HomeMy WebLinkAbout2016-00084 - mechanical CITY OF ORONO * 2 0 1 6 - 0 0 0 S 4 *
2750 KELLEY PARKWAY DATE ISSUED: OU26/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1951 CONCORDIA ST
PIN : 18-117-23-14-0011
LEGAL DESC : FAGERNESS
: LOT 010 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MLJLTIPLE
VALUATION : $ 4,070.00
NOTE: (1)LENNOX FURNACE-70,000 INPUT BTU'S
APPLICANT MECHANICAL 50.87
STATE SURCHARGE MECH(VALUATION) 2.03
ABEL HEAING&COOLING MAIL-IN FEE 2.00
6501 COLJNTY RD 15
M[NNETRISTA, MN 55364- TOTAL 54.90
(952)472-2665 Payment(s)
Minnesota State License#: mech-MB003400 CHECK 20774 54.90
OWNER
GILDEA TRUSTEE,ANGELINE A
1951 CONCORDIA ST
WAYZATA, MN 55391-
AGREEME1vT 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 rype 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 I SO days at any time after work has commenced.
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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cu�e.� / �2� /
Applicant Permitee Signature Date Issued ignature Date
�OR CIT USE ONLY �
� �O�\ City of Orono R E , �
/ P.O.Box 66 ���/�/ Date Receiv Permit# ���
� / A� 2750 Kcllcy Parkway r
� 1 Crystal Bay,MN 55323 J A� Approved By: Amount$:�
I Phone(952)249-4600 Fax�5�)�4�4�1'6��
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�qk f s N���" � CIT'��P�C��j►�?�Q-MECHANICAL PERMIT
_ (All Commercial permits must be appro�i��y the Buildin�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. 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. PERMI'TS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—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 �'Replace
Job Site/ Owner Information:
Site Address: ( � �J � L� �� �°�; ��� i� � c'. `.7{-r �.c -��
Owner: J U��i �J c� � (;�v'�:%6 j Mailing Address: `>� �r� .�_
City: O��c� �� r: Zip: S S � � )
Home Phone: lo ( Z - ��� f� �� �� � �' Alternate Phone:
Contractor Information:
Contractor: �� l -I u:. ,, : c � C�vt,.,t Contact Person: ✓r c%l �� ; �l ��.
�-.
Address: �5 C� � �vt��f� li�� �5 State Bond#: �1��(� �(� �� �/ � �
City: r1'1:nne.,�f;sf�LZip: SS56y Expiration Date: f�� 1 (�� � �'
Phone: '�5 2�`'l 7 Z" �-b�5 Alternate Phone: `� S Z " �`� Z-' 3 � � �
� Insurance—Current: �,2�,Q,,,�� P� V1'1 �c�'GccL�
1 �vt �o ll✓��i v�G f� �6�'t1���cYl l
� MECHANICAL SYSTEMS BEING INSTALLED
� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �-Aio
HEATING SYSTEMS
Quantity: �
Make: ���i Vt C��
Model: � ���(��b��t�x36�� �O �o
Fuel:
Flue Size:
Input BTUs: ��i��'
Output BTUs:
CFM:
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 Exhaust(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.)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS L1NE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. �
• PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�{ >
f v �v' �� x.0125 $ �� � <�
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE --7 -
N� /� ' ��� x.0005 $ � ' � �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
� N �, �
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 AGREEIVIENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, 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.
, _ ' , � �-�
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Applicant's Signature:;� �V �u �1� ��'"'�'��Date: � `'��� ��
3
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DATE TIME
CITY OF ORONO CAL D IN ---��
INSPECTION NO CE HEDULED
PERMIT NO. ������MPLEfED
ADDRESS �� ' �� T
OWNER TELEPHONE NO. ��` a��j
CONTRACTOR ��� �
� DESCRIPTION �Qr�� �""`
� ❑ FOOTING ❑ DEMO-FINAL �/ � �..n.p'L�'S�PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI / �/`- ����� ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J�FfhFfcL ❑ WATER HOOK-UP
❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ E R HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ PTIC INSTALL
� OWNERlCONTRACTOR TO MEET YOUy YES_NO
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y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �$pJECTCOMPLEfE
� ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector: ►�-� �
White CopyAnapecto�'s Flle Canary CopylSite Notice