Loading...
HomeMy WebLinkAbout2015-00966 - mechanical , , , CITY OF ORONO * 2 0 1 5 - 0 0 9 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 517 FERNDALE RD N PIN : 36-118-23-14-0007 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 35,000.00 NOTE: (1) LENNOX-NATURAL GAS-2"FLUE-45,000 INPUT BTU'S-43,200 OUTPUT BTU'S- 1200 CFM (1)LENNOX-NATURAL GAS-2"FLUE- 110,000 INPUT BTU'S- 105,600 OUTPUT BTU'S- 1800 CFM (1)LENNOX 2-TON A/C (1)LENNOX 5-TON A/C (1)KITCHEN EXHAUST-600 DUCT-600 CFM (8)BATH EXHAUST-80 CFM BALANCED AIR EXCHANGER APPLICANT MECHANICAL 437.50 STATE SURCHARGE MECH(VALUATION) 17.50 MASSMANN,GEOTHERMAL&MECH MAIL-IN FEE 2.00 27944 96TH STREET ZIMMERMAN,MN 55398 TOTAL 457.00 (763)416-5066 Payment(s) Minnesota State License#:mech-MB003981 CHECK 4364 457.00 OWNER BURNET,RALPH&PEGGY 392 FERNDALE RD WAYZATA,MN 55391- AGREEMENT AND SWORI�i STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'Chis permit is for only the work described and dces not gant pertnission 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. ' � ,�, � ,r�,p� Applican�erm►tee Signature Date Is e y Signature Date , � F R CITY USE ONLY City of Orono � 9 ��.O� P.O.Box 66 Date Receive :����Permit# ���� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:�� Phone(952)249-4600 Fax(952)249-4616 � a ti � F � ��K�st���4�.`' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permrts must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 `�/Residential ❑ Commercial(Approval Required) �iew ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: � 1� Site Address: , (� �Ir1(�,(,4„�, . �GL �� V'��1 , �Y ��� ��N Owner:� �f�. l ��W�JI� MailingAddress: ,��".� 2- ��h�-�-��k�'�� City: ����- Zip: ���J� � Home Phone: Alternate Phone: - IS 2+ ���� ' / Contractor Information: Contractor:�QSSV�A�I� C'�,(��/I�tVWIU�ontact Person: ��5��- r v`�SS�a'�� Address:�C��`1��� ��-� �State Bond#: �����' City: ������u�'Zip���$ Expiration Date: �d �J �� Phone: _ � �`� ������� Alternate Phone: � Insurance—Current: ��S 1 MECHANICAL SYSTEMS $EING 1NSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � � Make: LQ-Y�Y�O 1\ ���� Model: �2 U � JJ`���.�C- �LZ��U��1� � Fuel: v'�,G,S � +► il Fltiie Size: O input BTUs: �J�0 �r d�OC>� Output BTUs: � 2�d ��s, �a CFM: �c� Od �i 8�� COOLiNG SYSTEMS Quantity: i 1 Make: 1 Model: �-�\O�� 1 ULtI���� Tons: p � H. Power FIREPLACES �jr ❑ Gas Factory Fireplace Brand Name: � ❑ Wood Burning Fireplace �❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. � Kitchen Exhaust�duct recirculating �pO�cfm ❑ No. Bath Exhaust(must have ct outs de) �cfm ❑ No. Ot er Fans: Locations �_cfm � /�'/G,.� �9�� � 1a r�,r ��v FUEL STORAGE (Must be approved by Fire Mnrshnll if proposing to nbRndon tnnk iit place.) �❑ Installation ❑ Removal A� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: S LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ' PERMTT FEE CALCULATIOI�T{S) ;, ' ° � BASED OFF -�002 STAT'E STATiJE, ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require moditication to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � PERMIT FEE�ALCLlL11��TIE?I�1 S� =�UB�OVER$SQfl.00 ,: If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �3�,� X .oi2s $ ��j��—�SC� (contract price) (minimum$50.00) 2. STATE SURCHARGE � ���O �'-!� r SU � x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �•�� ■ * CONTRACT PR10E or JOB COST means the actual or estimated 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 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. MECH�A�CAL PERMIT APPLICATTON A�r�tEE�1EI�T ' 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. �plicant's Signature: Date: `� �2Z 2C�I�i 3 �� DATE TIME� CITY OF ORO�10 ,. CALLED IN ==y��/�'�", ' INSPECTIO ICE SCHEDULED ' PERMIT N . � � �:�MPLETED ADDRESS �7 / � `" �����✓� �� � OWNER TELEPHONE NO. �'• ' 7� CONTRACTOR -�-� C � � DESCRIPTION � � L ��� l� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL , 2 OWNERICONTRACTOR TQT�� YES_NO c�.� COMMENTS: � W 0. J � O ). � O r— � W � Q � 2 W � W � � J W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. 9-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice !� "_' Z ��— � ��TE TIME CITY OF ORONO CALLED IN INSPECTION TI SCHEDULED `�� ' �� PERMIT NO. � D MPLEfED ADDRESS .�I� �����_ ��� OWNER � TEL�PHONE NO. '" -72� CONTRACTO '�'�- � DESCRIPTION — v'' ✓ 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ��3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �AECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTMCTOR TO MEET YOU:_YES_NO y COMMEN • � W � � J O � s� r<< �� ��s - a�C - � � �` �� � d[� /C�{� W � �Et/`l �i�Gs � 1��� � 2 � � /��/��cr..�t •� C4/� /�il' G� � o� � � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE �/�OfdO�ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Cail br the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: �'�-� Whits Copyllnapector's Ffle Cenary CopylSite Notiee C `—�\ / � E���l, TIME CITY OF ORONO �ALLED IN � � INSPECTION NOTJ�CE �- ..��� �'FSCHEDULED � � � � �' PERMIT NO. �� ��--' coMP�Ere� ADDRESS `� I � � �/��1 L�Cac �.� �l� OWNER TELEPHONE NO. �� IJ'�� ���`%—D-�7fo CONTRACTOR � ` � DESCRIPTION � � � �� �� �' � t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET • YES_NO y COMMENTS: � _ . — a �ll.S �i� e jfllO�C ' �5 ����K.� � � � — � �� ll S 4� �-- GJ��a�tCe� � ° '- �4�►g e jto,�r.Y rt�d� J�r s�ir�I'o� t��i,s f�s•�,s� W � �G�'w� -. � Q � v� .�et�� ` �c ���' .F 2 � @ C/� � �/pr r W rt,orG�-,�,�iv s f � 1� GM�✓ cr ,e `s " J /n� � a/l ��� ✓'a��w,srJ' �fE.e•��.n.s �<� a�"�� d W ❑ KSATISFACTORY:PROCEED �PROJECT COMPLEfE WO CORRECT WORK&PROCEED ���"'S�� b� �o�UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REtNSPECTIO�G ��C TEMPORARY V BEFORECOYERING • PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN 'M��OTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 1 forthe nex ion 24 hours in advance. (952) 249-460� Ow dContractor on ' ��h� 1.� Inspector. � White Copyllnspector's File Canary CopylSite Notice �� , � �f'� DATE TIME �N CITY OF ORONO �v►LLED IN /' INSPECTION NOT E � �SCHEDULED - �/� / - � .�iC C' �� --�'�� PERMIT NO. � ��--� COMPLETED A��RESS �� I � � �r�f'1 �Ck C,n �f OWNER TELEPHONE NO. �7 I%��i �`'�'D.-��' I�� CONTRACTOR � ` � DESCRIPTION � � � ( � r' � t� ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET • YES_NO v�i COMMENTS: � _ a �� 1,.� e ht�� - l s ���'Ks � � 0 � � o�- �� V .S 4�/-� GJt��cc`GC,G� � � " ��v►g e �o+acP Itidt 1 y s�n�v� l��i.s �i�la W � �G�'wL -- � Q � vr / � .�ef�at ` rc ���: .F Wo•- ,��� tr _ � �/j�r r W K vfir.f,�io�s � � �:G11�✓ c' ,e `s - a /n� � a/C {/ar�� ra�:�srJ �F�Q��.n•s <� oo��'� W ❑ KSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED �@�''s�� b� ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIO� GL/n��C TEMPORARY � BEFORECOVERING �.U�o��S�. PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN��eFiS+ INSPECTOR WILL RETURN ��TO TAKEN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 1 forthe nex ion 24 hours in advance. (952� 249-4600 Ow rlContractor on ' ��ry� V Inspector. � White Copyllnspector's File Cenary CopylSite Notice