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.
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Applicant Permitee Signature Date Issued By Signat Date
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� � 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
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�-,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 �
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Owner:_ `� Gt1�.l�i �V GLt�-r' Mailing Address: S'G�r�P ,
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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� ���
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Address: �l`�5 �� G� .S�b U�( State Bond #: yYl I�J D � 3�'�J (p
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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
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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
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tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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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. �--
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CITY OF ORONO cnLLED IN �
INSPECTION I� /Y1 �jP\� SCHEDULED � �
PERMIT NO. ����4� COMPLETED
ADDIiESS ��0
OWNER r TELEPHONE NO.�f� S��' ����
CONTRACTOR
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� 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:
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� 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
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