HomeMy WebLinkAbout2016-00477 - mechanical . CITY OF ORONO * Z 0 1 6 - 0 0 4 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: OS/04/2016
' ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1310 ELMWOOD AVE
PIN : 07-117-23-41-0021
LEGAL DESC : SAGA HILL REVISED
: LOT 003 BLOCK 006
PERMIT TYPE : MECHAMCAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,000.00
NOTE: (1)LENNOX FURNACE AND A/C
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
SAYLER HEATING&AC MAIL-IN FEE 2.00
6800 WEST LAKE ST.
ST. LOUIS PARK, MN 55426- TOTAL 93.00
(612)702-6622 Payment(s)
CREDIT CARD 3833 93.00
OWNER
ETAL,GORDON NELSON
1310 ELMWOOD AVE
MOLJND,MN 55364
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 hereia 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 Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signatur Date Issued Signature Date
11/12/2010 04:20 9529222434 SAYLER HVAC PAGE 02/04
• FO CiTX USE ONLY �,1.
���rO City ofOro�o l,L �,()�(o_(J� I 7-7
� <y P.O.Box GG Datc R civ�d �� Permit�
27j0 Kelley Aurkway A�,
� li Crystal Aay,NfN>j323 Approved 4Y- �,„�,_Amount$: /
i � Phone(952)249-44V0 Fax(952)�49�616
, a � y �
\y �
F �
t ��' CITX OF ORONO--MECHAN�CAL PE��T
��KE�HOS�
�_ (F111 Comm�rc�a�permha muge be apprpved by��IIuilding Official or lnspccror and/or Firc Marshall)
GBN�RA�, INk'ORMAT�ON �
1. You may apply for meehanical permits by mail or in person at the City vffices. Appl�cac�ons will
be reviewed and a permit will be issued within rivo workit�g days.
2_ Permit cards wil!be sent by return mail aRer a review is completed. P�RMITS�K�NO"1'
VALID UT�TIL YOiJ REC�IVE A PERMIT. WORK NIUST NOT$EGIN LJPITIL'�'H�
PE�iMI�'CARD 1S POSTED ON THE JQB SiTE•
3_ Nlechanical Desi�s—Compiete calculations,details and speci�cations are required for each
heating,ventilation,k�umidi�cac�on-dehumidification,and air conditioning i�iscaalatton including
heat loss/heat gain calculation,design temperatures,equipment ratings rand ide�ti�catiott as to
type,ma�nufacturer and model. Data shal]be presented ot1�foXtx�pt'ovlded.
4. Wk1ep atly new constr�ction or remqdelin�is involved,a sepAt'ate bu�lding permit must be
obfained.
5. All work rnust be done in accordance with the Uniforrn Meck�anical Code/State Building Code
requirements.
6. All work must be ar�spected(rou�h-in and final). Call(952)249-46D0_
(24-4$hour notice required)
7. House Heating Test Record must be submitted before fina{,
�v��a��E�r �
(Claeck A�1�'hatApply}
�Residential ❑Commercial(Approval Aequired) [Back�ow pevice: ❑AVB ❑PVB)
T'
❑New ❑ Additional ❑ RepairS �Replace
Tob Site/Owner Infor�►at�on�
Site Address: l��ti ��-�`���h ���
Owner� Mailing Address
City: --- ZtP� --.,
a-Ior�ae�k�one: Alternate Phone:
Cotatxactor Informataon:
Contractor: St��l-r.1L W�T�Nce -� f�`� Contact Person: J�w.
.Qddress: �00 w►:5� t.f'�t� Si State Bond#: v� a-�.
City: �Si �..o�1S PA�tcZip:�� Fx�iration Date:
Phone: ���-�g�6���'� Alternate Phone: .,
❑ Insurance—Current:
1
11/12/2010 04:26 9529222434 SAYLER HVAC PAGE 03/04
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1�..�+Y�?��,��,'�P�_ �i'�i��'�`�.i���.T{�'�,CA�..���.7, .,�,.: � . ,.:: _
Note: All Geotk�ermal Systems will now require a Site l�lan&Review by our Suilding Ofrcial.
IS TH[S G�OTHERMAL? ❑Yes �.No
HEATiNG SYSTENIS
Quantity: �
�lake: LGNNO� � �
Madel: �LZ�t b�1-1050 ,
Fuel: D�1V1YJ1.Y'��. (oPfS __�
Flue Size:
1t�put�TUs: d9tDbc� --
OutputSTUs_ 8`��00p
CFM:
COOLING SYSTEMS
Quantity: � __
Nlake: 1,_£..�N o
NlodcL• xLiy-03p, _w
`rons: Z`'z .— —
H.Power
�IR�P�,ACES
❑ � Gas Factory�ireplace Drand Na�ne:
❑ Wood Burning Fireplace
❑ Wood Stave Model No.:
❑ Wood 5tove�vith Flue/Masonry
VEN7�ILATION
❑ No. Kitchen Exlaaust duct reciroula[i��g cfin
❑ No. Bath Exhaust(must hAve duCt oUtside) cfim
❑ No. Other�'ans: �,ocat�ons � cfm
�U EL S"fORAGE (Must be approved by FYre Marsha!!if pro,posing ta ahrrrrdon lank fir pince.)
❑ Installation � Ramoval
Fuel Oii: � galaon� ❑ Unde�rgrpund ❑Inside ❑Outside
�,P GaS: caflons
Otber-
GA�LINE ONLX
C] Outdoor Grill ❑ Othcr/Lisk Wl�at&Where: _
7
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11/12/2010 64:20 9529222434 SAYLER HVAC PAGE 04/04
.
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� ' ,�„ � ,,'; ,,, �i�'� � ��'� iT; ���,�s�� "�"� � , ,
}. �4NTR,�CT Pk�� *is 1.25%of contract price with a(Minimum Fee ot'SS0.00)
�lob0 � x.0125$ �1 •�
(contract priCc) (mioimum 55p,p1))
2. STATE StiR.CH,A�ZGE � $
��Qb� x.0005 $
(cwitract pricc)
3. POST,4GE Bc HANDI,ING(�ri1y on A�Iail-In Appiic�tions) � Z.
4. TOTAL PERMiT F�E(Add�,ines 1-3.�bove) $
■ '" CONTRAC7- PRICE or JO� COST moans the actual or estimated dollar amount cl�arged for the
permitted wOrk including�ziaterials,l�bor,profit;and other fixed costs. It is the amount to be ci�arged
to the customer for the work done. If any materia�,equ�ptnent,labor or installafions are fumished by the
owner, tenant or ai�y other party, the reasonable market val�te of such items must be added to the
estimated cost or contract price for permit fee pucposes. f��the evcnt tbat there is a disputc on tY�e amount
of the job cost, the Caty tnay request the submission pf a signed copy of the actual contr�Ct.
'' ' , ' ,ME�`�rA�cdL�£��T��pF�Xc�'���N ACvR����''�:.
� _.
The undersigned hereby applies to tl�e Ciry for isstiance of a Mechaniea3 Permit, agrees to d� al1
work in strict accordance with the ordinances of the City and the regulations of the State �f
Minnesota,and certi�es that all staterr�ents anade on this application are complete,true and correct.
Applicant's Signature: � Dfltc: ��3-1
3
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C� ��
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE �HEDULED
PERMIT NO. o�� ' �OMPLETED
ADDRESS �� l � �� ,�� � �-c�
OWNER TELEPHONE NO. a � ���1'
CONTRACTOR - �d�
�
� DESCRIPTION ��
�
W ❑ FOOTING ❑ D�MO-FINAL ❑ SEPTIC FINAI
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �-IAEGHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTIiACTOR TO MEET YOU:_YES_NO
� COMMENTS: �S � �
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W� O WORK SATISFACTORY:PROCEED �-PR6JECT COMPLETE
W ❑CORRECT WfORK E PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
for the ne ' ion 24 hours in advance. (J52) 249-4600
Ow rlContractor o
Inspecto . �"''
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