HomeMy WebLinkAbout2014-00572 - cooling system � CITYOFORONO * 2fd 14 - 0PJ572 *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1 l 1 CHEVY CHASE DR
PIN : 36-118-23-41-0011
LEGAL DESC : HILL O'WAY MANOR
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 3,709.00
NOTG: 1 BRYAN"I�2"I�ON AC
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 1.85
PRONTO HEATING&AC MAIL-IN FEE 2.00
7588 WASHINGTON AVE S TOTAL 53.85
EDEN PRAIRIE, MN 55346-
(952)835-7777 Payment(s)
CHECK 8954 53.85
OWNER
CURRY,THOMAS
1 11 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be perfonned according to
the approved plans and specitications,applicablc 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 compicd with whether or not specified hcrein."I'his permit will
expire and become null and void if construction aufhorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commeneed.
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.
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Applicant Permitee Signature Date Issued I3y Si n ture Date
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' �� FOR CITY USE ONLY
�O A TO City of Orono
�y P.O.Box 66 Datc Reccived: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Plione(952)249-4600 Fax(952)249-4616
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�qk fsr{����' CITY OF ORONO—MECHANICAL PERMIT
�_`� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
❑ Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs �eplace
Job Site/Owner Information:
Site Address: � � �7 i �� �' � � �' � �
Owner: %ti " •' '� ��� � ' Mailing Address: 1� / �/�� ° ��� ���= ...� ''
City: ` iy � r� o Z�p: .� .��� l �
Home Phone: `�S J �-f�,3 ��-/�� ).---- Alternate Phone:
Contractor Information:
Contractor: ������ � ��r �• �'� Contact Person: o ��� �
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Address: 7 �,�, !%v`�����-��-��" ,'-�"`�State Bond#: /�'� � �L��� � � �
City: f c�� � 1"����^ ��� Zip:$�3�l yExpiration Date:
Phone: ���� �'j� � � �� � Alternate Phone:
❑ Insurance-Current:
1
MECHANICAL 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:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: � +� �I � '^'T
Model: � ( � �'�� V 3 �
Tons: � �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Maisha[I 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:
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 ar 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)
� � V � xA125 � � �.J
(contract price) (minimum$50.00)
2. STATE SURCHARGE � � U (_'�
x.0005 $ � � �'
(contract pricc)
3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2.00
4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ .S '� - L1 �
■ * 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 far 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 far 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 Perniit, 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: �l � l 1 /
3
5 � �
(� DATE TIME
CITY OF ORONO CALLED IN ����
INSPECTION NOTICE SCHEDULED /�ls%! `�i�'l�
PERMIT NO.��c���-(' �1.759a' COMPLEfED
ADDRESS � r
OWNER �" a � ., TELEPHONE NO. ���' ��,-�777
CONTRACTOR � � f� �
�; DESCRIPTION ��� ��
�
W ❑ FOOTING ❑ PL BING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORE/WETLANDS
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❑ FRAMING ECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIFEPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL � SEWER HOOK-UP p COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 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. 5 -249-46�0
OwnerlContractor on site:
Inspector_
;
White Copyllnspector's File Canary CopylSite Notiee