) cfin
❑ No, Other Faas� Locations ��
FUEL STOxtACE {Must be approved by Fire Marshall if proposing�to nbt�►t[lon tar�k i�e pinc�.)
❑ ►ttstallatlon ❑ Kemoval
Fuel Oil: galSons � Underground ❑ lnsidc ❑Ou[side
LP Gas: gallons
Other:
GAS LINE 0�1�Y
� Outdoor Gril1 ❑ Othcr I�,ist What 8c Whcre'
2
10/22/2014 14: 51 7635354379 GOLDEN VALLEY HTG PAGE 63/04
;,,, � ' P��tMIT F��eA►L�ULATI4N(S) �
'� BAS�D()���--2Ub2 S'�'A,TE'STA`x'UE
� Yes,this sectio�n applies
The replaeemenF of a R�sidential fixture or appliatice that mcets al1 thrce of tha following requirements:
1, es not rcquire modification to electrleal or gas strvice.
2, Has a total co�of$500.00 or less;excl � t}te cost of t}ie fixturc oK appliancc=and
3. IS improved,insta)led or repfflccd by the homeowner or licetased contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
5tate SurchArge $ 5- �
Ntail-InFee(If,Applicable) $ 2.00
'Total�ermit Fee ��
�ERNICT k'�'E CtkLCUi.A�T�ON(S)�J�$5 OV�n$S�a.UO _ ;
If above does noc apply;follow guidelines below=
1. C NTRACT P�� '� is 1.2J%of contYact price with�(Minimum Fee of�50.00)
x.0�25$ �
(co ract pnce) (mioimum SSO.UO)
2. STATE SURC'�E � (r' /�
x.0005 $ � v
(c ntra t price)
3. P05TA,GE 8t HANDI,ING(Only on Mail-In Applications) $ 2,00 _
I pv
4. TO fAL PERI�'�a�'FEE(Add Lines 1-3 Above) � + ����!
■ ' CONTRACT PRIC� or JOS C05T means tho accual or asti�ttated dollar amount charged for the
permitted work iacluding atateria�s,labor, profit,and other�xed costs. It as the amount co be charged
to the customer for the work done_ If any material,equipst�e�at,labor oz'installations are furnished by
the owtter,tenant or any other p&Cty, the reasonable market vt�lt�e of such iterns must be added to tlae
estimated cost or conir&ct price for pertnit fee purposes. In the cve�t that there is a dispute on t}ae
amount oF ihe job cost, the City may rcquest th�e submission of a signed copy of the aetual contract.
Iwi�CHANIC�L�ERMIT�PPL�CATION A�"k�EMENT
The unclersigned hereby applies to the City for issuance o�a Mechanical Permit, agrees to do all
work in strict accordance �vith the ordi�ances of tlie C�ty and the regulations of the State of
Minnesota, and certifies that all statements made on thas application are complete, true and
correct.
A�plicant's Signature:`�,� � Date: �� ���
3
� � �<� D TE TIME �
CITY OF ORONO ���� LLED IN / — '
INSPECTION NO ICE SCHEDULED �� - - �__ �
PERMIT NO � conn LETED
ADDRESS � p�
OWNER TELEP E fdOCl a—�73 $7 go
CONTRACTOR � � � �
� DESCRIPTION
�
ly ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ M HANICA�AI � LAKESHORFJWETLANDS
�
Q ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ W D BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY
W �
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in adv� ( , � 249-4600
OwnerlContractor on site: '
Inspector.
j,
White Copyllnspector's File Canar�/CopylSite Notice