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HomeMy WebLinkAbout2015-01218 - mechanical . � CITY OF ORONO * z 0 1 S - 0 1 z 1 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,000.00 NOTE: (1)LUXAIRE FURNACE (1)LUXAIRE A/C (I)KITCHEN ECHAUST (3)BATH EXHAUST APPLICANT MECHAMCAL 137.50 STATE SURCHARGE MECH(VALUATION) 5.50 BEN SCHERER PLUMBING&HVAC INC. TOTAL 143.00 4520 85TH STREET SE Payment(s) DELANO, MN 55328- CREDIT CARD 4343 143.00 (763)972-8137 � OWNER Everlast Enterprises,Inc. CLEARY,JAMES 4109 NORTH SHORE DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci6cations,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 construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of l80 days at any time afrer 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. �i —� �_ �/ �___�-- �. p� �� c�� � � S -e--l� � �i i Applicant Permitee Signature Date Issued B ignature Date _ -0� �. i: ► FOR CITY USE ONLY .� �O^'O City of Orono 1 y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fa3c(952)249-4616 � � F �.�' CITY OF ORONO-MECHANICAL PERMIT l�kES H�4 (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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT 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 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 fmal. TYPE OF PERMIT (Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: O� �-�5 ���'`"�- ��� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � �c,�c.('� ��`'�� �ontact Person: � `���� �' ,-r�- Address: �5�S �s �'�`� L�State Bond#: � � ��4 3� City: ���`'"�'� Zip: /'�"`� Expiration Date: �O-l�-- Zol(p Phone: ���'� �'3�'' �s� Alternate Phone: J � Insurance-Current: (� 1 .s �O 1 MECHANICAL 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: / Make: L��cG��r� Model: � � Fuel: ��-�� Flue Size: a „ Input BTUs: � O�O �o Output BTUs: ��•� v� CFM: � Z U a COOLING SYSTEMS Quantity: ' Make: l-v��.� Model: � L� 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 �� cfin No. � Bath E�chaust(must have duct outside) �t� cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ 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 ar�pliance that meets all three of the following requirements: l. 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 contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S —JOBS 4VER$5�0.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ���UQ � .� x .0125 $ (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 wark 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: � e��"J''.�-� Date: ��al � � 3 ��—�� c�-i_. c._ DATE TIM CITY OF ORONO CALLED IN � INSPECTION NOTICE scHE�u�eo `�4-=�L � PERMIT NO. �'r'�S��-���<<� COMP ETED ADDRESS �7 `�-�� �:��'�--� r_� ���_vu�c���' OWNER TE�: �iONE NO. - �7S �1 CONTRACTOR / � �'i- C "J � DESCRIPTION � �"��L'��t--^ �v�i-t-- `.�y�--� 1~i� ❑ FOOTING ❑ DEMO-FINAL .� ❑ SEPTIC 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONiMCTOR TO MEET YiOU:_YES_NO � � � COMMENTS: �Ia �1�5 ���te��'f�t•5 -�� � � � .Su�/��r¢S -_ tc�ics r vt 5 - �I� . o ' `� oi� tV•- L-�- f � � fi�G a = �[.• �a /'c.,..�.��w t.c .��,.,:� s� � � ° ����� Q ��� :�� /a.,���� ���� �� 6e W Q GQ✓'o Dl�� -< <H�tl�� ' �S�.o�y-� f'C�i,�..�1 � brovc�� �o� S�.cc fid �h� L'oK�. �"bK�9 ' W Q ' _ . T` /" r�2� S�.t�i t� ,�i r�'�.,5 -�i ' . /� Gd�t �2 W� r -e��3 .i u. . � �ou�be 4�s.�f ` G W ❑WORKSATISFACTORY:PROCEED r 5� �� ❑ PROJECT COMPLEfE ��69RRECT WORK d�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (g52) 249-46�0 Owner/Con or on sit • e'� r Inspector: Whits CopyRn ector's File Canary CopylSke Notiee � l� �-�-- DATE TIME CITY OF ORONOZQ�-p�2,�g CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS Z��S � `��'1� / � ►/`E� OWNER TELEPHONE NO. L��Z —Z�Z`�� CONTRACTOR �el�7 SC�`7�/'�f '� � DESCRIPTION / �/ UVID � � , (fcC� �i�h � � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE EPTIC INSTALL 2 OWNERICONTHACTOR TO MEET YOU'I�YES_NO y COMMENTS: � a � < � � O �. � O � . W � Q � 2 W � W � � J d W ❑ RK SATISFACTORY:PROCEED ❑ JECT COMPLETE � RRECT WORK 8 PROCEED ISS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours'n advance. (g52 9-46�� OwnerfContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice