HomeMy WebLinkAbout2018-00179 - mechanical CITY OF ORONO 11111311311 111111111111111111111
2750 KELLEY PARKWAY * 20 1 8 - 00 1 7 9
DATE ISSUED: 02/21/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 101 CHEVY CHASE DR
PIN : 36-118-23-41-0006
LEGAL DESC : HILL O'WAY MANOR
•
: LOT 001 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
(1)LENNOX 2 TON A/C
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
GOLDEN VALLEY HEATING&AIR MAIL-IN FEE 2.00
5182 WEST BROADWAY
CRYSTAL,MN 55429- TOTAL 119.00
(612)535-2000 Payment(s)
CREDIT CARD 7420 119.00
OWNER
KRENNER, SCOTT
101 CHEVY CHASE DR
WAYZATA,MN 55391-
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.
C_y171.4-C Zril) ,e6 ,A) g- -/-to Applicant Permitee Signature Date IssuBy Si ature Date
02/20/2018 14:39 7635354379 GOLDEN VALLEY HTG PAGE 01/04
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FO USE ONLY
• ,�- City of Orono / , �n/��1�, r
P.O.Bare 66 Oat=Ruei / 4 Permit tA/�/
c_.,, ti/ 2750 Kelley Parkway
( ysral Bay,MN 55323 Approved By. Azaouet$: �l�.
Phone(952)249-4600 Fax(952)249- 616
littti ,..,0,‘
1RbG~ CITY OF ORONO–MECHANICAL PERNIIT
4 (p,Il Commercial permits must beapproved the Buil Official or
P by ding Inspector arid/or Fire Maryttal3)
GENERAL INFORMATION • — '
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will 1
be reviewed and a permit.wila be issued within two working days.
2. Permit cards will be sent by return mail atter a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN).UNTIL TM
PERMIT C;AARD,IS POSTED N TEE JO ITE
3, Mecbaaaica(DIsivns—Complete calculations,drnas details and specifications arc required for each ;,
hearing,ventilation,humidification-dthnmidifcation,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
c,manufacturer and model. Data shall be presented on form provided_
4. When anynew construction or remodeling p
ling is involved,a separate buiIdiag permit must be
obtained.
5. All work must be done in accordance.with the Uniform Mechanical Code/State Building Code
requirements.
6. All work dntst 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 That Apply) .
XResidantial El Commercial(Approval Required)
I
❑New [D Additional ❑Repairs ,X.Replace
job Site/Owner Information: .
Site Address: 111 1 ( )L,/
)i .)„Jv'
Owner: Lit' (C-C _•Q,0(1-t.r Mailing Address: '(
-
City' Zip:
-7(a�). q V7C. )S
Home Phone: SAlteznate"Phone:
Contractor Information:
Contractor G Contact Person: .
5182 WEST BROADWAY
Address: CRYSTAL!MN 65429 State Bond#:
lw' 7043354000
City: Zip: Expiration Date:
Phone: Alternate Phone:
El Insurance–Current:
1
02/20/2018 14:39 7635354379 GOLDEN VALLEY HTG PAGE 02/04
I Note;All Geothermal Systems will now require a Site Plan&Review by our Building Official.
•
IS THIS GEOTHERMAL.
`' ❑Yes ( No
I BEATING SYSTEMS
I
Quantity:
Make_ -(1(/1(�
. -
Model_ qV
Fuel: j
Flue Size:
Input Bxus:
10,00;) _
Output BTUs: V-7;7,00
CFM:
COOL/NG SYSTEMS f
Quantity: I
Make: S- f:\JOA C
I Model: ..L-►
Tons: d- -.
H.Power .
ELIZELAM
I
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
0 Wood Stove Model No-:
[l Wood Stove with Flue/Masonry
VEPITILATAON 1
I
❑ No_ Kitchen Exhaust duct recirculating _cfm 1
❑ No. Bath Exhaust(must have duct outside) cfm 1 I
❑ No. _ Other Fans: Locations cfm 1
II
FUEL STORAGE (Must be I
approved by k5re Marshall ifproposing to abandon tank in place.)
❑ Installation 0 Removal
Fuel Oil: gallons ❑ Under ound Inside
t ❑ ❑Outside
gallons
Other
GAS LINE ONLY
❑ Outdoor Grin
0 Other/List What&Where:
2
02/20/2018 14:39 7635354379 GOLDEN VALLEY HTG PAGE 03/04
f u�z� rY t r •J'r k;��
r ti K w Si f.
Yes,this section applies
The replacement of a Residential fixture or apgance that meets all three of the following requirements:
L Does noii require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; gthe 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.OQ
{ State Surcharge S
Mail-In Fee Cif Applicable) $ 2.00
Total Permit Fee
{
If above does not apply;follow guidelines blow:
I '
1. CONTRACT PRICE *is L25%of contract price with a(Minimmn Fee f$50.00)
X000. -
x.0125$ U��
(comet price) (minim m 550-00)
2_ STATE SORCHARGF Ir
00 0x_0005 $ O
(contract price)
3. POSTAGE&IHANDLIIsTG(only on Mail-In Applications)
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
\1 .
" 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 �
-
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
l i 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: ��j,L1 ' Date: • d ' • )5
i � I
3