HomeMy WebLinkAbout2017-01664 - mechanical Hil
CITY OF ORONO *I z I�I I I I0 1 6 6 4 l*
2750 KELLEY PARKWAY DATE ISSUED: 12/27/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 30 LUCE LINE RIDGE
PIN : 31-118-23-34-0011
LEGAL DESC : PAINTERS CREEK
: LOT 009 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(3)BRYANT NATURAL GAS FURNACES
(1)BRYANT NATURAL GAS FURNACES
(3)BRYANT A/C UNITS-2 TONS
(1)BRYANT A/C UNITS-3 TONS
APPLICANT MECHANICAL 137.50
STATE SURCHARGE MECH(VALUATION) 5.50
ALL WEATHER HEATING&COOLING TOTAL 143.00
10216 5TH AVE S
Payment(s)
BLOOMINGTON,MN 55420- CREDIT CARD 5615 143.00
(612)360-9926
Minnesota State License#:mech-MB714871
OWNER
LEINTZ,JOSEPH&PATRICIA
30 LUCE LINE RIDGE
MAPLE PLAIN,MN 55359-
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 are
requested in conformance .' f"State Building Code.This permit may be
revoked at anA im . d
•
/11 4
/271 7
e t: ature Date IssueyS►Snature Date
FOR CITY USE ONLY
. ' O�r City of Orono I
gWI P.O.Box 66 Date Received:P/.2 /Aermit#1 a26 j 7_ `1
2750 Kelley Parkway /J
Crystal Bay,MN 55323 Approved By: r / Amount$: �-( 3.00
Phone(952)249-4600 Fax(952)249-4616 (((
� CITY OF ORONO-MECHANICAL PERMIT
S H (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 will 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs-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,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.
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 fmal.
TYPE OF PERMIT
(Check All That Apply)
Zi Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑Repairs 13j Replace
Job Site I Owner Information:
Site Address: 3 O L Ce Lint Adm
Owner: )o e teNnA Z Mailing Address:
City: 01z0 WO Zip: S53 Sq
Home Phone: 12 - a&7-(o8f 6ff Alternate Phone:
Contractor Information:
Contractor: A)1 w ca\lt>:Q Ueidh'j j- c•Akontact Person: {\'7 Inas
Address: ( o2 f S g-vt 5 State Bond #: M t311 ' $1 I
City: (f 6 oil;/.7i-t" Zip: sS? Expiration Date: cil/y/..1.01 f�
Phone: (P 12--3 foo ency, Alternate Phone:
n Insurance- Current: 544 Orn"
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes 1-No
HEATING SYSTEMS
Quantity:
Make: 'Z ''Zvi C 1311,14( 15voi AAA '`f«.N
Model: 'i Iqq2,, SC2180°517 T/2Sc.Lia'/00521
Fuel: 44Pret
Flue Size:
Input BTUs: (0 0,0 00 l00, 000
Output BTUs: $8s®O (,,0o0
CFM:
COOLING SYSTEMS
Quantity:
'15
Make:
�vAn.v. lew Tj1-yc gra 4.r.
Model: 13 AN 4022-13A90 1134 A1,0164 )3 AI
Tons: Zi41944 3
H.Power ZZ-d 22-0
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
El No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall 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:
2
I '
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
/(i O&C x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * 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.
CRANICA L.I'EI T APP :,IBCA TIN ME '
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 state m nts made on this application are complete,true and correct.
it
Applicant's Signature: 11.4 1%/„/ Date: 2 7-7- 1 7
IV 7''
3
R.-: al-
DATE TIME
CITY OF ORONO CALLED IN / ` A-1
INSPECTION N, TICE (e
SCHEDULED /-3-I > /1:10-bPERMIT NO. 9 Al-0 � � COMPLETED n .
ADDRESS 3o Lei - �.c
OWNER TELE NE NO. -3coo- aio
CONTRACTOR / /1 1/12(4kila V
y �.
3.- DESCRIPTION �-- '`K-""'� ( i,tY1tLt)
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ,IEr ECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
It Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cf.) COMMENTS:
Q.W ur rlaG� re 6 '
o CC
-4- S 1 r✓1 c 5
cc
o
u_ 4 f 14-bele- (11,44,1/3(i6C —
W
cc
Q
2 Ow
"4:-i 4r'/2
W
z
W
ec
W 0 WORK SATISFACTORY:PROCEED I8OJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. J
White Copyllnspector's File Canary CopylSite Notice