HomeMy WebLinkAbout2017-00588 - mechanical CITY OF ORONO * 2 0 1 7 — 0 0 5 e e *
2750 KELLEY PARKWAY DATE ISSUED: OS/3U2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2587 KELLY AVE
PIN : 20-117-23-14-0021
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 004 BLOCK 005
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 10,368.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM HEATING SYSTEM-70,000 INPUT BTU'S,67,200 OUTPUT BTU'S
(1)RHEEM A/C UNIT-2 TONS
APPLICANT MECHANICAL 129.60
STATE SURCHARGE MECH(VALUATION) 5.18
TOTAL COMFORT MAIL-IN FEE 2.00
8818 7TH AVE N
GOLDEN VALLEY,MN 55427- TOTAL 136.78
(763)383-8383 Payment(s)
Minnesota State License#:mech-MB003665 CREDIT CARD 4353 136.78
OWNER
WARE,ALEXANDER
2587 KELLY AVE
EXCELSIOR, MN 55331-
AGREEMENT A1vD 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 goveming 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 ignature Date
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FORJ�I3SE ONLY
/O City of Orono d r7 a5�g
� � P.O.Box 66 Date Receival� Permit# _�__
/ � 0 2750 Kelley Parkway �7
r' Crystal Bay,MN i5323 Approved 8y: Amount$: 1 3�� /
Phone(952)249-4600 Fax(952}249-4616
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�kFS��Q�ti�' CITY OF ORONO—MECHANICAL PERMIT
_.�, (All Commcrcial permits must be approved by d�e Building Official or Inspc.c[or and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applicatians will
be reviewed and a permit will Ue issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERM[TS ARE NOT
VALID UNTIL YOU RECE[VE A PERMIT. WORK MLJST NOT BEGIN UNTIL TfIE
PERMIT CARD IS POSTED ON THE JOB SiTF.
3. Mechanical Desiens—Complete calculations,details and specifications are required far 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 buildin�permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanicai Code/State Building Code
requirements.
6. All work must be inspected(rough-in and finai). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check Ail That A I
�'Residential ❑Commercial{Approval Required) [Baekflow Device:�AV[i ❑PVB]
❑ New ❑Additional ❑Repa.irs ❑Replace
3ob Site/Owner Information:
Site Address: ����7 ��//��1i`-C'.1
Owner:_��/�C,/ [,� �� Mailing Address: �-��� ��t�,��
��tY: ,�f�-cL-��5;�� Z�p: ���� i
�tome Phone:�'���'J'���`� r/// � Alternate Phone:
Contractor Information:
____---� /
Contractor: �C"�-¢�-��,6G;�:',� Contact Person: G.��,N.G��3 ,�,C,.,1S''c..�:..
��.GU �'Address: _��/� �/�fZ,�/'L�,/V State Bond#: ������(�.�,�',�
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City: (F-�CJ �' l� Zip:,'rjl . /Expiration Date: �,�.���2��d
Phone: ���i-� ���'/����t��� Alternate Phone: ��G'���`?��J'`yy�
❑ Insurance—Current:
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MECHA1vICAL SY'S'�'�1V�5 BEINC iNSTA�.LE1�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes~�� I�io
HEATING SYSTEMS
Quantity: �_ _ __-_._---
—.�._ _.___..._-
Make: ���C%/�
Model: ��I�1Y� L'����_�--- — -
�
FueL• f '/ � `'f�S- — -- —
Flue Size:
Input BTUs: /V� (,���v _
�
Output BTUs: .r��� ,��,( ��� ,_
CFM:
COOLING SYSTEMS
Quantity: _ � �
Make: -�, t��"Ji``%� _
Model: �/j��,,/V r7 ---_ __ _-----.
Tons: �
H.Power ____ �
FiREPLACES
❑ Gas Factory Fireplace Brand Name:
---__._.
❑ Wood Burning Firep(ace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. _ Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marslralt if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Oti�er/Lisi What&Where:
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PERA�IT FEE G:ALCULATTON�.
1. CONTRACT PRICF, *is 1.25%of contract price with a(Minimum Fee of$50.00)
�� D �`� X.oizs� j,�% C�
conhact price) (minimum 550.00)
2. STATE SURCHARGE
` ��,.������C� X.aoos $__�;/�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,��� �d
■ * CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for the
permitted work includin�materials,labor,profit,artd 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.
MECHANICAL PERMIT APPI.TCATIC3N��I��MENT
The undersigned hereby applies to the City for issuance of a Mecha�lical 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.
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A licant s Si natures Date: J'�"--��� ����
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