HomeMy WebLinkAbout2018-00336 CITY OF ORONO II 11I
*
2750 KELLEY PARKWAY * 2 1 8 - 0 0 3 6
DATE ISSUED: 03/22/22 018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2215 KENWOOD WAY
PIN : 17-117-23-44-0057
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,900.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM HEATING SYSTEM
APPLICANT MECHANICAL 61.25
HOME ENERGY CENTER INC STATE SURCHARGE MECH(VALUATION) 2.45
2415 ANNAPOLIS LANE N MAIL-IN FEE 2.00
SUITE#170 TOTAL 65.70
PLYMOUTH,MN 55441- Payment(s)
Minnesota State License#:mech-MB003447 CHECK 89185 65.70
OWNER
KUPKA,DAVID&LUANN
2215 KENWOOD WAY
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.
Applicant Permitee Signature Date Issued By Signature Date
• RTY UPermit#SE ONLY
A T City Z0a:ay.0VO P.O.Bo
Crystal Bay,MN 55323 A iroved B : Amount S: fr7 )Phone(952)249-4600 Fax(952)249-46>1AR 'I ?flhtiV
�<t19 ESH04CITY OF OROISt OR D ICAL PERMIT
ire Marshall)
(All Commercial permits must be approved by thedg Inspector
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 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)
xj Residential ❑Commercial(Approval Required) [Backflow Device: ElAVB ❑PVB]
❑ New ❑Additional ❑Repairs ,eplace
Job Site/Owner Information:
Site Address: g I S c r v✓x7o t LA)Akr
Owner: lV\s k- k A_ Mailing Address: a bav�t•
City: Zip:
Ss3�
Home Phone: °I Sol ,41 1• e 0 Alternate Phone:
Contractor Information:
Contractor: HOME ENERGY CENTER Contact Person: �•A No (tAsz)--/•'�
2415 ANNAPOLIS LANE N#170
Address: PLYMOUTH MN 55446 State Bond#: M (3 Oo3 `"f7
City: Zip: Expiration Date: g •ls.)8
Phone: 9(-3, y7(e• /19J Alternate Phone: 2' 3 C$d. 7413 0)-
D Insurance—Current: iiiPle7
1
I 0 f 3
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes No
HEATING SYSTEMS
Quantity:
Make: T1P.e.M
Model: e R 5 \ e'
Fuel: 'S
Flue Size:
Input BTUs:
Output BTUs: / `. G flv
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
p Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
O Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
O No. Kitchen Exhaust duct recirculating cfm
❑ 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 0 Removal
Fuel Oil: gallons ❑ Underground ❑ Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill 0 Other/List What&Where:
2
PENT FEE CALCULATIONS ...
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
4/Cf
e° x.0125$ (/• GYS
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $ •y
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ G 5. 1C'
■ * 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.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with le ordinances of the City and the regulations of the State of
Minnesota,and certifies that all s ements made on this application are complete,true and correct.
41
•Applic. g Date: �•2C7
� ��_�—
3
5de 3
D- Q\
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 11/1 9:e a
PERMIT NO..2.012) -oo3V, •MPLETED
ADDRESS rV�l IVU'r• Wovi
OWNER TELEPHONE NO. 16161---t-f-7/10//q�
CONTRACTORffM . 2 04- -
DESCRIPTION i\. Df
� COG l) ("1 1 sp. ditvW ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
rO 13FOUNDATION WATERPROOF 0 PLUMBING FINAL 13TREE REMOVAL
0 RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION
IC ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑COMPLAINT
• 0 FINAL ❑WATER HOOK-UP 0 FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.1▪ ❑ DEMO-SITE 13SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
R COMMENTS: r✓ ''�
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IQ0 WORK SATISFACTORY`.PROCEED PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal for the next inspection 24 tours in advance. (952) 249-4600
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