Loading...
HomeMy WebLinkAbout2014-00803 - mechanical , CITY OF ORONO * Z 0 1 4 - P1 0 B 0 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3466 IVY PL PIN : 20-117-23-43-0006 LEGAL DESC : SPRING PARK : LOT O10 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,000.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 BRYANT 3 TON AC APPLICANT MECHANICAL 87.50 STATE SURCHARGE MECH(VALUATION) 3.50 WENZEL HEATING&AIR COND. MAIL-IN FEE 2.00 4145 OLD SIBLEY MEMORIAL HWY EAGAN,MN 55122 TOTAL 93.00 (651)894-9898 Payment(s) CHECK 31222 93.00 OWNER TUCKER,GARY 3466 IVY PL 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 sepazate 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ► ��'� / / Applicant Permitee Signature Date Issued By Signat Date t � � FOR CITY USF.ONLY �O A' City of Orono �y P.O.Box 66 Date Received: Permit# / 0 2750 Kelley Parkway ( Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Pax(952)249-4616 a � yF � �-,k�Sf������' CITY OF ORONO—MECHANICAL PERMIT �__,_ (All Commercial permits must 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 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 RECENE A PERMIT. WORK MUST NOT BEGIN t1NTIL THE PERMIT CARD IS YOSTED UN 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 I �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs C�Replace Job Site/Owner Information: Site Address: �� � � � ✓l�( �� GL � � Owner:_ `� Gt1�.l�i �V GLt�-r' Mailing Address: S'G�r�P , � City: �r � o � W �-�( �.c.��L Zip: �J `.� 3"1 1 Home Phone: � 5 � � ��� �"1 2 8 �' Alternate Phone: Contractor Information: Contractor: /(/U-L� �� L�t x {��� Contact P�rson: �i h� ��� ����� Address: �l`�5 �� G� .S�b U�( State Bond #: yYl I�J D � 3�'�J (p � J City: c�� Zip: 551��xpiration Date: � " l� � / l.,O Phone: L.o_S� - g�`� �°1 s `� �' Alternate Phone: � S� � � '� �� 2 2-2-1v ❑ Insurance-Current: 1 . � -��� �� ���� � � � MECHANICAL�SYSTEMS BEING INSTALLED��� �� Note: All Geothermal Systems wiii now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: pLn� Model: q v2 `�� �{�� O80 Fuel: ('� r - Flue Size: � �� Input BTUs: � �, �O O Output BTUs: � �� 6 o C� CFM: �S COOLING SYSTEMS � Quantity: ' �1 Make: �r Model: �21e��f�0 3 ((i Tons: � H.Power 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 Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved 6y 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 J PERMIT'FEE'CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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 section,if this appiies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ' PERMIT FEE CALCULATION S =JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � � � � x .0125 $ ��� . � � (contract price) (minimum$50.00) 2. STATE SURCHARGE � � � '��� x.0005 $ �' (contract price) .i. POS i r.GE&HANDLI?�IG(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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuznce of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State ot Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: �c �� _ 3 � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�ly/� "(.�� 3 COMPLETED /v�—,�C��-�r ADDRESS 3�/ 6 -�G�'� /"�a�� OWNER TELEPHONE NO. CONTRACTOR ������'l ���- ���� �; DESCRIPTION � tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES._NO � COMMENTS: a D`"�-�r�.� �c��P i �lP�� �` �=sr/l �r �C � - ,C 0 �!/1�� �.� �C.- /G�'l >. � � ��IC� /�jri�2. W � Q � �le�s� u �l 4ra•ta c�� � �! �— z _ � ����t/� a ���� �� �ec��a--� 6'r' � 4�/�� .e..�y c/� _S�re�t.s j -- W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advan 952 49-460 OwnerlContractor on site: Inspector. �-- White Copylinspector's File Canary CopylSite Notice � �j�3 2.8"Co 3 5--t� �\ T�ATE ��T'� v., CITY OF ORONO cnLLED IN � INSPECTION I� /Y1 �jP\� SCHEDULED � � PERMIT NO. ����4� COMPLETED ADDIiESS ��0 OWNER r TELEPHONE NO.�f� S��' ���� CONTRACTOR � t � DESCRIPTION i`" ���='� �'��`' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORENVETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP O COMPLAINT v DEMO-SITE ❑ SEPTIC MAINT. '�FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �NNERICONTRACTOR TO MEET Y'OU:_YES_NO y COMMENTS: o� a Fi.r nar� r�l° ' , o ^ I, ' 1� ` j � V�.✓L!/L it f r. ./7e✓ l��LC� (.i�/G�� OO W � ti ySr K �o��/e�G Q � W ` /� / � P�•�� �` -1�[�L���� W � j � p WORKSATISFACTOR�PROCEED .�'�ECTCOMPLEfE W ❑CARRECT WORK 8 PROCEED �� ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WILI RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 �merlC tractor on site: ��✓' y tor. White Copyllnspector's Ffle Canary CopylSite Notke