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HomeMy WebLinkAbout2013-01019 - mechanical ' CITY OF ORONO � * Z 0 1 3 - 0 1 0 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3884 CHERRY AVE PIN : 08-117-23-33-0084 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 11,700.00 NOTL: (1)BRYANT FURNACE (1)BRYATN A/C (1)KITCHEN EXHAUST APPLICANT MECHANICAL ]46.25 AIR MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.85 16411 ABERDEEN ST NE HAM LAKE, MN 55304 MAIL-IN FEE 2.00 (763)434-7747 TOTAL 154.10 OWNER ENGLUND, DOUGLAS 3884 CHERRY AVE P.O. BOX 285 MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT i'he work for which this permit is issued shall be performed according to the approved plans and specitications,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. AIl 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 rcquested in conformance with the State Building Code.'I�his permit may be revoked at any time for due cause. ���-�� � �30 ��3 9 �3 0 �/3 Applicant Permit��ignature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � � � FOR CITY USE ONLY /� City of Orono � /�, / �O�O P.O.Box 66 Date Receive ��:/ Permit#o���J'U/ 2750 Kelley Parkway /S'//D l Crystal Bay,MN 55323 Approved By: Amount$: T Phone(952)249-4600 Fax(952)249-4616 � � y � F � �q,�fst{o��.� CITY OF ORONO—MECHANICAL PERMIT __ (All Commercial permits must be approved by the Building Otticial 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 RECENE 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. Ali 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 IVEA (Check All That A 1 ) ,: � ���� Q Residential ❑Commercial(Approval Required) ��� Q■ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: s,te Address: 3884 C H E R RY AV E MC DONALD CONSTRUCTION Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: AIR MECHANICAL INC. CATIEPECK Contractor: Contact Person: Address: 16411 ABERDEEN ST NE State Bond#: M BOOS�ZZ Ciry: HAM LAKE Z�p:55304 Expiration Date: O 'rJ�2 'rJ/ZO�4 Phone: 763-746-3752 Alternate Phone: 763-434-7747 0 Insurance—Current: 1 MECHAMCAL 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: 1 Make: B RYAN T 1�todel: 912SB48080 Fuel: NATURALGAS Flue Size: 92% Input BTUs: 80,��� Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: BRYANT ivtode�: 113ANA036 Tons: 3 H.Power 13 S E E R FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILAT[ON ❑ No. 1 Kitchen Exhaust duct recirculating 300 cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY RANGE,DRYER&2 COOKTOPS ❑ Outdoor Grill ❑ Other/List What&Where: 2 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;excludine 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$50.00) 11 ,700.00 X.o,2s$ 146.25 (contract price) (mioimum$50.00) 2. STATE SURCHARGE 11 ,7�0.0� 5.85 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 154.�0 • * 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. 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: �.�����!�! \����v� � Date: "I "��' � � 3 � — � DATE ,/ TIME �/ CITY OF ORONO �� / - - /`� INSPECTION NQT�C� ^`q/�/�BCHEDULED t� __��� PERMIT NO.�'��` 6� 70MP ED ADDRESS � �� OWNER � TELEPHON N ������ � CONTRACTOR � d ` � DESCRIPTION �� `Z Q-`t- iJ�� `� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MF�IANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING �ECHANICAL FINAL Q ❑ TREE REMOVA� Z ❑ INSULATION ❑ Nf6AB-BdRNCft/FIREPLAC�� ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 1�S ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a j t _ O G G✓' r- lit � � S —t/ –� �t G — C �c c s� OO vl, W � `� X �f � Q 2 .� — .— S � Gr' � � � � � � _ — j ' c SSc.0✓'C — d� G--s a O W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: inspector. �� �-7• White Copyllnspector's File Canary CopylSite Notice � � C�� ::� DATE / TIME � CITY OF ORONO CALLED IN / >/( INSPECTION NOTICE CHEDULED .� 3 --�� PERMIT NO.='"i���� —(�/O/�OMPLETED ADDRESS �' ,2-c. OWNER TELEPH E O. ��l'� �r� ��75� CONTRACTOR � . � DESCRIPTION � �� T�r �cS � C�D2.77`i'� � • �u � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTI MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SE TI INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU._YES_NO v�, COMMENT�� � W a � � � �-4-�.��--051�-- � 0 � W � Q � 2 W � W � J d W��ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ''" Inspector. White Copyllnspector's File Canary CopyfSfte Notice