HomeMy WebLinkAbout2015-00930 - mechanical , CITY OF ORONO *�1 5 - 0 0 9 3 0 *
• 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 118
PIN : 33-118-23-12-0048
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)LENNOX FURNACE AND A/C
APPLICAPTT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
B&D PLUMBING&HEATING INC. TOTAL 78.00
4145 MACKENZIE CT NE Payment(s)
ST MICHAEL,MN 55376- CREDIT CARD 1687 78.00
(763)497-2290
OWNER
KLITZICA, GERALD&VICTORIA
2670 KELLEY PKWY 118
UNIT#I 18
LONG LAKE,MN 55356-
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 no[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 aze
req in conformance wi the State Building Code.This permit may be
r ok at any time for due ause. '
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i t Permitee Signature Date Issue ignature Date
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• • "� �. �r:
City of Orono ,x� �����µt�. �k���, ,� � � ;��s
�O� P.O.Box 66 ,� �+ r �' � `��w e �`
O2750 Kelley Parkway ��'.`. �. ��4'� J '�?` �`'�r� 4'u�: ,p �� �
Crystal Bay,MN 55323 �'" °�,�`..�� ``,, �
Phone(952)"249-4600 Fa�c(952)249-4616 � "���. `. �`� `�"'',a:
�`�r �.��� CITY OF ORONO—MECHANICAL PERMIT
KESH�4
(AII Commercial peimits must be approved by the Building Official or Inspector and/or Fire azshall)
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1�. You may apply for mechanical permits by mail or in person at the City offices. Applicatio s will
be reviewed and a pernut will be issued within two working days.
2� Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT B GIN UNTIL TH
� PERMIT CARD IS POSTED ON THE JOB SITE.
3! Mechanical Desiens—Complete calculations,details and specifications are required for eac
� heating,ventilation,humidification-dehumidification,and air conditioning installation incl ing
� 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 C e
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.
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�. &x� f,' a�. mi.:. �` � a4;�x � 7� ����'�� %�'`�' c�,�� ,��,�,i�k`
❑R�sidential �Commercial(Approval Required)
❑N�ew ❑Additional ❑Repairs �Replace
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Site Address: o�(0 7 O c��, a� � �
Ownek�: Mailing Address:
City: � ��p�w Zip:
Home�Phone: Alternate Phone:
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Contractor: ��J ��v-u�`�''� L� / ontact Person: `� �
Addre�s: �1�5 �ac�au Zfe� .�E State Bond#: � �SJ o2c1
City: ./�'C.Y�a•-� Zip: 537�0 Expiration Date: /Z /
Phone:' ��3-'��7-��tJ Alternate Phone: ��$' ��f
❑ Insurance—Current:
1
�
Note!:All Geothermal Systems will now require a Site Plan&Review by our Building O cial.
IS T�IIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: �
MakeF jr uu�x
Mode�:
Fuel: I I
Flue Size:
Input BTUs:
Outpult BTUs:
CFM:I
COO�.ING SYSTEMS
Quantity: �
Make:' LQ NLteDC I
Model l: �
Tons: �
H.Povu�er
FIREPLACES
❑ Gas Factory Fireplace Brand Name: I
❑ Wood Burning Fireplace
� ❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION I
I ❑ No. Kitchen Exhaust duct recirculating c
❑ No. Bath Exhaust(must have duct outside) c m
� ❑ No. Other Fans: Locations c m
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
I ❑ Installation ❑ Removal
� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outsid
LP Gas: gallons
� Other:
GAS LINE ONLY
I ❑ Outdoor Grill ❑ Other/List What&Where:
2
�
(�J I Yes,this section applies
�
The replacement of a Residential fixture or appliance that meets all three of the following requireme�ts:
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 applies; Cost of Permit $ 15.
State Surcharge $ 1.0
, Mail-In Fee(If Applicable) $ 2.0
Total Permit Fee $
If above does not apply;follow guidelines below:
i 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
I � �� x.0125$ 7�d�
contract price) (atinimum$SO.OU
II 2. STATE SURCHARGE ,�
, ' 0�b x.0005 $ 3< UU
� (contract price)
II 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 I
I 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ , Uv
❑ * ICONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged or the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be c azged
to the customer for the work done. If any material,equipment, labor or installations are furnis ed by
thQ 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 n the
a�nount of the job cost, the City may request the submission of a signed copy of the actual co tract.
The ui4dersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to�o all
work �n strict accordance with the ordinances of the City and the regulations of the St te of
Minnesota, and certifies that all statements made on this application are complete, tru� and
correct.
� �
Applic�ant's Signature: Date: � a� S
3
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� � �� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC scHe�u�E� `7 ��
PERMIT NO�� � COMPLETED
ADDRESS � � 1..�� t,'� �I !
OWNER TELEP�NE NO. �CZ- ���� �7�,5
CONTAACTOA � _ � � �L(;�Yt b:
� DESCRIPTION �f �L� � � C�
ly ❑ FOOTING ❑ DEMO-FINAL dI/�(�V�SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI �f�� ❑ EXCAV/GRADING/FILLWG
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA� ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S P.TIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:�ES_NO
v�i COMMENTS: �_
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� ❑WORKSATISFACTORY:PROCEED �RQJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call forthe next inspecti�hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. 4--
White Copyllnspector's File Canary CopylSfte Notice