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HomeMy WebLinkAbout2014-01327 - mechanical � CITY OF ORONO � 2750 KELLEV PARKWAY * 2 0 1 4 - 0 1 3 2 7 * DATE ISSUED: 1U13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2659 CASCO POINT RD PIN : 20-117-23-23-0022 LEGAL DESC : SPR[NG PARK : LOT 137 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 3,575.00 NO"1�1�: (1)RUUD NATURAL GAS FURNACG-98.000 INPUT f3"I�U-94,080 OUTPUI'[3TU- 1782 CFM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 1J9 CITY VIEW PLUMBING& HEATING TOTAL 51.79 1880 WAYZATA BLVD W P.O. BOX 150 Payment(s) LONG LAKE, MN 55356 CHECK 34947 51 J9 (952)473-8793 OWNER FREIENMUTH, KARL 2659 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�to the approved plans and specifications,applicable CiYy approvals,and the State Building Code. This permit is for only the work described and does not�rant permission for additional or related work whidi requires separatc 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 commeneed 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 commenccd. The applieant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit ma��bc revoked_at any time for due cause. G;t ; ; � l i ,/ !I%�3;'; // �/ � licant Permitee Signature Da e Iss ed By Si ture Date r FOR Cl'1'Y USE ONI.Y /�O�O City of Orono � P.O.Box 66 Date Received: Perniit# 2750 Kelley Parkway ( Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 1\y� G^ ��kfSNo�j CITY OF ORONO—MECHANICAL PERMIT ___�__ (All Commercial pennits must be approved by the[3uilding Official or Inspector and/or f'ire Marshall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City ot�fices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail aiter a review is completed. PGRMI"I�S ARE NOT VALID UNTIL YOU RGCEIVG A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED O1V THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specilications are required for each heating,ventilation,humidification-dehumidilication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type, manutacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtaincd. 5. All work must be done in accordance wilh the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and tinal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before linal. TYPE OF PERMIT Check All That A I �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address: ���� Cch 5 �-O �r1�v� � �C�A tx Owner: �c�c'� �.����M V T� Mailing Address: ��S L��+S � City: ���Zat�"C,\, Zip: ��3 Q( 1 Home Phone: �S a'�7 y J�� I� Alternate Phone: Contractor Information: Contractor: ��. ��+Z� P ��+��,►"�c ��f Contact Person: Q�,"r✓� �� )��d�.n/ Address: �`���� �Wes�Wavz�°,to� (��Vc� State Bond #: I�')� �0 SaC�� City: �o� 1--q �� Zip: �535�Expiration Date: �� l ad I �O Phone: ��� "��3'$7 13 Alternate Phone: � � �����'3��� L� ❑ Insurance—Current: ��S 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes�No HEATING SYSTEMS Quantity: � Make: Moaei: �� ) 0 Fu��: r���}- C��� Flue Size: j �� PV G lnput I3TUs: b �U� ou�put s�,�s: �y,Q �'C� -, c��M: I� � COOLING SYSTEMS Quantity: Make: Model: Tons: t 1. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Firepiace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masoniy VENTILATION ❑ No. Kitchen Gxhaust duct recirculating cfm ❑ No. Bath Gxhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be npprovec!by Fire Marshall if proposing to abnndon tnnk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Undcrground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Gri(I ❑ Other/List What&Where: 2 ► -- ._ _ ___ -- -- ---- --- ____ � PERMIT FEE CALCULATION(S) � BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement ot'a Residential tixture or appliance that meets all three of the following requirements: 1. Does not require moditication to electrical or gas service. 2. Has a total cost of$500.00 or less;exciudine 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;follo�v guidelines below�: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3575�� a.o�2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGL&1�[ANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ * CON'I'RACT PR1C1; or .10[3 COS"f ineans the actua] or estimated dollar amount charged for the permitted work including materials, labor, protit,and other fixed costs. It is the amount to be cha�ged to the customer for the work done. If'any material, equipment, labor or installations arc furnished by the owncr, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price 1or 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 Signature: .,� Date: f� l �J � L" 3 �'' � "`�'�` DATE TIME � CITY OF ORONO CALLED IN /- INSPECTION NOTI E � SCHEDULED / -/ /� �lr� PERMIT NO. � �3 COMPLEfED ADDRESS ��O J"�9 . 'I� OWNER TE PHONE N . �a`{�$S-3 5�' CONTRACTOR 1�2 ,� Y >'; DESCRIPTION v � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING �MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � � Fu r✓l,�t,L e. (��� o� - � O � . � � e A�3 L�' �µ� 74 S �c�'I � O —� /� / � ^ e�C 1,� Ve W� l � ' .5 P.(���` CV7�W/�G��CSN,- W �[ Q ,/�e f w�.�i6cL� (ov� - � � � 2 W i.�.b�L� ��< < � Qrr��� ��•t.c�l� J � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� Owne ontractor on site: �r��'"� . Inspector. �^-� White Copyllnspector's File Canary CopylSfte Notice