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HomeMy WebLinkAbout2014-00708 (mechanical) � . CITYOFORONO * z014 - 007a8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2627 CASCADE LA PIN : 33-118-23-11-0115 LEGAL DESC : STONEBAY FIFTH ADDITION : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MF,CHANICAL- MULTIPLE VALUATION : $ 8,000.00 NOTE: (1)I.UXAIRG HL�1'I�ING ANU COOLING SYSTEM APPLICANT MECHANICAL ]00.00 STATE SURCHARGE MECH (VALUATION) 4.00 TOTAL AIR 1NC. TOTAL 104.00 BURNSVILLE PO BOX 17127 Payment(s) MINNEAPOLIS, MN 55417- CREDIT CARD 1038 104.00 (952) 894-7472 OWNER BUILDERS LLC, STONE}3AY 14870 BROCKTON LANE DAYTON, MN 55327- AGREEMENT AND SWORN STATEMENT �l�hc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Ihc 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�vith whether or not specitied herein.'t his permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the d te of issuance,or if construction is suspended for a period of 180 da a any ti e aft ork has commenced. The applicant is re� si le ass in � , c ire inspcctions are requested in ormance � th SC E31ii in �ode.This permit may be revoked ny time for d e cau . � C �-�;,,.� ,.� / �j � �;> � Permit e ' gn• re �tc Issued By� ignature Date � � 11 T FOR C1TY USE ONLY �O�O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: /b y. Phone(952)249-4600 Fax(952)249-4616 � � i . � r�C � qK�SH���G CITY OF ORONO-MECHANICAL PERMIT (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 fmal. TYPE OF PERMIT (Check All That Apply) �esidential ❑ Commercial (Approval Required) �ew ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �-�" ���-� ��sc Owner: � ' ' ���.S Mailing Address: /7���� �F`�tsK-�2 �-� City: < Zip: ���.��1 Home Phone: — c��Alternate Phone: Contractor Information: ���Contractor: ��'" -�`�'`e-- Contact Person: �'�a- v✓/�"� S`"� Address: � � �c ����`1 State Bond #: � d3 S� City: Zip:/�� Expiration Date: - ��� Phone: .� �` f � ` t�,3 Alternate Phone: G'-�7-jv� ❑ Insurance- Current: 1 1 T , � MECIIANICAL SYSTEMS BEING 1NSTALLED 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: �t�`PfQ-1�-� Model: �b `j 5 v t(0 r4-c�S �ct�t( � ' Fuel: � (r��, Flue Size: �a"f+ l�,t- Input BTUs: �o,�D� Output BTUs: �`l,v�� CFM: �w'`' COOLING SYSTEMS Quantity: � Make: �u�����- Model: 1 ��D 2��t���S � 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 cfin � No. � Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Mars/tall if proposing to abandorr tank in place.) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 , � � r 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; excludin�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 $ ]5.00 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?5%of contract price with a(Minimum Fee of$50.00) U��� 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 ar 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 st ts on this pplication are complete, true and correct. � Applicant's Signatu : Date� � � � � —" DATE TIME � CITY OF ORONO � ?0� CALLED IN �� INSPECTION�O�T�� OO� SCHEDULED — �d V ��/LJ PERMIT NO. connP��Eo ADDRESS�,?/�� C,�.S�1�G�.-Q� (�-� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION 'v�e � � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING Q ❑ POURED WALL J�MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � / � r ��/��/L Q C . /`C�t�.r •1S �� o - ����t -�'t-�.5 v�..ct.���6-- l.zS4l. , �. � � � �t/'Q✓1�v ,SL r4 ,p�+; c �6 ✓ GJt G� ��7�rt W - � fi / ` h � •L . Q � � 12��� ' �� W � j d W� �GVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ,,,r��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for t inspection 24 hours in advance. (g52) 249-4600 Ownerl ontractor on site: � Inspect _ ite Copyflnspector's File Cenary CopylSfte Notice �,� �/ r✓ [ pATE �'ME CITY OF ORONO CALLED IN ��/ __� iNSPECTION I SCHEDULED PERMITNO. ����� �� COMPL ED ADDRESS 2 �P2� QS CC]C�� ( fi� OWNER TELEPHO E NO.�� Z"��9-' ���5� CONTRACTOR � L-- 2- �; DESCRIPTION � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ ME I � ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. K�:::- Call for the next inspection 24 hours in dvance. (952 �9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice