HomeMy WebLinkAbout2015-00561 - mechanical CITY OF ORONO * z 0 1 5 0 0 5 6 1 *
` ' � 2750 KELLEY PARKWAY
DATE ISSU D: OS/13/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 210
PIN I : 33-118-23-12-0058
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE I : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPL : MECHANICAL-MULTIPLE
VALUATION : $ 6,000.00
NOTE: 1 FA LENNOX, 1 I�ENNOX AC 2.5
A PLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
B&D PLUMBING&H�ATING INC. TOTAL 78.00
4145 MACKENZIE CT 1�1E Payment(s)
ST MICHAEL,MN 55396- CHECK 550382 78.00
(763)497-2290 i
OWNER
LAGUE,JEROME&J(�Y
2670 KELLEY PKWY�10
UNIT#210 I
LONG LAKE,MN 553$6-
AGREEMENT ND SWORN STATEMENT
The work for which this pe�p►rt is issued shall be performed according to
the approved plans and speci�ications,applicable Ciry approvals,and the
State Building Code. This p�rmit is for only the work described and dces
not grant permission for add�tional or related work which cequires separate
permits. All provisions of la s and ordinances governing this type of work
shall be compied with whe�r or not specified herein.This permit will
expire and become null and�oid if construction authorized is not
commenced within 180 day of the date of issuance,or if construction is
suspended for a period of 18�days at any time after work has commenced.
The applicant is responsible Ifor assuring all required inspections are
request n conformance wFth the State Building Code.This permit may be
revok any time for du Faus .
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A ican itee Sign�ture te Issue y Signature Date
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� ' FOR CITY USE ONLY
�O�O City of Orono �/ �.�y X� �
P.O.Box 66 Date Received: 0�5 Permit#v' "'�
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: � � .
Phone(952)249-4600 Fax(952)249-4616
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lq��SH���� CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 Designs—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 i
Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information: �
Site Address: Z��d .�'�����y �c,,rl�(Wc�y �oov� Z1�
Owner: �ne 1�4�r �Sourcc t�roa�l Mailing Address:
City: �'jr�(�� zip:
Home Phone: �12- g$`(- bo12 Alternate Phone:
Contractor Information:
Contractor: �� p1a�,�i►,w-�,r,4-F�na Contact Person: C-���� l,J��✓�
T�-�
Address: �)�VS YY1ac1(c,icz;e �r+ NF State Bond#: r`�11�C�03 01 UI
City: �, YY1 ich�,.�( Zip:SS37lQ Expiration Date: �1- 1- t(,;Q
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Phone: �Lo3-�(�(`1- �.� Alternate Phone: (,t►2- 32�'-� �785
❑ Insurance-Current: V LS
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now requi e a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes o
HEATING SYSTEMS
Quantity: �
Make: ��
Model: LtY�lb�
Fuel: N�,}
Flue Size:
Input BTUs: �p�'( �"N
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: 1
Make: C��
Model: �X
Tons: 2.tj
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) 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
. • •
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;excludinQ 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 $�
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) $
I * 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: ��. .�,��,�,a., Date: S— �- l S
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� � DATE TIME , /
CITY OF ORONO CALLED IN ��
INSPECTIO��=LCE �.y��r r SCHEDULED � �U�
PERMIT N � ������ COMPLETED
ADDRESS ��O ����-+ �'L��1 S��
OWNER TELEPHONE NO. ���' 3a - �
CONTRACTOR � S��
� DESCRIPTION �� �-1 �-
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS• ^
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W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 952� 249-46�0
OwnedContractor on site:
Inspector.
White Copyllnspector's File ' Canary CopylSite Notice
�� DATE TIME V
CITY OF ORONO CAL�ED IN ��
INSPECTIO OTICE SCHEDULED �5 3` �
PERMIT N��S' �-�I COMPL
ADDRESS ` ����
OWNER TELEPHONE NO. ��"3 2"�'�1�
CONTRACTOR �rD
� DESCRIPTION ' "`-te�«� � ��-�
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUM FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance. 9 -46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice