HomeMy WebLinkAbout2017-00611 - mechanical • • CITY OF ORONO * 2 0 1 7 - 0 0 6 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/06/2017
ORONO,MN 55356-
(95�)249-4600 FAX: (952)249-4616
ADDRESS : 2725 ETHEL AVE
PIN : 20-117-23-24-0015
LEGAL DESC : CASCO HEIGHTS
: LOT 003 BLOCK 003
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 6,400.00
NOTE: ALL TESTMG REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)CARRIER NATURAL GAS FURNACE
APPLICANT MECHANICAL 80.00
STATE SURCHARGE MECH(VALUATION) 3.20
RESIDENTIAL HEATING&AIR,INC. MAIL-IN FEE 2.00
1815 EAST 41ST STREET SUITE A
MINNEAPOLIS,MN 55407- TOTAL 85.20
(612)724-1899 Payment(s)
Minnesota State License#:mech-003627 CHECK 28176 85.20
OWNER
SWENSON&MARNIE FIEDLER,JOHN
2725 ETHEL AVE
WAYZATA,MN 55391
AGREEMENT AIVD SWORIv STATEMEIVT
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
pertnits. 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. �
� � L / � ///
Applicant Permitee Signature Date Issued B S gnature Date
FOR CITY USE ONLI'
� �O�O City of Orono R��iE� ED �j ��/
P.O.Box 66 Date Received: Permit# �1����
2750 Kclley Parkway .� nj-, �
� � Crystal Bay.MN 55323 �U�'� � l� UA�proved By: Amount$: �
� Phonc(952)2d9-4600 F'a.�(9i2)249-4616
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`� :`' CITY OF �RUNO�RMECHANICAL PERMIT
!�'Y F 5 H���
_� (nll Commercial pennits must be approved by the Building Of�icial or Inspeclor and/or f�ire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required Cor each
heating,ventilation, humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call (952)249-4600.
(24-48 hour notice required)
7. House Heatinb Test Record mustbe submitted before final.
TYPE OF PERMIT
Check All That A 1 )
"�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB]
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: 2. 7 2- S �`� ��� _�v�
Owner: ), :.� �,.�� Mailing Address: 5��,.�� �� c`(�o ve
City: � �v �C� Zip: 5 5 3� 1
Home Phone: b 5 1 �3 57- 3657 Alternate Phone:
Contractor Information:
Contractor: �s,��„�-.�V �-��.���� Contact Person: �c�.,� �L
Address: I�5 i S �_ 4\s`' S� State Bond #: f"� +3 �O � 6 �Z 7
5�.��A
City: ["�� ��������5 Zip: �y�,�7 Expiration Date: Q — Z � " 1�
Phone: � J,2-7 Z�i�l�$ q� � Alternate Phone:
❑ �
Insurance —Current: i �,S
1
. � • � .���?�" , �:�.;��'�"��S BE�NG INSTALLEI?
, Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity:
Make: Co��t'��('
ModeL• „� $S'y;4 v'I c�
Fuel: (�.��'� GaS
Flue Size:
Input BTUs: �p O� �G a
our�ut BTvs: 5 z , $o 0
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
❑ Outdo�r Grill ❑ Other/List What&Where:
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' ` ' F��'�� : �:��:C`F3T.��UNS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
D
G�toc� G� X .o�2s$ � O �
(contract price) (minimum$50.00)
2. STATE SURCHARGE Od ZC7
G�oo X .000s $ 3 �
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
2 C�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ $ 5
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. [t 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.
1V�'�(�HA�T�C�kL P����"FAPPI.I��'"�fl�xl�C�REEI�NT'
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with ordinances f the City and the regulations of the State of
Minnesota,and certifies that all tat ments this application are complete,true and correct.
Applicant's Signature: Date: � " s ` ��
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