The URL can be used to link to this page

Home My WebLink About2017-00183 - mechanical CITY OF ORONO * z 0 1 7 - 0 0 1 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2555 FOX ST PIIV : 04-117-23-44-0002 LEGAL DESC : AUDITOR'S SUBD.NO. 229 : LOT O10 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : HEATING SYSTEMS VALUATION : $ 2,983.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. LENNOX NA7�URAL GAS FURNACE-4 TON CFM- 1 10,000 INPUT BTU'S APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 ABEL HEATING&COOLING MAIL-IN FEE 2.00 6501 COUNTY RD 15 MINNETRISTA, MN 55364- TOTAL 53.50 (952)472-2665 Payment(s) Minnesota State License#: mech-MB003400 CHECK 21746 53.50 OWNER GRUDNOWSKI,JOHN &ASHTON 2555 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'Chc work for which Ihis permit is issued shall be performed according to the approved plans and specifications,applicablc Ciry approvals,and the State Building Code. This permit is for only[he 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 afrer 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. <,_ _ .� ,��. S� � �� 7�/ __ =�_____.---_____ Applicant Permite � nature Date Issued By ignature Date FUR C1TY I73�(?NLY �0 A TO City of Orono ` �y P.O.Boz 66 t�te Fteceived: Peamit# 2750 Kelley Parkway Crystal Bay,MN 55323 Appmved By: Amount S: Phone(952)249-4600 Fax(952)249-4616 �`�lq �.�� CITY OF ORONO-MECHANICAL PERMIT '�f S H��' (pil Commercial permits must be approved by the Building OPficial or Inspector and/or Fire Marshall) GENERAL TNFORIVMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desig,ns—Complete calculations,details and specificarions are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identificarion 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 QF PERMIT ` �heck Al�'�'h�t A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑New ❑Additional ❑Repairs [�eplace Job Site./Owner Information: Site Address: 2 S�� c� � �}- Owner: �S��tor �j�vn��..�S�c Mailing Address: `2.�7�j �,� �' . City: �f� .� o Zip: `75� `� 1 Home Phone: �o12'�q�- �D�� Alternate Phone: Contcactc�Infortnatic�n: Contractor: hc� �'�'� `, en:.l Contact Person: �o t �[,u�t�Sb�. Address: l.P�o � �� 2� l -rj State Bond#: ��o U 3 y a a City: 1'��c-}r�5�4- Zip:�3(.`-� Expiration Date: Phone: �i�SZ- �I"�2- Z��- �� Alternate Phone: �'1 �Z= '�b'� � �`i`i 3 ❑ Insutance-Current: ,_��''v��i,✓'q,h c+� 1 � `� g �o g�Og� Note:All Geothermal Systems will now requir Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ��'No HEATING SYSTEMS Q��ri� � Make: /1v'►o �_ Model: �-'ll.. ��Ou�-1 1 �b 1�`�� Fuel: � U Flue Size: Input BTUs: �(7 �o CV Output BTIJs: CFM: � �� 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 VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 1. CONTRACT PRICE 'is 1.25%of contract price with a(Minimnm Fee of 550.00) h� p� �Z 9 8 3 X.oi2s$ S� (conhact price) (minimam 550.00) 2. STATE SURCHARGE n� �i� 2 9 d'� �" X.000s $ 1 -� ccontract pri�e) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � � SO 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. 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 undersigned hereby applies to the Ciry 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: 2 '`�� 1 3 � � � 1� V / V �ME CITY OF ORONO CAILED IN '- INSPECTION N��CE ,¢y�/�� SCHEDULED — � — � PERMIT NO. i U�� CO LETED ADDRESS � �� OWNER LEPHONE NO� - �a- CONTRACTOR � DESCRIPTION ��v�'� � Q � t~y ❑ 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 !�MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION r❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOI�TRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � � '�' -�a.r�G s ''�-�� o - �x�s�r•is 9�S ��a � /i�'�i.��G aPr�-�t �' YQ/L��rl.� — � 0 Q �d�I�C G'owi..�.l.�c - � � � � l� �� - --- -- � ❑WORK SATISFACTORY:PROCEED �8' OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK��R REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑WRRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION RE(XIIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 ownericontraator on site: � Inspector: �_�h--- wn��copyn��o�Fn. Canary CopylSiM N�ks