HomeMy WebLinkAbout2015-00562 - mechanical � � j CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUE : 05/13/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 108
PIN : 33-118-23-12-0038
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,000.00
NOTE: 1 FA LENNOX 60 K TU, 1 LENNOX AC 2.5
APP ICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
B&D PLUMBING&HEA ING INC. TOTAL 78.00
4145 MACKENZIE CT NE Payment(s)
ST MICHAEL,MN 55376- CHECK 550382 78.00
(763)497-2290
O NER
BISHOP,LISA
2670 KELLEY PKWY 108
iJNIT#108
LONG LAKE,MN 55356-
AGREEMENT AN SWORl�1 STATEMENT
The work for which this permit is rssued shall be performed according to
the approved plans and specificati ns,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces �
not grant permission for addition or related work which requires separate
permits. All provisions of laws d ordinances goveming this type of work
shall be compied with whether or ot specified herein.This permit will
expire and become null and void i construction authorized is not '
commenced within 180 days of th date of issuance,or if construction is
suspended for a period of 180 da at any time after work has commenced.
The applicant is responsible for suring all required inspections are �
request conforrrtance with State Building Code.This permit may be
revok any time f du
.S �3 j �- �/3 �/S
Applican itee Signature; D Iss By Signature Da e
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FOR CITY USE ONLY
City of Orono � 1� Z
�ONO P.O.Box 66 Date Received:���� Permit#C�J= ��
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:�
Phone(952)249-4600 Fax(952)249-4616 �
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�q'r fSHO��� CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL iNFORMATION I
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
Residential �Commercial(Approval Required)
�
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: Z�70 �'(-¢,(��.t ��,,,k�y �cacHv� �O$
Owner: �{�r1e IJr<,�1 (5o�ro.�1 Mailing Address:
City: O�o'c�p Zip:
Home Phone: (Jt 12-�$�- p��2 Alternate Phone:
Contractor Information:
Contractor: �J-� p1w..hi�q -�n�c�4in9 Contact Person: C�cx��e l,.) ��5��
Address: �-{�4�5 I'Y��I�rC;e G�-� f�f C State Bond#: 1^�l I�Oo"�O 1 CS?
City: �.hIC���n�( Zip:lfi�3�� Expiration Date: `�- t- I CD
22 5b
Phone: 7L3-yti�- �� Alternate Phone: Lc IZ- 3 2�- ��
❑ Insurance-Current: �/eS
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �
Make: ��
Model: L�'�V`v�
Fuel: o.fi
Flue Size:
Input BTUs: GPO K �T�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ' CU IJD
Model: Lt'I�f�(
Tons: Z.�
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 cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
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
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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 elecri-ical or gas service.
2. Has a total cost of$500.00 or less;excludin�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-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)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
J * 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 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: Li'Y�i/{, �Q/�i�w Date: �`�o'�5
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� / -� SCHEDULED _�� /�/4m
PERMIT NO.`��%�r ��l�L COMPLETED
ADDRESS l �'" L �
OWNER TEL HONE NO. ��1��8 �7�7�5
CONTRACTOR �
� DESCRIPTION �f(��L � ��-►"l �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�--{�(,IY'L��
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �A4ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S TIC INSTALL
� OWNERICONTRACTOR TO MEET YOU��YES_NO
� COMMENTS: F4���QG� -��pl• -.
a -�x,,s t . » ��,c��s l��fQs
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W ❑WORKSATISFACTORY:PROCEED ECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOFi �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: Cd�`7
Inspector. � �-'
White Copyllnspector's File Canary CopylSite Notice