HomeMy WebLinkAbout2018-00495 - mechanical CITY OF ORONO Hill I I I I I I ,I 1 I I I I I II I I II
2750 KELLEY PARKWAY * 018 - 00495
DATE ISSUED: 04/20/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2330 OLIVER HILL
PIN : 34-118-23-33-0073
LEGAL DESC : OLIVER HILL
: LOT 3 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,800.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT HTG SYSTEM 9125048080517
(1)BRYANT CLG SYSTEM BH13NA042 3.5 TON
(1)KITCHEN EXHAUST 300 CFM
(6)BATH EXHAUST 70 CFM
APPLICANT MECHANICAL 160.00
STATE SURCHARGE MECH(VALUATION) 6.40
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 168.40
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 168.40
OWNER
MANN,BRENNA&CHARLES
2835 GARLAND LANE N
PLYMOUTH,MN 55447-
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.
RIO e"/ tre.'
Applicant Permitee Signature Date Issued ?."" Signature Date
04/18/2018 WED 13: 06 FAX 763 473 8565 Sabre Heating & Air Cond E004/006
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FOR CITY USL ONLY
City of Orono
�+ P.U.Box 66 Dale Received:q-Z'($Pernxit#2i1�'� 5—
0
0 2)50 Kelley Parkway
1111 Crynl�tl Pay,MN 55'2,3 Approved By: Amount$:/6i-q0
Phunc(952)249-4600 l' s(952)249-4616
IV • .� - -
/k s>io'LY CiTY OF ORONO—MECHANICAL PERMIT
(All Commercial 1iermiis Dust be approved by the Building Official or Inspector and/or Fire Marsha[O
GENERAL INFORMATION,
], 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 ARF.NOT
VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD 1S 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/Statc Building Code
requirements.
6. All work must he inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must he submitted before final.
,, (ChecicAll dial;AppYy)
[►'Residential 0 Commercial(Approval Required) [Backflow Device:❑AVB ❑PVBJ
[►(New ❑Additional ❑Repairs ❑Replace
I 10b• it0;i'CP*1"r. 't100YlcitlOi�:
Site Address: i�� U +)
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Gontis=iefox'fIhtorm hon4' '' . :'',
Contractor: .61 jL 191, 0 1.140 Contact Person: 3 AA
Address: 16535 , State Bond#:
City: 0.1)MQlA \ Zip:5544i Expiration Date: 4•15-701�(
Phone: 11i -t}1 •UV) Alternate Phone: i1/ • 2.53.4i 1'
Li" Insurance—Current: 4•-17
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [ 'No
HEATING SYSTEMS
Quantity:
Make: ',
Model: CitZ tAgel
Fuel: N CT'_
Flue Size: 3 tl
JnputBTUs: %c1ODO
Output BTUs: ,61b0
CFM:
COOLING SYSTEMS
Quantity:
Make: 1. .
Model: ► 01. 1
Tons: •j
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
Nn. Kitchen Exhaust ' duct recirculating
a No. 1p Bath Exhaust(must have duct outside) _.gyp cfm
❑ No. Other Fans: Locations cfm
PTO.,STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons Q 'Underground ❑Inside ❑Outside
1.13 Gas: gallons
O flier:
GAS LINE ONLY
C] Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE * i 1.75%of contract price with a(Minimum Feu toff! _$50.00)
12S00•co x.0125`6 I lP.Q.•O 0 .... ...
(canlrac price)
(minimum$50.00)
2. STATE SURCHARGE!,
x.0005 $ G•cl0
(contact pike)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,S}O
4. •roTAl,PERMIT FEE(Add Lines 1-3 Above) 5 I U.4O
• * CONTRACT PRICER 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 thc
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount
of thc 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.
Applicant's Signature: rA,yt,01/11 .p&MA MA/ Date: Li'I -2bi '
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