HomeMy WebLinkAbout2017-00224 - cooling system; � CITY OF ORONO * 2 0 1 7 - 0 0 z 2 4 *
2750 KELLEY PARKWAY DATE ISSUED: 03/09/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 146 CHEVY CHASE DR
pIN : 36-118-23-41-0045
LEGAL DESC : HILL O'WAY MANOR
: LOT O11 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 10,000.00
NOTE: (1)MITSUBISHI A/C-3 TON
APPLICANT MECHANICAL 125.00
STATE SURCHARGE MECH(VALUATION) 5.00
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA,MN 55439- TOTAL 132.00
(952)835-7777 Payment(s)
Minnesota State License#:mech-MB004828 CHECK 13109 132.00
OWNER
ANDERSON,RETA&STEPHEN
146 CHEVY CHASE 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 dces
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�.u,�e � � � l-7
Applicant Permitee Signature Date Issued By gnature Date
�, RECEIVED
MA� G � Z U�� � USE ONLY
O City of Orono �
P.O.Box 66 �ate�g��„>-,. �,. �e�tt.,, ;
� �0 2750 Kelley Parkway(��N OF ORON� l
Crystai Bay,MN 55323 Approv�d$y t�pottnt$ ! �,
Phone(952)249-4600 Fax(952)249-4616 ""�`' �` '`''•��`� `��'' =r;.�>:
yF q �.`',� CITY OF ORONO—MECHANICAL PERMIT
xkSH�4 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
:GENERAL INFORMATION
1. You may apply for mechanical pernvts by mail or in person at the City offices. Applications will
be reviewed and a pernrit will be issued witl�in 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 Des,�►s—Complete calculations,details and specifications are required for each
heating,ventilation,hwnidificarion-dehumidification,and air conditioning installation including
heat loss/heat gain calcularion,design temperatures,equipment ratings and idenrificarion as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new consiruction 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.
TXPE OF PERMIT
- Clieck All Tliaf'A�'� l�
�° esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB]
❑New ❑Additional ❑Repairs �i teplace
Job Site/Owner Information:
Site Address:
Owner• Mailing Address: �a�GIDx-I d�+ �
c��: L`�'Y'D�1 D z�p: ��?�G
Home Phone: �,Q ]Z'�,�(�'� U(p� Alternate Phone:
Contractor Information:
Contractor: � � /l�►'�• Contact Person: � �
Address: � State Bond#: �-1
City: �°�G( Zip:�� Expiration Date: ���
Phone: "!JZ'0���- 7�7� Alternate Phone: q;7Z 8 -7���
❑ Insurance—Current:
1
, ,
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �To
HEATING SYSTEMS
�
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: �
Model: 1 v�
Tons: ��
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by 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
� �,�,, ; ��r. � . _�,. ; .w;� ; �. ��,:.z :
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��� U�� xA125$ �ZJ
(contract price) (minimum 550.00)
2. STATESURCAARGE
�O�OpO x.0005 $ I�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �: (/�� O�
■ * 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 chazged
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.
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The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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.
' ` 1ApplicanYs Signature: � Date: "
3
�/� �� DATE TIME �/
CITY OF ORONO CALLED IN
/
INSPECTION NOTICE / L z�� SCHEDULED � � � r�
PERMIT NO. Z'C�'I� C�'�'' COMPLETED
, D�
ADDRESS � y ' � �-' ' ''� `�
OWNER TELEPHONE .�� 2 � �S � ��I
CONTRACTOR ��I���"��� �-�-t-�-� �
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W� DESCRIPTION � R -���-�--�—�
❑ FOOTING ❑ DEMO-FINAL ❑� PTIC FINAL �— �/"� I
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ S PTIC INSTALL
? OWNERICONTRACTOR TO MEET Y�U:�YES_NO
y COMMENTS: -�-
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� �1S WORKSATISFACTOR'1"PRC�d �RWECTCOMPLEfE
W�Cu CORRECT NfORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
�t1S�8Ct0�: /��?wA.r� �.
yyryiM CopyAnspector's Flle Canary CopylSite Notice