HomeMy WebLinkAbout2015-00520 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 5 2 0 *
, 2750 KELLEY PARKWAY DATE ISSUED: OS/Ol/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 LYMAN AVE
PIN : 35-118-23-34-0016
LEGAL DESC : LYMAN WOODS
: LOT 003 BLOCK 001
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,000.00
NOTE: 1 LENNOX HEATING SYSTEM, 1 LENNOX COOLING SYSTEM
APPLICANT MECHANICAL 150.00
STATE SURCHARGE MECH(VALUATION) 6.00
SAYLER HEATING&AC MpIL-IN FEE 2.00
6800 WEST LAKE ST.
ST. LOUIS PARK,MN 55426- TOTAL 158.00
(612)702-6622 Payment(s)
CREDIT CARD 3833 158.00
OWNER
BENSON, SEAN&ALISA
1220 LYMAN AVE
WAYZATA,MN 55391-
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 dces
not grant permission for additional or related work which requires sepazate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.l'his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if conswction 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.
` j�,�f � �--� -� �,�-�-� � � / � �
Applicant Permitee Signa re Date Issued By Signature Date
11/08/2009 07:16 9529222434 SAYLER HVAC PAGE 02/64
'��� City of p�rono FOR CITx�rsE onr.1�
���� PA.Bo�c 66 na�e Roceiva�: �I`fS Perrnit# Z!d l S O S�
/ � 275t1 Kellcy Parkway (�'^ �
� Crystal�3ay,fvlN 55323 App�oved By: '�i'✓ i3mounl$;�
Phone(952)249-4600 f�ax(952)249�616
��� �
������Q��G CITX OF OR4N0-N�ECH.AN�CAL�ERM[T
(/���CotlUthetiia)pertnits must be ap�OYed hy the Building Official or InApeckor and/or Fire Marsbell)
GENERAL�QRMATION
l. You may apply foK meehanical perr�r►its by mail or in person at the Cpry offiees. AppIict�tions wilf
be reviewed a�d a permit will be issued within two working days.
2. Permit ca�ds will be sent by return nnail after a review is cOrfnpleted. PERMITS.0.R�NOT
VAI,Ip UNTiL YOU R,EC�IVE A PERMIT. WORK MUS�NUT S�GIIY UNTIL TFI�
���ARD IS POSTED ON T�#E JOB SI„�E
3• ieai De i -Cotinpletc calcuiations,detai�s attd spccifications are required�'or each
heafi.t�g,ventilation,hurt�adi�c�ftot�-d�humidification,and air coaditioning installation inciuding
hest loss/heat gain calculation,design temperatures,equipment ratings and identifcation as to
type,manufactucer and model. Data sha11 be presettted on form provided.
4. Whetl any new conshuctiot�o�'re�odeling is involved,a separate building permit must be
obtained.
5_ A,11 work must be done ir�accordance with the Uniform Mechanieal Code/State Buildin,g Code
requirel�nen[s.
6. All work must be inspected(rough-in and final). Ca11(952)249-4600.
(z448 hour not�ce repuired)
7. House Heating'�ast Record must be sub�mitted beforc final.
TXPE OF PERM,IT
Check,A,��`�'hat A I
�esidential ❑Commercial(Approval Reqvired)
❑New ❑Additional ❑�tepairs �aeplace
Job Site/Owner���'ormation:
Site Address: 1ZZ,o i-, rn��,, /�v1�
Owner: (�j�e��o..� , Mailing Address: �l�C u
CitY� ,. Zip:
Home Phone: ,A,tternate Phone:
Contractor�n�orXnation:
Contractor: .Sf� �0. W�1'r�a t, � �tL Contact Ferson: J�w. Vob�ts�3,t�.,��
A,ddress: C��oa ca�7 c..�u� �� State Box�d#� rru�poouz28
Cih`: S� t��s �na�ip:s�K+t.�. Expiration Date: t-�o�Lo�
Phone: fQ�2� ���- �.� Alternate Phone:
� Insuxance-Current:
�
11/08/2069 e7:16 9529222434 SAYLER HVAC PAGE 03/04
......... ......
.... ............::..:... .
_... ...... �.:....;;�:;:�•::.::�:..�.� ..
....;:
�,,;�,,•�,�...::.::.::....... ._..........,.. . . _ .............
, ...
• � ,, �<. 'i�i��; I �1. �;�,... -,�::,,...:.:::......�...,.....-,,
.. .
- -
.
1'���:?�I�ii'i�6t;:f i�'���, •;.V��� ��;��I. .,. : ... �t 1 ';i� �•�� ��i�ij�a:; ' '`��'iij�j
• ... . . .. . . . .
. ... ,
.,.. . . � . . . ; ,�• � �;
, .
i..... . � �G. ,. .� . .. . Ll�;:�;.:;i:,....1��:a:��i�Ui.��.l;i.� 'I�L'
�Iote:All Geothermal Systems will r�ow require a ite &Review by ou;r Building Of�icial.
IS THIS G�OTHERMAL? ❑ Yes �No
HEATI}VC SYSTEIv(S
Quantity: �
Make: L'��N b�t
Mode1; ���'t(3cwN,�►d
Fuel: NA'r Co14y
Fluc Size: ���
Input B7'LJs; ��o�oov
Output BTUs� lCf� pp
CFM: 2�c�o�.�w�
CQOLING SYSTEMS
Quantity: �
Make: a�N r�ap1�
Model: �IH-C�lB
Tons: �(
H.Power
F[REp�,A,CES
❑ Gas Factory Firepla�e Bran,d Name:
❑ Wood Burning Firvplacc
❑ wood Stvvc Model No.:
❑ Wood Stove with Flue/Masonry
VENT[L,A,T�ON
❑ No. [Citchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outsidc) �{�
�] No. Other FAns: I�ocations ��
FUEr,STORAG� (Must b¢approved by Fire Marshal!if prpposing[o ahQhdnn tank in,p►ace.)
❑ Irtstallation ❑ Removal
Fuel Oil: gallons ❑ Underground �Inside ❑Outside
LP Gas� gallons
Other:
CAS�,INE ONLY
❑ Outdoor Grill [� Other/Lpsc Whet&whcrc:
2
11/08/2009 07:16 9529222434 SAYLER HVAC PAGE 04/04
�.�,.��,.,.,,����::;:.....�.. _
�,.,..,,�,,;, ���;�,,,� ��f,�,��,,;::.,,:,,,��..,,, ,. ,�.,,,,,, ,d�,
,�,,,,� ,. ,.,u, ,.
;.;.',11..�`.�:1.".:�: � :.:.... ,'�1' ,1,1 V_;_II . . .. ....�... .1. � ,....:'„'v. �:'):'i;i;i:i::: ' �;:.�� -:�,.�,
��
�ilu��Y?q,�,....,� .�.. �i�.�!}r.:c._. ''� ,t�{ i d`' �:i.: ..,ill�tc�� :.i..�.�.
�� [� s
�
��i�... ,/�,..'
.i.n��..:......_i. ....._�. .......,_...:b,.....:-e:r.::��.�� . . ._ _ _ - "-_ "
..r.: .�...__.......���.�..:.............��.�..............1..� . .. ..7r_i ' '�."Cr ,f�.l�C1'c��Q�.
.........�....,..__:.. f1._.-.._.... �i ���� i,� ... �i
� .... � ;..
. . (
�..�..,.�� : 1111t �. �������4���I i, ....� �i I�l 911 � � ��.,�•111'. Ti�nli�i.� �. -.��:.�'.,:i.i� �il'� )
���,�I�., ���e q��1� �1 In I,d�Uq, �i q� � �i Imi „) .a e�� �.,L.1.I�\.���!)�IPI '�1��; '�!P.�W,i'c�'t" �'.r`6 j'j"j'
���::��llulr�. :.II:��Nf�l��_�IiII�IN�M.i.J.l.11�����ll_.1.�:���(1.1 1 ��� �i• t �. . .. �: .I�,i,iqi�: ..I:��i��
: :� ...�....
. ._........
i { �11.':I.. .��C!��li��i�....
:..�..� ....,'_._..���-.�. ....�.�........_._....� . . .'. A .� _ _A �r�4 ��I'�I:�� _
i �'
�'
........_...i..��..�- I . Cf..t_:::.�.:: � .. :J T . _ ...... .
..... .......�....... ' � - - _
�.�,.......... , i . � _:,.M:�� f f. _ ��j::._._::_':i, :::I:I
. ........_........�..�..a.,.�,.�..,.........s.�. •}J r . � ' ,���F�![��V'�`' ;ii6 5��i�n..
:.��i jli5;liiei�:
� Yes,this section applics
The re�tacement of a Reside,�tial fxture or appliance cbat meets alt threc of the following rec�uirements:
1. Does not require modification to elech-ice�or gas service.
2. H�a t (cost of$500_00 or less;excludin¢the cost of the f�tu�'e or appliance:and
3. Is improved,installed or replaeed by the homeowner or lieensed contractor.
Skip next section,[�ct►is applies; Cost of�erraait $ i 5.00
Statc 5urcharge $ 5.00
Mail-In Fee(IfApplicable) $ 2.00
�'otal Permit Fee $
::.:. .......
._._.........:::_.:,..::.:.:....._......
,..,..._._........--......_........ � -=
. „ .,.:.... ...
_...
-,..e��mr � ..,.:�� i � ..,. . .,.
.
. .. ..
:,:�,,,.,,�,. � , ,.�„ �..,y , .; f � . � : ..., :.�,;,...
:. ::.,. ,�.,
.
, ,. , , . !,� c
..
wTi �i�,��'i�t�C��'Q,Q'....I�sS
, ..P4rs?l�i�il...�1.!i{,c�. _.',. '� � 1 ' �„� �,+ '�i . ..��IiI�A� '. ! ,G:-Ji ! 1'rl��;i >er,�l'„5;�,:� .?F:
�� . .
, i � �. .��;:
lf above does not apply;follow guideli�es below'
I. CONTRACT PRiCE *is].25%ofcontract price with a(Mi�i�+um�'ee of$50.00)
lZ�Oop x.0125$ lSD
(contract pricc) {minimum 550.0�
2. STATE SURCHARGE
���a�v x.0005 $ �
(cantrect price)
3_ POSTAGE&EiA,N17�,ING(Only on Mail-In�lpplicarions) $ 2_00
4. TOTA,[.PERMiT FE�(Add Lines 1-3 Above) S l$`B�qd
• * CQNTR,ACT PRICE or JO� COST mcans thc acmal o�'estimated dollaz aznount charged for the
permitted wock iqcluding materials,labor,profit,and other fixed costs. It is the atttount to be eharged
to the customer fo�'the work donc. If any material,equipmcnt, fabor o�installations are furnished by
tl�e owner,tenant or aqy other pe�rty,thc rcasonable market value of such itcros must be added to the
estimated cost or contract price for permit fet purpases. In the ever�t that there is a dispute on the
amount of the job cosc, the City mAy request the submission of a signed copy of the actual contract.
,::��:,.:�...:....... ...
, ,:..,....��.,, .,., _
, ..
_........_......._._.... ..::.:::::::.� - .. _
.
---,,:::�._:�.:.- - , _....
:::::.......•:..., , , - '-•;:,;' °- _;,�• y� _ ;;:;,;:,:;-.mr-'', .,,,;;
, ,:;,�:'';'�' .,;,;; c'r, ,: ,:`,..'.., .,, ,�-T
�'1.oiC;;•1'11. ... . a � '�.. .:�' i,,'i: �.:iT ..7G:Y �;i.,i�°�..�,:.�;����,�.�.
• �. �.. .ia : ... �. : :n _
. ,i .... .. �• .
",c
� � f ''"i'll" ,r .�L
.
F� ' '.!'`!��'.� � ' ' ,...' �""�
The u�dersigned hereby applies to the City �or issuan,ce of a MechanicaJ Pc�mit, agrees to do all
work in strict aceordance with the ordinances of tbe City and the regulatio�s of the State of
Minnesota, and certi�es that all statements made on this application are eomplete, txue and
cor�ect.
Applicant's Signature: (/ Date: `�"3a-��
3
��
,� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED �-�-� �-�.3�
PERMIT NO. � J�• ��� COMPLETED
ADDRESS �2� �-�1f`�0.� C���
OWNER TELEPHONE NO��2 �� '��
CONTRACTOR �� �
� DESCRIPTION ►"`'�����- ��'�
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
W G
C { !.!/K4L�C-�- � �G ►I�y�� .
� � 1��G- G l-CtZ�'� G-� /`c Go rl�c��
�.
�
° ��r /!4�'c ' ��c�5t%ts �rs //7� "
W
� /i�r���•�5 - �1�-
Q
�
2 n
� /2`O� GtJd�� ���+'1��G�c �
�
� 0(�l.v�� �rr�4��
�
d
W� �WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
for the next i ion 24 hours in advance. (g52) 249-4600
O nerlContractor on ite: �
Inspector. �^-�-
White Copyllnspector's File Canary CopylSite Notice