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HomeMy WebLinkAbout2013-01018 - mechanical CITY OF ORONO * 2 0 1 3 - 0 1 0 1 8 4 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 692 TONKAWA RD PIN 05-117-23-33-0013 LEGAL DESC PARTENS POINT 1 ST DIV LOT 007 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 3,624.00 NOTE: (1)BRYANT FURNACE-NATURAL GAS- 100,000 INPUT BTU'S-96,000 OUTPUT BTU'S APPLICANT MECHANICAL 50.00 STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.81 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 612-824-2656 TOTAL 53.81 OWNER PUGH,BARBARA 692 TONKAWA RD LONG LAKE,MN 55356- 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 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 revgked at any time for due e. 911:)O,j Applicant Permitee Signature Date Issue y tg ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FO CITY ITSE ONLY City of Orono yP.O.Box 66 Date Receivedi J` (7 nit2750 Kelley Parkw Crystal Bay,MN 553 Appfoved By: .mount S: 53.s� r .4�6 y (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. RECEIVE[) 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation includiSEP 3 0 � heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. =YQF 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 Apply) Residential [3Commercial(Approval Required) ❑New ❑Additional ❑Repairs �eplace Job Site/Owner Information: Site Addr ss: 6q � Owner: 0+ PG{ kj7ai/n4gACd-d(rZM' City: 1 �' �y Zip: Home Phone:`"!J Z q�7 ( � `026S4ernate Phone: Contractor Information: Contracbibiidard Heatipg & Air Contiftio ing Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 1 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 3k"�o HEATING SYSTEMS Quantity: ' Make: Model: �� Fuel: GV `J_`_ Flue Size: Input BTUs: Output BTUs: Igeo CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑❑ Wood Burning Fireplace Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm Q No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ® Installation 8 Removal Fuel Oil: gallons ❑ Underground 8 Inside ®Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 i PERMIT F'1✓VCALEULAT N(S) r ® Yes,this section applies The replacement of a Residential fixture or appliance 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;excluding 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ FERMT FEE,� I CUI 1�`�'��1��5�-JQ�3�C)��R$5£16.00 " If above does not apply-,follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price 'th a(Minimum Fee $ 0.00) y x.0125$ (contr ct price) (minimum$50.00 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee oV$ ) y x.0005 $ / (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 4. TOTAL PERMIT FEE Add Lines 1-3 Above $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar or 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 famished 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 of the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinance f the City and the regulations of the State of Minnesota, and certifies that all state e n this application are complete, true and correct. ■ Applicant's Signature: Date: yC 3 DTE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /on -/ 3 /•' PERMIT NO. ���� COMPLETED ADDRESS OWNER TELEPHON NOkYJ'� `S�o CONTRACTOR DESCRIPTION �CCGCi W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q C ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: e: j O O W Q W J ❑WORK SATISFACTORY PROCEED ROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑1 VE CERTIFICATE OF OCCUPANCY QO O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copynnspectoes File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.240 ' 0101V COMPLETED t-S ADDRESS 69a T6� � kk OWNER TELEPHONE NO. CONTRACTOR 5&4,t P 3: DESCRIPTION Foe K. ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FINAL ❑ WATER HOOK-UP 'FALLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: ac a _ oT/f oe3i -"t �G1aP o �! /o '!n '13 cc � 5/ W Q W z �2/Wti. t T•� Lam/ W cc J LU ❑WORK SATISFACTORY:PROCEED �OJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary CopyMe Notice