HomeMy WebLinkAbout2016-00152 - mechanical CITY OF ORONO
* 20 1 6 - 00 1 52 *
2750 KELLEY PARKWAY DATE ISSUED: 02/11/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 435 OLD CRYSTAL BAY RD S
PIN : 04-117-21-31-0002
LEGAL DESC : AUDITOR'S SUBD.NO.230
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 6,000.00
NOTE: (1)BURNHAM FURNACE
105,000 INPUT BTU'S
88,200 OUTPUT BTU'S
APPLICANT MECHANICAL 75.00
STATE SURCHARGE MECH(VALUATION) 3.00
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA,MN 55439- TOTAL 80.00
(952)835-7777 Payment(s)
CHECK 11624 80.00
OWNER
HEMMEKE,MELISSA
435 OLD CRYSTAL BAY RD S
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATE111
ENT
The work for which this permit is issued shall be performe according to
the approved plans and specifications,applicable City appr vals,and the
State Building Code. This permit is for only the work desc ibed and does
not grant permission for additional or related work which r quires separate
permits. All provisions of laws and ordinances governing is 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 canstruction 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.
l 1
girsa .2_, ii , /e,.
Applicant Permitee Signatur�� Datt Issue y Signature Date
I
RECEIVED us> x� .Y
O City of Orono `
�0P.O.Box 66
Kelley Par) $ 1 1 2016 bate Recei!I j Permit#
2750 �(
Crystal Bay,MN 55323 Approved By: S. 1
Phone(952)249-k0.0 16 aT'
y� I � CITY � I
t� CITY OF ORONO—MECHANICAL PERMIT
4kEs HOV-
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORIIATION
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 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)
fa Residential ❑Commercial(Approval Required)
0 New ❑Additional 0 Repairs Replace
Job Site/Owner Inforiation:
Site Address: y 35 O f oA CryStaI Pay Road Sovill
Owner: Jeff HevriW1eke Mailing Address: 1135 Old Crystrl ray toao( S.
City: 0rbho Zip: SS3 56
Home Phone: 152-.1'13- 58' Alternate Phone:
Contractor Information:
Contractor: frank) alt ti acct (d4ContactPerson: 44aa"/
Address: 1'i! Gt1uu( gawA State Bond#: MS001i8L '
City: dura Zip: 6%31 Expiration Date: d 11/! o
Phone: 4152- 7 777 Alternate Phone:
❑ Insurance—Current:
1
t 4 .. i! "14i .,•,:1'Oaf', t-4:6 *2" Z,, !' i ii.Z,1 rJl",,,: c 4-: +1 '.'44,4i',4 ti", F { 5.:
Note:All Geothermal S±stems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes (l No
HEATING SYSTEMS
Quantity: I
Make: W(Il 110►WI
Model: 3(Y1 1'11
Fuel: N C'
Flue Size:
Input BTUs: 1051000
Output BTUs: $ tILOO
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/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. _rt Other Fans: Locations cfm
1
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons 0 Underground 0 Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
O Outdoor Grill 0 Other/List What&Where:
2
t'Re" ... .: { ,. h, 5 ^!.r. t '..€:.. 3 b .'. btl '..R +.R`i fre}' ^t t.FT {Z.`-',::".:41:1,W
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
0000 x.0125$ 7512'
(contract price) (minimum$50.00)
2. STATE SURRHARGE ,;;
60QD
x.0005 $ `-
(contract price) -
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 0
• * 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.
y;' • o'7rw `y,,."ef. ` -wirry'`Tc L rcl '^ i ' .`;;-rAnt g'r,•: "s _�' '; ,€,T«�,y,+'`s s'WJ',s
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: Date: D 1/Z 9 /2.0 I tP
3
E -3 _z-1'72--
DAT TIME v
CITY OF ORONO CALLED IN q
INSPECTION N / �� ULED —/7—/ / Opt'd"t
PERMIT NO. ��C/.(,� co PLS ED
ADDRESS y��, /_ / i -/ i c
OWNER T 'PONE NO. - ,3-5g.46
CONTRACTOR iii -
G
1.L41.47
A
>, DESCRIPTION /- 1/ C.�A �-f�
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
_ ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
VI ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING l$MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS:` e 1 --- -/i.- - - .5.--/...? -l6
ok
45 4-is s lig.r
>.
CC s ..j(c_iels;tc- /1424.-4Z ....,"4--c- !/Q,t, 'e—
O
Lu
cc
Q
zkia(, el,7 i A —
cc
la £1.<<�-Cr.-re/4,
IQ ❑WORK SATISFACTORY:PROCEED ,442R441FT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
tZ 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
O 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. < ✓i".--- "`=•K
White Copy/Inspector's File Canary Copy/Site Notice