HomeMy WebLinkAbout2014-01451 - mechanical CITY OF ORONO * 2 0 1 4 - 0 1 4 5 1 *
, 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2014
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3320 NAVARRE LA
PIN : 17-117-23-44-0059
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 001 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,000.00
NOTE: 2 HEATING SYSTEMS& 1 COOLING SYSTEM&4 BATH EXHAUST,GAS LINES FOR FIREPLACE,FURNACE,STOVE&DRYER
APPLICANT MECHANICAL 100.00
STATE SURCHARGE MECH(VALUATION) 4.00
HEATING&COOLING DESIGN INC TOTAL 104.00
10830 ABLE STREET
BLAINE, MN 55449- Payment(s)
(612)328-7172 CHECK 4248 104.00
OWNER
CUBE INC.
4825 HANOVER ROAD
MOiJND, MN 55364-
AGREEMENT A1vD SWORN 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. 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 nul�and void if construction authorized is not
commenced within 0 days of the date of issuance,or if construction is
suspended for a pe od of 180 days at any time after work has commenced.
The applicant is r sponsible for assuring all required inspections are
requ � con ormar�e with the State Building Code.This permit may be
rev ked at ai� me fo due cause.
2. �y � c �� 1 � ( /
lic t e itee Si nature � ate -T ��Q gL�' � �
PP g Issued By Signature Date
"' • FOR CI1'Y USE ONLY
� � �O, ` City of Orono '
1�l� P.O.Box 66 Date RecEiued: Per►uit#
2750 Kellcy Parkway
Crystal Bay,MN 55323 Approved By: Amuunt$:
Phone(952)249-4600 Fax(952)249-4616
�i�n ti
C.�kFs����,�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Matshall)
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 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.
T`�'PE Q�PERMIT
Check All That A 1
`�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Job�ite!Owner Information:
Site Address: ��2-� ���l12�� 'l,t�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Infarmation:
Contractor: ��r C�o�+n ��,Fv� Contact Person: �6�i
u
Address: �Ot33u L�,b(�� State Bond#: M� �1�3�
c�Ty: ��u,�e Zip:f 9'3`r' Expiration Date:
Phone: 1�3 2qI f35�q Alternate Phone:
❑ Insurance—Current:
1
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„�,✓�t. 'va: �`•��":"���jus���.�,� ,"-:;,� t z.�� ,;-'�.e. � .�z_ ��n Si�,� �€r
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
1S TH1S GEOTHERMAL? ❑ Yes �No
� \ HEATING SYSTEMS
� \
� ���10� Quantity: � t
�� Make: �??�ty��Ib1�'t' ��'�
Model: N`�Mf I�Qfvp ,4�L fl
��� _\
O11� �Qxt.�v►U n�Fuel: N� f�Pt J'
��� �� Flue Size:
��� rp�� InputBTUs:
T
Output BTUs: �� �d
,�,�,ac,cr
* CFM: `S(�
�� ��
_..�a� COOLING SYSTEMS
� -C►��p� Quantity: (
�U'�" Make: �bP�`/Jt11bt�
,,"�'tN'e/
Model: '
Tons: 2�5
H.Power
FIREPLACES
1'� Gas Factory Fireplace Brand Name:
�� Wood Burning Fueplace
❑ 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 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: y�{��L(�-�w_ ctl,Q�1jal,� A�V�jy-r
1 �
2
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I
f �::r��yN/�M l� Y y� �� � •� �:� $ .& � �; tr ..
y�`%#� � �a r rw �1! ' �,�w �'�r���;���' a- ��s�§.rs.� a
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❑ 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 Permit $ 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 550.00)
800U X.oi2s$
(contract price) ' (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
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. lf 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.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the r inances of the City and the regulations of the State of
Minnesota, and certif that all ate ents made on this application are complete, true and
correct.
Applicant's Signa re: Date:�2 1 °�
�
3
�- / �`^
�— DATE TIME /
CITY OF ORONO CALLED IN /- �/-� �—�
INSPECTION NOTIC �5/SCHEDULED I-•�l-/S �•.�O
PERMIT NO. ' COMP EfED
ADDRESS � �
OWNER TELEPHONE NO ���JJ
CONTRACTOR
— �
�; DESCRIPTION �
�
tt� ❑ FOOTING P MBING FINAL ❑ EXCAV/GRADING/FILLING
� � POURED WALL MECHANICAL RI ❑ LAKESHORE/WEfLANDS
h
❑ FRAMING ❑ ECHANICAL 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PR ❑ PRO COMPLEfE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 h urs in advan 2) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notiee