HomeMy WebLinkAbout2016-00654 - mechanical ` ' CITY OF ORONO * z 0 1 6 - PJ PJ 6 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 81 HACKBERRY HILL
PIN : 33-118-23-44-0014
LEGAL DESC : DANIELS LONG LAKE HEIGHTS
: LOT 008 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 10,243.00
NOTE: (1)BRYANT FURNACE AND A/C
APPLICANT MECHANICAL 128.04
STATE SURCHARGE MECH(VALUATION) 5.12
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA,MN 55439- TOTAL 135.16
(952)835-7777 Payment(s)
CREDIT CAEZD 2586 135.16
OWNER
STANKEV[TZ,GEOFFREY&JENNIFER
81 HACKBERRY HILL
LONG LAKE,MN 55356-
AGREEMENT A1vD 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 I 80 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 Signature ' Datc Issue B ignature Date
From:Pronto Heatfng and Air 952+767+97Y0 06/06/20Y6 73:06 #Y77 P.002/004
1
I' R C Y USE ONLY
� �_� City of Orono �,/� `
��N p.q.}3����,6 Dale Recei�ed: � �� Pennit# ��f�— �� �f
� � _7�0 Kelley Parkway
( ��, Clysial 13ay,ti1N�S3?3 Approved By: .A�nount$:
� Nhonc(952)249-4600 1'ax(9��)349-46i6
,F `/i
��qKtst{����/ CITY O�ORONO— MECHANICAL PERMIT
�___� (All Commercial pennirs must be opproved by the l3uilding O(ticial or Inspector and,�or Fire Marshall)
GENERAL INFORMATIaN
1. 1'ou may apply for mechanical pennits by mail or in person at the Ciry offices. Applications will
be reviewed and a perrnit wi[! be issued within tti�o working days.
2. Permit cards will be sent by return mail after a review is completed. PEKMITS ARE NOT
VALiU L'NTII_YOU RECEIVE A PERMIT. «'ORI{A1UST NOT BEG1N UNTIL'CHE
PERMIT CARD IS POSTED Ol�`THE JOB SITE.
3. Mechanical Desi�ns—Complete c�lculalions,details and specifications are required for each
heating,��entiiation,humidification-dehumidification,and air conditioninb installation including
heat los,/heat gain calculation,design temperatures,equipment ratinss and identification as to
type,manufacti�rer and model. Data shall be presented on fonn provided.
4. When any new construction or remodcling is invoh�ed,a separate building permit inust be
obtained.
5. Ali work must be done in accordance with the Uniforni Mechanical Code/State Buildi�tg C'ode
requirements.
6. All work must be inspected{rough-in and final). Call(952)249-4600.
{24-48 hour notice required}
7. House I�eatin�Test Record must be submitted b�fore final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Comrnercial(Approval Required) [Backflow Device:�AVB ❑PVB�
❑l�iew ❑Additional ❑Repairs '�]Replace
Job Site/Owner Information:
Site Address: �� (,�(, ", _1,'�l� �,��
�1��1 W� � U�-�(}-�+ Q
Owner: �-�in�2 V 1� Mailing Address: U, �(,� ,(L( �'�V�/} �l l�
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City: ����L Zip: ���
Home Phone: "1�2�����2� �� Altemate Phone:
Contractor Information: �
�1�U1�11v �tLl�flV��J'+�
Contractor: �'lL� �i171�1titd�l�'1G1 Contact Person: ,�j'�j,���
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Address: ���� L(,:.�ll�� � � StateBand#: ���t7u�"��
City: � ll'�(J\. Zip:��� Expiration Date: 1.��2"t'��
Phone: �,�Z'`��7�-�1 l 1. Alternate Phone:
❑ Insurance- Current:
1
From:Pronto Heating and Air 952+767+9�10 06/06/2076 Y3:07 #177 P.003/004
MECHANICAL SYSTEMS BEING II�ISTALLED
Note: All Georhenna]Systems �vill i�ow requirc a Si[e Plan& Revie�v by our E3uilding Ofticial.
1S THIS GE01'HERAIAL? ❑Yes [�.No
HEATING SYS'TEMS
Quantity�: �
Make: 1�EY V 1(�1��___
—� — ---------------- ------ --
Model: C�1_-L����C —___-_ _,_.. _
Fuel: _�_�---
Flue Size:
I��put B"TUs: � ���
� L;
Output BTUs: ���_��_.____ - ----_.�--------
CFM:
COOLING SYSTEMS
QuantitY� __�_.__._._.________- ---------- — --
Make:
- ���----- --- -------
Model: ��.Y `I'1N� __.___.__-_--- ---.__.. _._._._.__.._.._.__..___�._.
Tons:
H.Po�ver
FIREPLACES
❑ Gas Factory Pireplace Brand Naine:
❑ Wood Burning Fireplace
❑ Wood Stove Vlodel No.: — --------._._.—.�
❑ Wood Stove���ith Flue/Masonry
VEN7�ILATION �
❑ No. ___ ____ Kitchen Exhaust duct recirculatin� cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ :�o. Other Facts: Locations _______cfin
FUEL STOT2AGE (Must be approveci by Fire Alarsl:al!if proposinb to aburido►t tank in place.)
❑ Installation ❑ Removal �
Fuel Oil: _______�gallons ❑ Underground ❑Inside ❑Outside
LP Gas: __ gallons
Other.
GAS LTNE ONL,Y
❑ Outdoor Grill ❑ Otller/List What R Where: _____ _ __ __.__._�____�
�
From:Pronto Fieating and Air 952+767+9Y�0 06/06/20Y6 13:07 #�l7 P.004/004
PERMIT FEE CALCULATIONS
1. CON7�F2ACT PRICE *is 1.25°%of contract price with a(Minimum Fee of$50.00)
����-I� X .o�2s�_(2� �_._-----
(coniract price) (minimum$50.00)
3. S'TATE SURCHARGE �
�u LU �__,_x .0005 �.-.--._� • ���
(ca�tract pr;ce>
3, POSTAGE&IIANDI_ING(Only on Mail-In Applications} $ ��-
4. T01'AL PER�IIT FEE(Add Lines I-3 Above) � ��'����
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amo�mt charged for the
permitted work includiitg materials, labor,profit,and other fihed costs. It is the amount to be charged
to the customer for the work done. lf any material,equipment,labor or installations are fumished by the
owner, tenant ar any other party, the reasonable �narket value of such items must be added to the
estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount
of d�e job cost, tlie City may request the submission of a signed copy of the actual contract.
MECHANlCAI,PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permii, agrees to do all
work in strict accordance ��ith the ordinances of the City and the regulations of the State of
Minnesota,aiid certifies that all statements made on tfiis application are complete,true and correct. �
Applicant's Signature: �'(.��� ��(�L����_ Date: �`��"���
3
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DATE TIME
CITY OF ORONO CALLED IN _�1��L� _�_7"`—
INSPECTION NOTICE CHEDULED
PERMIT NO.����(� `��D;r7�cOMPLETED
ADDRESS C� L � �%� ��
OWNER TELEPHO NO. 7�
CONTRACTOR
� DESCRIPTION ��Q����//�� l
4r ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL� ���ra,�,z
Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADI G/FILLING�
Q ❑ FOUNDATION WATERPROOF ❑ PLU BING FINAL ❑ TREE REMOVAL �
Z ❑ RADON SLAB CHANICAL RI ❑ SITE INSPECTION �G
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
v ❑ DEMO-SITE ❑ �PTIC INSTALL
2 OWNERfCONTRACTOR TO MEEf YOU: YES_NO
c�., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ OJ ECT COM PLETE
� ❑COflRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 h rs in advance. 9 Z
OwnedContractor on site: �
Inspector. '
White Copyflnspector's Ffle Canary CopylSite Notice