HomeMy WebLinkAbout2010-00505 - mechanical � ^ ' CITY OF ORONO PERMIT NO.: 2oiaoosos
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 06/2U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1155 LOMA LINDA AVE
PIN : 07-117-23-14-0013
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
VALUATION : $ 1,800.00
NOTE: HEATING SYSTEM
PAYNE-PG8MAA042090-NATURAL GAS-6"GLUE-88K INPUT-70K-OUTPUT- 1225 CFM
APPLICANT MECHANICAL 50.00
PRECISION HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 0.90
3650 CHESTNUT ST.N TOTAL 50.90
CHASKA,MN 55318
(952)556-0187
OWNER
ETAL,EUGENE GEYEN
1155 LOMA LINDA AVE
MOLJND,MN 55364
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
permiu. 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
• �o�/ //v � � oZ/� /O
Applicant Permitee Signature Date Is By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
# ` '
RECEIVED FOR CI USE ONLY
���`� City of Orono �j1/� s
r�O O� P.O.Box 66 Date Received. 0 Permit# ��
.; 2750 Kelley Parkway JUN 2 � ` .�''�'
'r �"x• !� Cryshal Bay,MN 55323 Approved By: Amount$: ��• �
�'''��,�+ �'�����,,��!` �9sa>za9-aboo CITY OF O(��(,?!�(�
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permiu 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 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 includin
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 consm►ction 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 final.
TYPE OF PERMIT
Check All That A 1
�Residential �Commercial(Approval Required)
❑ New ❑Additional ❑Repairs Q Replace
Job Site/Owner Information:
Site Address: 1155 Loma Linda Ave
Owner: Gene Geyen Mailing Address: 1155 Loma Linda Ave
Ci ; Orono Z1 55364
tY P�
Home Phone: �952�4�2-2�2� Alternate Phone:
Contractor Information:
Contractor: Precision Heating &Cooling Contact Person: Terry Yanisch
Address: 3650 Chestnut St., N. State Bond#: 0515071
Chaska 55318 09/05/10
City: Zip: Expiration Date:
Phone: (952)556-0187 Alternate Phone:
✓❑ Insurance—Current:
1
t ` i
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes 0 No
HEATING SYSTEMS
Quantity: �
Make: Payne
Model:
PG8MAA042090
Fuel: Natural gas
Flue Size:
6"
Input BTUs: 88K
Output BTUs: 70K
CFM: 1225
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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
� No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abaedon tank in place.)
0 Installation � Removal
Fuel Oil: gallons ❑ Underground �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
�1 �
❑ Yes,this secrion applies
The replacement of a Residential fixture or an�liance that meets all three of the following requirements:
1. es n t require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;ex 1 in the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
1,800.00 x.0125$ 50.00
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50)
1,800.00 x.0005 $ 0.90
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50.90
■ * 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
esrimated 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.
• **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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 aze complete, true and
correct.
�
Applicant's Signature: Date: 06/16/10
3
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CITY OF ORONO CALLED IN / � ��v
INSPECTION NQT/I�CE �^ SCHEDULED � �:�h
PERMIT NO. d V I,U `I�LJ�JSCOMPLETED
ADDRESS � l �5 l c7 ma � (�cl n. �4 � �
OWNER C��p'l!L- _TELEPHON�NO.��_�c�1
CONTRACTOR
�: DESCRIPTION ��-Q-' �' r��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
MBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
Q OWN NTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ,C SSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED
❑ �NSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on sit .
Inspector. C = �.S
White Copyllnspector's File Canary CopylSite Notice