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HomeMy WebLinkAbout2016-00837 - mechanical V � CITY OF ORONO * 2 0 1 6 - a 0 8 3 7 * 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2016 ORONO,MN 55356- 952)249-4600 FAX: (952)249-4616 ADDRESS : 1315 REST POINT LA PIN : 07-117-23-32-0052 LEGAL DESC : TONKAVI$W GARDENS : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL MSPECTION. (1)CARRIER FURNACE AND(1)CARRIER A/C APPLICANT MECHANICAL 81.25 CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 3.25 7402 WASHINGTON AVE MAIL-IN FEE 2.00 EDEN PRAIRIE,MN 55344- TOTAL 86.50 (612)941-1044 Payment(s) CHECK 111173 86.50 OWNER GROVER,KEVIN&SUSAN 1315 REST POINT LA MOUND,MN 55364 AQREEMENT AND SWORN STATEMENT The work far which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Build'mg Code. This permit is for only the work desaribed and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype 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 cpnstruction is suspended Sor a period of 180 days at any time after work lMas commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.THis permit may be revoked at aury time for due cause. 1 I -Ci l l ��l / Applicant erm�tee Signature Da4e Issued y ature Date �1 Ct,Q��L �/� '���`�D RECENE� „SE�.,Y ��t�r P o°X orono n��««�► : r«�t� �61�- S 37 O 2750 Kelley Parkway I ��O 1" Crystal Bay,MN 55323 ��L Ap�ovcd Amoimt$. $b,5 � Phone(952)249-4600 C'TM�F 96-41i1�i., y -i�cvr� � IqxFSHo�``G CITY OF ORONO-MECHANICAL PERMiT (All Commercial permits must be appmved by the Building Official or Inspector and/or Fire Mazshall) GBNERAL INFORM�'ITIQN 1. You may apply for mechanical pemuts 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 Desims—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air condirioning 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 dane 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 Hearing Test Record must be submitted before final. TYPE OF PERMIT Che�k All That A 1 �.Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB] ❑New ❑Additional ❑Repairs �Replace Job Site/Owner i�nfo ation: Site Address: f315 ��T Y.�dr/� �/✓ Owner: !t�v!`n/ �j/�v� Mailing Address: J~�/yl� City: ��ivD Zip: .sS�.."�� `� Home Phone:��o?-07��- �.�Sa Alternate Phone: Contractor Information ' Contractor: ��/li¢i� Contact Person: Q/� ,�LY Address: ��fva GtJ���NS�on/�4'r/E,State Bond#: � City: ����N �`E Zip:���xpiration Date: Phone: �J.7 d�'���;'/d�� Alternate Phone: ❑ Insurance-Current: 1 . ` Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING 5YSTEMS Quantity: Make: Model: �C1�/���U�'Y7��7- ��D Fuel: _��� Flue Size: /� Input BTLTs: p Output BTLTs: �Q_(� CFM: 1 COOLING SYSTEMS �tl�,: ( Make: Model: ��T�}- '��„ �()��p3 Tons: p2 �/�- H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfm ' ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must b�approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ' . 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) C.�j o�O"-" X.oi2s$ �l a=^ (contract price) (minimum$50.00) 2. STATE SURCHARGE -- �,S-(7(�ov x.0005 $ 6�•� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ _��� s;- ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,pmfit,and other fuced costs. It is the amount to be charged to the customer for the vvork done. If any material,equipment,labor or installations are furnished by the owner, tenant or any olther party, the reasonable market value of such items must be added to the esrimated cost or contra¢t 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. T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the or ' ces of the City and the regulations of the State of Minnesota,and certifies that all st ents ade on this application are complete,true and correct. Applicant's Signature: Date: /� / 3 �1'� G�" DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � ' ��1 PERMIT NO. `� "�-�'��1 COMPLETED ADDRESS I I �7 r�--C_ S-t- C�I � �-G4 OWNER TELEPH E NO.`� �a `� �S 77� CONTRACTOR "�► �--f-rc�i r � � DESCRIPTION �l.�P��1 C1� {��C-� � J��C l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL j Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING�� O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�1�lAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO y COMMENTS: � �� � W � � ��/�{i(ltC� /rL��� P�Y/5��4 �'.�S �[�?��' � V e!��./ !i[r-. � O � W f . • � � �/C ����. � /�Cr.� �l�c�irc�G a�• cca•�s�t� Q - - Z �/Uvib� .`��e�✓t �iL , iss/• �f6r .�.Scartd�cZr W � � �ar r��L"-�- .Ae��.y.� -F,��1.�� � W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE �CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice