HomeMy WebLinkAbout2017-00884 - mechanical CITY OF ORONO * 2017 - 00884 *
2750 KELLEY PARKWAY DATE ISSUED: 07/27/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 4111 OAK ST
PIN 06-117-23-41-0094
LEGAL DESC MINNETONKA SUMMIT PARK
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE MECHANICAL-MULTIPLE
VALUATION $ 7,411.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT NATURAL GAS FURNACE
(1)BRYANT A/C-2.5 TONS
APPLICANT MECHANICAL 92.64
STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 3.71
130 PLYMOUTH AVENUE N. MAIL-IN FEE 2.00
MINNEAPOLIS,MN 55411- TOTAL 98.35
612-824-2656 Payment(s)
CHECK 54403 98.35
OWNER
SIEGEL, MR.&MRS.DAVID
4111 OAK ST
LONG LAKE,MN 55356-
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.
4;� - /1?0 /,7
Applicant Permitee Signature Date Issued B ignature Date
f R 13S
FOR CrrY USE ONLY
'o]
O City of Oro 0
P.O.Box 66 Date Received: Permit#
2750 Kelley P
Crystal Bay,MN 55323 Approved By: Amount$: - _ p
(952)249-4600 a t m I Y E D
CITY OF ORONO--MECHANICAL PERMIT JUL L 7 L U 17
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION r Aar FRONO
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 UNTII.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 final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All ThatApply)
Residential 0 Commercial(Approval Required)
0 New 0 Additional ❑Repairs )J�teplace
Job Site/Owner Information:
Site Address: Oak
Owner: u e Mailing Address: l
SCity: OnenqZip. SS 3 S
Home Phone: `''L S `T l�— it Phone:
Contractor Information:
Contrac&findar ing Contact Person:
130 Plymouth Avenue North
Address: Minnea olis,MN 55411-3445 State Bond#:
1 ,
City: Zip: Expiration Date:
Phone: Alternate Phone:
® Insurance–Current:
1
! j
MECHANICAL S�''STEMS -,STALL
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes No
HEATING SYSTEMS \
Quantity:
Make:
Model:
Fuel: _
Flue Size:
Input BTUs: L
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: /
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
® Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) chn
® No. Other Fans: Locations cfin
FUEL STORAGE (Must be apprmwd by Fire Marshall if proposing to abandon tank in places)
® Installation ® Removal
Fuel Oil: gallons ❑ Underground 8 Inside ®Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑❑ Outdoor Grill ❑ Other/List What&Where:
2
. S
N
PEk,Mlrr
:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of .00) /
x.0125$ � b
(contract price) (minimum$50.00)
2. STATE SURCHARGE j / x.0005 $ S --7 /
contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(_Add Lines 1-3 Above) $ ` as
■ * 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.
I C "M PEII 'T PL CAT ?N A r '1V
•• x x vs W rM
The undersigned hereby applies to the CCnde
iss ce of a Mechanical Permit, agrees to do all
work in strict accordance with the ordof a City and the regulations of the State of
Minnesota,and certifies tatemenon is pplication are complete,true and co ect.
Applicant's Signa e• atYS e: - 1
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Y-2-2 .$
oso-
PERMITNO.ithll MEN COMPLETED
ADDRESS 9 111 60k M114
OWNER TELEPHONE_fNO. LDI Z-3&o'q4l
CONTRACTOR �V�e I
DESCRIPTION N e W 1_0_ AA"L ` 5 C4!0 h
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMERICONntACTOR TO MEET YOU:_YES_NO
COMMENTS �G r'c l tZ �cc�+'�c4G r eta.t KecZ` -
W
OC
Q
ff OF
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Ado
0 WORKSATMFACTORY PROCEEDJECf COMPLETE
W O CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Can for dw next bnpectlon 24 hmrs in adlrwwc (952) 249-4600
011rnerlContrector on site:
1 -apector:
VAdle Co"Mspe Wft File Canary CopyAm Notles