HomeMy WebLinkAbout2014-00396 - mechanical � '
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CITY OF ORONO * Z 0 1 4 - 0 0 3 9 6 *
2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1245 SIXTH AVE N
PIN : 26-118-23-34-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 291
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . - , _ �'YLt,�.�-"���- �--�---
VALUATION : $ 15,420.00
NOTE: FURNACE
KITCHEN EXHAUST
(2)BATI-1 EXtIAUST
GASLINE TO RANGE
APPLICANT MECHANICAL 192.75
STATE SURCHARGE MECH (VALUATION) 7.71
SELECT MECHAN[CAL SERVICES INC. MAIL-IN FEE 2.00
6219 CAMBRIDGE ST
ST. LOUIS PARK, MN 55416- TOTAL 202.46
(952)926-4488 Payment(s)
CREDIT CARD 3074 202.46
OWNER
GRANT, PETER
]245 SIXTH AVE N
LONG LAKE, MN 55356-
AGREEMENT AIVD SWORN STATEMENT
rhe work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
not gran[pennission for additional or related work which requires separa[e
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with whether or no[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 construclion 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 E3uilding Code.'I�his pennit may be
revoked at any time for due cause.
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Applicant Permitee Signaturc Date Issue y Signature Date
May 05 2014 3: 22PM HP LRSERJET FRX p. 3
� 39�City of Urono ' g����
�(� P.O.eox 66 �
�""'�� 2750 Kelky Parkway
Crysml SaY,MN 55323 ��PRroX�BY�, Amo�au S:
phone(952)249-46D0 Fax(952)7A9-4b16
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CITY OF ORONO—MECHANICAL PERMIT
��`�'r SH�a�`` (All Commercial permits must be approved bY the Building Off'icial or lnspxtar endlar Firo Manhall)
. �:`; �. , �'Q�
1. You ruay apply for mechanical permits by mail or in person at the City offices. Applicadoas wi1)
Ix nviewed and s permit will be issued within two working days.
2. Pamit cards will be sent by retum mail after a review is complexed. PERMITS ARE NOT
nT et�C.iN LNTIL THE
Vp1,iD UNTIL YOU RECEfVE A PBRMIT. WO K MU3t lY--- - -- —
P�FRMIT ARD IS:'�TEll N THE JOB S1TE.
3. ' _Comptete calculations,details and specifications are required for each
heating,ventiletion,humidification-dahumidification,and air conditianin8 instaJ�ation including
hed loss/lieat gain calculation,dasign temperatures,equipment ratings and identification as to
type,manufa�cturer and rnodel. Dsta sha11 be prestnted on fonn P bui de ex�r►it must be
q. �y}��y ne�vconstruction or remodeling is involved,a separate B P
obtained.
5. At!work must be done in accordanca with the Uniform Mechanieal Codo/5tate Buiiding Cade
requirements.
6. A11 woric must be inspocted(rough-in and f nal). Call(952)249-460a.
(24-48 hour wotiee required)
7. House Heatittg Test R�ecocd must be submitted before fnal.
TYP�f��'F£R�+iIT.
�h�k A;U'�t 1�
�Residential ❑Commercial(Approval Required)
�New
dditional ❑R�"� ���°
,�;' f{�`��ol'f141t8'tlC�1:
Site Address: 1a'�� �� � `� �
Qwner: F y�� Mailing Address:
City: Zip:
Home Phone: Altemate Phone:
��'���
Contractor:
���'�' Contact Person: �
pddress:
(p�•lg C�f�l�� State Bond#: ��a���C3
City: p
�p�� Zip:���Expiration Date: ��l �
Phone: ��a' G�"���� Altemate Phone: ��''�/'��a�
[�l Insurance-Current: ��
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May• 0� 2014 3: 22PM HP LRSERJET FRX p. 4
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Note:All G�therma!Systems wil]now require a Site Plan& Review by our Building Offici�l
' LS?HIS GEOTHERMAL? ❑ Yes�o
HEATING SYSTEMS
� Qusntity: /
Make: �'��Z�12a
Model: !�-
� FucL• �
Flue Size: �'
. Input STUs: �
Output BTils: �?��
CFM: ('
' COOLING SYSTEMS �
,
Qaantity:
Make:
� Model:
Tons:
�" H.Power
FIREPLACES
❑ Gas Factory Firoplace Brar►d Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model IVo.:
❑ Wood Stove with Fluc/Masonry
VENTlLA770N
� No. � Kitchen Exhaust � duct reciroulating �'� cfm
No. "2-- Bath Exhaust(must have duct outside) �c
❑ No. Other Fans: Locations cfm
FULL STORAGL (Must be approvad by Flre Marshal�PJ'propos�irg to abandon tank in placG)
❑ Installation ❑ Remaval
Fuel Oil: gailons ❑ Underground ❑Inside ❑Outside
LP Gas: galions
Othtr: �
GAS LINE ONLY
❑ Outc}oorGrili � Other/List WhatBt Where: ��
2 I
Ma� �05 2014 3: 23PM HP LRSERJET FRX p. 5
❑ Yes,this seclion applies
'Iho replacement of a Residentisi fixture or aonliance that meets all three of d�e following requirements:
1. �not require modificetion to electrical or gas service.
2. Has a total cost of$500.00 or less; cl in the cost of the fixture or applianca:and
3. Is improved,installed or replac�i by the homoowner or licensed cocmacGor.
Skip eext seqion,ifthis applies; Cost ofPermit $ 15.00
State Surcharge $ 5,00
Mail-In Fee(If Applicable} $ 2,00
Total Permit Fee $
If above does rrot apply;follow guidelines below:
1. CONTRAGT PRICE *is t.23%of contract price with a(Minimum Fee oP 550.00)
�'��rao ' X.o�zs$ 1'9a, 7S
(contract price) (mi ntsum SSU.60)
2, STATE SURCHARGE �n�
� 7� x.0003 $ �7�
(contract prica)
3. POSTAGE dt H.4NDLING(Only on Mail-In Applicatians) $ 2.00
4. TOTAL PERMIT FEE(Add Lines l-3 Above) S ����
■ '" CONTRACT PR.ICE or JOB COST means ihe actuai or estimated dollar amount charged far e
pertnitted wodc inc[uding materials,labor,profit,anci other fixed costs. It is the amaunt to be charg
to the cusWtner for the work done, If any material,equipmen� labor or installations are fumished
the ormer,tenant or any other party,the reasonable market value of such items must be added to e
estimated cost or con�ract pric� for permit fee purposes. In the eve�t that there is a dispute a� e
amount of the job cost, tho City may request the submissioa of a signed copy of the actual con
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do 11
work in strict accordsnce with the otdinances of the City and the regulations of the State f
Ivliunesota, and certifies that all merrts made on this application are complet�, true d
correct.
ApplicanYs Signature: Date. ��l�
3
DATE TIME I /
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � UTn_�. _
PERMIT NO.
ADDRESS �
OWNER ELEPHONE NO.
CONTRACTOR
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� DESCRIPTION
� ❑ FOOTING ❑ MBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL MECHANICAL RI ❑ LAKESHORFJWEfLANDS
O ❑ FRAMING ❑ CHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v y� DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU: YES_NO l� j/
y COMMENTS: ' � �
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� RKSATISFACTORY:PROCEED O PROJECT COMPLETE
W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerfContractor on site:
Inspector.
White CopyAnspector's File Canary CopylSite NWice
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n DATE TIME
CITY OF ORONO �3�7 CALLED IN 7"� �� /��
fN�ECTION NO CE SCHEDULED �� _L.LLSL.=
PERMIT N � COMP�EfED �
ADDRESS
OWNER TELFPHONE 1d0.
CONTRACTO'R- � �-�
� DESCRIPTION � � �`� •
�
� 0 FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/FiEMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPIEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
pwnerlContractor on site:
inspector:
White Copyllnspector's Ffle Canary CopyfSRe Notice