HomeMy WebLinkAbout2017-01117 - mechanical CITY OF ORONO 1 I I I I I1 I II 1 I I II I I I1I1 1I1 *
2750 KELLEY PARKWAY DATE ISSUED: 09/12/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 425 HUNTER PASS
PIN : 25-118-23-31-0008
LEGAL DESC : HUNTER PASS
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)LENNOX HEATING SYSTEM
(I)LENNOX A/C
APPLICANT MECHANICAL 112.50
GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 4.50
5182 WEST BROADWAY MAIL-IN FEE 2.00
CRYSTAL,MN 55429- TOTAL 119.00
(612)535-2000 Payment(s)
CREDIT CARD 7420 119.00
OWNER
ALLEN&ROBIN DEWITT-ALLEN,MARK
425 HUNTER PASS
WAYZATA,MN 5539 1-
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 with the State Building Code.This permit may be
revoked at any time for due cause.
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/20 rak) /ice //7
Applicant Permitee Signature Date Issued B ignature Date
09/12/2017 12:48 7635354379 GOLDEN VALLEY HTG PAGE 01/04
IF
FOR CITY USE ONLY
� a�v� CO y of Orono
A.O.Box 66 bate Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved Ey: Amount$:
Phone(952)249-4600 Fax(952)249-4616
y�t� ��� CITY OF ORONO—MECIAIVICAL PERMIT
kF5 O (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 I
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 T)EIE
1' T C ,LISPSTED ON THE TOB SYTE
3. Mec atiieal Desii,g —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 I
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 hoist be inspected(rough-in and finaI). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT '
(Check All That Apply)
(Residential ❑Commercial(Approval Required) 1
❑New ❑Additional []Repairs
> ePlace
Job Site/Owner Information:
Site Address: -- i1 A ---e a
Owner: `Ne/v\ ,
Mailing Address: 6-0./AL/
•
City: 01` )VI)V Zip: - '35f�q I I
Home Phone:I r r." 6 I - _ 0 � Alternate Phone:
Contractor Information:
Contractor: av fiExuNG 8 mi iNit__ Contact Person:
5182 WEST BROADWAY
Address: AL,,MN 55429 State Bond#:
7636352000
City: Zip: Expiration Date: __._�
Phone:
Alternate Phone:
❑ Insurance—Current: j
1 V
i
09/12/2017 12:48 7635354379 GOLDEN VALLEY HTG PAGE 02/04
s S'�r•L.0-e`' .�-cam'-'1_ y ,�' ' �...'�` „. � SII
..' `' •. ,. �_ ._ `�-�.fir.» ._, c j
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTI1ERMA,L? ❑Yes)No
HEATING SYSTEMS
Quantity_
Make: Lenox_
Model: 5LP9 U
Flue Size:
— I
Input BTUs:
Output BTUs; AP/44a ^
CFM:
COOLING SYSTEMS
Quantity: • I
Make: Leionca x
Model: -wolfI
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
d Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTTION
❑ Na- Kitchen Exhaust duct recirculating cfnn
❑ No. Bath Exhaust(must have duct outside)
❑ No. Other Pans: Locations —cfm
cfrn
I.. TO GE (Must be approved byFire Marshall[
fproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons
LP Gas ❑ Underground ❑Inside El Outside
_ gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where: j
2
09/ 2/2017 12:48 7635354379 GOLDEN VALLEY HTG PAGE 03/04
•
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El Yes,this section applies
The replacement of a R idential fixture or ap Bance that meets all three of the following requirements:
1. DQes not require modification to electrical or gas service.
2_ Has a total cost of$500.00 or less;exciu n the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $_ 15.0Q
State Surcharge $ 1_00
Mail-In Fee(If Applicable) $ 2 00
Total Permit Fee $
�. '�.,->F.,`ti ,Fc"`�t�y"'j^y".�r,�r ' "�`-- "..^z ^-••n om-n...., wz a9 •e
If above does not apply;follow guidelines below:
L CO1V'TRA 'I'P CE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimi $0.00)
2. STATE SUR HARG.E (4 ,
Sax_0005 $
(contract price)
S. POSTAGE&HANDLING(Only on Mail-In Applications) $ ZOO
I4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ i
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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.
I�V�'`�ti3;ir�'ix,f�� �Tre.. .. ''�.�y.r"jtz�'"'lM, to T.� t'✓Pa"_"'"""�z' _;'c--^
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.
Applicant's Signature: 5, l a! f es. Date: 17'
3
DATE TIME \/
CITY OF ORONO OI 1 1 CALLED IN
INSPECTION NOTICE / SCHEDULED / —/ate r
PERMIT NO. - 0 /7 - 4 COMP ED
ADDRESS ya$ j I X55
OWNER IC6tI _ 1/11-(A___ TELEPHONE NO. ?�02-3Y -3'J y
CONTRACTOR
E DESCRIPTION /- ' Ci...1 - �u-/-Yfes--C-Q
0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
4.Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OS/NES/CONTRACTOR TO MEET YOU:_YES._NO
• COMMENTS: N`-/ 4c.-'r h be Co' pl
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W ❑WORK SATISFACTORY:PROCEED ---II-PROJECT COMPLETE
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W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerIContractor on site:
Inspector•. - ..._
White Copy/Inspector's Flle Canary Copy/Site Notice