HomeMy WebLinkAbout2015-00929 - mechanical 4 CITYOFORONO * Z015 - 0PJ929 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2015
ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY 220
PIN : 33-118-23-12-0068
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: NEW LENNOX FURNACE AND A/C
APPLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
B&D PLUMBING&HEATING INC. TOTAL 78.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- Payment(s)
(763)497-2290 CREDIT CARD 1687 78.00
OWNER
MORTENSON,CORY
2670 KELLEY PKWY 220
UNIT 220
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 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 au[horized is not
commenced within I80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The app cant is responsible for assuring all required inspections are
reque e in conformance th the State Building Code.This permit may be
rev e at any time for d cause.
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ic t Permitee Signature ate sue Signature Date
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,` City of Orono �§�,a' , ,;,
1�/ P.O.Box 66
0 2750 Kelley Parleway "`
Crystal Bay,MN 55323 �
Phone(952)249-4600 Fax(952)249-4616 � ^�-' , �� - ^ •
y��.� ���� CITY OF ORONO—ME
kFs�og CHANICAL PERMIT
(All Commercial pernuts must be approved by the Building Ot�icial or Inspector and/or Fire Marshal)
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1. You may apply for mechanical permits by mail or in person at the City offices. Applications wil
be reviewed and a permit will be issued within two working days.
2. P�rmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
V�L,ID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. M�echanica�l Desi�-Complete calcnlations;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. A11 work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. Hquse Heating Test Record must be submitted before final.
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❑Residential �Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
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Site Address: 7 �
Owner: Mailing Address:
City: ��!'Dwcl Zip:
Home Pho�e: Alternate Phone:
Contra�to I�f'orm�tioLn:
ContractorF ,��� �+c�� �, , Contact Person: CR!,
Address: i �'�/5 I�La�,�,,�. C�, itl E State Bond#: �M OJ`��o��I
City: •�c.�� Zip:� Expiration Date: / 3t �'
Phone: ?��-4�l?-��� Alternate Phone: �ol��3�$ • ?�1S
❑ Insurance—Current:
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Note:Al1�i,Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TSIS EOTHERMAL? ❑Yes �No
HEATIN SYSTEMS
Quantity: I (
Make: , LG4l u.0 X
Model:
Fuel:
Flue Size: I'
Input BTUs:
Output BTUs:
CFM: '
COOLIN SYSTEMS
Quantity: � ��
Make: �K N.opC
Model: '
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming 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 ��
FUEL STO GE (Must be approved by Fire Marshall if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
, Other:
GAS LINE�NLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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�. Y s,this section applies
, The replacement of a Residential fixture or anpliance 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;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 $ 1.00
! Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above do s not apply;follow guidelines below:
1., CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
' � �0,�0 x.0125$ . �
(contract price) (minimum S5o.00)
2. STATE SURCHARGE
' � �or fjo D x.0005 $ ��a
(coniract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �
4. OTAL PERMTT FEE(Add Lines 1-3 Above) $ [� �� �
�
❑ * CONTRACT PRICE or JOB COST means the actual or estimated doilar amo chazged for th
permitted work including materials,labor,profit,and other fixed costs. It is the ount to be charg
to the customer for the work done. If any material,equipment, labor or installations are fumished b
the owner,tenant or any other party,the reasonable market value of such items must be added to th
estimat$d cost or contract price for pemvt fee purposes. In the event that there is a dispute on th
amount of the job cost, the City may request the submission of a signed copy of the actual contract
The unders gned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in s 'ct accordance with the ordinances of the City and the regulations of the State o
Minnesota, and certifies that a statements made on this application are complete, true and
correct. '
A licant's Si ature: �' Date: S
PP � �� �
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE C, SCHEDULED 0 � ��
PERMIT NO. ' � COMPLETED
ADDRESS 2- �P O ILLU `� � � C'
OWNER TELEPH E NO. � -7 `�s
CONTRACTOR � L�IZL
� DESCRIPTION �6blC�.- � I����`� �c.u�i'�c�
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ��HANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_ ES_NO
��., COMMENTS: ��
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� �RKSATISFACTORY:PROCEED �OJECT COMPLETE
W RECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site: � �.
Inspector.
White Copyllnspector's File Canary CopylSite Notice