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HomeMy WebLinkAbout2013-01262 (mechanical) CITY OF ORONO * Z 0 1 3 -W 01I IIIIIiIl�lll6� ' 2750 KELLEY PARKWAY DATE ISSUED: 12/03/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2447 CARMAN ST PIN : 20-117-23-12-0014 LEGAL DESC : NAVARRE : LOT 007 BLOCK 002 PERMIT TYPE : MECHANICAL(> $500) PROPF.RTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 10,000.00 NO"I�E: 1 NATURAL GAS FURNACE I AIR CONDI1�fONGR 1 KI"I'CHFN EXHnUST APPLICANT MECHANICAL 125.00 BLUTH, JOSEPH STATE SURCHARGE MECH(VALUATION) 5.00 2201 WEST DREAM DRIVE NORTH MANKATO, MN 56003- TOTAL 130.00 (507)625-6986 OWNER BLUTH, JOSEPH 2201 WEST DREAM DRNE NORTI-1 MANKATO, MN 56003- AGREEMENT AND SWORN STATEMENT I�he work for which this pennit is issued shall be pertbrmed according to die appruved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the�vork described and does not grant permission for additional or relared work which requires separate pennits. All provisions of Iaws and ordinances goveming this rype of work shall be compied with whether or not specified hcrein.This permit will expire and become null and void it�construction authorized is not commenced within 180 days of the date o(issuance,or if construction is suspended tbr a period of 180 days at any time after���ork has commenced. Thc applicant is responsible for assuring all required inspc� ions ar requestcd in conformance with the S � e Buildin� 'o . �his pen it may bc revolj r� � �use. � � / / ppli� nt Per ee Si n �ure ate Issue y nature Date SEPARATE PER� ITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � a ' FOR CITY USE ONLY �O�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 F�(952)249-4616 a � y � F � �qKESHo��`' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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 Desi�ns—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, eguipment 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 Ap ly) �esidential ❑ Commercial(Approval Required) ❑ New `,� Additional ❑ Repairs `�Replace C \ / Job Site / Owner Information: Site Address: � �/l?����d�l �� �`—�r I �� Owncx;y ��� �Z.-�-( I`� Mailing Address: �� � (�,�� City: �.j � /l/l�_� �J Zip: �� . Home Phone: �� (O ��� Alternate Phone: � � Z �Z`�� � � �Z� � Contractor Information: , �-- ��.� � � �-...� Contractor: � Contact Person: Address: State Bond#: 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 �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 � Na �_ Kitchen Exhaust duct recirculating cfrn ❑ No. Bath E�chaust(must have duct outside cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsl:all if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE O1�ILY ❑ 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; excludinQ 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 $ PERMIT'FEE CALCULATION(S)—JOBS OVER'$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) �(� �� ^ x .0125 $ (co tract 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. 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. Applicant's Signa�ure: ate: � �„� 3 ✓ OeO� ���_ DATE TIME CITY OF ORONO��3�b 1�63' CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �a�3- e/�6�- , QMPLETED ,lo-ag-l� � l�3-�jADDRESS a?.�'�/T7���.r 5� • OWNER '�G�� ., 1�t� TELEPHONE NO. CONTRACTOR o . � 3 , �; DESCRIPTION ��� • � '0�"� R��— � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS ti O ❑ FRAMING �AECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ��rw,•C �lol�er �•r./e� � � �� �� � 4 �irla�i ��'1 s.�Gc��ti � � ° /1D 6�e �loit-le - W � Q 2 �la SG A/ �!'G M.p C��Ci �4 � %�S .��G��P � Ce �iKtl i iiS/1o��-�a.... o� l,��"� ��� W � � LS �!d� � � GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in adva . (952) 249-4600 OwnerfContractor on site: Inspector. �- TT� White Copyllnspector's Ffle Canary CopylSfte Notice �� � �° ✓ DATE TIME CITY OF ORONO CALLED IN <<'- INSPECTION NOTICE a � SCHEDULED z�LL� �l��D PERMIT NO?o �3 -U� G COMPLETED ADDRESS a y`�� ����� � � OWNER �--�� TELEPHONE NO.J���"-3g�"� �a� CONTRACTOR R �d � a DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J � � X. O � p '',, ,.,. � � „- W � Q � 2 W � W � j W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED . ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILI REfURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (952) �49-460� OwnedContractor on site: � _ i; Inspector. - White Copyllnspector's File anary CopylSite Notice