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HomeMy WebLinkAbout2011-00576 - mechanical w . -+ CITY OF ORONO PERMIT NO.: 2011-00576 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/OS/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1700 SHORELINE DR PIN : 10-117-23-14-0014 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE ACTIVITY : O/S�.DINCy�UNI�FINED VALUATION : $ 8,640.00 NOTE: INSTALL NEW HOT WATER RADIATION COVER ON EXISTING BASEBOARD SYSTEM RUN GASLINE FOR OUTDOOR GRILL/FIREPLACE APPLICANT MECHANICAL 108.00 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 5.00 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 115.00 OWNER ETAL,IRWIN JACOBS 1700 SHORELINE DR 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if conswction 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 cau¢e. 1 � 7/ .5 / �� l ,� l �� Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . .� � � FOIt CTfY USE ONLY � � O�p� City of Orono 0 P.O.Box 66 D3te Received: Permit# 2750 Kelley Parkway ��� Crystal Bay,MN 55323 Approved gy: pmp�mt$: (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GE1�I�RAL 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 THE PERMIT CARD iS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation inc(uding 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check Ali That A i �Residential �Commercial(Approval Required) ❑ New ❑Additional �Repairs �eplace / � Job Site/(�wner Inforrnation: RECEIVED Site Address: I �� �t{9(� 1a� ��v� IIII -� Zot� Owner: I QIJU�^� ����S Mailing Address: C)RqNf,� City: Zip: Home Phone: Alternate Phone: �ntraetor Inforrnation: Contractor: l.2� �� Contact Person: ��/1�l� Address: tPa�� C�M�R-��'S`� State Bond#: ��-� Sb3o�a City: �� J�s � Zip:���'�b Expiration Date: � �D � � Phone: ���- ��� �� Alternate Phone: �- al S-���' ❑ Insurance-Current: SFN�1 -��'7..�� 1 �`�6333 -a�� i . , � _ v 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• Fuel: Flue Size: Input BT[Js: Output BTUs: �IN 1�t.�.I�c'�1�V T WAS1%u �1t4�A'1•�•� W��•C�� CFM: L��`�wb ��5��!�+n/1 SS11S�+ COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: (� Wood Burning Fireplace B Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin � No. Other Fans: Locations cfm 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: i7/��/ii4t,c3r 2 , . . . ,r� . � ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludine 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ����a� x.0125$ ��'d� (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) �(�,,,.� c� v�`L�' x.0005 $5.00 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ��i<� ■ * 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 STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sfict 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: Date: � ��� ,. ,I��i,��t�, �,, ; -�, 3 � ' �� / TIME ✓ j CALLED IN � �� l` CITY OF ORONO � INSPECTION NOTICE SCHEDULED PERMIT NO. � - COMPLETED ADDRESS C��� �l�'� OWNER TELEPHONE NO. �a�7����50� CONTRACTOR � �I�-C f /�IlCC�G� v �: DESCRIPTION d��' (.�L'�? —�—/�t� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPT C INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI 0 SEP �I FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: ' YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSU TIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARR�4NGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� 4 OwnerlContract on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice