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HomeMy WebLinkAbout2016-00084 - mechanical CITY OF ORONO * 2 0 1 6 - 0 0 0 S 4 * 2750 KELLEY PARKWAY DATE ISSUED: OU26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1951 CONCORDIA ST PIN : 18-117-23-14-0011 LEGAL DESC : FAGERNESS : LOT 010 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MLJLTIPLE VALUATION : $ 4,070.00 NOTE: (1)LENNOX FURNACE-70,000 INPUT BTU'S APPLICANT MECHANICAL 50.87 STATE SURCHARGE MECH(VALUATION) 2.03 ABEL HEAING&COOLING MAIL-IN FEE 2.00 6501 COLJNTY RD 15 M[NNETRISTA, MN 55364- TOTAL 54.90 (952)472-2665 Payment(s) Minnesota State License#: mech-MB003400 CHECK 20774 54.90 OWNER GILDEA TRUSTEE,ANGELINE A 1951 CONCORDIA ST WAYZATA, MN 55391- AGREEME1vT 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 rype 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 I SO 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. r cu�e.� / �2� / Applicant Permitee Signature Date Issued ignature Date �OR CIT USE ONLY � � �O�\ City of Orono R E , � / P.O.Box 66 ���/�/ Date Receiv Permit# ��� � / A� 2750 Kcllcy Parkway r � 1 Crystal Bay,MN 55323 J A� Approved By: Amount$:� I Phone(952)249-4600 Fax�5�)�4�4�1'6�� � - ' U � � 7 : ` �qk f s N���" � CIT'��P�C��j►�?�Q-MECHANICAL PERMIT _ (All Commercial permits must be appro�i��y the Buildin�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. PERMI'TS ARE NOT VALID UNT1L YOU RECEIVE 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: ( � �J � L� �� �°�; ��� i� � c'. `.7{-r �.c -�� Owner: J U��i �J c� � (;�v'�:%6 j Mailing Address: `>� �r� .�_ City: O��c� �� r: Zip: S S � � ) Home Phone: lo ( Z - ��� f� �� �� � �' Alternate Phone: Contractor Information: Contractor: �� l -I u:. ,, : c � C�vt,.,t Contact Person: ✓r c%l �� ; �l ��. �-. Address: �5 C� � �vt��f� li�� �5 State Bond#: �1��(� �(� �� �/ � � City: r1'1:nne.,�f;sf�LZip: SS56y Expiration Date: f�� 1 (�� � �' Phone: '�5 2�`'l 7 Z" �-b�5 Alternate Phone: `� S Z " �`� Z-' 3 � � � � Insurance—Current: �,2�,Q,,,�� P� V1'1 �c�'GccL� 1 �vt �o ll✓��i v�G f� �6�'t1���cYl l � MECHANICAL SYSTEMS BEING INSTALLED � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �-Aio HEATING SYSTEMS Quantity: � Make: ���i Vt C�� Model: � ���(��b��t�x36�� �O �o Fuel: Flue Size: Input BTUs: ��i��' Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . � • PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �{ > f v �v' �� x.0125 $ �� � <� (contract pricc) (minimum$50.00) 2. STATE SURCHARGE --7 - N� /� ' ��� x.0005 $ � ' � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � N �, � 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. MECHANICAL PERMIT APPLICATION AGREEIVIENT 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 �u �1� ��'"'�'��Date: � `'��� �� 3 V DATE TIME CITY OF ORONO CAL D IN ---�� INSPECTION NO CE HEDULED PERMIT NO. ������MPLEfED ADDRESS �� ' �� T OWNER TELEPHONE NO. ��` a��j CONTRACTOR ��� � � DESCRIPTION �Qr�� �""` � ❑ FOOTING ❑ DEMO-FINAL �/ � �..n.p'L�'S�PTIC 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 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J�FfhFfcL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ E R HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL � OWNERlCONTRACTOR TO MEET YOUy YES_NO c ..� y COMMENTS: a� � Fur v�� r�p l.. - j - �,5��ws ��ss /.Ka � o<C o _ � '' �jc.�� ,K�- v��,c.L► �i S _ aC • O - n _ � lI7 �C,Q��f,/ 4✓�u�iUC. C'b u��9�w�+ rsc.� W � Denel�rob.o�n, �r�--- �,�-arco;i - Q . � 2 /� , � /c,�S�" d� - Cby r nc� -�- ,�✓s��� � ��rt.�cle� J W ❑WORKSATISFACTORY:PROCEED �$pJECTCOMPLEfE � ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 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. (g52) 249-46�0 OwnerlContractor on site: Inspector: ►�-� � White CopyAnapecto�'s Flle Canary CopylSite Notice