HomeMy WebLinkAbout2013-00759 - cooling system � CITY OF ORONO * z 0 1 3 - PJ 0 7 5 9 *
` 2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 11-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 3,613.00
NO"I�G: 1 PAYNG 3"I�ON AC
APPLICANT MECHANICAL 50.00
UPTOWN HEATING& COOLING STATE SURCHARGE MECH(VALUATION) 1.81
31 10 WASHINGTON AVE.N.
MINNEAPOLIS, MN 5541 1- MAIL-IN FEE 1.99
(612) 827-4674 TOTAL 53.80
OWNER
HANNAFORD, JULE&ELIZABETH
1220 BRACKETTS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work 1or 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 gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied N�ith whether or not specified herein.This permit will
expire and become null and void if construetion authorized is not
commenced��ithin 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�he State Building Code.This permif may be
revoked at any time for due cause.
`i��- � / / / /
Applicant Permitee Signature Date Issued �Si ature te
FOR c.�Tv�ISF oN�v
/��O City of Orono
f P.O.E3o�66 Date Received: Permit#
� � 2750 Kelley Park��a�
'` � Crystal Qay,MN�5323 Approved E3y: Amount$:
I Phone(952)249-4600 Fax(952)249-4616
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�q,��sN�����`� CITY OF ORONO—MECHANICA"L PERMIT
`�--�;_,,.� (All Commercial permits must be approved by the Building Official or Inspeetor 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 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,equipmert 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 [�'(�place
Job Site/Owner Information:
SiteAddress: /2L � �a4�4'�,�r� �<� ,. ,���_ .r' �/;-�..� r„�✓ ss"3`rl
Owner: tJu �` ���h���=�"`'f Mailing Address: �L z` ,3'��'�t�f� p-tif 2�/
City: (Ji—L����� Zip: f s ' ' �
Home Phone: �'�z— `� �3 �'�' '� Alternate Phone:
Contractor Information:
Li/ �Z'.c,o />G FJ.t) � L � Zr �., /Jx�r.-�r.,
Contractor: t� ' ���� Contact f erson: /� �
Address: :�;-;;� :-�,s%,,,�h..� ,Avl <^' State Bond #: ���,�' s c� z y�
City: �''�''` S Zip: `'S`/il Expiration Date: ��L -���' Z�%�-3
Phone: 4'� "-�"Z '�`/� 7y Alternate Phone:
�
� [nsurance—Current: ��� �t<�<<-�.ft�i /�rsu��.��
� �c,h,��.�/
MECHANICAL SYSTEMS BEING INSTALLED '
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes O�o
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity: �
Make: r, n{
Model: I�A%3 Na c 3�v
Tons: 3
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 bp Fire Mars/zn!/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�'EE CALCULATION(S) � � � ��
BASEU OFF - 2002 STATE STATUE �
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�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 C�1LGU�,ATION S) '-J�OBS�OVER$SQ0.0�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�f G /j � ..r
' x .0125 $ f� � �K" •` `H...�
(contract price) (minimum$50.00)
2. STATE SURCHARGE S
� � �` �3 x .0005 $ � �`�
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ���
■ * 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 Per�nit, 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: � 7 � �" ��
`/
3
y AfINNESQTADEPAHSMENTpR MECHANICAL CONTRACTO�R BOND
_ LABOR & INDUSTRY
�
Construc6on Codes and Licensing Division Licensing and Certificatlon Services 443 Lafayerie Road N Sl Paul,MN 55155
Website: www.dli.mn.aov/cCld:aso Email: dli licer���tate mn us Phone: 651.284.5034
This is to certify that the certificate holder is registered as a MEC}iANICAL CONTRACI'OR BONU in d�e state of Minnesota and is in compliance
with Minnesota Statutes 326B.197,and has filed a$25,000 mechanical bond to perform gas,heating,ventilation,cooling,air conditioning,
fuel burning,or refrigeration work in all areas of the state during the registration period;provided the work performed complies with
the State Mechanical Code and the certificate holder maintains compliance with the required bond and workers'compensation laws.
Registration : MECHANICA�.CON7RACl'OR BOND �
RegNumber : MB005413 UPTOWN HEATING &COOLING
Effective Date : 10/15/2012 311O WASHINGTON AVE N STE100
Ezpiration Date : 10/15l2014 MINIVEAPOLIS, MN 55411 �
VERIFY UP-TO-DATE STATUS, l30ND,AND INSURANCE INFO ATwww.dli.mn.qov/ccld/LicVerifv.asp (ENTER NUMBER).
DATE TIME r l
CITY OF ORONO CALLED IN ��
INSPECTION�I�TICE SCHEDULED
PERMIT NO. j ����� � ' '4��coMP�erE� -�,Z
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ADDRESS /�3r.� .�--a�.F.:,fz��; .�Ai�. �C! -
OWNER TELEPHONE NO.
CONTRACTOR L'/�L`-�u:�t ,fjL,rL�. zr !� �� �
� DESCRIPTION �` �- .��f�'! � ��.
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �AL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. �QLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ,T�a:v��� f1 rs �c�c? :� t�r./P�� � �� //
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W� O WORK SAT�FA�TORY:PROC�EPD���y ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN O CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advan . (952� 249-4600
OwnerlContractor on site: �
inspector. �,i �- '�
White Copyllnspector's Flle Cenary CopylSite Notice