HomeMy WebLinkAbout2015-01457 - mechanical CITY OF ORONO * Z 0 1 5 - 0 1 4 5 7 *
''` 2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2015
� ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1125 HiJNTER DR
PIN : 25-118-23-31-0004
LEGAL DESC : TEN OAKS
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,500.00 �
NOTE: (1)LENNOX NATURAL GAS FURNACE
(1)BATH EXHAUST
GASLINE FOR GAS FURNACE /
I
APPLICANT MECHANICAL 168.75
STATE SURCHARGE MECH(VALUATION) 6.75
HOLLYWOOD HEATING&AIR INC.
3390 COLJNTY RD 123 TOTAL 175.50
WATERTOWN,MN 55388- Payment(s)
CHECK 4884 175.50
OWNER
PERRY;CHRISTOPHER&KELLY
1125 HLTNTER DR
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 Iaws 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 construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for eriod of 180 days at any time after work has commenced.
The applic �s responsible for assuring all required inspections are
requeste ' conformance with the State Building Code.This permit may be
revoke any time for due ca
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can e ' e ate Issued ignature Date
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, .� ,��� City of orono �� �
P.O.Box 66 Date'�¢eivcd. ����P+�t# �d�5� �
� 2750 Kelley Parkway
' Crystal Bay,MN 55323 ��sy: ��f�: /�5�
Phone(952)249-4600 Fax(952)249-4616
�`�� ���� CITY OF ORONO–MEC
�skFsxo�, HANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GE��.I�,AL T�FO�ATi�i
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. PERMITS ARE NOT
VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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 O�PE�iT
C'la�ck��11'T'f�� `
�esidential ❑Commercial(Approval Required)
�New �Q,�(,��dditional ❑Repairs ❑Replace
J�b S��%Ov�e�In�ioa�n�ti��s
Site Address: �1 Z S /y//�L°� / /�.
Owner�l�t/'� 5 ��li'�� Mailing Address: �/���✓)E' �}�/�j��
City: ��//��Z/-�T� zip: .� ��..�'/
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Home Phone: Alternate Phone: ''—'
Co��I�fc�ati�on:
Contractor: �/,f��ontact Person: ,e �`�K� ��i�j,,�['�
Address: 3� �'� �2� State Bond#: I1�JJ� �`�,�_�7
City: � ' Zip�?���xpiration Date: � � � '–�(�
Phone: g�Z– ���'- ��.�y Alternate Phone: 9'e�gz–���
[��urance–Current: �r���r�� �IUSu�cr.tC�
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
_ �
IS TffiS GEOTHERMAL? ❑Yes �. To
HEATING SYSTEMS
Quantity:
Make: U O C
Model:
Fuel: ��T�� ���_
Z �,
Flue Size:
Input BTL1s: /���d
/
Output BTiJs:
CFM: ���
COOLING SYSTEMS
Q�t�Ty: �o �d�,'� 14--�-- ��C�S ��Nl.�
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
� ❑ Wood Buming Fireplace
� ❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfin
� No. ( Bath Exhaust(must have duct outside) �Q��►
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by FYre Marshall if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
��'�'� LP Gas: gallons
/r.�,�j' Other: �A�.,l,q� r��� /-�o��.
(J
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:_���� �vYK�IQC-�- O� I�
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❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance 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;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
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$50.00)
��c.0125$
(coy ad price) (minimum 550.00)
2. STATESURCHARGE
x.0005 $
(comract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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 City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the rdinances of the City and the regulations of the State of
Minnesota, and certifies that all tatements 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 N IC CHEDULED j - - `�
PERMIT NO �OMPLETED
ADDRESS ��cz�-��� �� � �e-
OWNER TELEP NE N " ��� aZ
CONTRACTOR
� DESCRIPTION �
t~y ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PL ING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL 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/R OVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � �`L���
h COMMENTS:
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W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adva 2 9-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
�� �� � / �
C�'`-�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED �/1'i
PERMIT NO. J � � COMPLEfED
ADDRESS �I Z-� �-�--{�4� .I�D
OWNER TELEPHONE NO. ��9SS�B�L�
CONTRACTOR `� ��u �����
� DESCRIPTION ,�L(L�'Y ` ��1� � �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ���
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �E,�
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ PTIC INSTALL
Z OWNERICONTRACTOA TO MEET YOU: YES_NO
� COMMENTS: _ `
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� ❑ SATISFACTORY:PROCEED �T COMPLEfE
W RK 8 PROCEED ❑ISSUE CERT�FICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site• ���
Inspector: �
Whits Copyllnspector's File Cenary CopylSite Notke