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HomeMy WebLinkAbout2016-00064 (mechanical) CITY OF ORONO * Z � 1 6 - 0 0 0 6 4 * • 2750 KELLEY PARKWAY DATE ISSUED: OU19/2016 � ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 3287 CASCO CIR P[N : 20-117-23-43-0044 LEGAL DESC : WINSHIPS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,600.00 NOTE: NEW: 1 HEATING SYSTEM(YORK), 1 COOLING SYSTEM(YORK),VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUSTS & 1 GAS LINE FOR KITCHEN RANGE APPLICANT MECHAN[CAL 145.00 STATE SURCHARGE MECH(VALUATION) 5.80 DAN'S HEATING&A/C INC. TOTAL 150.80 8875 CO. RD.43 CHASKA, MN 55318- Payment(s) Minnesota State License#:mech-MB005127 CREDIT CARD 5327 150.80 OWNER STRUCK,JAN& SARAH 3862 NORTHERN AVE SPR[NG PARK, MN 55384- 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 180 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. �i, ) � -,^-�-�'� �� �" ' �� .C � `�-�,�`�"��� �� � I � ��i �z:;�u,/'/%� �%�=-:�=� �-�/� �� �t� � ;�.�� � � i i -' Applicant Permitee Signature Date Issued By Sign�ture Date FOR CITY USE ONLY . City of Orono r� � ` � y� �O� P.O.Box 66 Date Received: �'" /"�- �%Permit# �_ ��� k` �-'��11 jp � � � 2750 Kelley Pazkway rt � � n Crystal Bay,MN 55323 Approved By: � Amount$: f�, . Phone(952)249-4600 Fax(952)249-4616 �'F L� lqkFs}�o��. CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalQ GENERAL INFORMATION L 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 RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 final. TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �� � '� ( �t.�<c, �`-;�c / Owner: ��i�4 c/C Mailing �lddress: City: �T��1 n v Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��r,� ����, 4����.� Contact Person: /��n ���7��`"�z�r«�,,, Address: �'�'7.S �c /Z,/' S'� State Bond#: �/��O:.S ��� � City: � �. < < Zip:SS Jj Expiration Date: �.� /� Phone: ���- ���'' '7�1,�.5 Alternate Phone: � S Z� y5',- :,ti�/r� � � Insurance-Current: ���������,�<<� 1 MECHANICAL SYSTEM� BETNG 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: ����CJ�"OQ/2j'J/�// Fuel: �`�t.� � Flue Size: .���PU� Input BTUs: �L��t,�U D � Output BTUs: � , )� ) CFM: /,� COOLING SYSTEMS Quantity: _�__ Make: � Model: f C.���v ,J/ Tons: •��� H. Power � FI RE PLAC ES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VE1�1T[LATION ,� No. ` Kitchen Exhaust�_duct recirculating /�_cfin ��7I No. � Bath Exhaust(must have duct outside) Sv cfin ��,. ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.) ❑ Installation ❑ Removal Fue(Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: galions Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: ���� l/-r-� /�:=n f � 2 - �. �� � � � � PERMIT�FEE�CALCUL;ATIONS.� ��� ��� �� � � � 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) l/, ����� X.oi�s $ �tract price) (minimum$50.00) 2. STATE SURCHARGE %/� 6 o a X.000s $ —' (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. ; MECHAI�IICAL"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 Signature: ' lrit Date: /— ���(�; 3 % .�-11 �� I DATE TIME� CITY OF ORONO CALLED IN /f� -/.� INSPECTION N TI E CHEDULED / -a?//�¢ oZ�a PERMIT NO. �OMPLETED ADDRESS ��8 ���✓� �U,� OWNER � ELEP�O�O.�a�5�� 70� CONTRACTOR � � DESCRIPTION l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �+J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � (� "� " ! 0 �. , � 0 � W � Q � '� 2 W � W � � J d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION 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. Call for the next inspection 24 hours in advance. 95 49-460� OwnerlContractor on site: Inspector. , White Copyllnspector's File Cenary CopyfSite Notice ` 2DA��� TIME CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED /' � 7-L L� /•�— PERMIT NO. � � COMPLEfED ADDRESS ✓z ��� �� �� �- OWNER LEPHONE NO.�/�O��S CONTRACTOR � DESCRIPTION _� - -`�`� " �'� "�� l~ii ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �'.�IECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/COMRACTOR TO MEET YOU:_YES_NO � c�.� COMMENTS: � • L� �' � S�rLI7/«s , /c��✓rrs - � a P�� � � 0 � J�9S /iile G��' �'�� �S �ol�•tS � O � Q b� -� Gd v� ✓ � 2 W � W � � J W �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 br the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: h- White Copyllnspector's File Canary CopylSite Notke I �� � I D T TIME�, CITY OF ORONO cALLED IN ��—l'� INSPECTION N �l � _r,y SCHEDULED � �5—!� � PERMIT NO.��-�t;% �-�'� COMPLETIEp� C � � ADDRESS c�� � / t '�r>;`'.� �(iS� OWNER - � T� EPHON � `Z-�����5 CONTRACTOR � � � � ' �; DESCRIPTION � �.- �� � �� �� D�f�"� � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ;�(v1ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ��❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��15 I!r[O� ,/2�0�" ,�'Id% I1�,s[c � W a J � � � /,s �.ri'�� ^ O O � �� o-� k-br� mM,O�� W � Q z ��r l� �a � r�. K s�►�� .p,1 � l�� ,�Yor•f6 W � W � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑ OP ORDER POSTED.CALL INSPECTOR SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. Q 1�► � White Copyllnspector's Ffle Cenary CopyfSfte Notice �1 � ��.�__-- DATE TIME CITY OF ORONO CALLED IN —���----------- INSPECTION NOTICjE �(�y SCHEDULED � PERMIT NO. ��`� � COMPLEfED ADDRESS ���5 � ��',L1���7 ��r`�-� OWNER TELEPHONE NO. � � � ������Q�� CONTRACTOR _ � f1{�- � DESCRIPTION � l 1� ' ��S � ' � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �1ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION `❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE EPTIC INSTALL 2 OWNER/CONTFiACTOR TO YES_NO � COMMENTS: � � . , / �� a /`�¢5 �i'l¢ ��— �S .�G,rs — � ' f�/G /� S�?5 �j 7�.1� 7���,t� 0 o _ �1% �l ht�e���.,,����L CoH+,p���e- � W � Q Z rl l4�G �� �'�.-r� W � W � j d W� O WORKSATISFACTORY:PROCEED `�ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECObERiNG PEFMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail t inspection 24 hours in advance. (g52) 249-46�� Ownerl ontractor on i : �l Inspector. White Copyllnspector's Ffle Canary CopylSite Notice