Loading...
HomeMy WebLinkAbout2010-01148 - mechanical � CITY OF ORONO PERMIT NO.: 2010-01148 � � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEv: 1 U22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 333 HOLLANDER RD � PIN : 25-118-23-43-0005 ! LEGAL DESC : REG.LAND SURVEY NO. 1281 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL ' CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 10,489.00 NOTE: 1 BRYANT NAT.GAS FURNACE 1 BRYANT 4 TON AC APPLICANT MECHANICAL 131.11 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 5.24 7588 WASHINGTON AVE S EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00 (952)835-7777 MISC FEE 0.00 TOTAL 138.35 OWNER VACEK,MR.&MRS. 333 HOLLANDER RD 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 on(y the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due�ause. 1'Yl.�-l.� VU�. � � / / Applicant Permitee Signature Date Issued B ignature ate � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O Y , ' FOR CITX USE ONLY .: Q��}�O City of Orono ' P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ,; � Crystal Bay,MN 55323 Approved By: Amount S: � Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be appmved by the Building Official or Inspector and/or Fire 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. PERMTTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 form 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) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT " Check All That A 1 ❑■ Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑■ Replace Job Site/Owner Information: s�teaaa�ess: 333 HOLLANDER RD oWner: GARY VACEK Malling Aaa�eSs: SAME cl�: WAYZATA Zlp_ 55391 Home Phone: �952� 476-2485 Alternate Phone: Contractor Information: PRONTO HEATING&AC WADE SEDGWICK Contractor: Contact Person: 7588 WASHINGTON AVE S 9389583 Address: State Bond#: EDEN PRAIRIE 55344 City: Zip: Expiration Date: Phone: (952� 835-7777 Alternate Phone: ❑ Insurance—Current: F E D E RATED 1 � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: 1 M�e: BRYANT Model: 355CAV060100 Fuel: GAS Flue Size: Input BTUs: �oo� 0 0 b ouc�ut B�rvs: qs� Dou CFM: COOLING SYSTEMS Quantity: 1 Make: BRYANT lvtodel: 187BNA048 Tons: 4 H.Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue 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 Marshall if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 � Yes,this section applies The replacement of a Residential fixture or ap ln iance 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) $10,489.00 X.o12s$ 131 .11 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) 10,489.00 X.000s $5.24 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 138.3 'rJ ■ * 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. 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 permit 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 times the Contract Price or a minimum of$5.00. '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 statements made on this application are complete, true and correct. Applicant's Signature: �/ ^� _ Date: 11/'I 7/�O i� V 3 �j � � / D� TIME V CITY OF ORONO CALLED IN _z �/ T� INSPECTION,N�ATICE �( SCHEDULED __L_u1S1_ PERMIT NO. "�`����/ V COMPLETED ADDRESS ��3� � /�- OWNER� Q SZ �7�0 Z TE EPHONE NO. 9�Z d,3 S 77� CONTRACTOR >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL Z �BING RI ❑,EEP'I'1rY�AL ❑ FOUNDATIOWREMOVAL Q WNERI ONTRACTORTOMEETi�'U:�YE NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �iQROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerfContractor on site Inspector. � White Copyll�spector's File Canary CopylSite Notfce