Loading...
HomeMy WebLinkAbout2015-01015 - mechanical liiiiiiiiiiiiiiiiiiiiillillilloillilim CITY OF ORONO * z 0 1 S - 0 1 0 1 S * 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS 980 TONKAWA RD PIN 08-117-23-12-0001 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 5,364.82 NOTE: (1)LENNOX A/C APPLICANT MECHANICAL 67.06 STATE SURCHARGE MECH(VALUATION) 2.68 DEAN'S PROFESSIONAL PLUMBING MAIL-IN FEE 2.00 7400 KIRKWOOD CT MAPLE GROVE,MN 55369- TOTAL 71.74 (612)817-0438 Payment(s) Minnesota State License#: BUIL-62187PM CHECK 8785 71.74 OWNER SMITH,CRAIG 980 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 revoked at any time for due cause. - Applicant Permitee Signature Date Issued By S gnature Date �O,R USE ONLY r [5 �O�l City of Orono / ,^ � r ` Y P.O.Box 66 RECEIVED Date Recery d. �� Permit# C720 ` 2750 Kelley Parkway . Crystal Bay,MN3q Approved By: J_� f, "mount$: Phone(952)249a P A29 X49-4616 a a y A, MY F L� s�o�� 'MNO-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. 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 Apply) Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs Replace Job Site /Owner Information: y� Site Address: L � V T 6 Ct w C l{clai Owner: 0XUICA rU, ibn Mailing Address: Cfi�6 T-6rG(�'it City: c Zip: Home Phone: 'I'D Alternate Phone: Contractor Information: Contractor: Olau 1115 pafas"ca_ Contact Person: �CALhAt Le3 U9 J Address: -1 qO6 K'�fV(A)60C�c -iU State Bond#: I �6a bl:7 6 City: Zip:6e2 Expiration Date: -7O o Phone: Alternate Phone: Insurance-Current: Na( ,,rn C001 5C 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes T�No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: j Make: 1-m Ptoy Model: 13ALXN N�''Z ; 11 Tons: A. b 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 cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing 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 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATIONS JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contraacctt price with a(Minimum Fee of$50.0/0),, 0• � x.0125 $ &,I- Q UC contract price) (minimum$50.00) 2. STATE SURCHARGE 55/ X Z .lL�y• UZ x.0005 $ G. �C ,� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE Add Lines 1-3 Above $ q • * 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 PERMIT APPLICAT zREEMENT _` 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: Date: 3 DATE TIME V C TMOFORONQ CALLEDiN WSPECTION NOTICE SCHEDULED •- PERMIT NO. �ds�.ctotA COMPLETED ADDREW �a�k�"I td-O- OWNgI TELEPHONE NO. CONTRACTOR /-F99a 7eSlas-raG DESCFUPTION yl Q FOOTING Q DEMO-FINAL Q SEPTIC FINAL Q POURED WALL Q PLUMBING RI Q EXCAVIGRADINGIFILLING 0 Q FOUNDATION WATERPROOF Q PLUMBING FINAL 13 TREE REMOVAL Q RADON SLAB Q MECHANICAL RI Q SITE INSPECTION Q FRAMING Q MECHANICAL FINAL Q RATED WALLS Q INSULATION Q WOOD BURNERIFIREPLACE Q COMPLAINT Q FINAL Q WATER HOOK-UP 's 4� Q AS BUILT-SURVEY Q SEWER HOOK-UP Q FOUNDATIONIREMOVAL •J Q DEMO-SITE Q SEPTIC INSTALL pAcv0R70IIIIIIIffV0ft—TU—N0 y� COMMENT& 4 j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 Expiration, no record of a Final inspection. W W W 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc ❑COAlCT vXM i PROCEED D M UE CERTIFICATE OF OCCUPANCY pTEIAPORAAII Cdi 0 OOAAECT MIORK C�FOR REINSPCCTION BEFORE COV~ PERMANENT 0 CORRECTUNSAFECONIXnONWTTHIN HOURS. O PHOTOTAKE N II8PEffOR WLL RETURN O CITATION WSM 0 STOPORDERPOGTED.CALL 04SPC•CTOR p oapEMM FgKRX M CALL TO ARRANGE ACCESS. C"for us.naxt Imp o r d a n 24 nom lin adv nm (952) 249-4600 OwmiCanftelloronoft falWj�P�"a FlI. Mmy .Nale.