HomeMy WebLinkAbout2015-00227 - mechanical • CITY OF ORONO * z 0 1 5 - 0 0 z 2 7 *
2750 KELLEY PARKWAY DATE ISSUED: 02/24/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2345 BLAINE AVE
PIN : 17-117-23-34-0011
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 009
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : FIXTURES-MULTIPLE
VALUATION : $ 2,180.00
NOTE: (1)REZNER HEATING SYSTEM
NATURAL GAS
4" FLUE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.09
MARSH HEATING&AIR COND TOTAL 51.09
6248 LAKELAND AVE N Payment(s)
MINNEAPOLIS, MN 55428- CHECK 85584 51.09
(763)536-0667
OWNER
(WELL NO. 3 PUMPHOUSE), CITY OF ORONO
BLAINE AVE
PO BOX 66
CRYSTAL BAY, MN 55323-
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
Sta[e Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires sepazate
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 construc[ion 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 conforman State Building Code.This permit may be
revoked at any time f r due cause
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Applic nt er 'tee Signature Date Issue y Signature Date
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FOR CITY USE ONLY
�/�'�,\� Ciry of Orono O`�-j
�1��0�� P.O.Box 66 Datc Rcccivcd: Pcrmit# � V`
� 2750 Kelley Parkway ---
q Crystal Bay,MN 55323 Approved By. Amount S: ��• �
! Phone(952)249�6Q0 Fax(952)249-4616
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C.�xrst�a��.�' CITY OF ORONO�MECHANICAL PERMIT
� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
L 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
VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 identitication 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 Apply)
❑Residential [✓]Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs Replace
Job Site/Owner Information:
Site Address: �3`�� '�j�2i� PJ�-�{"V� �°-�-
Owner: �� � ��v� Mailing Address: �"�� � � �K�,a
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City: �-.�,•�..-� Zip: �� ��
Home Phone: Alternate Phone:
Contractar Information:
Contractor: 2 � �-- Contact Person: -�v lL�v2( C��
Address: ��..��I c�'� �-2�c 12� r'�� State Bond#: M�r_� '3�"3 Z
City: �,x��� �.k Zip:�2�S°Expiration Date: ss �2�r_�t.-
Phone: �G- '3 `� 3�-- '�'�'�' � Alternate Phone: '7�l�" ��'7- 3=; 3�
� Insurance-Current: �
1
MECHANICAL SYSTEMS BEING INSTALLED __�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes �o
HEATING SYSTEMS
Quantity: �
Make: ���Z�`��"
ModeL• ���� �-1 �
Fuel: �A'C"
� +r
Flue Size:
Input BTUs: ���•'��t`�
oucput BTus: 3� ;��n
CFM: ti,�-
COOLING SYSTEMS
Quantity:
Make:
Model:
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 E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall 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 CALCUL�TION(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;excluding 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$50.00)
'� � �C� � x .0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
x.0005 $ 2�,���
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ a � � ~
• * 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 fumished 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 Ciry for issuance of a Mechanical Pernlit, agrees to do a11
work in strict accordance with the ordinances of the Ciry 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: ��2`�, /�
3
�� �� DAT TIME �
CITY OF ORONO CALLED IN 2-�
INSPECTION NOTICE SCHEDULED Z-Zlo-{S : D
PERMIT NO. "�� MPLETED
ADDRESS �� ��
OWNER T HONE NO. 3��7�J�
CONTRACTOR �
� DESCRIPTION
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED ALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUN ATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RA N SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ F AMING ❑ MECHANICAL FINAL ❑ PROGRESS
� NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 h rs in adv 52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notiee