HomeMy WebLinkAbout2017-00621 - mechanical CITY OF ORONO * z 0 1 7 - 0 0 6 z � *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3640 LYRIC AVE
PIN : 17-117-23-34-0036
LEGAL DESC : NAVARRO
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 4,924.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON.
REPLACE: 1-HEATING(YORK)& 1-COOLING SYSTEM(YORK)
APPLICANT MECHANICAL 61.55
STATE SURCHARGE MECH(VALUATION) 2.46
STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00
130 PLYMOUTH AVENUE N. TOTAL 66.01
MINNEAPOLIS, MN 5541 1-
612-824-2656 Payment(s)
CHECK 53979 66.01
OWNER
S[MONSON,GERALD
3640 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. This permit is for only the work described and does
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.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. n„„
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Applicant Permitee Signature Date Issued By Signature Date
FOR CITI'�E OIVI.1' i ����
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CITY OF ORONO—MECHANICAL PERMIT
(Al(Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pennits 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 retum mail after a review is completed. PERMITS ARE NOT
VALID LJN"I�IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TfIE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications�ue required for each
heating,ventilation,humidification-dehumidification,and au conditioning installation including
heat loss/heat gain calculation,design temperalures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new eonstruction or remodeling is involved,a separate building pemut must be
obtained.
5. All work must be done in accordance with the Uniform Mect�anical 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 fmai.
TYPE OF PERMIT
� �Check All That A 1��
�Residential �Commercial(Approval Required)
✓ �
❑Ne�� ❑Additiunal ❑Repairs ❑Replace
Job Site/0��-�Zer Information:
Site Address: � � rr� (l��
Owner: �c ✓ �m� ling Address: SCYmQ_
Ciiy: ��}'l � Zip: �S 3� �
Home Phone: l S 2-- J ���e3rla.te Phone:
Contractor Information:
Contrac�r�ndar � � ning Contact Person:
130 Plymouth Avenue North
Address: Minnea olis, MN 55411-3445 State Bond#:
81 -
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
+• � '�� ��"� ���� �� a�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes No
HEATING SYSTEMS
Quantity:
�e: ��e
Model: �M. /\
Fuel: (
Flue Size:
Input BTLJs: b��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity
Make: d
Moael: G.1,
To�: 1 � r
'
H.Power
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
� Wood Stove Model No.:
❑ Wood Stove With Flue
YENTILATION
❑ No. Kitchen E�chaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
� No. Other Fans: Locations cfm
F[JEL STORAGE (Must be appra►�ed by Firs Marshall if pmposinb►to abandon tank in place.)
❑ Installation � Removal
Fuel Uil: gallons ❑ Underground �Inside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Crrill � Other/List What b�Where:
2
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1. CONTRACT PRICE *is 1.25%of o act price ith a(Minimum Fee of$50.0 )
�a X.0125$ , S S
(contract price (minimu 550.00)
2. STATE SURCHARGE � �. 7 �
x.0005 $
(coniract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � • O
■ * 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordin s o City and the regulations of the State of
Minnesota,and certifies th all tatements made n s pplication are complete,true and correct.
Applicant's Signatur : �b�� " � l�
3
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� DATE TIME
CITY OF ORONO cnLLED IN - 7
INSPECTION yQ_TICE �J scaEou�en (p�LLZ /D:OD
PERMR NO���7� �" COM ED ,
ADDRES8 3�P ►�l L
O�WNER TE PHONE N ���' �"7/-3 3/O
CONTRACTOR a�c G� � S�rn Sl�v�
� DESCRIPTION �--- v ''�"f L'—
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � EXCAV/GRADINGIFIWN(�
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDAT�WREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNBY�OKTMC7'OR T�YEET�U:_YES_NO
� COMMENT'� � _
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D ❑�CT MIOfiK,GLLL FOR F�INSPECTION TBiAPORAiK
�1 ����� PERMtANBrT
❑OOFiF1ECT UNSAFE OONDITION NRTHIN HOUR3. ❑PHOTO TAKEN
INSPECTOR WIIL RETl1RN
O STOP ORDER PO�TED.CALL INSPECTOR ❑CITATION ISSUED
❑IN3PECT10N REQIIIRED.CALL TO ARRI�N(iE ACCESS.
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