The URL can be used to link to this page

Home My WebLink About2017-00275 - mechanical r • ,� ' CITY OF ORONO * 2 0 1 7 - 0 0 2 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2850 LITTLE ORCHARD WAY PIN : 09-117-23-21-0007 LEGAL DESC : LITTLE ORCHARD : LOT 001 BLOCK 001 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)HEATING SYSTEM APPLICANT MECHANICAL 62.50 TEAM MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 2.50 3508 SNELLING AVENUE S TOTAL 65.00 MINNEAPOLIS,MN 55406- Payment(s) (612)729-5646 CHECK 20715 65.00 Minnesota State License#:mech-MB003782 OWNER SWENSON,JAY 2850 LITTLE ORCHARD WAY 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 pertnit is for only the work described and dces not grant permission for additional or related work which requires separate permits. Ali 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 l80 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. � � /�h� /�� Applicant Perrr►itee Signa Date Issued B ignature Date � , ` . • R�CEIVED Ml1R 2 •7 �0�� , FOR CITY USE ONLY �O� City of Orono /� P.O.Box 66 Date Received: Pennit# V 2750 Kelley Pary�(QF ORONO Crystal Bay,MI�`f��2'� t\pproved By: Amount S: Phone(952)249-4600 Fax(952)249-4616 � �� j.�kEsxo�ti�' 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 f'or mechanical permits by mail or in person at the Ciry offices. Applications��ill be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail af[er 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 Desiens—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 t��pe,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 befare final. TYPE OF PERMIT ' �� (Check All That A 1 ) �� Residential ❑Commercial(Approval Required) [Backtlow Device: ❑AVB ❑ PVB] ❑New ❑Additional ❑Repairs ❑Replace �Job Site%'�Owner Information:. , Site Address: ��,'� �-11�1� ��'ri�cr'� l��-� Owner: �� J / Mailing Address: ��SC� �/Ti� v�� Gf/� City: qv�n� Zip: 5_55.3/ Home Phone: 1�2 •7��-�k3� Alternate Phone: Contractor Information: Contractor: �u,3� ��v�;ti�c�� Contact Person: i%//�/`lR:.,G/ Address: � S � �� r State Bond#: /J1�� City: �'/� Zip:_;yJ � Expiration Date: ?/�/y Phone: l�i�� 7�y��-��'i'�' Alternate Phone: � Insurance—Current: 1 � � - � � � �� MECMANICt1L SYST��vIS�BE�ING �NSTALLED� � � � ��"' '` °:. , s�.. .::: Note: All Geothermal Systems will now require a Site Plan& Review by our F3uilding Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: � Make: �" � `� rt, Model: �L/'�b Fuel: (r �ii Flue Size: y Input BTUs: �7C�ULt� Output BTUs: J L� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 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 ijproposing 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 ��'�-�' " E,'. "'�-: ��.� . . .�.::,._. ., '�- %, . ,,: ..f .,. �+y� � �� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ ��-�v (contract pnce) (minimum�50.00) 2. STATESURCHARGE J y(,�.O x.0005 $ e�c ' (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ,�' 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 4'� ■ * CONTRACT PRfCE 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. , �. � ;,, � �.��' �,: , �;,, ,�! .... ��' {��1� GRF?� F' , �.,. '.'.:. ., 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: � Date: ,�-///� � 3