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HomeMy WebLinkAbout2014-01063 - mechanical � , ,, , CITY OF ORONO * 2 0 1 4 - 0 1 0 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 530 STUBBS BAY RD N PIN : 32-118-23-13-0002 LEGAL DESC : LJNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 15,254.00 NOTE: 1 COOLING SYSTEM MITSUBISHI,MXZ 5B42NA APPLICANT MECHANICAL 190.68 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 7.63 7588 WASHINGTON AVE S MAIL-IN FEE 2.00 EDEN PRAIRIE,MN 55346- TOTAL 200.31 (952)835-7777 Payment(s) CHECK 9421 20031 OWNER SKAY-TAYLOR,R TAYLOR& S 530 STUBBS BAY RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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. � C.ti`> � / � / Applicant Permitee Signature Date sued y Signature Date a ��C�� �3 I , � - � FOR CITY USE ONLY �O A'O City of Orono �y P.O.Box 66 Datc Received: Permit# 2750 Kelley Parkway � ' Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � �� F � j �qkEs��o�� i CITY OF ORONO—MECHANICAL PERMIT � (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L 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 PEItM1T CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificarion,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 Uuilding 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) ❑ New ❑Additional ❑Repairs �'Replace Job Site/Owner Information: � Site Address: �� '�' �-� � � �� Owner: b�� � � �' �' �G� Mailing Address: � Ci±y: ��- �-�-,p Zip: � �,�_��O Home Phone: �J� r / r l' � Alternate Phone: Contractor Information: Contractor: ,.,U,--D �-, 7� ��j-� �� Contact Person: rr, `� Address: �T�E �U���''' �Q�' State Bond#: 1� 6 vU`-!�i � �7 � � City: ��;,, p����- Zip:S-�yExpiration Date: Phone: �s0� �35 7 7 �7 Alternate Phone: ❑ Insurance—Current: 1 � � - ' Note: All Geothermal Systems will now requue a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? �I Yes No V-`� HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: / Make: M���II/f �l�H � Model: M X z—�/-��c? N �`'� 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installarion ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � , . . ❑ Yes,this section applies The replacement of a Residential fixture or apuliance 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;excludin¢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 $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l ��l X:0�25$ �� � � (� �� (co riract price) (minimum$50.00) �^ 2. STATE SURCHARGE � x.0005 $ � • � � cop ract 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 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 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 undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sri-ict 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: % / �- 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO.�✓y' b�3 COMPLEfED 3 ''<3d�� ADDRESS ��3� S��6s � �--�'. OWNER TELEPHONE NO. CONTRACTOR ����"� ��_��C � DESCRIPTION � �G in Stt d W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB a MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING jpj_uaECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP �QLLOW-UP 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 ONfNERfCONTRACTOR TO MEEf YiDU:_YES_NO c� COMMENTS: � Q/N'1-t I�d�Q-r �.lc� � C� « 7!0✓ Y 0 ��it�Ti /Y1S��cli/a.L � o� W G (�P��rNG-C� - � _ � P��✓'r GstG r�Ga rt�'IL�� - Q � Z � r � � .,.� - W � jrrv�,��i �r-C•� � � ❑WORK SATISFACTORY:PROCEED • ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR YVILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwneHContractor on site: � Inspecto White Copyllnapectw's Ffle Cenary CopylSife Naiee