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HomeMy WebLinkAbout2014-00655 (mechanical) �. CITY OF ORONO * z 0 1 4 — PJ PJ 6 5 5 * 2750 KF,LLEY PARKWAY DATE ISSUED: 06/26/2014 _ ORONO, MN 553_56- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2625 CASCADE LA P[N : 33-118-23-11-0116 LEGAL DESC : STONEBAY FIFTH ADDI'TION : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: 1 LUXAIRE NnT GAS FURNACI, 1 LUXAIRE 2"1'ON AC � BATI1 GXHAUS"I' 1 LAUNDRY FAN APPLICANT MECHANICAL 100.00 STATE SURCI-IARGE MECH (VALUATION) 4.00 TOTAL AIR INC. TOTAL 104.00 BURNSVILLE PO BOX 17127 Payment(s) MINNEAPOLIS, MN 55417- CREDIT CARD 1038 104.00 (952)894-7472 OWNER BUILDERS LLC, STONEBAY 16135 SSTH AVENUE NORTH PLYMOUTH, MN 55446- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and speeifications,applicable City approvals,and die State Building Code. "I�his 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 nol specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period oY 180 days time afier work has commenccd. The applicant is re � e �o g all req � nspections are requcsted� onfonnance rth th�,t u m ode.This permit may be rev at any time f ue c�e �./ � / / pp icant Pe �itee Signature Date Issued E3���' nature te ♦ • , FOR CITY LiSE ONLY ` O� . �O A TO City of Orono � i V P.O.Box 66 Date Received: Permit# 27�0 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � >, y � F ` ��KESHo��'G CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 Desiens—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 wark 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 ❑ Additional ❑ Repairs ❑ Replace � Job Site / Owner Information: Site Address: =��':�� (_.�,�3Cc��f � �!�� Oyv er: � Mailing Address: � ����` '-�"°��w- � � ��t�f� � �.-� city: � -,�-- z�p: �7 Home Phone: ��'i �� ) — �� 5�' Alternate Phone: Contractor Information: � L � " Contractor: ,� f—t�L.-. Contact Person: l,c� �n s'o � Address: ����;- ������ State Bond #: �f���?�/S 7� City: �Q� � Zip:� Expiration Date: � �G' ��� Phone: �/'�--�'f/C1�������i AlternatePhone: �/� -r'J�G! - ��5��--- [�] 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: C Make: L 61�h�i'°''� Model: O o o�ii�i J Fuel: ��' Q� Flue Size: a(� �JC.,. Input BTUs: � Output BTUs: �1��'� ��eo CFM: COOLING SYSTEMS Quantity: � Make: (i'((�"�e Model: � Q� S �'�S�'3 Tons: �"�Q�S 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) � cfin ❑ No. _�_ Other Fans: Locations_i,:,,,���1�-u _ a cfm FUEL STORAGE (Must be approved by Fire Marsleal!if propos�ng to abandon tartk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 F PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The repiacement of a Residential fixture or appliance that meets all three of the foilowing 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) ����L� �� 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 fhe 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 far 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 stat ts�ade on this application are complete, true and correct. f t _ � Applicant's Sign re: ate� - 3 DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED � PERMIT NO. �� �00�55 C MPLEf i � ADDRESS �� � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �� ' O ). � O � W -� _� � Q � 2 W � � W � j � ❑W SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOUflS. � 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. � 2 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Cenary CopylSite Notice p TIME � �� CITY OF ORONO CALLED IN �J � INSPECTIO ICE,r �SCHEDULED � PERMIT NO. `�t�'� COMPLETED ADDRESS Z-� Z� CaISC(��[h OWNER TELEPHONE NO ��2-- �Q ' ��S 3 CONTRACTOR � � � DESCRIPTION � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFIWETLANDS � Q ❑ FRAMING MECHANICAL FI_ NAL � ❑ TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � (,1�- O >. � O � W � Q � 2 W � w � J 1 GW ❑WORK SATISFACTORY:PROCEED ❑ ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 for the next inspection 24 hours in advance. (952 -46�� OwnerfContractor on site: Inspector. White Copyflnspector's Ffle Canary CopylSfte Notice