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HomeMy WebLinkAbout2017-00755 - mechanical 4 ' CITY OF ORONO * Z 0 1 7 - 0 0 7 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2090 SHORELINE DR PIN : 15-117-23-23-0001 LEGAL DESC : LJNPLATTED 15 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 25,900.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL (2)TRANE HEATING SYSTEMS (2)TRANE COOLING SYSTEMS (1)KITCHEN EXHAUST (4)BATH EXHAUST APPLICANT MECHANICAL 323.75 STATE SURCHARGE MECH(VALUATION) 12.95 RAY N. WELTER HEATING CO MAIL-IN FEE 2.00 4637 CHICAGO AVE MINNEAPOLIS,MN 55407- TOTAL 338.70 (612)825-6867 Payment(s) Minnesota State License#: mech-003163 CREDIT CARD 1568 338.70 OWNER HEAD, MARTHA 1616 W.22ND STREET MINNEAPOLIS,MN 55405- 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 l80 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. � , Y � � � � �� � �����7 Applicant Permitee Signature Date Is u �y Signature Date f F R C TY USE ONLY • �O� City of OYOIIo �����VED DateRecei4�� Pe►mit� �/' /�J O P.O.Box 66 2750 Kelley Parkway 3�. f1 Crystal Bay,MN 5532���� J��y� Approved By: Amo�nt$: v Phone(952)249-4600 24�4 16 � � � � �.� C�'��OlYYO—MECHAlvICAL PERNIIT tqkES H�4 (,eill Commercial pera►its must be appmved 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 RECEIVE 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 All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB] ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: , Site Address: !" � f A� f� ��✓ ���9 Owner• dl'�i 2 ����cl Mailing Address: /�o/� LcJ• � � City: ����I', Zip: J�-�—L/D�.i Home Phone: �/� �9D_,'��`� Alternate Phone: �,��- � ��-�7'S'd� Contractor Information: � �uYNwa.�t�►TM000. Contractor: �ess cn�c.00�w,so. Contact Person: Ct���i� +�'���� �,�e��x �, �a�2�a�ees� Address: State Bond#: �� ��� '{s, City: Zip: Expiration Date: �Za ''��'' 1 � Phone: Alternate Phone: �v�a►"����"���� ❑ Insurance—Current: 1�J�����,(� 1 ��'e�' �.�� 2 .� , PERNIIT FEE CAL�ULATIONS 1. CONTRACT PRICE *is 1.25%of contract price�a(Minimum Fee of$50.00) �� �+'��, x.0125 $ ��� �� (contract price) � (minimum$50.00) 2. STATE SURCAARGE q . ,��� • ,�"� �1 , x.0005 S I� (contract 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. MECHANICAL PB�MiT APPLTCA`Tit)�T A('aRE�I�/IENT 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. ApplicanYs Signature:�.- Date: � � 3 < MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Off'icial. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: �i��� ModeL• � � Fuel: �/�_ �k� Flue Size: Input BTUs: �����!� Output BTUs: CFM: ��1 t�G� COOLING SYSTEMS ��ty: �2 Make: ��7�t/� Model: 7 �`r`�� Tons: � �Q'� H.Power � -^'�� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION �r Q'� No. �_ Kitchen E�chaust duct�recirculating . bYa cfrn ❑ No. _� Bath Exhaust(must have duct outsi e) O O cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) . . ..�•1 f�a.'�.... ... . . .,'.:y . ❑ Installation ❑ Removal �� .Jr,' � . � � ....�. . . -':�:R. Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � �� � 's.'� DATE TIME �,,: CITY OF ORONO CALLED IN � INSPECTION 0 �fE DU�SS �HEDULED PERMIT NO. COMPLEfED . ADDRESS � �iLO���.d� _ � OWNER TELEPHONE NO.����7� ��j CONTRACTOR �, � �'��� —.� � DESCRIPTION ��G+'l r�-- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ,,,�pdECHANICAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 ONfNERICONTRACTOR TO MEET Y�OU:_YES_NO c�.� COMMENTS: � �G�O�/�Gs r�Gfic,�✓�JS � O� o � �I'Ov��oL r e,tyr.�t, �� � A'w••v �.��r�. � �l� �rDdiee, b� rtcr��<� �✓•t�// — a� W ,f7��tr�,,�T—l�l -- rY1��✓ �r..�r_ � Q r / ��� .(��V�I-LCL-�� ��i��� 2 (/� ��/ �� � b� ��./ LC �7 / r � / � • � w!1 �c���� � 6� �•�s��� - a �p r r ci C .� d,/G � Cax�...�i.s- Wa ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLErE W �CT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector:�r� ��_� White Copyllnspector's Flle Cenary CopylSlte Notiu