HomeMy WebLinkAbout2015-01296 - replacing 2 heat systems CITY OF ORONO * 2 0 1 5 - 0 1 2 9 6 *
2750 KELLEY PARKWAY DATE ISSiJED: 10/06/2015
`� ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2435 NORTH SHORE DR
PIN : 09-117-23-44-0010
LEGAL DESC : SCOTCH PINE ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 35,000.00
NOTE: REPLACING 2 HEATMG SYSTEMS(LENNOX)&2 COOLING SYSTEMS(LENNOX)
APPLICANT MECHANICAL 437.50
STATE SURCHARGE MECH(VALUATION) 17.50
B&D PLUMBING&HEATING INC. MAIL-IN FEE 2.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- TOTAL 457.00
(763)497-2290 Payment(s)
CREDIT CARD 8094 457.00
OWNER
HOUDE,ROBERT
2435 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 goveming 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.
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Applicant Permitee Signature Date Issued By Signature Date
FfOm:7634974263 10/06/2015 12:14 #022 P.002/004
FOR'CITY'USE ONLY
City of Orono
• �D�O P.O.Box 66 Da[e Recsived; �� � `�-Permit#����'' �3 � ��-�
2750 Kelley Parkway ��
Crystal Bay,MN 55323 Approved Sy: �_ Amount$: � ��
Phone(952)249-4600 Fax(952)249-4616
y� ;
rAkfSH�Q'�` CITY OF URONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Ofliciai or lnspector and/or Fire Marshall)
GENERAL 1NF(?RMATION
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 retum mail after a review is completed. PERMITS ARE NOT
VALiD UNTIL YOU RECEIVE A PERMIT, WO12K MUST NOT BEGIIV UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desisns—Compiete 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.
S. All work must be done in accordance with the Uniform IvlechanicaE Code/State Building Code
requirements.
6. All work must be inspected{rough-in and final). Call(952)249-4600.
(24-08 hour notice required)
7. House Heating Test Record must be submitted before final.
'' TYPE OF PERMIT
Check Al!That A 1
�]Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
Job Site I Owner lnformation:
Site Address: _ ,�,���N;)f�n,:���;ti/?_��tV-Z� �V�Z1,-`�--.,
Owner:��i .'';�'�ZIl7�,�(��,.. Mailing Address: �` ��
City: Zip:
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Home Phone: v " :��`� - �� ' Alternate Phone:
Contractor lnformation: '
, �7 �� ��:�-�b�rr�,
Contractor: � — 7 �'y�."'r�„L Contact Person: �Y'IC.� �,�v��
`��`�� Mc�C,�z�z 2 C:t -;� ,.,..,,
Address: �i� State Bond#: 1 ��v`�;?��j�
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City: r-�1`C..hC��<'� Zip:C���.UExpiration Date:
Phone: `�.������"1�� ��� �� Alternate Phone:
❑ Insurance—Current:
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d Nlote:All Geothermal Systems will no�a reyuir�a Site Plan&Review by our 6uilding Of(icial. �
N IS THiS GEp7'HEItVIAL? ❑Yes �lo
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Qua�rtiry: �`
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O Flix Size:
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�p Inpal�TUs: - '., i;�tl�•,';?�i`,I� '
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0 Output BTUs: _ ..__ � 3
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r CFNi: `'j�.,��:k,,: i:
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Tons: '`�"}�'t�
N.Po�ver
FIREPLACFS
❑ Gas Fuaoq�Fireplacc prand Name:
❑ 1i'ood Burning Firep3ace
❑ N'ood Swve Model T�o.:
❑ 1Vtxx1 S�avc with Flue!Masonry' �
V F,NTi[,ATION
•J Nu. RitchenExhaust dact_____reairculNing cfm � `
.---.___
❑ No. Bath E.rhaust(musl have duct outside) c�
❑ ivu. Other Fans: Locations cfm
_ -- t
�EL STORIGE (Afust be anp�oced bp Firr.ifarrhul!if propwing 7o nbandox tanJr hr place.) ;
❑ InKallation ❑ Remo��l
Fuel Oil: gallons ❑ Underground ❑l�sside ❑Outside
� I.P Gas: galluos ; '
tp Othcr: _.__ C . ::;.
—.__- �,
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a GAS IdVE ONLY
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� [� Outdoor Grill ❑ Other:List Whai&�l'here: ` `'
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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 ihe homeowner or Iicensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.0
State Surcharge $ 1.00
Mail-In Fee(If Applicable) � 2.00
Total Permit Fee S
._..,:� ;-._� .. .,.. . �.P�T�t�T.:�EE+�,1�...G��:'i'��Jl���'. �,.]Q$�1!C���-���'��,.���;�r���r�r�t..'°
[f above does not apply;follow guidelines below:
1. CONTRACT PItTCE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��,j V�.�_ x.0125$
'(contract price) (minimum 550.00)
2. ST,4't'E SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-ln Applications) S 2.00
4. 'i'OTAL PERMIT FEE(Add Lines 1-3 Above) $
i-:J * CONTRACT PRICE or JOB C05T means the actual or estimated dollar amount charged for the
permitted work including materials, iabor,profit,and other fixed costs. It is the amount to be charged
to the cusromer 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.
,. ,.,,: :.,.�.<. �. . :lV��±,��i�:i�,A�..PE�!I_IT�A,�?�'�T�i�'�'1��T..ry. .���s .�, r���`�n:�,��.,��.��
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 regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature:�� ' ' �� Date: � � ��
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �—�=�
PERMIT NO. Z-�`� �.�� Ol�f�COMPLEfED
ADDRESS �� �_�)'�/� S �l t� P�? J� .
OWNER TELEPHONE NO. g� zZ`�O
CONTRACTOR
� DESCRIPTION ,7'` IL�I� � �i;�D��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA��w�a�-'�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:` YES_NO
� COMMENTS: �- Z`-' (�vt i` T'�
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ IS CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice