HomeMy WebLinkAbout2013-01322 - heating system , ' CITY OF ORONO * z 0 1 3 - 0 1 3 2 2 *
2750 KELLEY PARKWAY DATE ISSUED: 12/30/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 1]-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,429.00
NOTE: 1 BRYANT NAT GAS FURNACE
APPLICANT MECHANICAL 67.86
STATE SURCHARGE MECH (VALUATION) 2.71
UPTOWN HEATING&COOLING MAIL-IN FEE 2.00
31 IO WASHINGTON AVE.N. TOTAL 72.57
MINNEAPOLIS, MN 55411-
(612)827-4674 Payment(s)
CHECK 33837 72.57
OWNER
HANNAFORq JULE& ELIZABETH
1220 BRACKETTS 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 eommenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance wi[h the State Building Code.This permit may be
revoked at any time for due cause.
`�I.t'�,t'c�f �y✓l— l l
Applicant Permitee Signature Date [ssued By ignature Date
� � � ___ ___ FOR CITY t?SE O\Ll �"__�
o Cth'of tJrono
'� � �jti�� P.Q Box G6 Date Recen�ecl: Permit=
�..� `� 27i0 Kelle}Parkwav
� � Cr}•stal Bay,iVIN 35_�?� Appro�'ed By: Ainount S:
1 Phone(952)239-4600 Fax(9>?}?�i9-#616
,i �I!
�`�!�,�i,st��y,��"% CIZ'Y 4F ORONO—i11ECHr�NICAL PERNII'T
(All Cammeic�al perroits uiust be a}���roce�l by dt�Eiu�lduae Official or Lupector antL�r F�irc D,4arsluffl)
_ _ �
G�NERAL INFOI2I�4ATION
l. You may apply for mechac�ical peiniits by mail or in persan at tl�e City offices. App(ications��ill
Ue re��ie���ed arid a peniait w�ill b�issued wiihui two�=o►•king days.
2. Per�riit cai-ds will be sent by ret�xr��►nail aFYea-a ree iew is complefeci. PER?�1IZ'S ARE NOT
�r1LID L�NTIL 1'OtT 3tECBIVE A PERMIT. WORK�Zti�ST NOT BECyI:�[JI�TIL THE
PERMIT CARD IS POSTED O\THE JOB SITE.
;. l��echai�ical Desi�ms—Caaxipiete calatilatio►�s,details arzcl s�ecificacions are reqYiired for each
heaCine,ceiitilation,lli.unidification-delnuz�idifcaCion,anci air conditionui�installatioi�incli�ding
heaC IossJheak gain calculatipr��desigi�terxiperatiires,eqitipmei�t ratings and identificatzoi�as io
type_manufacturer anri znadcl. I7ata shall be presented an fonn provided.
4. Wtien an}�neu-•cansfnictian ar reznadelin�is invol�-ed,a separaxe bi.iild'ui�pennit�Y�ust Ue
obiained.
5. All work inust be done in accordante witli the Unifocm\�fechanical CocielState B�iildine Code
requiremen[s.
6. All work must be itxspected(rnuuli-in ax�d fuxal). Call(9S2)ZA9-4600.
(24-48 hour natice i•equired)
7. Housc�ieatine Test Recard x��ust�be stzbnzitted befo�'e fmal.
TYPE OF PERI�IIT
(Cheek All That Appl��)_
� Residetttial ❑Coimnercial(A�pro��al Requu•ed)
❑New ❑�dditional ❑Repairs [i�epl�ce
Job Site I 4wner Infoi3natioti: �
, � ,
Site Adctress. ,,,' �`:1`�-� ��, '� I �:'��
Owner: %�� L� � ` _ Mailiug Address: 1� �� i��%��r�:7 k%i `�✓
C'itSr; �:. , ; Zi�: ��> 3�1�
Haiiie Phone: `'��.�- �-1 I 3���. >' ��� AltetYiate Phoi�e: ``f`>)- �?��1- i-����>°�
� CO11tT8C10T�f1�01'1Z21tlOri � � __._
Gonhactor: �/��"r�.,�; ;� Z��c.- Contact Person: "%�r.���
Address: Sii� .� .��.,ji ,��c�1,,�� ����..<� .'U� Stafe Bond�: �(i`-1� ��.�`�+E
City: ^1��✓�,/- ,uj��5 Zip::� ���,�, Expiration Date: ��=� �� ���I
�-i .-�� �- � �
Phone: ���,) ��.�� 1 F:li.� Alternat�PZione_
❑ Insurauce—Cturent:
1
MEC'�LgNICA,L 5�'YSTEMS BEING INSTaI..LED ,' �"' _ '�
\ote: All Gcotlicizrial Systciris will ri�ti�rccjuire a S1te Pl�ui c�Review by oiu Buildiri�O��iclal.
IS THIS GEOTHERNIAL? ❑Yes [No
HEATING SYSTElYi5
Quantity: (�-;�'v`�-
Make: K-t �;;"�
ModeL ����� 7
Fuel: � ;-1`�
Fhte Size:
Ii�put BTUs:
Output BTUs: �'i�L�[__`'�-�,.;
CF�i:
COOLING SYSTEMS
puantity:
Make:
Iviodel:
Tons:
H.Pow�er
FIREPLACES
❑ Gas Factoiy Fireplace Brand Nam�:
❑ Wood Biuning Fi�•epl�c�
❑ V1r'ood Sto�-e Model No.:
❑ Wood Stove with Flue/Masoiuv
VENTILaTION
❑ ItiFo. Kitehen E�aust duct recirculaking cfin
❑ No. Bath Exhaust(m��st have duct oiitside) cfm
❑ I�o. Other Fans: Locaiions cfin
FtiEL STORAGE (�'�lcist Ge npproved by Fire Mnrshall ifpsoposing to abandon tank i�t�Lnce.)
❑ Ii�.stallation ❑ Removal
Fuel Oil: sallons ❑ Undergrowid ❑ Inside ❑C?utside
LP Gas: gallons
Otlier:
GAS LI1`E O:�'LY
❑ Outcioor Grill ❑ C�ther/List\V1iat&��here:
2
PER.I4IIT FEE CALGULATIOl�(S) � � �
BASED OFF - 2(}QZ STATE STATLTE
❑ Yes.Fhis sectioii applies
The replac�nient of a Re�ideiltial t3�:hirz or ag�liarice diat meets all ttvse of the follov4ing requirements:
1. lloes nnt require riiodificatinri tn electrical or gas ser�•ice.
2. Has a total cost of�500.00 or less;excludin�ttie cost of the fisture or appliarice:and
3. Is impro�°ed,installed or repl<�ced by the hoitteo�rner o�•licensed contractor.
Skip riext sectioci,if t}iis applies: Cost of Pennit � 15.00
State Surcliarge � 5.00
Mail-Iri�'ee(Tf Applicable) S 2.00
Totat Pee•mit Fee S
_. _. _ _�._ ___ � .._ _
� FERMIT FEE G�LCUL�TI(�N('�}—JOBS OV�R$500.00
I1 at�o�e cioes not applv: follow�suictelines t�elaw:
1. CONTRACT PRICE * is 1.25°fo of contract price with a{Minimnm Fee of^�5p.pp)
, _. _
r�L)C� �`'� �
x.oizs $ E���( ��
(contract price) (miain�una�50.00)
2. STATE StiRCHARGE � ,�
�� ����I x.0005 $ �=�- `%
(contrac[pnce)
3. POSTAGE�:H��1DLI�G(Only on Mail-In Applications) �_�_,._. 2.00
4. TOTAL PERIVIIT FEE(Add Liues 1-3 AUove) � 7� '
■ * CONTRACT PRICE or JUB C08T means die achial or estunated dollar auiount cliarged for the
pennitteci�3�ork includuig n�aterials, labor.profit,and other fixed costs. It is tl�e a�nount to Ue chargeci
to ttie ciistot��r for tkie woa�k do�ie. If any inatexial, equipiz�ezit, labor m�installatiorxs aa-e fiirnzsYxed F�y
tlie ovvner. tena�it oi•any other pas�ty, tl�e reasonable m�•ket value of such items inust be added to tlie
estimated cost or conh-act price for pen�iit fee �u�poses. I�i the event that there is a dispute ofi die
amounC ot the job cost, tl�e City n��ay requesr the s�bmissioFi of a siened copy of the acnial contr�ct.
�
r; . __; ' Ni�C�3CA�TI��� "�A��LICATION��'rRFEI�IENT ,:.. =� :- ,
The �uidcrsi�;�cd hereby applies to the City far issu�titcc of a 1��lechat�ical Pennit, agrees to du all
work in sQ�ict accordaz�c� w�itt� the ordiriarices of� thc City and tl�� regulatzoris o'Y tl�e State of'
Mitmesoia. and cei�tifies that all statements made on rhis application are c�mplete, tnie and
conect.
Appticant's Signature: � � � Date: �����I- ��
<--
3
�D/3 ``�'� TE TIME Y
CITY OF ORONO Q ��� CALLED IN `
INSPECTION TIC�zS�SCHEDULED �— �
PERMIT NO COMPLETE
ADDRESS � �
OWNER pN O�/� -�5�8�a��
n
CONTRACTOR
� DESCRIPTION
l~ii ❑ FOOTING � PLUM ING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POUFED WALL ❑ HANICAL RI ❑ LAKESHORENVETLANDS
�
Q ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ 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 �WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 h in a ance. (952) 249-4f)0�
OwnerlContractor on site:
�� 6
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice