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HomeMy WebLinkAbout2017-00132 - plumbing CITY OF ORONO * 2 0 1 7 - 0 0 1 3 2 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1310 VINE PL PIN 07-117-23-42-0001 LEGAL DESC REG. LAND SURVEY NO.0488 LOT 000 BLOCK 000 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURE NOTE: (1)DISHWASHER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 APPLIANCE INSTALLERS OF MN INC. STATE SURCHARGE PLBG(VALUATION) 0.25 MAIL-IN FEE 2.00 14105 RUTGERS ST.NE PRIOR LAKE,MN 55372- TOTAL 52.25 (952)469-8341 Payment(s) CHECK 8452 52.25 OWNER FLINN&DARCY DIEDERICH,JASON 1310 VINE PL MOUND,MN 55364- 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 is-SUC49y Signature Date REC IVED FOR�USE ONLY �0 City Box 66 Date Received: Permit#f / , 2750 Kelley ParkwayMAIC 2017 _ Crystal Bay,MN 55323 pproved By: Amount$ 1 Phone(952)2494600 Fax(952)2494616 y CITY OF ORONU ESliO4�G 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 2QT,PEGIDI,UNTIL THE ,P,ERMIT CARD IS PQSTEQ QN TIJE IUD SITE 3. Mechanical Desietts--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) [Backflow Device: ❑AVB ❑PVB] ❑New ❑Additional ❑ Repairs Replace Job Site/Owner Information: Site Address: Owner: . U Mailing Address: City: Zip: Home Phone: D - J % Alternate Phone: Contractor Information: Contractor: MIS PL)mh,�) batYt1 Contact Person: Arxorf 0.Aa-�_ st)n Address: , a : i' E State Bond#: uo%a City: Pri t�[ n KE Zip�:379Expiration Date: a — 3 � 1 Phone: Q 21;'), -LIto �{ Alternate Phone: Insurance-Current: I /1 1Je r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes E]No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cf n ❑ No. Other Fans: Locations cfin 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 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ D �� (contract price) (minimum$50.00) 2. STATE SURCHARGE - � x.0405 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 / J 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. The undersigned hereby a lies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accord a th the or inances of the City and the regulations of the State of Minnesota,and certifi that a 1 state is made on this application are complete,true and correct. Applicant's Si atur : Date: 3 �� PP 3 / 1 V DATE TIME CITY OF ORONO CALLED IN �1 INSPECTIONLNOTICE SCHEDULED 1 ,tx� PERMIT N -m 19-1 COMPLETED ADDRESS \l u VLn.,o -W OWNER ,M�pr�, —fA MELEPHONE NO.101�--39&!�G X_�3 CONTRACTOR DESCRIPTION a'e �-°`- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING VQj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q FRAMING MECHANIC ❑ RATED WALLS ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0 U0 _ < W Gk z i- W LU W j ❑WORK SATISFACTORY PROCEED ac O JECT COMPLETE W ❑CORRECT WORK 3 PROCEED E CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractorsgHe: Inspector. P' r WINK Copylinspactor's Fila Canary Copy/Sita Notica