HomeMy WebLinkAbout2012-01132 - mechanical - CITY OF ORONO * z 0 1 z - 0 1 1 3 z *
� 2750 KELLEY PARKWAY DATE ISSUED: 1U07/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3980 DAHL RD
PIN : 08-117-23-23-0001
LEGAL DESC : UNPLATTED 08 I 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 29,500.00
NOTE: 2 BRYANT NAT GAS FURNACES
1 TRIANGLE NAT GAS
2 BRYANT 3 TON AC
] KITCHEN EXHAUST
9 BATH EXHAUST
GAS LINES 2-FURNACE, l BOILER, 1 FP, 1 RANCE, 1 DRYER
APPLICANT MECHAMCAL 368.75
HEATING& COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 14.75
18550 COLJNTY ROAD 81 TOTAL 383.50
MAPLE GROVE, MN 55369-
(763)428-3677
OWNER
MCGLYNN, THOMAS& TONI
3980 DAHL RD
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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 commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Bui]ding Code.This permit may be
revoked at any time for due ca�.
- � _, .,
_.�J-- ����/��— i/l i l / r._ l l
Applicant Pe � ee Signature Date Issued By Sign e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
��� � Cit of Orono I�Ok2 C1=1Y USE O�A'�LY �
'���\ P.O Box 66 � —
��� ��ate Received � Permit 7 �
„ f �, � 2750 Kelley Parkway ��
� �71���'�- �� Crystal Bay,MN 55323 � � � �� �
11it"��j�;��j (952)249-4600 ��PProved py .4mount�:
kea xo¢, . ..
CITY OF ORONO - iVIECgANICAL PEI2NIIT
(All Commercial permits mus:be apnrcved by the Building Otficial or Inspector and/or Fire Marshall)
G�NERAL IivFORNIATION
� 1. You may apply for mechanieal pernuts by nlail or in person at the City offices. Applications will �
be reviewed and a permit will be issued within t�vo working days.
2. Permit cards will be sent by reriim maii after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. `VORK MUST NOT F3I',GIN UNTIL THE
PERiI�IIT CARD IS POSTED ON THE JOB SITE.
�. Mechanical Desi ns—Complete calculations, detaiis and specifications are required for each
heating, vei�tilation, hunudification-dehunudification, and air conditioning install�arion including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on fornl provided.
4. When any new conshuction or remodeling is involved, a separate building pennit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All �vork 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 PERIvIIT
. � (Check Al1 That ApPiY)
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional
❑ Repa�rs ❑ Replace
_Job Site/ Owner Infornlation: -�
Site �ddress: � �� �
�
O�vn er:
� Mailing Address:
City:
Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person:
HEATING & COOLING Tti1,�0 INC.
Address: 18550 Countv Rd 81 1�. �"•
Maple Grove, MN 553 State Bond #: !�`� D03y0 �
69-9231 �
City: (763) 428-3677 �
. , o�p� Expiration Date: � Gj /t{
Phone: Alternate Phone:
❑ Insurance- Cuiz-ent:
1 —
�--- � ' �IECFIr�NICAL SYS'I�EN1S BEING;INSTALLED _
FIEATING SYSTEI�IS
Quantity: �-�
Make: �
Mode1: � �j
Fuel: ��
Flue Size:
� � �i
InputBTUs: ��C UQ C�E�[7 �Q �Yv
Output BTUs:� Q�l.� �-- � � �
��
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model: Z
Tons: ���� �✓�
H. Power
FIREPLACES
� ❑ Gas Factory Fireplace
��
� �� �,,�1 Bur„i,,� }�ir�place
❑ �V"ood S[o��e
❑ Wood Stove �Vith Flue
Biand Name: �
-- Model No.:
VENTILATION
❑ No. Kitchen Exhaust.__�_duct J�
� N0• Bath E�aust(must have duct outside) recirculating ��i��
❑ No. Other Fans: Locations ��►�.�'�2 cfm
c fm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
� ❑ Installation ❑ Removal
Fuel0il: gallons � �
LP Gas: ❑ Underground ❑ Inside ❑ Outside
gallons
Other:
GAS LINE ONLY j���, � ���/��_� �
�"—T Ol�
� Outdoor Griil ❑ Other/List What&Wh�`� ���,���—(���' _�
�
2
•
' PERMIT FEE CALCLTLATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap liance 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; excludinQ 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� � _.;,' ,� t; :PERMIT°FEE CALCULATION(S)—JOBS OVER�500.00.`a r��..�� �:��
If above does not apply; follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�� , � � x .0125 $
(co ract pncc) (minimum�3�.00)
?. ST�1TE SURCFI�ItGE "•`�` �cic1 the �[ate Bldg Code Uiv. Surchar�e (tiiinimum Fee of�.501
x .0005 $
(conh�act price) (minimum� .50)
3, POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pernut 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.
' **The STATE SURCHARGE is .0005 of the Building Department at(952) 249-4600 for the price.
w 4= .� MECHANICAL PERMIT APPLICATION AGREEMENT„
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 state s m�de i application are complete, true and
correct.
Applicant's Signature: Date: ��'— c� `�
---�
3
� � � ✓DI�E J TIME V
CITY OF ORONO CALLED IN � 1(J ��
INSPECTION NOTICE SCHEDULED �'�� 9:�
PERMIT NO.�4!o� -Ol/3� COMPLETED
ADDRESS ��� ��t-� �
OWNER _ TEL�F.PJ�ONE NO. a��J��SS,�]
CONTRACTOR y
>; DESCRIPTION
� �� �°L''
111 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ 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 FINAI ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
o M�-� n� M�.�--cs� fie S� OC
�
� �t n ��� �� �r� �
W
�
Q
�
z
W
�
W
�
�
GW ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46��
OwnerlContractor on site:
Inspector. ,. �/ � �
White Copyllnspector's File Canary CopylSite Notice
,I�� T �`�/ DATE TIME ✓
CITY OF ORONO CALLED IN �- -�
INSPECTION NOTICE D//2�CHEDULED /�/5- /3 �'6�
PERMIT NO.�.7h/�— �� CO LETED
ADDRESS E,
OWNER TfFL�PHONE NO.���'".3���y
CONTRACTOR ti � ��
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW '�dARKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on s'te:
Inspector. � '
White Copylinspector's File Canary CopylSite Notice
�� ` D TE p� Tc,I ✓
CITY OF ORONO CAL�ED IN 2���—�� '.�
INSPECTION NO ICE SCHEDULED �-I S•�3 � � W _
PERMIT N0. �� (2-��� 3 a' COMPLETE
ADDRESS �� �� ��'�� � �
OWNER TELEPHONE NO. � �2� 3�3"'���
CONTRACTOR �I��� C 011�' �e r r ti C�o�
>: DESCRIPTION �h � � ���-�- (�-
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G DING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
�
�
GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�����❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on site:
Inspector. G j��(� , �
White Copyllnspector's File Canary CopylSite Notice
��"'� D TIME �
CITY OF ORONO CALLED IN �l
� or
INSPECTION.NO��E SCHEDULED
PERMIT NO. �'� DC'��COMPLETED
ADDRESS 07��D �rL�-K.t
OWNER TELEPHONE NO. Z— �3 �SL°�
a�-c -�-CoD l r� w a
C�NTRACT�R _� � l �
�: DESCRIPTION ��� �"" '"n ` ' ��r ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
o � �c� NQ �
�
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d /�'�
W� L�wVRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � �-�
White Copyllnspector's File Canary CopylSite Notice