HomeMy WebLinkAbout2014-01150 - mechanical " ' CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 4 - 0 1 1 5 2J *
DATE ISSUED: 10/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3726 LIVINGSTON AVE
PIN : 17-117-23-34-0053
LEGAL DESC : LAKE MINNETONKA WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 2,997.00
NOTE: (1)CARRIER FURNACE-NATURAL GAS-3"FLUE-60,000 INPUT BUT'S,55,200 OUTPUT BTU'S- 1600 CFM
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APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.50
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD TOTAL 53.50
PLYMOUTH,MN 55447
(763)473-2267 Payment(s)
CREDIT CARD 0331 53.50
OWNER
MATSEN, MARK
3726 LIVINGSTON AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORIV 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.
' � �o � /D � � � �y
Applicant Permitee Signature Date Issue Signature Date
10/06/2414 KON 1Q: 08 FAx 763 a73 8565 Snbre Henting b Air Cond �003/044
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2750 Kelley Parkway T
� � 'C, Cryatal Dey,MN 553Z3 Approved Sy; Ama�nt S; CJ
� � Phone(952)2R4-4600 Fex(952�249-46!6
CTTY OF ORONO—MECHANICAY,PERMIT
(Ail Commaioiul permite mus�bo Approvod by the auildiag Uffl��el or Lt�pectoc and/or Fi�e Mazshell)
GENERAL IZV�ORMATIQN
1, You msy apply for mechaniql permits by mail or in pe,rson at the City of�ices. A�pplication9 will
be c�viewed and a parmit will be issued within two working days.
2. Permit cards will ba sent by return mail aftar a rev�ew is compieted, PERMI'1'S ARE NpT
VALID UNTII,YOU RECENE A PERMIT. V�O,�K MUST NOT S�GYN UNTILZ$�j,
PERMIT CARD IS POST�n ON T�:1 B STTE
3. Meahanical Dasians—Complete ca[culatione,details and speci�cations ara required for each
heating,venulauon,humidi�c�►tion-dehumidif'ication,and air conditioning installation including
heat lo9s/t�eat gain calculation,design temperatures,equipment ratings and identi�ication es to
rypa,manufaoturer and model. Data shall be preseoted on form provided.
4. When any new canstruction or remodeling is involved,a separata building permit muet be
obtaiaed.
5. Al!work must be done ir�accord�nce with the LTniform M�hani�al Code/State Building Gode
reguirement9.
6, Al)work must be inspected(rough-in and fina�. Cal!(952)249-4600,
. (24-48 hour notice required)
7, Housa Heating Test Record must be submitted beforo final.
TYPE OF PETZM�T
Gt►eck�All Th�t�L 1
[�'�osidential ❑Comtuercial(Approval Requ+red)
❑New ❑Additional ❑Repairs �Rsplace
3ob 3ite/Owner Information:
Sate Address: �12(0 �.1V t �N t,c..�1
Owner: ,,n/�IIIA/�_ YU11�1,�l�tilrti _ Mailxng Address: �1mlLl�d���
City: Zip:
Home Phone; Alternate Pk�one: �� •��• `�7�5
Cor�traator Infozrnation: �
Contractor: ..�� � Contact p�rson: �
Address: State Bond#� �� � DI�
City: Zip:55���Expiration Date: ���cJ'7�O1(�
, Phone: ��0�• '��•�.LL'� Alternate Phone: ��
[� Insurance—C�urent:
1
10/06/2014 MON 1�: 08 Fax 763 a73 8565 Sabre Heeting & xir Cond �004/044
Note:All Geothermal 5ystems will now requi�ro a�ite Plan&Review by our Building Official.
IS THIS GEqTI�RMAL? ❑Yes [�No
�a�v�sYsrEMs
Q�t��� � - --._
Make: t
Modal: �
Fuel: �I G „�____
Flue Size: N
Input BTUs;
output szv$: SZDo
cFM: I too 0
COOLING SYSTEMS
QuanhtY� —..,_,...,. --
Make:
Modea: _.
Tons;
H.Power ._..
RIREPLACEg
❑ Gas Factory l�iroplace Brand 1�Tame: ____ _
. � Wood Buming Fireplaca
❑ Vl�ood Stove Model No.:
❑ Wood Stove with Plue/Masonry
VEN'I'II.ATION
❑ No. Kitchen Bxhaust duct recirculating cGn
❑ No. Bath Exhaust(muet ha.ve duct outside) �'m
❑ No, Other Fans: Locations �
�J[E�,L 9T�BA��(11�us�be qpproved by FYre MarskaU if prupaving to abandon rank in pJaca)
❑ Installation ❑ itemaval
Fuel UiJ: �gallons ❑ Underground ❑Inside 0 Oucaide
LP Gas: g�llons
Other:
GAS LiNE ONY.Y
❑ Outdoor Grill CI Other/List What 8t Wk�e�e: __
2
i0/06/zDia KON 1a: 08 FAx 763 a73 8565 6abre Henting 6 Atr Cond �00z/OOa
� , . .
❑ Yes,tltis section applies
The replscement of s$&,�jdAntial fixwre or a l�y�iance that meets sll three of tl�e£ol�owing requiraan�ts:
1. boes not require modifiaadon to eloctrical or gKs service.
2, Has a�t�uf a500.OQ or less;exaludin�the cost of tha�xture or applisnco:snd
3. Is improved,installed or replaced by the hosneawuer or lipensed contractor. '
Skip next sectior�if this spplies; Cost of Permit ffi 15•OQ
Stau Surcharge S S•00
Mail-In Fee(Tf Applicabla) S 2.U4
Tot�l Permit�'ce S
If above does not appty;follow guidelines below:
1. "'is l.25%of contract prica with a(Minimum Fee of 530.�)
x.01255 ���
(cqptrect price) (mlalmulu S50.00)
2. ST
�. •�� x.0045 S �'�
(crn,lract priae)
3. POSTAGE&HANDLING(Only on M�ail-Tn Applications) S_ ,, 2 b0_,,,
4. TOTAL PERMI'r�'EE(Add Lines]-3 Above) S 3,`��
• " CONTRACT�CE or 70B COST m�ns thc actual or�timated dollar amount charged for tho
pearniitted work including matarials,labor,pro�it,and other fixed costs. lt is tho$r�nount to be charged
to the customec for the work done. lf any material,equipment,labor or installations sra fi�mish�by
the owner, tenaut or any other party,the ransonable markat valuo of suoh iteans muat be added to the
estimated cost or contract price for permit fee purposes. In the event thet there is a dispute oa tha
amour�t of the job cost, tho City may reque�t the gubmission of a signed copy of the actua,l contc�ct.
Tha undersigned hereby applios to the City for issuance o�a Mechanical�ormit,agreea to do a11
work in strict accordance with the ordinances of the City az1d t�s regulations of the State of
Minnesota, and certifiea that all statemarifs made on this application are complete, true and
con'ect,
Applicanl's 3ignature: � A! Date:, ��'�0'�1�`f'
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DATE TI
CtTY OF ORONO CALLED IN �
INSPECTION N C� ��r$CHEDULED /a—�l!�4
PERMfT NO. �� �-EOMPLET D /
ADDRESS d U �
OWNER T LEPHO N� � ��
CONTRACTOR` �- � �
� DESCRIPTION `����� � �-"`-t'
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
i dWNERICONTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS: ���
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� ❑WORK SATISFACTORY.PROCEED L/%�W ECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ I UE CERTIFlCATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COMERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cafl forthe next inspectfon 24 hours in advance. (952) 249-4600
OwneNContractor on site: ;
Inspector: ��' �
WMM CopYAnspscto�'s File C�nsry CopylSka Notics