HomeMy WebLinkAbout2017-00860 - mechanical � � CITY OF ORONO � 2 0 1 7 - 0 0 8 6�
2750 KELLEY PARKWAY DATE ISSUED: 07/24✓2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3596 LYRIC AVE
PIN : 17-117-23-43-0153
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
BRYANT HEATING SYSTEM-MODEL 314AAV0480 70
APPLICANT MECHANICAL 62.50
STATE SURCHARGE MECH(VALUATION) 2.50
PROFESSIONAL MECHANICAL SERVICES MpIL-IN FEE 2.00
18983 YORK STREET NW
SUITE C TOTAL 67.00
ELK RIVER,MN 55330- Payment(s)
(763)657-7421 CHECK 2918 67.00
Minnesota State License#:mech-MB003767
OWNER
KELLEY,CHERYL
3596 LYRIC 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 Ciry approvals,and the
State Building Code. 1'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 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. •
.
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Applicant Permitee Signature Date Issued By gnature Date
RECEIVED FORCITYUSEONLY
�O A TO City of Orono
<V P.O.Box 66 Ju� � � �O'�� Date R�eived: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600��90F2�{��Q
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t�'�ESH���G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits 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 wiil 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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,eyuipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new conshuction 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 fmal). 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) [Backflow Device: �AVB ❑PVB]
❑New ❑Addirionai ❑Repairs �teplace
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Job Site/Owner Information:
Site Address: ���1 �0 l-��Y'1�, ��
Owner: Mailing Address: �5�l� L�.f V`F�i�,CJ�-Q.,
c��y: z�p: �'�3`� l
Home Phone: ��U' �lQ�" 3 5a T Alternate Phone:
Contractor Information:
Contractor. prf.�-�l�l�l� M.� Contact Person:
s��
Address: ���1�� �(�✓�L '�'- l�(�t� �-e� State Bond#: YY1�003�lo�7
City: �j Zip:�33d Expiration Date: � a I o�0��
Phone: �I(e3 -ab5" (��53� Alternate Phone:
❑ Insurance—Current: �(��(�.
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [�No
HEATING SYSTEMS
Quantity:
Make:
Model: 3���t���7U
Fuel:
Flue Size:
Input BTUs: 4 3�B d
ouc�ut BTus: 350�'D, 53�
CFM: I�QSS
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) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal!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:
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,
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
J�� x.0125$ �Q�• �
(contract price) (minimum$50.00)
2. STATE SURCHARGE 5��
x.0005 $ � , �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ �Q�-t1�
■ * 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. 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.
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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 ordinances of the City and the regularions of the State of
Minnesota,and certifies that al tements made on this application are complete,true and correct.
Applicant's Signatur : Date: � �� �O!
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CITY OF ORONO CALLED IN j��
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CONTRAC'T�OR �
� DESCRIPTION �R� �0�"����
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL Ri ❑ SITE INSPECTION
� ❑ FRAMING �1AECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK•UP ❑ FOLLOW-UP
_ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r SITE ❑ EPTIC INSTALL
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� ❑WORK SA7ISFACTORY:PROCEED FiOJECT COMPLETE
W O OORRECT WOF�C 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑f)OHfiECT WORK,CALL FOR REINSPECTION TE�APORARY
V BEFORE CdNERINO PERMANENT
❑()ORRECTUNSAFECOND1710NWfTHIN HWRS. ❑p►{pTOTAKEN
INSPECTOR WIL.L RENRN
❑STOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
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