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HomeMy WebLinkAbout2015-01602 (mechanical) ' CITY OF ORONO * Z 0 1 5 - P1 1 6 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2440 CARMAN ST PIN : 20-117-23-12-0058 LEGAL DESC : LEHMAN LAGOON : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,912.00 NOTE: (1)AMANA FURNACE APPLICANT MECHANICAL 61.40 STATE SURCHARGE MECH(VALUATION) 2.46 BONFE'S PLUMBING,HEATING&AIR MAIL-IN FEE 2.00 505 RANDOLPH AVE ST PAUL,MN 55109- TOTAL 65.86 (651)287-2237 Payment(s) Minnesota State License#: PLUM-058395 CHECK 38693 65.86 PM,mech-L09836613 OWNER REEP,GREGORY& SALLY 2440 CARMAN 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 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 I80 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. -� +� �--e_� /� � �� !S Applicant Permitee Signature ' Date Issued B ignature Date � � RECEIVE� Fo ��T �i5E !'O \ City of Orono �` /_O� �%� '� � � P.O.Box b6 Date ReceN Permit# � �Jl� � � � 2750 Kelley Parkway (���; i �' �I i j� `, CrystaE Bay,MN 55323�' ``� '' �`' "� Approved$y: Amount S: �' � I Photte(952)249-46a0 Fax(952)249-4616 � ". � " � CITY OF ORONC� . `�f h•F.s t����``� CITY OF ORONO-MECHANICAL PERIVIIT �_,_,- {All Commercia!permiGs must be approved by the Buildin�Official or Inspectvr and/or Fue Marshell) GENERAL INFORMATiON 1. You may apply for mechanical permits by mail or in person at the City offices. Applicatior�s 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. PERMCTS ARE NOT VALID LTNTIL YOU RECEIVE A PERMIT_ WORK MUS'r NOT BEGItV UNTIL THE PERMIT CARD 15 POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,deiails and specifications are required for each heating,venYilation,humidification-dehumidafication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to t;�pe,mana:facturer a.nd model. I?ata shz��e preserited an forc;�provided. 4. When any new construction or remodeiing 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). Calt(952)249-4b00. (24-48 hour notice required) 7. House Heaiing Test Record must be submitted before f.tnal. TYPE OF PERMIT Check All'I'hat A 1 ,�'�esidentiai ❑Commercial(Approvat Required) ❑New ❑Additional ❑Repairs �'�eplace 3ob Site/Owner lnformation: Site Address: ���C___�i�'���,�I7 �� /` Owner• Mailing Address: �t.�U�,,�1►'/1�/�,� cs�'~---- City: �O��/z.rJ Zip: `�--�!"' ��-'�c�'/ Home Phone:��� ��-l�/�lternate Phone: Contractor Information: ConUractor: ��`�� Contact Person: �`�� � d%�i'�T/��'�Y� Address: �Y ��� G'�`LState Bond#: �� ������� �G� City: tJL Zi • F�piration Date: �oZ �,�`J. �.�o e�r Phone: �/• ����,j 7 Alternate Phone: ❑ Insurance-Current: 1 M��HA:1'�ICAL SYSTEIvIS B�1NG INSTAL�,�D Note:Ali Geothermal Sys#ems will now require a Si 1 n&Rev_iew by our Building Off'Ecial. IS THIS GEOTIiERMALZ ❑ Yes ❑ No HEATING SYSTEM5 Quantity: � . Make: � — Model: �/�"��s��G'��•�—' Fuel: -�r�'.���--- Fiue Size: Input BTUs: 'a Output BTUs: CFM: _. _ _ COOLiNG SYSTEMS Quantity: Make: _ Model: __ Tons: }3.Power FIREPLACES ❑ Gas Factory Fireplace Bcand Name: ❑ VJood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue I Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cftn � Np, Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� F'UEL STORAGE (Must be upproved by Fire Marshalt ijproposirrg to ebnndon tank in plac�) ❑ Instailation ❑ Removal Fuel OiL• gallons ❑ Underground ❑Inside ❑Outside LF Gas_ gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ;. PERMiT FE�CAL�ULATi4N(S) _ - �3ASED OFF.2002 S'X'ATE STATUE _: ❑ Yes,this section applies The repiacement of a Residential fixture or ap lip ance that me�ts all three of the following requirements: i. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exc[udins the cost of the fixture or appliance:and 3. Is improved,instalied oz replaced by the homeowner or]icensed contractor. Skip next section,if this appfies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-ln Fee(lf Applicable) $ 2.00 Total Permit F'ee $ �T , I'�RIYII�'�'EE�;A�LC[JLATION(S)-�485 OV�R$50Q,00 �-���� -�� If above does not apply;follow guidelines betow: 1. CONTRACT PRICE * is 1.25%of coniract price with a(Minimum Fee of$50.04) '�91�.� � X.otzs$ �— (contrect price) (mimmam$5 .00) 2. STATE SURCI3ARGE ���� � �� x.0005 $ {contract price) 3. POSTAGE&HANDLING{Only on Mail-1n Applications) $ 2.00 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) S ��. �f ❑ * CONTRACT PRICE or JOB COST means the actual or estirnated doIlar 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, eyuipment, labor or installations are fumished 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. lV1ECH�.NICAL 1'ERM�T APPLICA'I7(?N A.GR:�EIvIENT : The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ord'vnances of the City and the regulations of the 5tate of Minnesota, and certifies that all statetnents made on this appIication are cornplete, true and correcL /�-. Appiicant's Signature: � � � Date: �v�. l''rj - /��, 3 ��� DATE TIME CITY OF ORONO CALLED IN INSPECTION, OTI E _ SCHEDULED �-� `i' �`� PERMIT NO�l��U� C�O� COMPLETED ADDRESS ��`�U �CZr��� ���2�-, OWNER ��--��C� ��� TELEPHONE NO. '� � ���� CONTRACTOR � �' � DESCRIPTION �����- ll� ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ P BING FINAL ❑ TREE REMOVAL � RADON SLAB ECHANICAL RI Z ❑ ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � ' J O � � O � W 2 Q � 2 W � � �l�- �.��5� � W ❑WO SATISFACTORY:PROCEED O PROJECT COMPLEfE � ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next ins ion 2a hours• dvi ce. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Fi anary CopylSite Notice _ ��