HomeMy WebLinkAbout2016-00241 - mechanical CITY OF ORONO * Z 0 1 6 - 0 0 2 4 1 *
'�� � � 2750 KELLEY PARKWAY
DATE ISSUED: 03/14/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 525 HLJNTER PASS
PIN : 25-118-23-31-0006
LEGAL DESC : HUNTER PASS
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 20,000.00
NOTE: (1)TRANE FURANCE-NATURAL GAS-3"FLUE- 100 INPUT,97 OUTPUT
(1)TRANE A/C LTNIT-3.5 TONS
APPLICANT MECHANICAL 250.00
STATE SURCHARGE MECH(VALUATION) 10.00
TOTAL COMFORT MAIL-IN FEE 2.00
4000 WINNETKA AVE N
SUITE 10 TOTAL 262.00
NEW HOPE,MN 55427- Payment(s)
�� CHECK 3362 262.00
OWNER
STOBEL,MARK&SUSAN
525 HLJNTER PASS
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 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 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.
� �
0 � �-/ / //�
Applicant Permitee Signature Date Iss ed Signature Date
r "
'"' F I SE ONLY (/ ��
City of Orono � �. �J"
� ^s � � �O�O P.O.Box 66 Date Recei rmit#�J �
r 2750 Kclley Parkway � �I �. �="'
Crystal Bay,MN 55323 Approved By: Amount$: «��"
I Phone(952)249-A600 Fax(952)249-A616
yF �
lqKfSH���G CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must be approved by the Building Official or Inspector and/or Fire Macshall)
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. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 pmvided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. Ali work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements. �eC
6. All work must be inspected(rough-in and final). Call(952)249-4600. e E�VED
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final. MAR � 4 z016
TYPE OF PERMIT ;C��
(Check All That A 1 ) � �0
�Residential ❑ Commercial(Approval Required) [Backflow Device: 0 AVB ❑ PVB]
❑New ❑Additional ❑Repairs �Replace
Job Site/Owner Information:
Site Address: 52-5 �l��a�j
( .5Z5
Owner: a,r�C, �n Mailin Address: �� ��
� g
City:Vv0. � Zip: St,3��
Home Phone:���-'�^lfl• �`}�3a Alternate Phone: 1b3� 2'-1��-���'�
Contractor Information:
Contractor: � l�� Contact Person: �1'11S1,��6 �,�
Address: � �V'A.hR�GL�i�, . Iv State Bond#: ,/�1 Q��(f�
City: NS1� Zip:�5�a� Expiration Date:
Phone: �����7 ' �j3�3 Alternate Phone:
❑ Insurance—Current:
1 n
�� 1► � ` +�s�<<
��l t �S
r
f
/ � . ,
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTAERMAL? ❑Yes [�No
HEATING 5YSTEMS
Quantity: �
Make: �Q�t'IJ t
Model: T�tt��t��'T
Fuel: l� •���
�
Flue Size:
Input BTCTs: ���
Output BTLJs: -1�
CFM: �Sv�
COOLING SYSTEMS
Q��ty� �
Make: ��� C
Model: �Q,�D�T�7�
Tons: �•�
H.Power 1J Qr
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath EJchaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLTEL STORAGE (Must be approved by Fire Marshall 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(Minimum Fee of$50.00)
�t}o00. ' x.0125$ 2� .-
(contract price) (minimum 550.00)
2. STATE SURCHARGE
2 O� o c�O: x.0005 $ I �-
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2�2• �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 pariy, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut 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 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: � `� l� _
3
�t � ��� �
,���
TE/ TIME
I CITY OF ORONO CALLED IN �—�� /
INSPECTION NOTI E HEDULED ;�j—_� �
PERMIT NO. ��� ��� LETED
ADDRESS -�
OWNER LEPHONE NO. 'Z -D7�'z
CONTRACTOR , � '
�; DESCRIPTION �
ly ❑ 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 �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a � �ui�C�e. r�pl�
�
J
O
�, � �
� ����� IK S c�� J.r1�s -
o �
� �—'.X•51i�.t� (!C✓Lti�d� —
W �
� - G l�r ro w.2e•�cs�*t� /�tie�
Q
� /"c�� of Wa�K a,00earf �'�,�l�t� —
W
�
� _ .
j �J.�' ✓vu-C �as��
GW �WORKSATISFACTORY:PROCEED �.PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WlLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
inspector_ `
ite Copyllnspector's File Canary CopylSite Notice