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HomeMy WebLinkAbout2016-00804 - mechanical CITY OF ORONO * 2 0 1 6 - 0 0 8 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2895 CASCO POINT RD PIN : 20-117-23-31-0053 LEGAL DESC : SPRING PARK : LOT 099 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,600.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)LENNOX FURNACE AND A/C APPLICANT MECHANICAL 95.00 STATE SURCHARGE MECH(VALUATION) 3.80 SEDGWICK HEATING&A/C MAIL-IN FEE 2.00 1408 NORTHLAND DR-SUITE 310 MENDOTA HEIGHTS,MN 55118- TOTAL 100.80 (952) 881-9000 Payment(s) CHECK 16821 100.80 OWNER NAYLOR,JOHN&JODI 2895 CASCO POINT RD WAYZATA, MN 55391- 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 construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of ISO days at any time afrer work has commenced. The appiicant 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. � '� � � - 7 � /.�� / (� Applicant Permitee Signature Date Issued Signature Date , ��� ��5� iv�. �o OR ITY USE O�LY (�J,�/ ___�, QCJ7' �'� City of Orono � � G��/�— � �����, P.O.Box 66 Date Rece ��� � Permit# �Ln ��/�� T �� 37>0 Kcllc)'Parkway' C ♦ Y � � Cq�stal Ba��,MN 55�23 Approvcd E3y: Amoimt S�� I � ? Phone�95 2 1 2-19-ab00 Fax(9�2)249-4616 ^ '�{ '�(�1,C �� h �i o .� � l!�1.1 �` �/ �<9,�.� ���, ; CITY OF ORONO—MECHANICAL PERMIT (���/(� ORON � �5��� (nll Commcrcial permits must bc approvcd by thc Building Official or[nspcctor t�nd/oi I�.irL''Ma�Al��df� � GENERAL INFORMATiON 1. You n�ay apply for mcchanical permits by mail or in person at thc City officcs. Applications will be reviewed and a pennit will be issued�vithin t�vo�vorking days. ?. Pennit cards will be sent by return mail after a revie�v is completed. PERMITS AItE NOT VALID UNTIL YOU [ZECENE A PERMIT. �VORK MUST NOT F3ECIN UN'1'IL TIIE I'ERMI"C CARD IS POSTED ON THE JOB SITE. 3. Mechanical Dcsi�ns—Complete calculations,details and spccifications are required for cach hcatinb,vcntilation, l�umidificarion-dehumiditication, and aii-conditioning installation inchiding heat loss/heat gain calculation,design temperatiu•es, eqtiipment ratings and identification as to rype, manufacturer and model. Data shall be presented on form provided. 4. When any ne�v constniction or remodcling is involved, a separate building permit must be obtained. 5. All work must be done in aecordance with the Unifornl Mecha��ical Code/State Building Code requirements. 6. All�vork must be inspected(rough-in and final). Call (952) 249-4600. (24-48 l�our notice required) 7. House Heating Test Record must be submitted before (inal. TYPE OF PERMIT (Check All That Appl ) �] Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ✓� ❑ Ncw ❑ Additional ❑ Repairs ❑ Rcplacc Job Site / Owner Infonnation: Site Address: �� 0� � ����,� ��� �d�Yl,� � 1�- ( � Owner, �� � �� Mailing Address: c�ty: D!�'v'Yl.o z;p: v :5.3�� IIome Phone: Alternate Phone: Contractor Information: Contractor: �_ � z � � .�L.fl f�.�� Contact Person: )���� �-� "�l Address: I'��� �V�G'���.�-G��� �1'� State Bond #: City: ��.Ci�1�.�.H�1� Zip: ��� i� Expiration Date: —.T Phone: �5� " ���� ��'1 U�� Alterilate P11onc: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED l�ote: All Geothermal Systems will now requirc a Site Plan & Review by our Building Official. IS TI�IIS GEOTHERMAL? ❑ Yes ❑ No }iEA"I'ING SYSTEMS Qtiantity: � Make: � I�.i L� Model: ��jX o`� ��. ��a� Ft�el: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS QL18t121ty: � Make: �' .i�' '� Modcl: ����.)(U3� Tons: _�__ — H. Po���er F�REPLACES ❑ Gas Factory Fireplace Brand I��aine: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VE\TTILATIOl�' ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Gxhaust(must have duct outside) efm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must bc npproverl hy Fire Marslrull if'prnpusi�r,to abrurdo�t t�nik iii p/ace.) ❑ Installation ❑ Rcmoval Fuel OiL• gallons ❑ Undcrground ❑ Insidc ❑ Outsidc LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT 1�EE CALCULATIONS _� l. CON"1'RAC"T PRICG * is 1.25'%of contract price with a(Minimu�n i�ee of$50.00) �(.G �U. U� X .o��s � °�S�. Ov (contract pricc) (minimum$5p,pp) � 2. STATE SURCHARGI� � �P G ll (JU X .000s � S. �D (contract pricc) 3. POSTAGE &HANDLING(O��ly on Mail-Tn Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � � L'�l• �1� ■ * CONTRACT PRICE or JOF3 COST means the actual or estimated dollar amount charged foi• the permitted work including materials, laboc, pr-ofit, and other fixed costs. Tt is the amount to be charged to the customcr for the work done. Tf any i7�aterial,equipinent,labor or installations are fiirnished by thc owner, tenant or any other party, the r-easonable market value of such items must be added to the estimated cost or contract price for permit fee put-poses. 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 conh-act. M�CCHANICAL PTRMIT�APPL�ICAT[ON AGRECM�NT �� The undersigned hereby applies to the City for issuance of a Mecha�lical Pernzit, agrees to do all work in strict accorda��ce with t11e ordinances of the City and thc rcgulations of the State of Minnesota, and certifies that all statements il�ade on this application are coinplete,true and correct. Applicant's Signature: �� ��� � Datc: �—� �� � 3 ���� ATE TIME CITY OF ORONO CALLED IN INSPECTION N�TI E���� SCHEDULED — — PERMIT NO. COMPLEfED ADDRESS � � OWNER � �a ���Tp�E�EPHONE NO. CONTRACTOR l��-C�GCJ � DESCRIPTION �/� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J �J AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES'�NO � COMMENTS• a /G r��/�c� ,�<•�� - � o - Yl�tc> e /�c-�/I G - O�s c a��t�t� — �. � � / �G///.�G C�cc��'r c oG i�t s �6r w , Q /SG bNK<<t - � z � Go�/c� -+ pui.t•� �,��u0 � j GW ❑WORK SATISFACTORY:PROCEED �ECT COMPLEfE � �ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING 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. (952) 249-460� OwnerlContractor on site: Inspector. � White Copyllnspector's File Cenary CopylSite Notiee