HomeMy WebLinkAbout2015-01600 - mechanical CITY OF ORONOII I'
*
2750 KELLEY PARKWAY * 2 1 5 - 0 1 6 0
DATE ISSUED: 12/30/22 015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 387 ORONO ORCHARD RD S
PIN : 02-117-23-23-0006
LEGAL DESC : SMITH DETTLOFF ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,000.00
NOTE: (1)LENNOX FURNACE AND(1)LENNOX A/C UNIT
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
OWENS COMPANIES,INC. MAIL-IN FEE 2.00
930 EAST 80TH STREET
BLOOMINGTON,MN 55420- TOTAL 93.00
(952)854-3800 Payment(s)
Minnesota State License#:mech-Mb003718 CREDIT CARD 7497 93.00
OWNER
TRAFF,TIMOTHY&ELIZABETH
387 ORONO ORCHARD RD S
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.
6-V,L4ed—Z 6() g--itg9
Applicant Permitee Signature Date Iss ed ignature Date
Dec. 29. 2015 1 : 00PM No. 1985 P. 2
FOR CITY USE ONLY
� Citof Orono
'O�Vr P.O.'Box 66 Date Received: _ Permit#
Q 2750 Kdley Parkway
tt\o„
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Pax(952)249-4616
a
y�{ARBS H 01`�G` CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by die Building Official or Inspector and/or Pire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TH:E
PERMIT CARD IS POSTED ON THE JOB SITE.
3, Mechanical Designs—Complete calculations,details and specifications are required for each .
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A. .1 )
'Residential 0 Commercial(Approval Required)
❑New ❑Additional 0 Repairs X Replace
Job Site/Owner Information:
Site Address: 3$T DrOn0 0 reJuwa Rd . .s .
Owner: I t ill I (`0. r Mailing Address:
City: Va..Yz44a, Zip: 67'3 q 1
Home Phone: li /A - 766--(576 Alternate Phone: _
Contractor Information.
Contractor: QUA/ASWuPs Pie , Contact Person:
efryo r;hiif 6,,,b-h.
Address: q3d EO -1- 7d ref" State Bond#: M"18 06 71g'
City: V ID t)t1't I i f ffl Zip:SS N) Expiration Date: q/ R f 20 I ce
Phone: q 5,2 i51 r 300 Alternate Phone: 95-, -943-574,2,
Insurance^Current: "/E5
1
Dec. 29. 2015 1 :00PM No. 1985 P. 3
'. IEEE CALCULATIONS)
11AP1 'Com•-.202 STATE STATUE
s, 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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
s Vis'; 7 '';' POR14117 FtE ALGULAnON(S)•-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$50.00)
{, Oov. x.0125$ b7i5-0
ontract price) (minimum S50.00)
2. STATE SURCHARGE �/
! x.0005 $ r 6-0
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) 0-
4. TOTAL PERMIT PEE(Add Lines 1-3 Above) $ 9/, OO
■ 'a CONTRACT PRICE or JOE 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.
Applicant's Signature: ertik•ti.e.
&di-A Date: % /01-1/2-0/6-
3
Dec. 29. 2015 1 : 01PM No. 1985 P. 4
• r
ket.fON MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes 54 No
HEATING SYSTEMS
Quantity:
Make: Liill0 l(
Model: M L 1.615-0 010)(P,40i
Fuel: G
^ !r
Flue Size: ,v(,,
Input BTUs: 66 006
Output BTUs: Ip
CFM:
COOLING SYSTEMS
Quantity:
Make: Lemnos.
Model: IL)AcX- 41"156
Tons:
IL Power I`L
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 cfrn
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas; gallons
Other;
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2