HomeMy WebLinkAbout2011-00316 - mechanical , CITY OF ORONO PERMIT NO.: 2011-00316
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: OS/09/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4740 NORTH ARM DR W
PIN : 06-117-23-23-0009
LEGAL DESC : UNPLATTED 06 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,000.00
NOTE: (1)HEATING SYSTEM
MODEL B120-NATURAL GAS-5"FLUE- 120,000 INPUT BTU'S- 114,000 OUTPUT BTU'S
APPLICANT MECHANICAL 62.50
TEAM MECHANICAL STATE SURCHARGE MECH(VALUATION) 2.50
3508 SNELLING AVENUE
MINNEAPOLIS,MN 5540Cr MAIL-IN FEE 2.00
(612)729-5646 TOTAL 67.00
Minnesota State License#: 066835 PAID WITH CC# 0560
OWNER
HEDBERG,JOHN&JANICE
4740 NORTH ARM DR W
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 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 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�/U(�(�t/ � l � l �( ../l l//
Applicant Permit e Signatu Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
05/09/2011 13:32 6127246656 TEAM MECHANICAL INC PAGE 61
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q ��v n Phone 952 249-4600 �Eix( 52)ZA�9-4616 I'�, �"� � J� ��!�f ,� �„ , ,„����,���, �-����,'
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CTTY OF ORONO-MECi�,A,NiCAL P�I21V�T
(All Commcroiui permits must be�pproved by tlic I3uilcling O1Ticial or lnspecfor ond/nr Firc Marsiinll)
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' 1 "k� ,I ���> �,i,l���.f�����,��'� r��ll � l�'i o, �d' �:
]. You may apply:fo�-tz�ecl�anical permits by mail or in person at the City o�c�s. Appl..ica.tions will
be rcviewcd and a permit wi]I Ue issued within two working d�ys.
2. Pennit cards wil.]Ue sent by rctum ma.iI A.fter a rcvicw is completed. PERMIT5/1RE NOT
VALIb UNTiL YOU RECEIV�A P1�.RMIT. WORK MUST NOT R�GIN UNTiL TKE
PERMrT CARD iS PO T D ON THE iOS SiTr �
3. Meehaujcal T�esi,�is—Complete calculztions,dei:ttils and qpeci�Ccltians are rcquircd for each
hcating,vet�tilation,humidifcation�dehumidifc�tion,and air conditionr»�installation including
l�cat loss/hcal gain calculation,design lemperatures,equipment r�tings flnd identifcaCion as tp
type,manufactu.rer and m�d.el. p�.t�ah�l]Uc prescntcd o�a fo�7n pa�ovided.
4. Wiie�a any new constniction or remodeling is involvcd,a Separate building permit must be
obt�aincd.
5. All work musl be done in accordance wilh the U.nifonn Mecu�nical Code/State Duilding Code
requirements,
6, All work must be inspected.(rou�li-in and fnal). Call(952)249-4600.
(2448 hour nol•ice required)
7. Housc Hcating TeSt Record must be submitted before fn�1.
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�Rcsidential ❑ Com.merciA.l(Approval Required)
❑ New ❑Addilional ❑Repairs
❑Repl�cc
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Sitc Address: _ _y7y� ,�tl,�.;�f�, �,<,., � ,,,�,
Ow.ner.: y-� .�� Maalzn.g Ad.dress: �d7�� �a, f�,er� �2
City: _U�N� Zip; ��-1
�-Zome Phone: �-�� ��la9 Altcrnat�Phonc:
t r F�11'1' 1c�u�, ,���Yli���i'��!rl��rl�'��d�j` �){u�6(!Y'�I����1 P���'���1)�'��Y.<< IP�4�ii�11������
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Coniractox: '�,q�/�Ec��°a�cc�L Con.ta.ct Pcrson: �/,���
Address: �'�fo,K �/�„�G/.�� Statc Bond�: G9S�SS7l
Ciiy: Zip: 5:5 y•� Expiratioll Datc: i� aa 11
Phon.e: G�7�i�:S6 yl�i A.lterzaate Phone: G'�,�-3b /o
� Insurance-Cut'r'ex�t: �ac,� , �u�
1
05/09/2011 13:32 6127246656 TEAM MECHANICAL INC PAGE 02
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�1ote: �111 Geothermal Systems will now require a 3ite an 8c ev' w by our Building Official.
�S THIS GEOTHERM,AL? ❑Yes ��
HEATIPiG SY3TEM5
Quantity: /
Makc: ,�/yr�/'.yy
Modc1: ���,p
I�uel; ��
Flue Si�: �
Input BTUs: __�0 a�,
—"T
Output BTUs: /) Bo0
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Powe��
F�EPLACT�S
❑ �as l�aclory Fireplace Brand Name:
❑ Waod�uming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/]Vlasonry
�7LAT�ON
❑ No. Kitchen Bxl�aust duct recirculating cfm
❑ No. Sach�xhaust(must havc duct o�tside) �
❑ Na• Other Pans: LocationR cfm
FUEL STORAGE (Must be ag�proved b,�Fire Nlarshar/!ifproparing to ahandon tank in place.)
❑ Installation ❑ Removml
PuEI Oil: gallons ❑ Underground ❑Inside ❑putside
LP Gas: gallons
Other:
G,PaS�iNE ONLY
❑ Outdoor Grili ❑ Other/List What&Where:
2
05/69/2011 13:32 6127246656 TEAM MECHANICAL INC PAGE 03
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❑ Yes,this seeCion applics
The replaccment of a Residenti�l fixlai•c o�-aupli�nce that meets a.11 tl�ree of the following requircments:
1. bocs not require.modification to electxic�l or gas service.
2. Has a total cost o;f$SOO.UO o.r less;excludinE the cost o�Fthe fxture or appliance:�nd
3. Is improvcd, ins�iled or repl�ced by the honneowncr or licenscd contractor.
Skip ncxt section,.it'this�pplies; Cost of Pei•mit 9� 5.00
State Surchar�e $ 5,00
Mail-In Fee(If�lpplicable) $ 2,00
Total Permit Fee g
;��s ���'°'�u�}{1��S�t�
� k � .,.�,��� ,�7n;
4.�
l�f above does not apply;follow guidelines below: �f�� l����-��rf„����U.S��DO � Dy'��
l.. CONTRACT P�.t10E * is 1,25%ol'contract price with A(Minimum Fce o�'$50.00) CZd� ��f
S�'b � x ,0125$ � ��j,�
.-�� -,
(contract price) (m;nimum$50.00)
2. 9TAT�SURCI3A1tGE � �)
(contr c��c) x ,0005 $ � � o�•✓ "
3. pOST/�.GF& H/1.NDLING (Oniy on MAiI-I.n Applications) $ z p1. �/��
4. TOTAL PF. iT + + _ . S� � �
12M. . F��(Add Lmes 1 3 /lUove) $_ (t� l�/�
' * CONTI�CT PItiCE or JOS COST me�.ns thc ac�ual ox estiu�ated dollar a�nount cht�rged for the
permitted worlc including materials, labar, proft, and otlier fixed costs. It is the amounl to be charged
l'o th.e customcr for the work done. If any materi�l., ec�uipmcnt, labor or installations are furnished by
tl,e ow��er, tenA.nt or �ny othc�•pariy, the reflsonable ma�-ket value of such iter,�s must be addcd to the
estimated cost or contra.ct price for pern,it fee purposes. in the event that there is a dispute on thc
amount of the job cost, chc City may request chc submission of o. signcd copy of the actual contract,
"�`�uv��;yJ�'7 V,r:`�;C r�T'U�'I:����'�",�
Tl1e undersigned hercby applies to the City :For issuancc of a Mechanlcal Permit, a.grees to do all
work in strict accorda.ncc with the ordina��ces of the Cit:y a.�ad the regulatio��s of the State of
MmnesotA, a��d certi�e.s tl�a.t all statements madc on ihis applicltion flrc complete, true a.nd
correcl:.
Applicant's Signacure: %7/Gr� `� ' � T�a.te:�
.. I u�i , �r
3