HomeMy WebLinkAbout2016-00861 - cooling system CITY OF ORONO * Z 0 1 6 - 0 0 8 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 430 BROWN RD S
PIN : 03-117-23-42-0011
LEGAL DESC : STRONGHOLD
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 4,000.00
NOTE: INSTALL A/C
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 2.00
KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00
12907 PIONEER TR
EDEN PRAIRIE,MN 55347- TOTAL 54.00
Minnesota State License#:mech-658861 lb PC646240 Payment(s)
'p g CHECK 13352 54.00
OWNER
BREHM, EDWARD&KRISTEN
430 BROWN RD S
WAYZATA, MN 55391-
AGREEMEIVT 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 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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Appli nt Perm�ee Signature Date Issued ignature Date
�O� OR TY USE ONLY � ` /
City of Orono � ��
O P.O.Box 66 Date Rece' Permit#�^z=�L-
2750 Kcilcy Parkway
Crystal Bay,MN 55323 Approvcd By: Amount,�L�
� Phone(952)249-4600 Fax(952)249-4616
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�.�k�5�i����. CITY OF ORONO-MECHANICAL PERMIT
__ (All Commcrcial permits must be approvcd by thc Building Otticial or Inspcctor and/or Firc 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�—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 fvrm 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) ��� � � 2p16
7. House Heating Test Record must be submitted before final.
NO
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ��j l7 ��0 W I� I�-0 A� J(��}'�, V t G U�l/ � , �/1� �3�j
Owner�(�Id/�.D �5�.�(-( Mailing Address: �` � �
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City: Zip:
Home Phone: t 5a'- ��3� ��� Alternate Phone:
Contractar Information:
Contractor: �.�t ��'C I�IC Oft�41�1C�- Contact Person: ���i�' �l�-�((.,C,
Address: �Z`10-7 �lo�v�E-2T/!�r� State Bond #: �/IB (�S�$� I
City: C D�� ��2(�Lip:,�31./'�Expiration Date: �- �{- ��
Phone: �`� � �`� � '�Z�� Alternate Phone:
,�, Insurance-Current: �U �5��-�(t n/ �/�'(�pN q��
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
1S THIS GEOTHERMAL? ❑ Yes ❑ No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS /�
Quantity: ll� ���/�
Make:
Model: 0�(p
Tons: � �U N
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) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal[if proposing to abandon tank in place.)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE 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)
l�vV x.0125 $ �
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE ��\
���� x.0005 $ 2 "�O
(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. 1t 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 pnce for permit fee purposes. ln 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 far issuance of a Mechanical Permit, agrees to do all
work in strict accor ith the ordina of the City and the regulations of the State of
Minnesota,and c ifies that a statement mad this pplication are complete,true and correct.
Applicant's Signa e: Date: � � I'(� � I �
3
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DATE TIME
CITY OF ORONO CALLED IN J�����/I� �-�U
INSPECTION NOTICE SCHEDULED
PERMITNO. .�nll������� /�oMPLETED
ADDRESS y �O 'J��-'l� /Lnl S
OWNER TELEPHONE NO. ���
CONTRACTOR /��PP L1� I'�-CQ-f �
�; DESCRIPTION �/C ���� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho in advance �249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice