HomeMy WebLinkAbout2011-01564 - mechanical ' ' CITY OF ORONO PERMIT NO.: 2011-01564
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 12/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1635 CONCORDIA ST
PIN : 17-117-23-22-0040
LEGAL DESC : REG. LAND SURVEY NO. 1628
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 2,800.00
NO'1'E: (1)REZNOR UDAP-75-NATURAL GAS
APPLICANT MECHANICAL 50.00
TOTAL COMFORT STATE SURCHARGE MECH (VALUATION) 1.40
4000 W[NNETKA AVE N
SUITE 10 MAIL-IN FEE 2.00
NEW HOPE, MN 55427- TOTAL 53.40
0 PA1D WITH CC# 3913
OWNER
ALTON, LISA
1635 CONCORDIA ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
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
shail be compied with whether or not specitied 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
requested in conformance with t e State Building Code.This permit may be
revok�d at any time for due ca
� �i /�'� // - /�-/ � //
Applicant ermitee Sig Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
12/19/2011 10:26 7633838560 TOTAL COMFORT PAGE 01/03
� 0 Cl . US.E ONLV j � /_/ C'�
— City pf Oro�Q Date Reccivcd: Permit� v J
���' P.U,Box fi6 /�mou -��—� `�
� � 7750 Kellcy Parkway Apptoved By: �
�-y�` ' Cry5tA1 f3Ay.MT`�S53Z.3
�, �' t � .� Phonc(�52)249-4600 Pox(952}249-�1G 16
� CITY OF ORONO�tM.E`CHA N��Ct�L3PER nNLiT���Ma�nAm
(�II C�mmcTcial pcnnits must be aPP
GENERAL INF�R��'TIdN Iications will
1. You.may apply for mechanical permits bY►�nail or in person at the City o'ffiees. App
bc reviewed and.a pe�rmit vv�11 be issu.ed.witttin two working days.
Z, permit carcls wi11 be sent by return P��1Ta��,ORK MUST Nd .T. B��N UNRiL T�1E
VAL[D UNTiL YOU RECT'c1VE A
PERMI.T C R iS P 5 ED O TH JOB iTE.
3. echa.nical De i s—Complete c�leu.lations,details and speeifieations are requ.ired.for each
heating,ventilation,rumidification-dehumidification,u dme t�ratings 3T1d 1aETli1'FCatl�fl 33 tQ �
hcat loss/heaC gain calculation,design temperatures,eq .p
rype,manufacturer and mode1. Data shall be presented on f a a e buil�d ng pEr[n�c must be
�1, VJl�en any new construction or remodeling is involved,a sep
obtained.
$. All work musC be dcme in accordanco with Che Unii`otm MechanicAl Code/State Buil�ling Co e
requirements. q5 249-4600.
�, All work must be inspected(rough-in and'final). Call (. 2)
(24-48 hour nodce requircd)
7. Housc Heating Test Record must be submitted before final.
TXPE Ok' PER�I+IIT
Chec�A,11 That A 1
�Residenti�l ❑Commercial(A�proval Required)
Re airs ❑Replace
0 New []Additional ❑ �
Job Site / Owner Iz�formation:
Site Address: '�635 Concordia Street
. Robin Alfion 1635 Goncordia Street
Ov�mer_ Mailing Addr.ess:
c��y:
�rono r;p: 55391
Hom.e Plzone: Altemate Pl�one:
(612) 670-1080
Contractor Information:
Contraotar:
Total Comforfi Contact Person: Yiffany Kline
4000 Winnetka Ave S�te Bond#: RL1681875
Acldress:
Ci New Hope Zip;55427 Expiration Date: O9I3O/�2
tY:
Phone:
(763} 383-8383 ,�lterrnate Phon..e: (�63) 383-8510
❑ Indlana Insurance-Current
I:nsuran.cc—Current:
1
12/19/2011 16:26 7633838500 TOTAL COMFORT PAGE 02/03
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Nvte: All Geothermal Systicros will now[equ.ire a Sitc Plan& Review by our Building O'ffici.al.
15 TI�iS GEOTkiERMAL? ❑Yes a No
HCATING SYSTEMS
1 _ –
Q«��t;Ty: — - — — —
Reznor _ -
Makc: _ �— � —
Moae,: U DAP-75 _ __ � _.
Natural Gas
Fue1: — — ' —
Flue Sixe: - —� � �
Input BTUs: — -� -
Output BTUs: _ —� • —
CFM: _. . - — .- — - —
COOL�NG SYSTEMS
Quantity: , -- � — — -
Mrxke; _ . �— —
Model; _, _ �� � —
Tons_ _ . .— � ,
H.Powcr _ — —
FIR�PLACE
[� Ga.s Factory Fireplace Brand Namc:
❑ Wood T3uming Fireplace
❑ Wood.S[ove Mod.el No.: _ —
❑ Wood Stovc with Flu.e/Masonry
VFNTI.L.TA, iON
[� N�_ ._ Kitchen Exhaust duct __recircutating _ cfm
� No, _ 8ath Exhaust(must l,avc duct outside) -��
�] N�. _ Other Fans; Locations., _. cfm
FL1EL S RAGE (Musl be opp�oved by Fire MaTshall if prnpo.�ing lo ahahdo�lank i�place.)
❑ lnstallation ❑ Removal
Fucl Oil: gallons ❑ Undcrground ❑inside ❑ Outside
C.P Gas; gallons
Othcr; ! ,
GAS.L.�I�iE�NLX
� Garage Heater _
Owtdoor Grill ❑ Otlier/List What& Where:
2
12/19/2011 16:26 7633838506 TOTAL COMFORT PAGE 03/03
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�] Yes,this section applies
The replacement of s Residen ial f�r�aPp>i�that meets all three ot'tl�e follawing rcquirement,g:
1. Dacs not require modiFcation to eicctrical or gas service,
2, Has a total cost of$500.00 or less;excludin the cost of the fixture or�ppliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractar.
Sk.ip next scction, if this applics; Cost of Pcrmit $ 155i00
State Sur�harge $ 5.00
Mail-In Fec(if Applicable} � 2•��
Total Permit Fee $
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!:�ICut;7ldlll•.'!I�iiL�'a�!i�J,rj��i�i�d���I�9i�� . I�, �'> > .
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Tf above does nat apply;follow guidelines below:
1. ONT ACT PRIC * is 1.25%of contracl price with a(Minimum Fee of$50.0(1)
2,500.00 ,� .o�zs$ �0.00 _
(eont7acT pricC) (minimnm SSp.QD)
2. STATE SURCH RGE 2�gOO.00 x .p005 � �-4O ._
(contr�cr prioc)
3. POSTAGE&HANDLING(,Only on Mail-In A,pplications} $_ �' —
4. TOTAG PERMI.?FEE(Add Lines I-3 Above) �� �����
� * CONTRACT PR1CF., or J08 COST means thc a.ctual or estimated dollar amau.nt char�ed for the
permitted work including materials, labor, profit. and other fixed cosls. It is the amount to be charged
tn che customer for the work done. If any material, equ.ipment, labor or installations are furnished by
the owne�, tenant or any othcr party, che reason�ble market value oi'such items muse be added to the
estima.ted cost or contraet price for permit fee pu.rposes. ln the eve�nt th�t there is a dispute on the
amou.nt of the job cost, the City may request che suhmission of a signed �opy of the actual contract.
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The undersigned hereby applies to the City for issuancc of a Mechanical Perm.it, a�rees to do all
wark in strict accordanec with 1'he ordinances of tlle City a,nd the regulations of thc State of
Minnesot'a, and certifies that all statements made on this application arc complete, truc and
corrcct.
�
Applicant's Signatu. e:
Date: �2�16111
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� /�D°� � TIME �
CITY OF ORONO CALLED IN /
INSPECTION NOTICE � SCHEDULED �� %
PERMIT NO. —�� C�"^P� �
ADDRESS
OWNER TELEPHO\N� NO. 7 �1��g 3���
CONTRACTOR
�1 � �/
j: DESCRIPTION Ci�� � ' �v� '�'!
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ��4ECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATiON/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑C�RRECT WORK,CPtLL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECQNDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
'-;CITATION ISSUED
❑STOP ORDER.POSTED.CAIL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-Q6��
OwnerlContrae#or on site:
Inspector. /1 �
White Copylinspector's File Canary CopylSite Notice