HomeMy WebLinkAbout2015-01492 - mechanical CITY OF ORONO �� 0 1 5 - 0 1 4 9 2 *
2750 KELLEY PARKWAY DATE ISSUED: 1U19/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2797 CASCO POINT RD
PIN : 20-117-23-23-0016
LEGAL DESC : SPRING PARK
: LOT 128 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,326.00
NOTE: (1)AMANA GAS FURNACE
APPLICANT MECHANICAL 54.08
STATE SURCHARGE MECH(VALUATION) 2.16
UPTOWN HEATING&COOLING MAIL-IN FEE 2.00
31 10 WASHINGTON AVE.N.
MINNEAPOLIS, MN 55411- TOTAL 58.24
(612) 827-4674 Payment(s)
CREDIT CARD 6085 58.24
OWNER
GRUNDEEN,JOY
2797 CASCO PT RD
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
reques[ed in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ,
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Applicant Permitee Signature Date Issue B Signature Date
Nov, 1 y, 201� ? 1 ; 16AM No, �337 P, 1
, . ty � CIT �LiSE ONLK /� �
�OA r Ci of Orono � if,
{y P.O.Box 66 Da�Receive� Per�nif# ��'
O 2750 Kelley ParkwaY �, i �
Crystel Bay,;vII�155323 Approv�d$y" Amount$•��
Phone(952)249-4600 Fax(952)249-4616
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`�l,,kESHo�,�.�'� CITY QF ORpNQ–MECHANICAL PERMZT '
(All Comn�crcial permics musc bc approved by che Suilding O�cial or Insp�ccor and/or Fire Marshaq}
GEiv�xA.z zN�ox�TTON .
i
,
You ma a 1 or n ec ica e 'rs b ai o ' e so lat t e C' o ce . 'ca'o w'
. } pp y F � han 1 p rmi y m 1 r an p r n h �ty ffi s Applt u ns ill
be reviewcd and a p�rmit�vill be issued within two���orking days.
2_ Permit cards will be Sent by retum mail after a revicw is completed. PERMITS A�NOT
vALID uNTIL Yau RECEIVE A PERI�4IT. woRK:�IUST NOT SEGIrr uNT1L THE
PERhZIT cARD IS POSTED oN THE,rpB SITE.
3, Ivlechanical 17esizns—Complete calculations,details and specifications are requir�d for each
heating,venalation,humidification-d�hnmidification,and air eonditioning installation including
heat]oss/heat gain calculation,design temperatures,equi�ment ratings and identification as to
type,manufactur�i and model. Data shall be�resented o71 fo17I1 pCovided.
4. When any new constzuction or reinodeling is invo]ved,a separate building pent7it must be
obtained_
�. Ali 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)249-4604.
(24-48 hour notice required)
7. House Heating Test�ecord must be submitted�efore fii�al.
TI'�E Ok'PER1vZZT �
G1�eck AlI That A 1 ; '
�Ressdenhal �Commerc�al(Approval Requued)
❑New ❑ Additional ❑Repairs Q Replace
Job ��te/Ovv�ez I�iforniatzon;',
Site Address: � 1 1� ��C-Q ���Y�� �-�
Ownez-:�ac..., l r Y V lrt d��Q�✓� Mai�ax�g,A,ddzess: �-��� � �-d �' �'�
—�'
City: Q Y�n� O Zip: 5��v� } _
Home Phone:�Gja,���7 �r`�� 33 Alternate Phone:
Con�actor�fonna�aou:
Contractor_ ���3�1 ��C- ContactPerson: �a�, ��t���a`r��
Address: 1�0 V� � � �VE�tate Bond#: �,� �5�� �
City: ��1�'(�� Zip:�I I Expiration Date: �Q l r�J/ I CP
Phone: (���� �a-�-�y�e7`� Altemate Phone= fi.2�a-� /���a�
❑ Insurance–Current:
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Ncv, i9. 2015 12: 13PM No, 5339 ?. 1/1
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. ' � i'�� �1ry �(��i� �i, y�—� i� 1 �ty.� �-yy ",11 � � r u .'��t� i � i .
i��, I�C , ..q�s,� ' � � ,�� �,�� �' 1 � �! � a i ���1ihl� 11' ���v� � �'�j0'�s���u ��
� �� a 4t'� _� � ��N?i�D� ,W��P,�.�, ���,J�,��?j s � ��.'� I I��li �� f i !i��'i�
:�.��k�i.
Note: All Geotliezmal Systems will now require a Site an&Review by our Building Ot'ficial.
IS TTiIS GEOT�iER�v1AL? ❑ Xes �o
HEATING S�'STEMS
Quantity: � �
Make: �
Model�
�uel: �'�Q�
Flue Size:
Tnput BTUs: �CJ��QQ �
Output BTUs:
CFM:
C�OLING BYSTEMS
Quantity;
Make:
Ivfodel_
Tons:
H.Po„�er
�TREPLACES
❑ Gas Factory Fireplace Brand Name�
❑ Wood Buming FirepIace
❑ 'Wood Stave Model No.:
❑ Wood Smvc with Flue/Masonry
�'EY�,ATION
❑ No. Kitchen Exhaust duct recirculahing cfm
❑ No. Bath Exhaust(must have duct outside) cfm
� No. Other Fans: Locations cfm
E�L STORAGE (Must be approved 8y Frre 1blarshRll if proposing to abaftdon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: galions ❑ Underground ❑Tnside ❑ Outside
LP Gas: ga11o�5
O[her:
CAS LIN� ONLY,
❑ Outdoor Grill ❑ Other/T.ist Wbat&Where:
2
Nov, 19. 2015 11 ; 17AM No, �337 P, 2
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I�I� ( \�I�h � I f,���. �,�� I����'"L�T���� I I.fI 1f7� � � ti � {
I C 'I � � ��v i'� f� f �i qr, �' � �� .� 1 J� �,i �il I r�..�� I;��I�.
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❑ Yes,this section applies
7he replacement of a esidential fixture or a ce that meets all three of the following requirements�
1. Does�zequire modification to electrica!or gas service,
2. Has a t ta co t of�500.00 or less; e c ud' the eost of the fxture or appliance:and
3. Is improved,installed or replaced by the hom�owner or licensed contraetor.
Skip next section, if this applies; Cost vf Permit $ 15.00
State Surcharge � 1.00
Mail-Tn Fee(If Applicab�e) $ 2.00
Total Permit Fee �
, �'
r�ik; � , �, � 5 ' ,
� "` ��� �'�L���,�.;�.'��,�'T�I�T �';''���t�I�� �QVEI�";� b'.,�� ,�!'�"� '"���� �,r�. ; ,, , ,;;
If above does not apply; follow guidelines below:
1. CONTRA.CT PRICE " is I.ZS%of contract price witl�a(Minimum�'ee af$50.0�)
�3�c.o X.oiz5 � �`I . G S
(contract pricc) (mie;mum 550.00)
2. STATE SURCHARGE +
� � o��-P x ,0005 $ � - � `P
(contract p[icc)
3. POS�AGE&HANDLING(Only on 1VZai1-Z�Applications) $ 2.9Q
4, �'QTAI�PERMIT FEE(Add Lines 1-3 Above) � �•�—L—
■ * CONTRACT 1'RICE or JOB COST means the actual or estimated dollar amount cl�arged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
ro the customer for the work done. If any material, equipment, laUor or installations are fumished by
thc owner, tenant or any other party, tl�e reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purpos�s. In the event that there is a daspute on the
amount of the job cost, the Ciry may requcst thc submission of a signed copy of the actuat contract.
�;�, � �j��'�� �� '�ii�`'����������' '����',.�i��?L' r('�I/� �I�':�I�' '; E ` , ', � , °���1�4 ,� � ,.:
� G'�>, � ��i'�!,�.I � 1. � I'otr"�'Y� ���' �� ,�I�II ai I o���.I� � .i�;
,: � i... , , .. . ..,. .. . .... ...-
The undersigned hereby applies to the City for issuance of a Mechanical Pernait, agrees to do all
work 1n st�lct aecorda�lce with the ordinances of the City atld t�le regulations of the State of
Minnesota, and certifres that all statezx-ients t�nade on this application are complete, true and
coiz-ect.
Applicant's Signature:!i��g� � Date: I I ^ � Ir� �
3