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HomeMy WebLinkAbout2011-00496 - mechanical CITY OF ORONO PERMIT NO.: 2011-00496 il 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/20/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 135 OR NO ORCHARD RD N PIN : 34-118- 3-44-0035 LEGAL DESC : SUBDI ISION NO 1 : LOT 000 BLOCK 000 PERMIT TYPE : MECHMNICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECOANICAL-MULTIPLE VALUATION : $ 2,8 0.00 NOTE: (I)LENNOX COOLING SYSTE -MODEL 13ALX048-4 TONS i / I I APPLI ANT MECHANICAL 50.00 OWENS COMPANIES,INC. STATE SURCHARGE MECH(VALUATION) 1.40 930 EAST 80TH STREET ii BLOOMINGTON,MN 55420{ MAIL-IN FEE 2.00 (952)854-3800 i TOTAL 53.40 PAID WITH CC# 7497 ON, NER RYDELL,EDMUND 135 ORONO ORCHARD R)N LONG LAKE,MN 55356 AGREEMENT AN SWORN STATEMENT The work for which this permit s issued shall be performed according to the approved plans and specific tions,applicable City approvals,and the State Building Code. This pe it is for only the work described and does not grant permission for additi nal or related work which requires separate permits. All provisions of law and ordinances governing this type of work shall be compied with whethe or not specified herein.This permit will expire and become null and v id 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 Or assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok at any time for due I,ause. / (oio� ill �/ / lp/ I App scant Permitee Si ature , Date Issu:`By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' ' Jun. 20. 2011 2:42PM Owens No. 1204 P. 1 City of 0 0 O P.O.Box 66 om ! 2750 Kelley &km)! 7' 11 • Crystal Bsyl MN 55323 ' ` nano(952) 49-4600 Fax(952)249r4616 r ' i{ n----'-- -2',, u , �nri { -,1.I� i'''''..4.:'---j4 _ .a r ., CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 1. You may apply f,, mechanical permits by mail or in person at the City offices. Applications will be reviewed and : permit will be issued within two working days. 2. Permit cards wil be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL . OU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL'THE 'E Lt1 y_0 . ki2i tt D a JO_ I _ 1W 3. i- ,,i'c Des ,, s—Complete calculations,details and specifications are required for each heating,yen; i R on,humidification-dehumidification,and air conditioning installation including heat loss/beat X' calculation,design temperatures,equipment ratings and identification as to type,manuf and model. Data shall be presented on form provided. • 4. When any new •i 4 ction or remodeling is involved,a separate building permit must be obtained. , • 5. All work must lite done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must i inspected(rough-in and final). Call(952)249-4600. (24-48 hour n, ice required) 7. Ho)use H :i= fin Test Record must be submitted before al. .. _, t —_, .�.,.i�-.'_� ..r•O�l.1 .11.alX113- =--ra�- rf-=+— 1'x` M j+<},u-.......,;_. iCtitesWential ! ❑Commercial(Approval Required) . 0 New 1 ❑Additional ❑Repairs 0 Replace L.---4.:.....- ,9 Fn� . ' i C Site Address: 1 5 (I.7(/ D(ono D D(Gh1 C1 rt L K c ' Owner: Cel my I R yCj I L I Mailing Address: 35 DcOr1D O((,hci r'tt city: 0(0 ) Zip: 65,35Cv Home Phone: � Alternate Phone: rt, vS'.1i E 01;. ; il 117rlili , :r-' i,-, k, %', ti Contractor: 1/. _ J!L • u e ,e5 Contact Person: f7 iri'/1(Ie iOi 6 Address: i' D OSS— State Bond#: ip City: 10 ri,ia . Zip5 LIf)Expiration Date: . Phone: / . • I -S 4. Alternate Phone: ❑ Insurance—Current: 1 ' ' Jun. 20. 2011 2:43PM Owens. No. 1204 P. 2 1 , Note:All Geothermal Systems 'll now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL': (.3 Yes 0 No HEATING SYSTEMS Quantity: Make: • Model: i Fuel: Flue Size: t . . Input BTUs: Output BTUs: CFM: • COOLING SYSTEMS Quantity: Make: ',A A i► Model: 13 it 4. n • Tons: .J i H.Power it FIREPLACES ❑ Gas Facto Fireplace Brand Name: ❑ Wood Bflg • Fireplace • ❑ Wood Stov Model No.: ❑ Wood S e with Flue/Masonry . VENTILATION � ❑ No. I Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) c£m ❑ No. , Other Fans: Locations _ cfm FUEL STORAGE (Must approved by Fire Marshall( proposing to abandon tank in place.) ❑ Tnstallati n 0 Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY 1111 ❑ Outdoor Grill ❑ Other/List What&Where: 2 Jun. 20. 2011 2:43PM Owens No. 1204 P. 3 ❑ Yes,this - ;on applies The replacement of a Residential fixture or a�8Pliance that meets all three of the following requirements: 1. require modification to electrical or gas service. 2. Has a __ co of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is impro ed,installed or replaced by the homeowner or licensed contractor. Skip a, section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. COI ACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ Jt-/•©V (contract price) (minimum 550.00) 2. $TATE SURCHARGE �StOD. 00 x.0005 $ (coon=price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 24,1) 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53 •-1 v • * 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. 40/ / LI/Ia� (#76901I� Applicant's Signa e: , L1/ Date: 3 D TIME CITY OF ORONO CALLED IN v INSPECTION NOTICr t,� SCHEDULED 8-/0-, 3.6 PERMIT NO.dO// �� TT I�OMPLETED A l ADDRESS /3 ' C' b jed OWNER 11-I _ :1 ���'_'_. 'LEPHONE NO. 90.2. 4173 .624 CONTRACTOR DESCRIPTION S 4,1 0 FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION • 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ■ - - BING RI / - ► ❑ FOUNDATION/REMOVAL • OWNER/'ONTRACTOR OM YOU: _ ES NO to)• •MMENTS: cc okIf U J&Jc e ds QTc' Ge cc 1 A13I , -zed 0 W cc Q z W cc Lu• ❑WORKSATISF CTORY:PROCEED 0 PROJECT COMPLETE 131+ CORRECT WO•K&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT W•'K,CALL FOR REINSPECTION TEMPORARY V BEFORE COV RING PERMANENT ❑CORRECT U SAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPE OR WILL RETURN 0 STOP ORDE' POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIO REQUIRED.CALL TO ARRANGE ACCESS. Ca I for the next inspection 24 hours in advance. (952) 249-4600 Owner/C• tractor on site: h ?IS Inspecto White Copyllnspector's File Canary Copy/Site Notice