HomeMy WebLinkAbout2014-01260 - mechanical CITY OF ORONO I* �!,�,0 � �
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2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2327 OLIVE AVE
PIN : 17-117-23-44-0074
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 14,910.00
NOTE: I LENNOX HEATING, 1 LENNOX AC
APPLICANT MECHANICAL 186.38
STATE SURCHARGE MECH(VALUATION) 7.46
ABEL HEAING&COOLING MAIL-IN FEE 2.00
6501 COUNTY RD 15
MINNETRISTA,MN 55364- TOTAL 195.84
Payment(s)
CHECK 19761 195.84
OWNER
MCCURDY,JOSEPH&LAURA
2327 OLIVE AVE
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.
(S° f`l°
Applicant Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
• - AT• O City of Orono
<Y Date Received: Permit#
2750P.O. KBoxelley66 Parkway
Crystal Bay,MN 55323 Approved By: Amount S:
Phone(952)249-4600 Fax(952)249-4616
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#t,kFsxo�`` CITY OF ORONO-MECHANICAL PERMIT
(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
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 fmal). 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)
0 New -.-�J Additional ❑Repairs 0 Replace
Job Site/Owner Information:
Site Address: 2 3a -1 0 ( 'v e- Ave- .
Owner: L-ct.u✓'C`- V C Ck►^!I�y Mailing Address: 1- a1 d I 1/ f1 ) ,
City: 01,01,1O Zip: SS3c
Home Phone: S 0-7 - 2,5 /-3610 Alternate Phone:
Contractor Information:
Contractor: ,' I-� t`A .gelig q Cont Person: -rQ,Cil( ;vt I CK'
Address: (05 O 1 �- yQ of IS State Bond#: Yvl L Do-34 b O
City: (V ouV II Zip:55361f Expiration Date: lO �l�{/1�D
Phone: q — hi 7 2-- a6 6S Alternate Phone:
❑ Insurance—Current: f. q 6 $ (E1 S
1 Fcc,✓'a,�P 5urance__
a ° n u+,± " X s`'isx.* 3, i f7 d y
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes-- 10
HEATING SYSTEMS
Quantity: (
Make: LenVVO�
Model: TV1L I QO'C770
Fuel: . 4-S
Flue Size:
Input BTUs: 7D,On 0
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: L e344t )(
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. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons 0 Underground ❑Inside 0 Outside
LP Gas: gallons
Other:
GAS LINE ONLY OO K LAP
0 Outdoor Grill [ C Other/List What&Where: e'1-I Ft '1. 3 ct. I ' h E
2
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding 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 $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
4' w p
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
Li 9 Jt), (00x.0125$ I ?CO .`38
(contact price) (minimum$50.00)
2. STATE SURCHARGE
4 1 g 1 O r ox.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I 1 S
• * 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 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.
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Applicant's Signature: ate: /
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1 `- v TE ✓`" TIME V
CITY OF ORONO CALLED IN 7 �
INSPECTION �O,A�IF E SCHEDULED 51-y -� .3.O
PERMIT NO�� V-d/ZOO d C P ETED'
ADDRESS 00077 al -a,t,te__,
OWNER EPHONE N of i7°�%�
CONTRACTOR
3, DESCRIPTION
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LU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
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Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
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❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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CO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneNCoMractor on site:
Inspector. 6�
White Copyfnspector's File Canary Copy/Site Notice
Vkk DATE TIME V
C CITY OF ORONO CALLED IN
INSPECTION NOTICE �JZ(p cHEDULED 712�/s
PERMIT NO. L�(!rtiCOMPLETED
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Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING cigf'M CHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP ElFOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 S P IC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑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: .S 4J n.
Inspector. /�
White Copyllnspector's File Canary Copy/Site Notice
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B TETIME
CITY OF ORONO CALLED IN — /
INSPECTION TI SCHEDULED —A- - i 3:
PERMIT NO.G /2 -- `i 0/2-40 COMPLET€D
ADDRESS 01397 D/l i i- /, '7 ��/,,�
OWNER ELEPHONE NO..-5 -?7�'"�' f�`�
CONTRACTOR
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C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
IQ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adv ) 249-4600
OwnerlContractor on site:
Inspector.
White CopyAnspector's File Canary CopylSite Notice
0 q 5'(; ' DATETIME\
CITY OF ORONO CALLED IN
INSPECTION NOTICE „Ir SCHEDULED AD co
PERMIT NO. L�l ate/QIOMPLETED
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Q ❑ FRAMING :4 MECHANICAL FINAL 0,,RATED WALLS
is ❑ INSULATION ❑ • eOD BURNER/FIREPLACE ❑1qOMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
.---C 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 •urs in advance. (' r ) 24'-4600
OwnerlContractor on site:
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Inspector: �• '
White Copyllnspector's File Canary Copy/Site Notice