HomeMy WebLinkAbout2014-01237 (mechanical) . • CITY OF ORONO * 2 0 1 4 — fd 1 2 3 7 *
2750 KELLEY PARKWAY �ATE issu�n: 10/23/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3759 CASCO AVE
PIN : 20-117-23-31-0010
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 11,000.00
NOTE: (1)DAY&MGHT�URNACE-NATURAL GAS-2" PVC
(1)DAY&NIGH7'A/C
(1)KITCHGN EXHAUST-300 Cf'[Vl
(3)BATH GXHAUST-80 CFM
(1)VENMAR A[R EXCHANGF,- 150 CFM
GASL[NES"I�O DRYF,R.COOK"i'OP, FIREP(_ACF,FiJRNACE
ANPLICANT MECHANICAL 137.50
STATE SURCHARGE MECH (VALUATION) 5.50
MASTER HEATING & COOLING LLC TOTAL 143.00
4963 70TH AVENUE Payment(s)
LORETTO, MN 55357
(763)498-7883 CHECK 7099 143.00
OWNER
TONKA DEVELOPMENT
216 WATER STREET
EXCELSIOR, MN 55331-
AGREEMENT AND SWORN STATEMENT
7�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State[3uildine Code. This permit is for only the�vork described and does
not grant permission for additional or related work which requires separatc
pern�its All provisions of laws and ordinances govemin�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 I 80 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 confonnance with the State Building Code.'fhis permit may b�
revoked at any time for due cause.
`� l 0-23-� � � ID , Z�,/
Applicant Permitee gnature Date [ssu d By Signature Date
R C USE ONLY
�O A T City of Orono � /� ��`� ��
�yO P.O.Box 66 Date Receiv : Permit#
� 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:/ �3•
Phone(952)249-4600 Fax(952)249-4616
� �
ti �
.
F�qkfSH��yF.G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INF(JRMATION
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 UNT[L YOU RECEIVE A PERMIT. WORK MUST IYOT BEGIN UNTIL T�IE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 1
,�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ���� �-�.SC O I�J Q--
Owner: �-b�50'�'� ��5�'ow� �-�rne S Mailing Address:
City: Zip:
Home Phone: b��Z7� b �S�I I Alternate Phone:
Contractor Information:
Contractor: ni�GS�-r ��2G�ik� ��.c.'��� �o t ct Person: �i"UC� VG�Y'Ul e.r
Address: ��� ���1"T�� State Bond#: �/� � �O� � Z,S^
City: 1--ore-I�� Zip 5��3�7Expiration Date: ��2 7' 2C� ��D
Phone: 763'�'9�'� /b�S� Alternate Phone: ��z' Z�7`_��S��'
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems wi(1 now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �,No
HEATING SYSTEMS
Quantity: �
Make: ��y�'�'�
a�-
Model: G�M�C4450�7l6
Fuel: ��'��.5
Flue Size: Z-���/��nfiQ�e� �x�•
Input BTUs: ����
Output BTUs: �7��
CFM: I 'ZOO
COOLING SYSTEMS
Quantity: �
Make: �`:/v, .fi
Model: N���3a��G�
Tons: 2yZ
H. Power Z�Z
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. ( Kitchen Exhaust�_duct recirculating �6d cfm
� No. �_ Bath Exhaust(must have duct outside). �_cfm
� No. l Other Fans: Locations �V¢y� l�l�(}.{i' ��f' E X c.�,��fin ���;y�Ce�
FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
�I�S t-�.�neS
GAS LINE ONLY I, p� �
❑ Outdoor Grill Other/List What&Where�� ���}��
� �, Fl�r'<.
� i�;.c�
2 � �u rn c�c e—
� PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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;excludinQ 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 be(ow:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� 1,��C> x.0125$ ��� �'
(contract price) (minimum$50.00)
2. STATE SURCHARGE �O
���� x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --�^
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l � � �
■ * 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 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: �.�-k- ���.IU�''tM Date: ��'—Z�� ` �
3
��� � 1 0� � AT TIME �
(�,�� QR aa� .b��ALLEDIN !�
INSPECTION IC ,SCHEDULED �___��
PERMIT NO. OMPLEfED
ADDRESS� d
OWNER TELEPHONE NO.�I�,7-r��
CONTRACTOR
�
�: DESCRIPTION
�
� ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ P URED WALL �AECHANICALRI ❑ LAKESHORENVEfLANDS
�d�(', I❑ I�IECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON S�AB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINA� ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CGMMENTS:
a /s'lc�cLi �2 �� '
� r,�t c � L �
0
�. �
�
° ��/�i'Jli oi - /'cL� c•� H S —��
W
�
Q
zh�.z�� ��.�t - a K
W
�
w
�
J
� �J4LORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP OfiDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52) 249-46��
OwnerfContractor on site:
Inspector. �
White Copyflnspector's File Canary CopylSite Notice
� � ( DATE TIME �
CITY OF ORONO ���37 ALLED IN
INSPECTION NOTIC SCHEDULED 5� r � ', - ',._
PERMIT NO.�,��� —�COMPLETED
ADDRESS �� �� � ��C' c^ /�c.(c
OWNER TELEPHO E N . ���-a 7� r�'7�
CONTRACTOR �' ` �1
' ��
�; DESCRIPTION
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
C
j � �
O '
�.. ✓
�
O
� �
W
�
Q
�
� ��
W
�
�
J
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection hours in adva 249-4600
OwnerlConUactor on site:
Inspector.
�
White Copyllnspector's Ffle Canary Co ISite Notice