HomeMy WebLinkAbout2016-01084 - mechanical � CITY OF ORONO * Z 0 1 6 - 0 1 0 8 4 *
� 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 65 FERNDALE GREEN
PIN : 36-118-23-44-0026
LEGAL DESC : FAIRWAY HILLS ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 3,800.00
NOTE: REPLACG:COOLING SYSTEM(BRYANT)
APPL[CANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUAT[ON) 1.90
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA, MN 55439- TOTAL 53.90
(952) 835-7777 Payment(s)
Minnesota State License#: mech-MB004828 CREDIT CARD 8852 53.90
OWNER
LAPERRE, TIMOTHY&NANCY
65 FERNDALE GREEN
WAYZATA, MN 55391
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
shail be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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. ���
1
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Applicant Permitee Signature Date Issued B Signature Date
From:Pronto Heating and Air 9521-767+9170 09/06/20Y6 07:33 #276 P.002/004
FOR CiT�'USE ONLY
�-��� City of Orouo
� �oNo P O 13ox 66 Date Received: � Pennit,#�ps a��
2J>0 Kelle�°Park�a�ap �
�, Crysial IIay,A1N i5323 Approved F3y: �_ Amoum 5: ��
� Phone(952)249=3600 Fa�(9>^_)249-4616
�/
S �
\���5_"_°��/ (.A�t c'omm�rCITY tOFsOROrNO t—ME C�HAoNI'CAL PERMIT
p pp y b � c�or andlur Firc f�4arshall)
GENERAL INFORMATION
1. You may apply for mecha�tical permits by mail or in person at the CiCy offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards wil]be sent by return mail afler a revie��is completed. PL-RMITS ARL NOT
VALID UNT'IL YOU RECEIVE A PERMIT. W'ORK MUS7'NOT BEGIN UNTIL 7'HE
PER:�4IT CARD IS POSTED ON THF 30B SITF,.
3. Mechanical Desi��s -Complete calculations,details and specifications are required for each
heating,ventilarion,humidification-dehwnidification,and air conditioning installation including
heat loss,�heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and modei. Data shal!be presented on form provided.
4. Wl�en any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be do»e in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work musf be inspected(rough-in and ti�ial). Call(952)249-4G00.
(24-48 hour notice required)
7. House Heating Test Recoi•d must be submitted before final.
TYPE OF PERMIT
Check All That A I
[�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additiona! ❑Repairs �Iteplace
Job Site/Owner Information:
Site Address: �� r��1,�.,1 Q(�P __�/�/Q-(�(/�
Owner:�� ��.���� Mailing Address: �� ���p vl��.�
City: ��`l� Zip: �/1Gj'�'JGl �
Home Pho�ie: ���-�f��.(Jl!�.�--� Altemate Phone:
Contractor Information:
t����� �1��� (�(�t�
Contractor: � Contact Person:
Address: �1.�,T/I Ct/t.�/tt�l �. State Bond#: ��'jlN��"f�
City: � �ti11G1. _ Zip:�l_��Expiration Date: �-����_
Phone: "t V1�"��rJ'���� Altemate Phone:
❑ lnsurance—Cui7•ent:
I
From:Pronto Heating and Air 952+767+9110 09/06/2076 07:34 #276 P.003/004
MECHANICAT;SYSTEMS�E1NG INSTALLED
Note: All Geothennal Systems will now require a Site Plan& Re�iew by our Building Officiat.
IS THIS GEOTHERMAL." ❑ Yes '�I�ro
I-IC;ATING SYSTEMS
Quantiry:
Make:
Modef:
Fuel:
Flue Size:
Input BTl's:
Output B"rGs:
CFM:
COOLING S�'STEMS
Quantity: �
Make: �- ��.lL —_�__._, __—_.�—__ —�—�
Model: ll �/ _ _--- -��.—_— �—._�— -------
Tons:
H.Yower
�IRI:PLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace ---
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry - --------
VENTILA'I'ION
❑ No. _ Kitchen Exhaust duct recirculating �_cfin
❑ No. _ _ Bath Exhausi(must have diict outside) cfm
❑ No. __i Othe,-Fans; Locations __ _ _ cfm
FUEL STORAGE (.�llust be approved bp F'ire Marshal!if proposing to abandat tunk ru p/ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underg•ound ❑Inside ❑Outside
LP Gas: ^__gallons
Oth er:
GAS LI1�E ONLY
❑ Outdoor Grill ❑ Other/List VVhat&Where:
2
From:Pronto HeatincJ and Air 952+767+9170 09/06/20�6 07:35 #276 P.004/004
PERMIT FEE CALCULATiONS
l. CONTRACT'PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��i " '� x .0125$ �__�
(contrac�price) (minimum 550.00)
2. STA7'E SURCHARGE (�„�.�
—__��U U x ,0005 $ /�
(con(rac�price) �— —���SL__.--
3. POSTAGE&HANDLI�G(Only on Maii-In Applications) $ _� _
4. 'TO"!'AL PERMIT FEE(Add Lines 1-3 Above} � � �.��
' "` CONTRACT PRIC� 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 f'or the work done. If any material,equipment,labor or installations are furnished by the
owner, tenant or any other party, d�e reasonable market value of such items must be ac�ded to ihe
esiimaied co5t or contraci price for permit fee purposes. Li the event thai there is a dispute on the amouni
of the job cost, the City may request the submission of a signed copy of the actual contract.
MECHANICAL PERIv1IT APPLICATION AGREEMENT
Ti�e undersi�ned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all
work in strict accordance with tlie ordinances of the City and the regulations of the State of
Minnesota,and certifes that all statements made an tl�is application are complete, true and correct.
Applicant's Signature: V vGw"�- �/(, Date: l � Y'�
3
t" G� �i� DATE "TIME
c%—
CITY OF ORONO �)D�� CALLED IN
INSPECTION NO E SCHEDULED ���
PERMIT NO. COMPLETED
ADDRESS �� �'����� � o C�����'/
OWNER`�I�1 �cl a-q fr K �[�'�TELEPHONE NO. ��� ��7 7��
CONTRACTOR � �Y��l—��f/�j`
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� DESCRIPTION � / Y�Q l
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
r FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ITE ❑ S,EPTIC INSTALL
? �NTMCTOR TO MEET YiOU: YES._NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED O I CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERIN(3 PERMANENT
O CARRECT UNSAFE CONDITION WRHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL RETl1RN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advanoe. (g52) 249-4600
OwnedContractor on site:
Inspector: c -___.l � � � -
White CopyAnspector's File Can�ry CopylSlt�Notice