HomeMy WebLinkAbout2011-01541 - mechanical . � CITY OF ORONO PERMIT NO.: 2011-01541
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 12/12/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2350 LONGVIEW CIR
PIN : 03-117-23-23-0005
LEGAL DESC : LONGVIEW
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 4,700.00
NOTE: (2)MODINE HEATING SYSTESM
HD75A501 I 1-NATURAL GAS
4"FLUE
75,000 INPUT
60,000 OUTPUT
1200 CFM
(2)FANS-CEILING AND WALL-800 CFM
APPLICANT MECHANICAL 58.75
C&M PLUMBING,HEATING&AIR STATE SURCHARGE MECH(VALUATION) 2.35
610 CENTRAL AVE. TOTAL 61.10
BUFFALO,MN 55313
(763)682-4390
OWNER
RYAN,MR.&MRS.THOMAS
2350 LONGVIEW CIR
LONG LAKE,MN 55356-
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 sepazate
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 pern►it may be
revoked at any time f due cause.
�
�- � / �„Z / �/' /
Applic ermit ignature Date `� / �
Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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�AR���iT� �E��1'L�`Y ��
�,¢0�� City of Orono �� � ������� � ��1���`�����
P.O.Box 66 �"laate�ecq��e����____�k�perm��#
2750 Kelley Parkway : � � � � �
� `� Crystal Bay,MN 55323 Approved�3my� �no�ni$ r �
Phone(952)249-4600 Fax(952)249-4616 �:
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAI:,jIl�OR1��TIC�1�'..
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applicarions will
be reviewed and a permit will be issued within two working days.
2. Pernut 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,ventilarion,humidification-dehumidificarion,and air conditioning installarion including
heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on forxn 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 before final.
����;���� ` x:
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:` ";(fil�eci`k A������ �x ):`.''
❑Residential ❑ Commercial(Approval Required)
[�]New ❑Additional ❑Repairs ❑Replace
},`°�Q� .�'����ri��QTt�I�1�1 ,, `;
Site Address: +�,�� � � a �✓�j v,'re,r� �� ,�G�/e
Owner: �'or�-� ��!4 i,J Mailing Address: .S4�r, •�
City: � �o n/ G Zip: �� ,���
Home Phone: Alternate Phone:
���trac�r;�i�a.�n;`,
Contractor: ���4�1��ontact Person: ��;�
Address: �/� ��✓,��4� �Y-�. State Bond#: � %�'� �Y�j
City: �y f f=�i f� Zip;�{�/3Expiration Date:
Phone: ��j -���- �-/� SG Alternate Phone:
❑ Insurance-Current:
1
f ■ .
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑Yes 0'No
HEATING SYSTEMS
Quantity: � �LJ o
Make: /y�p�,�/t/��2
Model: �L�C� ��",t}S'o 1//
Fuel: �� (��--
Flue Size: � ��
Input BTUs: ��,o�G
�
OutputBTUs: �6,�o 0
,
CFM: f o2 0 6
COOLING SYSTEMS
Quanrity: J
i
Make: ;'
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. _-0,� Other Fans: Locarions � ,•/;�✓4 , �Jc l/ Q�p cfin
FIJEL STORAGE (Must be approved by Fire Marshall if proposing 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: �- l�/��oQs � 2ti �ivt e
2
/ , . ,
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 Pemut $ 15.00
State Surcharge $ 5.00
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$50.00)
���
� �Gd x.0125$
(contractprice) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernritted 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 pariy, 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.
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: lo�—��r��
3
� � / AT // TIME
CITY OF OR NO CALLED IN ` �
INSPECTION I�OTICE `� �j SCHEDULED ! 6� _�_
PERMIT NO.�'��//Dl�`� COMPLETED
ADDRESS ��
OWNER EPHONE O? �`�"� `�
CONTRACTOR �
�; DESCRIPTION N '
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� ❑ FOOTING LUMBING F ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVA�
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnedContractor on site•
Inspector. � U S
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` � �ATE TIME
�CITY�F ORONO CALLED IN I��
p f ' �—' -� � �
INSPECTION NOTICE 4 �- � scHEou�Eo f �_
PERMIT NO. '�� �� �" ` � � � COMPLETED
ADDRESS '-� ?�`:��>�,� � L'4����)���i ��� �� ('l
OWNER TELEPHONE NO. ����' ^���� ^y3g�
CONTRACTOR � `� G�� � ������'<J
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�: DESCRIPTION �' l �•1�=�I �1 1�-"C�rtP � 1�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN /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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:/.�YES_NO
� COMMENTS: �"��
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GW ❑WORK SATISFACTORY:PROCEED �RROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. �952� 249-46�0
OwnedContractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice