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HomeMy WebLinkAbout2008-00042 (Mechanical) � ���rVL� '�� �a�- ( CITY OF ORONO PERMIT NO.: 2oos-00042 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/14/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2180 ABINGDON WAY PIN : 03-117-23-24-0012 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 56,000.00 NOTE: HEATING SYSTEM(BOILER)MODEL GB-142,GAS 20QOOO INPUT BTU'S. COOLING SYSTEM,MULTI-AQUA,5 TONS AIR EXCHANGE,200 CFM APPLICANT MECHANICAL 700.00 S R MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 28.00 7320 OXFORD ST. SUITE 200 TOTAL 728.00 ST. LOUIS PARK,MN 55426 (952)933-6933 OWNER GAGE,RICK&BRITT 2180 ABINGDON WAY LONG LAKE,MN 55356 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 sepazate 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 revo im or e cause. . 7 i��I i `� Ce�Z �,t 7// l !�� Applicant �rmrtee Signature Date Iss ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' - )� �--7 3� �___ ._ _ CITY OF ORONO APPLICATION FOR MECHAI�TICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAI, 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 2 working days. 2. Permit cards will be sent by retum 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 Desiens - 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. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building pemut 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 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: �Tew V Addition Repair Replace ti Residential Commercial .roB s�: a I �.� , .� r. �.�; �� z�p: Owner's Name: �.- , .}- �,ti d FL:< <« c�.:�- Telepho e Number: Mailing Address• City: Zip: Contractor's Name: , " M�CUti� � �C � Telephone Number: Mailing Address: �7 � o�-O O 1C��� (' ��-i- City: 5�� �o� �� 4�,��t`Lip: � -�"� �/ ,� �, �.y i .} 1 '�,�Y� SYSTEM DESCRIPTION HEATING SYSTEMS ' (?j� � (e�' Quantity: Make: �3U�:l�L''� V 5 Model: Cs��3- IW c�, FueL• � c� 5 Flue Size: 3" v G Input BTUs: a�,��o�..� Output BTUs: ` CFM: COOLING�YSTEMS . � Quantity:�l � � � 1 1 -�-' � Make: � � ( F � � R ��p Model: Tons: � H. Power � WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue � Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. _� Other Fans: Locations ,���,� cfm l`� � ^ F � c.�l.�u� �, � FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee f$35.00) � ,�n � � S �,r���, , � � x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division � � �� Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ —1 � �, � Q * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor, or installation aze fumished 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 pemut 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 STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � ��--4'--__ � � t � � -o `�5 Applicant's Signature: ���-�� Date: Approved By: Date: .1J��� DAT TIME � CITY OF ORONO CALIED IN 7 I INSPECTION NOTICE SCHEDULED 7-�5-08 �:.3�U PERMIT NOR�B'-OOD S�a' COMPLETED ADDRESS a180 � OWNER CONTR. �'� /�'t � TELEPHONE NO. ���' Z g 2— 56 Z. / � DESCRIPTION __ ��� �� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W � � .�`o }�s .� � �r -��S�- �� 0 � �tc�-�� I—��9�- 0 � W � Q z D K � �� � �' W � W � � O W� f��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR 1MLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor site• Inspector.�1 � White Copylinspector's File Canary Copy/Site Notfce �� CJ / 9�j TIME v CITY OF ORONO CALLED IN �'� / INSPECTION NOTICE SCHEDULED � � PERMIT N COMPLEfED ADDRESS � � n OWNER CONTR.S� C/C_> TELEPHONE NO. ��� 0��1°2 J��o?� � DESCRIPTION ����` l�/ ` �� ���� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADIN ILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a o �c��� A �3btie A-��.�-� � c� lJv �'.�S � ��5 0 � Q � '� S� r` � � � � — Q � W - � � � � WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra r si • Inspector. ��`�� White Copyllnspector's File Canary CopylSite Notke ✓`�` DA TIME ✓ CITY OF ORONO CALLED IN 9' INSPECTION NOTI € SCHEDULED -6 !v�- � PERMIT NO. / � �oMP� � ADDRESS �/ OWNER CONTR. ��f � TELEPHONE NO. q�Z z9Z �6Z� � �^� � DESCRIPTION t,J.���� f�'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. � COMPLAINT v ❑ DEMO-FINAL � SEPTIC INSTALL. � FOLLOW-UP _ ❑ PLUMBING RI p SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � O W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor site: Inspector. Wh1te Copyllnspector's File Canary CopylSite Notice C� D E TIME v ��j`� � a� " CITY OF ORONO CALLED IN f�� � INSPECTION OTICE SCHEDULED �//�� � �- PERMIT NO. � - ��c�cOMPLETED ADDRESS v�� g� �" b iY� �{�-� OWNER CONTR.���QP�.�. TELEPHONE NO. CI j �- —' c�� a' "�'�� 2/ � DESCRIPTION � � l ��-'� �-����� r�� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � 1 d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED �SPECTION REQUIRED.CALL TO ARRANGE ACCESS. _ Call for the next inspection 24 hours in advance. �952� 249 46QQ Owner/Contractor on site: � Inspector. _ White Copy/lnspector's File Canary Copy/Site Notice