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HomeMy WebLinkAbout2016-00664 - mechanical � `' CITY OF ORONO � * 2 0 1 6 - 0 0 6 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2050 SHORELINE DR PIN : 10-117-23-34-0014 LEGAL DESC : HARTWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL MSPECTION. (1)DAIKIN A/C SYSTEM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.90 RIVER CITY SHEET METAL INC. MAIL-IN FEE 2.00 8290 MAIN ST.NE SUITE 39 TOTAL 52.90 FRIDLEY,MN 55432 Payment(s) (612)754-2199 CHECK 12310 52.90 Minnesota State License#:mech-003364 OWNER KVAMME TRUST(TOM BROSTROM),BERTA 2050 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 separate 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 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. * D � � � i � i�,� Applicant ermitee Signature Date Issued Signature Date h � i � � RECEIVED `' F R ITY USE ONL1' ! / ��� c�Ty of�WBh� 9 2016 '.;��;,��� �[� , � (�,c..r� � P.O.Box 66 Date ReceiJ�d: C � Permit# � �%��"�� ' � 2750 Kelle Parkway Crysta�i��S��N� Approved By: Amount$:� 1 Phone(952)249-4600 Fax�(S )249-4616 � � � � F � � e�' CITY OF ORONO—MECHANICAL PERMIT RKES HOt'' (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) � 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT � � (Check AIl That A 1 ) ��Residential ❑Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑New ❑ Additional ❑Repairs '�Replace I� Job Site/Owner Information: Site Address: {�� `�� ��G 1���.1 Yl�._ �'� Owner��� l���S��f� Mailing Address: c��t� 31�'�;Y�.I 1'1.;2. �1� City: �J rf�11�1� Zip: Home Phone: 11�2,�' `��1�� � i�� �� Alternate Phone: Contractor Infarmation'' �,,,,�,�..�.. Contractor: ��'\v� t�_I `•7 �" '�n act Person: �..�'1r 1 S �,��' �(� ' r� (V$, � �'} _ Address: � L_I, ����Y� `J� St�e Bond#: �Y,�j,(��;���i 1''� � " � � � City: � � Zip:+ _ �4� '�xpiration Date: � Phone: ��,,��j �� f� ������ Alternate Phone: ❑ Insurance—Current: � 2..� � 1 1 ' t . , , : , ;��. � ����:���r;���,���..... „ "; . ,.., � , Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: l Make: �� Model: � � �. V`7C�� Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS , Quantity: � Make: 1 �l.r�,,�1� Model: { �Vl�i1� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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 � ► �� � „ , „, ��„__ �r��`'_ :;___ `���;��,, . ,.. 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 �t,l /�� •�� x A125$ :,,�� . �� (contract price) (minimum$50.00) 2. STATE SURCHARGE �,� � �(�� , x.0005 $ a � � (conhact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ° � � ■ * 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. ' ICAL PERMIT �'PLICATION AC`.xh��I�ENT 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: �/w4,.� ! Date: � � < <.(� 3 ��; �.- _____- / --� � DATE TIME � CIN OF ORONO � CALLED IN INSPECTION NOTI E SCHEDULED � PERMIT NO. ' ' '��'rG'� COMPLETED ADDRESS �C�`rJ� �L.�j`' Y� ( `1 (�C' � OWNER _I��`;�� TELEPHONE N .��' � �l'D�"��I�� k. CONTRACTOR • � � DESCRIPTION � � v �/�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � 2 J C/ O '' v� --- � 0 � W ✓ � �aI/ `'d vl Q K a �e ^ W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED p ISS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedConVa r on site: Inspector.�/��! White Copyllnspector's File Canary CopylSite Notice