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HomeMy WebLinkAbout2014-00756 (Mechanical) CITY OF ORONO * Z 0 1 4 - 0 P1 7 5 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2014 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 1230 ARBOR ST PIN : 10-117-23-31-0069 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,516.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 BRYANT 2 TON AC APPLICANT MECHANICAL 118.95 STATE SURCHARGE MECH(VALUATION) 4.76 PRONTO HEATING&AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRAIRIE,MN 55346- TOTAL 125.71 (952)835-7777 Payment(s) OWNER MARTIN,PHILLIP&CONNIE 1230 ARBOR ST. 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 goveming this type of work shall be compied with whether or not specified herein.'fhis permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.T'his permit may be revoked at any time for due cause. `� / / Applicant Permitee Signature Date Issued By ature e� Date � FOR CITY USE ONLY O City of Orono P.O.Box 66 Date Received: Permit# ' � � 2750 Kelley Parkway , Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249�616 � � `� �,� CITY OF ORONO—MECHANICAL PERMIT f9kES H�� (All Commercial pemrits 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. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pernut 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 I5 POSTED ON THE JOB SITE. 3. Mechanical Desi¢ns—Complete calculations,details and specificarions are required for each heating,ventilation,humidificarion-dehumidification,and air condirioning 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 pennit 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 PERNIIT Check All That A 1 Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs [�eplace Job Site/Owner Information: Site Address: / � 3 � � �' ��'� ��� Owner: P�" � � �' fi� Mailing Address: �'J� � �` �4 � `r t City: ��� „ � Zlp; S�� � � Home Phone: (o�1 S % ��'���� Alternate Phone: Contractor Information: Contractor: ��n �6 �a 1�► ^ Contact Person: a `�" � Address: �l S wQf�'" '�°'` State Bond#: l�� ae`� � � 8 �M L City: f."d Q,,, �ra�^'�-Zip:ST3�l�/ Expiration Date: Phone: �� ���� �7 �� Alternate Phone: ❑ Insurance—Current: 1 MECHAIVICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. • IS THIS GEOTHERMAL? ❑Yes To HEATING SYSTEMS Quantity: � Make: ig 1��1� �► T Model: °► a('`TI A�-I�(11a� Fuel: �-i a.S Flue Size: � �� Input BTiJs: ��, U U� Output BTiJs: �� �b U � CFM: COOLING SYSTEMS Q�nh': � Make: ���l '�-�1 � Model: 1���1 ���``l Tons: �-- H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTII.ATION ❑ 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 Marsha[I ijproposing to abandon tank in plac�) ❑ Installarion ❑ 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 Residenrial fixture or a lpp iance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixhue or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PEF�1VIiT FEE CAL�ULATIOAT S —JOBS OVEI�$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� � l0 x.0125$ � � �7 • � � (conlract price) (minimum$50.00) 2. STATE SURCHARGE l l � � x.0005 $ �1 • � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � d�� ' � � ■ * 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 esrimated 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 APPLICATION AGREEMENT 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. ApplicanYs Signature: Date: � � � f C ` 3 (�� � � 1n�^e � v CITY OF ORONO CALLED IN �'`� INSPECTION TI �(� SCHEDULED — ' � PERMPT NO. � `"' ��COMPLETED ADDRESS I Z3D � �"'. OWNER EL PHONE NO.�D L� � � CONTRACTOR '� DESCRIPTION _�� � �'��- �� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING �b(I�AECHANICAL FINAL ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PRO(3RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = p DEMO-FlNAL 0 SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W � �G r N,l�C� + ,�/� r�D����rc�ti�� , o ' Fu� w�c�- ve�t•�� - �K ' �s /rK� exKf►�:r � �� • C�eG fr cG�i rc c o�rl - � � �O � Q k�Dr � Ca�.�c !�`� � 2 �+ � �er w,t -t rw4�� W a� j � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�VERINQ PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANCiE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 Ownerl ntractor on site: ��� � ' Inspector: ��--� White CopyAnspecto�'s Flle Canary CopylSfte Nodee