HomeMy WebLinkAbout2015-01120 - mechanical CITY OF ORONO * 20 1 S - 0 1 1 20 *
2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2310 OLIVER HILL
PIN : 34-118-23-33-0075
LEGAL DESC : OLIVER HILL
: LOT 5 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 16,500.00
NOTE: (1)CARRIER FURNACE AND A/C
(1)KITCHEN EXHAUST
(4)BATH EXHAUST
GASLINE FOR RANGE,FIREPLACE,FUTURE GARAGE
APPLICANT MECHANICAL 206.25
TREATED AIR COMPANY STATE SURCHARGE MECH(VALUATION) 8.25
MAIL-IN FEE 2.00
9954 166TH COURT
BECKER,MN 55308- TOTAL 216.50
(763)262-0707 Payment(s)
Minnesota State License#: HVAC-MB003789 CREDIT CARD 3100 216.50
OWNER
ALMSTEAD,DAVE&CHALEEN
415 NO. 1ST ST
#514
MINNEAPOLIS,MN 55401-
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.
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Applicant Permitee Signa Date Issue.i:y Signature Date
� Y USE ONLY
�� City of Orono 41167-;:
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ItIrPO.Boxy, Date Rec ' PermsX®"— /5 D//t2750 Kelley Parkway �'Crystal Bay,MN 55323 Approved By: Amount S: t�/b •lPhone(952)249-4600 Fax(952)249-46I6
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�C�KESHO��G CITY OF ORONO--MECHANICAL PERMIT
(Ail 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 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)
-tiResidential ❑Commercial(Approval Required)
tilNew D Additional 0 Repairs ❑Replace
Job Site/Owner Information:
Site Address: a � Ur di/
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Owner: 4 JM 3 Tc r/ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: I fc.,- A ii(..0,4,,p`,,l Contact Person: OA i k-i.. (9 v w nuc,,e,
Address: C1G1 Stl 1 l,(041> L4- State Bond#: fhb cri$el -
City: 93e,..tctr Zip553OB Expiration Date: 6711 1 1u 12,0.16
Phone: 7(e3 - crIo1 Alternate Phone:
Insurance—Current: Y `),n .
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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: 1
Make: Ce...-rt„v
Model: S CI S C a-
Fuel: 74i4 .
Flue Size: 3
Input BTUs: i 00,e'LY.)
Output BTUs: 901, CVO
CFM: I,L Ott
COOLING SYSTEMS
Quantity: 1
Make:
Model: a”t 486393
Tons: L'
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. I Kitchen Exhaust fecal duct recirculating cfm
-, No. '.l Bath Exhaust(must have duct outside) cfrn
❑ 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 0 Underground ❑ Inside D Outside
LP Gas: gallons
Other:
GAS LINE ONLY b
❑ Outdoor Grill 51 Other/List What&Where: he. a �,�� C,4-tx-t ('yji-' 1414.,,"1"
2
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PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
0 Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I_ 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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATIONS)—.JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
' /470 a' x.0125$
Donath price) (minimum 550.00)
2. STATE SURCHARGE
S60 Dr-
/6" x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
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.
AppIicant's Signature: it, rtf14kr Date: 'J Z /ZU/S
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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OwnerlContractor on site: A
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INSPECTOR WILL RETURN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. '5 '-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
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DATE TIME 1
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED
PERMIT NO. egd S-CI I a n COMPLETED
ADDRESS 2--'( U O I tte ( _.. 4--P i I I
OWNER TELEPHONE NO.120 a CV 3`0 707
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DESCRIPTION /,l__I // A N 14 , P.
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1, ❑ INSULATION ■ OOD BURNER/FIREPLACE 0 COMPLAINT
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W ❑ AS BUILT-SURVEY 0 SE ER HOOK-UP 0 FOUNDATION/REMOVAL
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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.
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Call for the next inspection 24 hou Ain advance. ' I 249-4600
Owner/Contractor on site: I
Inspector.
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White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME NI
CITY OF ORONO CALLED IN
INSPECTION NOTIcj SCHEDULED
PERMIT NO._ t5/.5 -40I/PC) COMPLETED /a D "/ -
ADDRESS oZ 3/D GP!,PG/'
OWNER TELEPHONE NO.
CONTRACTOR 46 r. "Criff�04`t
Am.DESCRIPTION pm. (,--, ,,e Ate, 's ee—
tu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
VI• 0 FOUNDATION WATERPROOF El PLUMBING FINAL El TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING roIEtHANICAL FINAL 0 RATED WALLS
I, ❑ 'INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
• ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES NO
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9O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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
OwnerlCartractor on site: -
Inspector:
White Copy/Inspector's File Canary CopylSite Notice