HomeMy WebLinkAbout2017-00159 - mechanical , CITY OF ORONO * 2 PJ 1 7 - 0 0 1 5 9 *
2750 KELLEY PARKWAY DATE ISSUED: 02/28/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 325 FERNDALE RD N
PIN : 36-118-23-41-0029
LEGAL DESC : HILL O'WAY MANOR
: LOT 024 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
CARRIER HEATING SYSTEM
NATURAL GAS
5"FLUE
88,000 INPUT BTU'S
71,000 OUTPUT BTU'S
APPLICANT MECHANICAL 50.00
HINDING COMPANY STATE SURCHARGE MECH(VALUATION) 1.50
915 WEST 7TH STREET MAIL-IN FEE 2.00
ST PAUL,MN 55102- TOTAL 53.50
(651)22&1303 Payment(s)
Minnesota State License#:mech-MB003938 CHECK 35354 53.50
OWNER
MS RELOCATION SERVICES
2108 43RD ST E
MINNEAPOLIS,MN 55407-
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
p -e� v� l v'�8/ l�
Applicant Perm�tee Signature Date Issued y Signature Date
FOR CITI'USG O�I.I"
� City of Orono �/
���� P.O.Box 66 ������, �ate Received: Permit#p/dl7"�
27�0 Kelley Parkway G
Crystal Bay,MN 55323 Approved By: Amount$: �J3.5�
Phone(952)249-4600 Faz(�(��IfS�6��
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l�kFSHo`�``G CITY 0����[�Ot,�ECHANICAL PERMIT
(All Commercial permits n us be approved 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 oftices. 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 PERM[T. 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 form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtaii ieu.
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) [Backflow Device: ❑ AVB ❑ PVB]
❑ New ❑ Additional ❑ Repairs [t]�lace
Job Site/ Owner Information: --
Site Address: � Z 5 �e�'N'�/f- �� � 'd �V - /�J �i�o�� -��`�l�tl
Owner: �u�`��� Mailing Address: � � a � 4 3'�`''l �t �
�� Zi ����U �
c�n�: 1�1,� �:
Home Phone: ���' 7G 1-��¢-3 Alternate Phone:
Contractor Information:
Contractor: /7�/���1��� C''���tact Person: ��7�J
Address: �/ J l<�i> 7� S�'L" State Bond #: �/� (`�O,3���
City: S � ��C� Zip: �� ���EXpiration Date: I � � ��
Phone: G%S l" Z Z�% '"l-3�� Alternate Phone: �J�' � 7C�— 7� G �, �
❑ Insurance—Current: �-ea`��`�a���
1
' � MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems �vill now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [�P��
HEATING SYSTEMS
Quantity: �
Make: �a'f�"�e✓
Model: 5 �-5 rf�
Fuel: �f� .s
$ i/
Flue Size:
Input BTUs: U �f d� �
Output BTUs: 7�f a d v
CFM: /��0 L1
COOLING SYSTEMS
Quantity:
\ �,
Make:
Model: � `�
Tons: �
H. Power '
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENT[L.�►TiOti`
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsha!/if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS L[NE ONLY
❑ Outdoor Grill ❑ Other/ List What& Where:
2
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
� m
� a a� a �� x .o l25 $ .j T. � � .��, G`�
(contract price) (minimum$50.00)
2. STATE SURCHARGE aQ � � �Z
"�`'���"' � x.0005 $ � / .S�
(contract price)
� G�
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 �
��3,5
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ( �� ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged f�Me
permitted�*�ork includir.g mat�ria?s, labo:, prefit, anu� othcr �xe�l :,osts. It is th� arr:�unt to be charge�
to the customer for the work done. If any material,equipment,labor or installations are furnished by the
owner, tenant ar 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersig�led hereby applies to the City fior issuance of a Mechanical Permit, agrees to do all
���ork 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: � � �-3 �� �
�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �„ SCHEDULED _+�>,Le�� ��
PERMIT NO. ��`' �� "-�'C,�1S�COMPLETED
ADDRESS �' �-` f� F r' i"1��1� L�� �CC� �
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OWNER TELEPHONE Np.l��� � a��-/��.3
CONTRACTOR �( � �'���� �� 'F-�f.('�c��
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� DESCRIPTION � 1 � f��� ��_�_ � I `7� r
lL ❑ 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
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�ALL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO
c�n COMMENTS: ���-Q..2-�G��2- L:"C.�-C..�� c-���YI ��
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W ❑WORK SATISFACTORY:PROCEED PRW ECT COMPLETE
� ❑CORRECT VYORK 3 PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTtON REQUIRED_CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
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Inspector.
White Copyllnspector's Ffle Canary CopylSite Notke
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �-��i/7
PERMIT NO. U S COMPLETED
ADDRESS � �
OWNER ' T EPHONE NO.��'1 "7 z-7�
CONTRACTOR
� DESCRIPTION a
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ��1ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNERICOKTRACTOR TO MEET Y�OU:_YES_NO
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W� O WORKSATISFACTORY:PROCEED ,�@QJECT COMPLEfE
� ❑CORRECT WORK 6 PROCEED v O ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector: � /k--� �--
Whits CopyAnspector's Ffle Csnary CopylSite Noties