HomeMy WebLinkAbout2015-00020 - mechanical CITY OF ORONO * 2 0 1 5 - 0 0 0 2 0 *
� � • ` 2750 KELLEY PARKWAY DATE ISSUED: OU07/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3525 IVY PL
PIN : 20-117-23-42-0029
LEGAL DESC : NY ESTATES
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,047.00
NOTE: (1)AMANA FURNACE AND(1)A/C
APPLICANT MECHANICAL 13 8.09
STATE SURCHARGE MECH(VALUATION) 5.52
COMFORT MATTERS HEATING&COOLING MpIL-IN FEE 2.00
11238 RIVER ROAD NE
HANOVER,MN 55341- TOTAL 145.61
(763)208-6471 Payment(s)
CREDIT CARD 8896 145.61
OWNER
CUMMINGS,DANIEL&MARTHA
3525 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. T'his 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.l'his 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 fot 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.
�
C � , 7 ,�.s
Applicant Permitee Signature Date Issued Sigr►ature Date
01/06/2015 15:13 7634987618 COMFORT MATTERS HTGE PAGE 02
, _ � _
FOR CITY USE ONLY
City of Orono
��� P.U.Box 66 Datc Received: Permit#
� .2750 Kelley Parkway
Crystal Bay,MN 55323 Approded$y: . 'Araount$:
- Phone(952)249-4600 Fax(952)249-4616
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�qk�,s�o,��.�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercia!permiGs must be approved by the[iuilding Of.ficial or Tnspector andlor Fire Marshall)
`GENERAL INFORIVIATION '
1. You may apply for mechanieal 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. PERMTTS ARE NOT
VALID UNTIL YOU RECEIV6 A PERMIT. WORK MUST NOT BEGIN UNTIL'�HE
PEI2MIT CARD IS POSTED ON THE JOB SITE.
3. I�iechanical Desisns-Complete cafculations,details and specifications are required for each
heating,ventilation,huniidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shal2 be presented on fortn provided.
4. When any new construccion or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done m accordance with the Unifortn Mechanical Code/State Building Code
requirements.
6. Alt work must be inspected(rough-in and fnal). Call(952}249-4600. -
: (24-48 hour notice required)
7. Noase Heating Test Record must be submitted before final.
TYPE OF PERIvIIT
'' Check All`That A 1
�Residential ❑Commercial{Approval Required)
❑New ❑Additional ❑Repairs �Repiace
Job Site/Owner'�nformation: ;
Site Address: ���5 _�u �
Owner�_,��s,�,yy� Mailing Address: ���5
� ����k
city: ���ll.r1 zip:
Home Phone: � �c�. Ou•� �� Alternate Phone:
'Gontiractor Informafion::
- Contractor: ���a� •� �.,�4 Contact Person; ._.;_��
J
Address: ��23��u,�v I� ��• State Bond#: �v�,��U'���
City: � Zip�3Ui Expiration Date: ��R � ��
Phone: ��3 o�C�g �4�1� Alternate Phone:
❑ Insurance—Current: � .tf�.�
_ _ 1 _
01/06/2015 15:13 7634987618 COMFORT MATTERS HTGE PAGE 03
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Note:All Geothermal Systems wili now requi�•e a Site Plan&Review by our Buiiding Official.
IS THIS GEOTHERMAL? ❑ Yes �1Vo
HEATING SYSTEMS
Quantity: �
Make: ��_
Model: �M�CR ��
Fuel: �i��s�l
Flue Size: 2�' -�`�
: - InputBTUs: Q��C�.X�
OutputBTUs: ��G�b��
C�M: t 2da c�-�
COOLING SYSTEMS
Quantity: I
Make: �_
Modei: NL�F�1�(.�L�
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(mast have duct outside) cfm
❑ No. Other Fans: Locations ��
• FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tnnk in place.)
❑ lnstallation ❑ Removal
Fuei OiL• gallons ❑ Underground ❑Inside �Outside ;
LP Gas: gallons
- Other:
GAS Ll1�tE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
01/06/2015 15:13 7634987618 COMFORT MATTERS HTGE PAGE 04
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❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
_ 2. Has a totai 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 applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-tn Fee(If Applicable) $ 2.00
'I'otal Permit Fee $
- � . r s�s i t ���� i�r'.. ._i ;; .� � < t t�::y ii P���f r{;��Lfl�i��i�d'3'�{`"{�,� r.r' _ .
.. ��F�4r�l� .t s�}idt�i 5i3�.��,.r�:a�'.»:�:.. .,'�., ..�'.��� } :.�, .: � ,�;�..... �`"!.„ . -e�t��'�?�}�.-�+r�r�� �� 7,�r�''uYtYF.��'i,��.0��,"�?��- . . � .
If above does not apply;follow guidelines below:
1. CONT'RACT PRICE *is I.25%of contract price with a(Minimum Fee of$50.00)
�1 jfcy� X.o�25$ i �g� b�
(contract pricc) {minimuar S50.00)
2. .STATE SURCHARGE
���b�� x.0005 $ �.`acs�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-Tn Applicafions) $ 2.0�
4. TOT'AL PERMI'I'F'EE(Add Lines 1-3 Above) $ I H S. ��
■ � CONTRACT PRICE or JOB COST means the actual or estimated dollac amount charged for the
pennitted work including materials, labor,profit,and other fixed costs. lt is the amount to be eharged
to the customer for the work done. If any material,equipment, labor or instatlations are fizrnished by
the owner,tenanY or any other party,the reasonab[e 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.
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. . � ��iL`��.'�a�nsu �S3 �rr ui �� ;-�.. �'i��e'�����" �- '� f� -� � :.�.,`�.., ... . � � � � { f1.���%',=�.r'!_: � .. . .
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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 applicatian are complete, true and
correct.
Applicant's Signature: _ Date: �/� /�
3
� ATE TIME ✓
�ITY OF ORONO EA��N
�� �
INSPECTION NOTICE SCHEDULED _��
PERMIT NO. ��15 -c�c�zb COMPLETED
ADDRESS ��-�� Z v' i-/' ��
OWNER '���h�; ��YI��LEPHO �!O_'7�g 3 �Z���
CONTRACTOR ��J �� f �
� DESCRIPTION �l�l-�V)(�lv� � �-�1�2�C/'^ �t2
W ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL �lYl q�f
Q ❑ POURED WALL ❑ PL BING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACT�O MEET YOU: YES_NO
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho in advan . ) 249-46��
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary Copyf ite Notice