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HomeMy WebLinkAbout2015-00164 - mechanical CITY OF ORONO * 2 0 1 5 - 0 0 1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1000 WILLOW DR S PIN : 10-117-23-21-0004 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 8,000.00 NOTE: (1)LENNOX FURNACE (1)LENNOX A/C UNIT (3)BATH EXHAUST GASLINE FOR MAIN AND(2)FIREPLACES APPLICANT MECHANICAL 100.00 STATE SURCHARGE MECH(VALUATION) 4.00 ALPHA MECHANICAL SERVICES TOTAL 104.00 4173 HAZEL STREET Payment(s) WHITE BEAR LAKE,MN 55110 CHECK 3128 104.00 (651)755-2648 OWNER KLOMBIES,LINDSAY&ANNA 1000 WILLOW DR S WAYZATA,MN 55391 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 t any time for due cause. C� Applicant Permite ignature Date Issu By Signature Date !� .. FOR WY USE ONLY City of Orono !:� P.O.Box 66 Date Receiv dY Permit#%Z�a �7 2750 Kelley Parkway t� Crystal Bay,MN 55323 Approved By: Amount S:�(/ Phone(952)249-4600 Fax(952)249-4616 ti CITY OF ORONO—MECHANICAL PERMIT t�kf S H O (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 [9 Additional ❑ Repairs ❑ Replace Job Site/OwnerInformation: f Site Address: l I/ 1 f��4 ly I vf— /V Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: A),Pk* &eContact Person: 00, Address: �d ���� State Bond#: IM�6 7d 7 City: UA&` ZiP?W Expiration Date: /Z36 r0 Phone: f�5r� ?�'�` ��9� b Alternate Phone: ❑ Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes MINo HEATING SYSTEMS Quantity: 1 Make: Model: L- let Fuel: f �T Flue Size. A Input BTUs: Oct& Output BTUs: 1 CFM: �yv COOLING SYSTEMS l Quantity: ` Make: Model: Jl 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 cf n No. - ;t 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: OAAt lV , �f Ly 4164Zf 2 iffin MIND iiii C ❑ 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 $ 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$50.00) 1969 oto A,& x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract 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 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 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: l 3 C,�y� 26�Z `� — " DATE TIME CITY NO CALLED IN 5 INSPECTION Ng TICE _ SCHEDULED PERMIT NO. 5 �1 COMPLETED ADDRESS I'W O Lk 1 I I . l OWNER mo- OWNER TELEPHONE NO. CONTRACTOR 4af DESCRIPTION W ❑ 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 jj&ECHANICAL FINAL ❑ 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 ❑ TIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: ac gel W a LL O cc W Q W W cc J W ❑WORK SATISFACTORY:PROCEED / BpJECT COMPLETE ccW ❑CORRECT WORK&PROCEED !/ ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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 OwnedContractor on site: gg:r,:�e Inspector. White Copy/Inspector's File Canary Copy/Site Notice F, ` !�ek= -/ E TIM CITY OF ORONO CALLED IN INSPECTION NOTICE HEDULED PERMIT NO. poM ADDRESS �OD� / D r OWNERH�O�jE /-755 21w CONTRACTOR JIMMIL- Ck,) DESCRIPTIONl 4 W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOFLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING //[I ,MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARDCOVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: cc a , o _ llecy C o e ✓ ca s w - v i..s �� cc Z, Sa::�7 4" 4,C,4a. �n l��b • — 40 40 F,4116 - cc Wi NQRKSATISFACTORY PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for ion 24 hours in advance. (952) 249-4600 JCcctor on site: Inspector: ' — White Copyllnspector's File Canary CopyMft Notice rz� DATE TIME CITY OF ORONO GCALkLEDIN INSPECTION NQTICE SCHEDULED Z -`� 23 PERMIT NO. L COMPLETED ADDRESS _ OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING y4f`K__ ❑ DEMO-FINAL ❑ SEPTIC FINAL QEl POURED WALL /�� ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING C'jE4A6CHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL Z OWNERICONTRACTOBSOMEETYOU:f YES_NO cam., COMMENTS: a iNc rK0�' /S /Fa 0 cc fir'' ,Oaa( faa AA Lu cc Z ✓ee_ W W cc j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ' ;P"C'WRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W �/ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspecto . White Copyllnspector's File Canary Copy/Site Notice DATE TUA CITY OF ORONO Y—C-L D IN \Z INSPECTION NOT �, b�SCHEDULED )223 PERMIT NO. COMP ETED _ ADDRESS 1 / 0 _ OWNER TELE `N / -S CONTRACTOR 60 DESCRIPTION J e ��Ila t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: _ W , W O��t/OQCi �j J//t�i �'l4�1C3c.ce2�✓ J O O 16" Q 2 W cc J O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑S P ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwwfContractor on site: Inspector. - '# 17 White CopyAnspector's File Canary Copy/Site Notice