HomeMy WebLinkAbout2017-00819 - mecahnical CITY OF ORONO * 2 0 1 7 - 0 0 8 1 9 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2017
ORONO,MN 55356-
952 249-4600 FAX: (952)249-4616
ADDRESS : 1180 NORTH ARM DR
PIN : 07-117-23-14-0067
LEGAL DESC : LOMA VALLEY
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,700.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX GAS FURNACE
(1)LENNOX A/C UNIT-2.5 TONS
APPLICANT MECHANICAL 96.25
GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.85
5182 WEST BROADWAY MAIL-IN FEE 2.00
CRYSTAL,MN 55429- TOTAL 102.10
(612)535-2000 Payment(s)
CREDIT CARD 7420 102.10
OWNER
RIZZOLO,VICKY
1180 NORTH ARM DR
MOLTND,MN 55364
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 pecmit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances governing this rype of work
shall be compied with whether or not specified hereia 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 duereause.
� � / /7//7
Applicant Permitee Signature Date Issued y ' ature Date
07/14/2017 11:51 7635354379 GOLDEN VALLEY HTG PAGE 01/04
I
� t us�axcx
' ���r� City of Orono /�
;Y P.o.rBox 65 bste Receiv� /C��7 �(��
275o Ketley parkway � Permic# . _
�Ys�al Bay,I�N 55323 Appro�ed BY- Amo�nt�: ! � �
Phone(952)249-4600 Fax(952)?�t9-4616
ti� �`�
��r�s�o�� CXTX OF Q�toNQ—1v�cF�TICAL PERIV�IT
(All Commercial perniin must be approved by the Build"ung Officia)or tnspeemr and/or Firc Marshaiq
CTENER.cQI.INFORMATI�N
I. You may apply�or,c�echat�ical per�mits b}r mai�or in pe�rsson at ttae City offices. A,pplications will
be reviewed a�d a permat�will be issued with�n two working days.
2. 7Porn�it carcis wi11 be se�,t by return m�ail after a review is cono�pleted. P���g�NOT
VALIb UNTIY.XOU,RECEIVE A pERMIT. W NQT EG UNT L THE
PERNIIT _AR�,�S PU T�D ON TTiF_�pB SITE .
3. Mecha�ical Desig�s—Coionplete caleulations,details ap�d spccifica�ions aro reyuiu�ed�o�e��h
heating,ventilation,humidi�ication_dehunuidificatiom,and air conditioaung i�;stallation i�c�uding
�ieat Ioss/,heat ga�in caleuIa�io�,design tempexatwces,ec�uipmen�t ratings and ide�ncif�catzon as to
type,manu�'actiuer aad miodel. Data shall be presented ou�orm pxovided,
4. When any mew construction or re�odcling is invo�ved,a separate bualcii.ng permit must be
obtained_
s• ,A,11 wurk Anust b�donc iuoi accordacace wich,the U�ui�'orm Mechanical Codc/Scatc Buixding Code
requi�ements.
6. AIl work�iuust be inspected(rough-i�n and£u�a�), Call(9S2)249-4600.
(24-48 hour notice xequ�red)
7. House Heatimg T'est Record xuust bo submitted beforc�'i�nal.
TYPE O�PER1V,[�T
Check A,11 That A 1
`�esidential ❑Commerciai(Approval Required)
� � -
❑New {]Additzo�aal
❑��Pa� ❑Replace
Job Site/Ow�,ez�Infoz�zx�atiom:
Site Address:
pwner: � �� Ma,ilin,g Address: ��� �
City: Z�p: �
Hoz�ae Phone: +G✓V-"�"�v.���,p��te Phome:
Con�actor�nfornaat�on:
Contractar: � � Comact�'�xsor�:
sie�wr�sr��oAowA�
Address, �" State Sond#:
`�`" 78�-535�2�00
�f�'� Zip: Expi�ation Date: _ `
Phvme: Alternate�bto�e:
❑ Insuxaz�ce—Cu�rent:
1
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Note:A11 Geothernaal Systems wiZ1 z�ow re�uire a S't�Pi�&Review by our Buildin,g Official.
TS THI,S GEOT�IE�tMAL? ❑Yes �No
HEATING SXSTE�VI,S
Quantity: �
Melce: � ��
]vlodel_ S�. ��
k'ue1:
F1ue Siae:
Xnput B�'Us: (1
Output BTUs: ! U(�v f 1..,- ^.
CFM:
COQI.,�iG SXSTEMS
QuaAtlty: �
Mske: (/1nU�
Model: "��}�,(� 0
�'ons: �• J
H.�ower
�PL �S
❑� Gas Factory Fireplace B�d Name: ,�
Wood Buzz�i�ng Fireplace
� WQod Stove Model No_:
� Wood Stove with Plue/Maso�ary
VEN TId
❑ No. _,� Kitchez�Exhaust duct reoircularing cfzzl
❑ No_ Batk►Exhaust(�ust have duct outside) ��
� No. Othex Fans� �,ocations ��
FUE O � {Must be p,pproved by Fire.b,farsh¢Q if proposin.g to abandon tank irr place.)
❑ Instaltatio�a � Rexx�oval
Fuel Oxl: gak�ons ❑ Undergrouud []Insxde ❑Ou'tside
Lp Gas: gallons
Othe�:
G�S�.INE O1V'X,X
� Outdopx Crrill [] Ocb,er/List Wb�at&Where:
2
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❑ 'Yes,xhis section app�es
The replaceme�,t of a R �dentia �xture o�p lP�iancc thac�nn�cts a�a�hree o�ctae Foilowing rec�uiremer�ts;
]• Does not require mod�fication to cicc�rical or gas sezvice.
2. Has a t [cost of$500_00 or�ess;cxc u in tb,e cost of the�'ixture or app�ance:a�d
3: Is axnproved,installed or rep�accd by ihe hozn�eowner ox licensed contractor.
Skxp ncxt section,if chis ap�]ies; Cost of Pemuit $�5,�
State Suzcharge $� 1.00
Mail-In Fee(�fAp�licab�e) $ 2.00
Totak Pernouit Fee $
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�above does not apply;follow guidelin,es below:
�• C�� T p � �is �.259�o af con�act pricc with a(Mlninoum Fee of�50.00)
Ox.0125$ � ��
(contracc price) (miuimum S O.Op)
2. �TA, TE SU' C� �J C,(`�
x.0005 $ ��
(cronuea price)
3. POS�',A,G�&HA�IDLING(Only om Mail-Zn,A.pplica�ious) $ 2.00
4. TOT,A.L�ERN�T FEE(Add Lz�es 1-3 Abave) $ ��� �
' � CONTRACT ��CL or JOB COS'I' means thc actuaa or estimated dollar a�onount c��rged for the
pexxnitted wvck including materials, labor,profit,az7;d other�ix�costs. It is the ar�ount to be charged
to tk�e oustorrxe;r�or the woxk doz�e_ xf any r�aaterial, equipmen� laboX or install&tions axe fumished by
the owqer, tenai►t or ac�y othor pazty,the reasonable zniarket valae of suah items must be added to the
esti�c►atod cost or contxace price for pcnmit fee purposes. In the evcnt that theze is a dispute on the
amount of tt,e job cost, tb�c City may rec�uest the sub�ission o;F a signed copy of the actual contraet.
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The u�dersigned hereby appiies to the City for issuauce of a Mecha�i,caa Pemaxt, �grees to do all
r�vark ;ua striet accorda�ee with t]ae ordiwauces of t�e City and the xegulatior�s of the State of
Mi»z�esota, azxd cexhi�ies that a11 statements x�aade on Lt�is appliea�io:� are co�mplete, true and
Col7ect.
Applicant's Signatuce; Date•
3
� /� ��
ATE/ TIME
CITY OF ORONO CALLED IN
INSPECTION �CE��/� SCHEDULED g�
PERMIT NO. � COMPL ED �
ADDRESS ' V ' � v�
OWNER T LEPHONE.NO. a�s��'3�
CONTRACTOR � ' N ��
� DESCRIPTION l �p � �/�- �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINd
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
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOIfTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
0. �y1',i!<�Ei� ,�(7 f�n
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� ❑YMORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT YMORK a PROCEED ��ISSUE CEFiTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REiNSPECTION TEAAPORARY
V BEFORE CaNERIN(i PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pHpTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS.
Catl for the r�xt inspectfon 24 hours in advance. (952) 249-4600
OMmeNContra site:
Inspector: �
YVhite CoPY�nspector's Fila C�nary CopylSiN Hotks