HomeMy WebLinkAbout2013-01019 - mechanical ' CITY OF ORONO �
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2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3884 CHERRY AVE
PIN : 08-117-23-33-0084
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 11,700.00
NOTL: (1)BRYANT FURNACE
(1)BRYATN A/C
(1)KITCHEN EXHAUST
APPLICANT MECHANICAL ]46.25
AIR MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.85
16411 ABERDEEN ST NE
HAM LAKE, MN 55304 MAIL-IN FEE 2.00
(763)434-7747 TOTAL 154.10
OWNER
ENGLUND, DOUGLAS
3884 CHERRY AVE
P.O. BOX 285
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
i'he work for which this permit is issued shall be performed according to
the approved plans and specitications,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. AIl 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
rcquested in conformance with the State Building Code.'I�his permit may be
revoked at any time for due cause.
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Applicant Permit��ignature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � � �
FOR CITY USE ONLY
/� City of Orono � /�,
/ �O�O P.O.Box 66 Date Receive ��:/ Permit#o���J'U/
2750 Kelley Parkway /S'//D
l Crystal Bay,MN 55323 Approved By: Amount$: T
Phone(952)249-4600 Fax(952)249-4616
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�q,�fst{o��.� CITY OF ORONO—MECHANICAL PERMIT
__ (All Commercial permits must be approved by the Building Otticial 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
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. Ali 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 IVEA
(Check All That A 1 )
,: � ����
Q Residential ❑Commercial(Approval Required) ���
Q■ New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
s,te Address: 3884 C H E R RY AV E
MC DONALD CONSTRUCTION
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
AIR MECHANICAL INC. CATIEPECK
Contractor: Contact Person:
Address: 16411 ABERDEEN ST NE State Bond#: M BOOS�ZZ
Ciry: HAM LAKE Z�p:55304 Expiration Date: O 'rJ�2 'rJ/ZO�4
Phone: 763-746-3752 Alternate Phone: 763-434-7747
0 Insurance—Current:
1
MECHAMCAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: 1
Make: B RYAN T
1�todel: 912SB48080
Fuel:
NATURALGAS
Flue Size: 92%
Input BTUs: 80,���
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: BRYANT
ivtode�: 113ANA036
Tons: 3
H.Power 13 S E E R
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILAT[ON
❑ No. 1 Kitchen Exhaust duct recirculating 300 cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
RANGE,DRYER&2 COOKTOPS
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ 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;excludine 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$50.00)
11 ,700.00 X.o,2s$ 146.25
(contract price) (mioimum$50.00)
2. STATE SURCHARGE 11 ,7�0.0� 5.85
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 154.�0
• * 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: �.�����!�! \����v� � Date: "I "��' � �
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CITY OF ORONO �� / - - /`�
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PERMIT NO.�'��` 6� 70MP ED
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Q ❑ POURED WALL ❑ MF�IANICAL RI ❑ LAKESHORENVETLANDS
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Q ❑ TREE REMOVA�
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Q ❑ RADON SLAB ❑ WATER HOOK-UP 1�S ❑ PROGRESS
� ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
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V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site:
inspector. �� �-7•
White Copyllnspector's File Canary CopylSite Notice
� � C�� ::� DATE / TIME �
CITY OF ORONO CALLED IN / >/(
INSPECTION NOTICE CHEDULED .� 3 --��
PERMIT NO.='"i���� —(�/O/�OMPLETED
ADDRESS �' ,2-c.
OWNER TELEPH E O. ��l'� �r� ��75�
CONTRACTOR � .
� DESCRIPTION � �� T�r �cS � C�D2.77`i'�
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� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTI MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SE TI INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL
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W��ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: ''"
Inspector.
White Copyllnspector's File Canary CopyfSfte Notice