HomeMy WebLinkAbout2017-00284 - mechanical � � CITY OF ORONO * 2 0 1 7 - 0 0 2 8 4 *
2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 525 FERNDALE RD N
PIN : 36-118-23-14-0005
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT NATURAL GAS FURNACE I 10,000 INPUT BTU'S AND 98,000 OUTPUT BTU'S
APPLICANT MECHANICAL 62.50
PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 2.50
7415 CAHILL RD MAIL-IN FEE 2.00
EDINA,MN 55439- TOTAL 67.00
(952)835-7777 Payment(s)
Minnesota State License#:mech-MB004828 CHECK 13202 67.00
OWNER
OGLAND,JAMES&MARGARET
525 FERNDALE RD N
WAYZATA,MN 55391
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 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued B ignature Date
� REC�IV�' ' + R;�' ;�'USE�fV�.Y '
gO/�� City of Orono ; 2��
`Y P.O.Box 66 A,1 � � ,,, �d���.
� 2750 Kelley Parkway 11�� � , ��o� i � �.�`
Crystal Bay,MN 55323 �A;pproved By: _,T,4mount$����;:
Phone(952)249-46����s�oR��p
���q �.��� CITY OF ORONO—MECHANICAL PERMIT
kL�SH�� All Commercial
( permiu must be approved by the Building Officiai or Inspector and/or Fire Mazshall)
GENERAL I1�lFORMATION : : , : .� - . ,
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a peimit will be issued within two working days.
2. Pemut cards will be sent by rehun 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,humidificarion-dehumidification,and air condirioning installarion 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 sepazate 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.
"�'YPE OF P���'
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'C�lieck All'T1ia,��`�lx,. ,
�tesidential ❑Commercial(Approval Required) [Backflow Device:0 AVB ❑PVB]
❑New ❑Additional ❑Repairs �place
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Job Site%Owner Information:� ,
Site Address: J�2� ���u� �CJI N
Owner Mailing Address: �JL�'J �n�Q �i �/
c��y: ��'1'0�'�C� z�p: ���q J
Home Phone: �✓Z'�I7(�"I pZJ S� Altemate Phone:
Contractor Infortnation:
Contractor: d��(i Contact Person:
Address: 1 State Bond#: m}� �-I dn ZO
City: C� Zip:�yExpiration Date: "
Phone: `� n� �7�]7 Alternate Phone:
❑ Insurance—Ctiurent:
1
� N� �
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑Yes �No
FIEATING SYSTEMS
Quantity: I
Make: t� Q��
Model: �5 V(1cQ���
Fuel:
Flue Size:
Input BTUs: Q V
Output BTUs: � v
CFM:
COOLING SYSTEMS
Quantity:
Make:
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 E�aust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE *is 1.25%'of contract price with a(Minimum Fee of$50.00)
���V x.0125$ ( QZ ��V
(contract price) (minimum$50.00)
2. STATE SURCIiARGE �OO� � �
x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � , Q�
■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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.
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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: CY ` Date: �J �� �� ��
3
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� — y�- DATE TIME
CITY OF ORONO � CALLED IN T_
INSPECTION NOTICE �• SCHEDULED � '7 i/.,�-='-�'
PERMIT NO.�-�-��� �'����� COMPLEfED �
ADDRESS �> �-� `� 1�-_� �' ✓-�/'Y�r�,a ,f' e f��i'�I
OWNER TELEPHONE NO. ����' � r ��
CONTRACTOR � � - '�c�
f�_L,t i-' � )C! �� C�' /—/� �
� DESCRIPTION ' �
ty ❑ 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 �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
_ ❑ DEMO-SITE ❑�TIC INSTALL
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? OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: _
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� O WORK SATISFACTORY:PROCEED �ECT COMPLETE
w ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cae for the next inspectfon 24 hours in advance. (952) 249-46��
OMrtre�Contractor on site:
Inspecto �^' ��
WhiM Copyllnspector's File Canary CopylSfte Notke