HomeMy WebLinkAbout2015-00558 - mechanical � CITY OF ORONO * Z 0 1 5 — 0 0 5 5 8 *
� 2750 KELLEY PARKWAY DAT ISSUED: 05/13/2015
, ORONO,MN 55356- ,
� 952 249-4600 FAX: 952 249-4616
ADDRESS
: 2670 KELLEY PKWY 314
PIN : 33-118-23-12-0082
LEGAL DESC : STONEBAY OF ORONO CONDOMINNM
: LOT 000 BLOCK 000
PERMTT TYPE j : MECHANICAL(>$500)
PROPERTY TY'PE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION � : $ 6,000.00
NOTE: 1 LENNOX,&1 AIR COND LENNOX 2.5
APPLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(V UATIOl� 3.00
B&D PLUMBING&HEATING INC. TOT L 78.00
4145 MACK�NZIE CT NE Payment(s)
ST MICHAE�,,MN 55376- CHECK 550382 78.00
(763)497-2290 �
OWNER
GEIGER,R!L�BERT&PAMELA
2670 KELL�Y PKWY 314
LONG LAI�E,
AGREEMENT AND SWORl�1 S
TATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Buildi�ig Code. This permit is for only the work described and dces
not grant pehnission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be co�pied with whether or not specified herein.'This permit will
expire and become null and void if construction authorized is not
commenceQ 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 applic�nt is responsible for assuring all required inspections aze
request in confortnance with the State Building Code.This permit may be
revo �any time for d e cause.
�� � �� !'S � ,3 �
ic Permitee Signature ate Issued Signature Date
� FOR CITY USE ONLY
City of Orono
�ONO P.O.Box 66 Date Received:��ermit#��«����
2750 Kelley Parkway �
Crystal Bay,MN 55323 Approved By: i Amount$: �
Phone(952)249-4600 Fax(952)249-4616
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l�kfSNv��` CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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 RECENE 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 fmal.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: j
Site Address: 2 Le76 �t��t��wk�ay �M 3��{
Owner: �ac�c-� �Sc,ur� �,rua,o1 Mailing Address:
City: �'�toc� Zip:
Home Phone: (�e12- �t,4- C��Z Alternate Phone:
Contractor Information:
Contractor: 13-� `17'1�•►tic� - �-.c,.��n� Contact Person: C��wt�« ����5��
Address: 41�5 YYlacitcni�L C_�+ tJr State Bond#: IY130o3�\(�
City: S"�-�(V���c�►<,..� Zip:S53'7(� Expiration Date: -7- �-\(�
Phone: -7Lc"�-�-IQ'1- Z.Z.SU Alternate Phone: ��Z--3�-8-��1$S
❑ Insurance-Current: �cs
1
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: i
Make: '�'�
ModeL• Lt�rvwZC
Fuel: N4�-
Flue Size:
Input BTUs: (QD�( ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ��7
Model: Ltl��
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ 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
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the follbwing requirements:
1. Does not require modification to electrical or gas service. I
2. Has a total cost of$500.00 or less;excludine the cost of the fixture orlappliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit I $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION S —JOBS OVER$5 0.00
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 $
( ontract 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 far 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 AGREEMEr1T
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 regulatLons of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ���_ �J,7,�- Date: Sr(Q—� S
3
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�� �� DATE TI
CITY OF ORONO ��'' cALLED IN
INSPECTION NOTICE SCHEDULED � --���
PERMIT NO. ��.j 5 "-C�'�COMPLETED
ADDRESS ��� - �-
OWNER TELEPH NE NO. �O?�� ���
CONTRACTOR �.� � � ' �� `
� DESCRIPTION �/n�-� �� `����
ly ❑ FOOTING ❑ DEMO-FINAL ❑ S�PTIC 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 �,�M' ECHANICAL FINAL ❑ FCATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S PTIC INSTALL
� OWNERfCONTAACTOR TO M�YOU:�YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED `,�ROJE6T COMPLEfE
� �RRECT WORK 8 PROCEED ❑ISSUE�ERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pF{OTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerfContractor on site: ���y
Inspector. �—� /ru �-�E--
White Copyllnspector's File Canary CopylSfte Notice
:
� Z�� �f
��� DATE TI
CITY OF ORONO ��� caLLED IN ;�-�
INSPECTION NOTICE SCHEDULED � --��"
PERMIT NO. `7�`�5 " C���COMPLEfED
ADDRESS ��� - � -
OWNER TELEPH NE NO. �a�� ���
CONTRACTOR �"-, � �� f � `
� DESCRIPTION ��n�1 �� �
lV ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S PTIC INSTALL
� OWNERICONTRACTOR TO M�YOU:�YES_NO
c�.� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED `�ROJECT COMPLEfE
W �'C9RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAII 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.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: �'d�y
Inspector_ �� /� �� �
White Copyllnspector's File Canary CopylSfte Notice