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HomeMy WebLinkAbout2014-00393 - mechanical CITY OF ORONO * 2 pJ 1 4 - 0 0 3 9 3 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2685 COPPER VIEW DR PIN : 33-118-23-43-0018 LEGAL DESC : ROSCH ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 2,000.00 NO"I'E: I KI"I'CHGN EXHAUS"1� MOVING SUPPLIL-;S AND RFiT�URNS TO DIFFEREN'T LOCATIONS 1 GAS LING TO STOVE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 1.00 C,EWIS HEATING AND AIR TOTAL S1.00 1371 144TH STREET NEW RICHMOND, WI 54017- Payment(s) (612)940-4565 CREDIT CARD 5225 51.00 Minnesota State License #: mech-PC671215 OWNER TURKBAS, MR.& MRS. JAY 2685 COPPER VIEW DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issucd shall be performed according to the approved plans and specif�ications,applicable City approvals.and the State Building Code. This permit is for only the work described and does not grant permission tor additional or related work which requires separ�tc permits. All provisions of laws and ordinances governing this t��pe of���ork shall be compied with whether or not specitied herein.This permit���ill expire and become null and void if construction authorized is not commenced within 180 days of the date oY issuance,or if construction is suspended for�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. ��-� � , ���—� --_____. _–�(�' l/� / / Applicant Permitee Signature Date Issued gnaturc �(� Date / X� . � . FOR C1TY USE ONLY �� �O^ rO City of Orono [�� 1 V P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay.MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 yF � � ��KESHo��� 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGW UNTIL THE PERM[T CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification,and air conditioning instaliation including heat loss/heat gain calcu(ation, design temperatures, equipment ratin�s 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 Apply) �Residential ❑ Commercial (Approval Required) ❑ New d Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ;�� �� �C'C�rr �;� r�` � �� • Owner: �C���►Y. � Mailing Address: � rl�� City: �� �Yl z Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: L.C"�v�S ���c�C.��*�� ��� �Contact Person: ,.�elr�K` Address: ��7� �t���� �� State Bond#: �� � �C3�G 5�� , �yCJ�7 / City: /�,�C'(� /'��ip: Expiration Date: � !.-)��%�, Phone: �. ���` C��G -`,`� �`� Alternate Phone: ❑ Insurance —Current: 1 . MECIIANICAL SYSTEMS BE1NG 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: Fuel: Flue Size: Input BTUs: 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 rhav�n� s����es `� ��ns � �,_`-. �OG�� �� �, �-��l,c t�_ f � No. � Kitchen Exhaust_�__duct recirculating �CU cfm .�.,� No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approvecl by Fire Marshal!if proposing to ubundon tank in p/uce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: 5�'/���•c 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; excludina the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractar. 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 $�00.00 lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) ��.,���C�C.CC� X .ol?s $ (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 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 Miilnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature:���,� �� ;�� Date: � ������ 3 � --l /D �� / TIME CITY OF OR NO CALLED IN �� INSPET ON�I�O�I�E �q�j�� SCHEDULED �L_C�-:%� --�' '_ PERMI O�`U//`� ���� COMPLEfED ADDRESS �� � � ,/��, "��,��� OWNER EPH NE NO��a—97U— �"�� CONTRACTOR �L" `�� �; DESCRIPTION � C G � �1it GL � W ❑ FOOTING ❑ UMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL MECHANICAL RI ❑ LAKESHORFJWETLANDS y Q ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWEfl HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W O C]CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDEA POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952 9-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ,iJ`� ATE TIME V /�N OF ORONO CALL � ED IN � I INSPECTION NOTIC scHEou�Eo � PERMIT NO. � �conn LEfED ADDRESS � � ��' • OWNER TELEPHONE NO. �� CONTRACTOR � � � DESCRIPTION ' � " � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL Q OWNERlCONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: �—� � a �uDd<<e s � �aZ�4�N.S f e�/'o(a��Q -Fo r � �;ctG�e n ���`� -+ �c��oa..c s �c — 0 � o �+ - � �`f�Ls �!�1 G �d r a�5 f-•�• � C'1�f �r K � W Q Qt r' "�i �S'L� !S `IDIG�i tii �Sc � � 2 � bl� -ds Co��l W � � d W��WV9MtSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C inspection 24 hours in advance. (952� 249-4600 Own Contractor on sit • hn. Inspector._, �.•� White Copyflnspector's File Canary CopylSite Notice DATE TIME . CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO. �O/4-�3�3 COMPLETED �� ADDRESS � � � 5 ��/�,Gt� r L�f F'�� „�YI:-. OWNER TELEPHONE NO. CONTRACTOR ��-'�•� i s �� � .���' �; DESCRIPTION �F'✓�'f���'C � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �q� ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �.EOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CGMMENTS: � W a 1 . _ � ��r �J' . �/�cA�Wl•� J 6�4 �-e'.� K.J !"�i( - � � ���� ,��,-� .� � a���, - �� d�s� � 1'I'��r<�ti � � � �`'1 �b _ � --- /Lt — W � Q � 2 W � W � ���%� � � ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice DATE TIME,�� CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED ti"`' PERMIT NO. �r�/� -L�=�(� COMPLETED ...,�� -/�— ADDRESS v�j���`� �c����rY.�� ��_ OWNER TELEPHONE NO. CONTRACTOR L �� S �v '�t ./f r/' >: DESCRIPTION �� `������ l � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS y 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. �1'FAL•LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �����f ►MiC �i ✓f.l��� /,�.�1��� lJ���.- � .f.I� r va 4� -� �1.�/�J "�1���1.�i d/) /d -� -��f o —r�� W � Q � � � �r��� ��'�lal�E� W � � � GW ❑WORKSATISFACTORY:PROCEED �0.lECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector.�� i � � White Copyflnspector's File Canary CopylSite Notice