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HomeMy WebLinkAbout2014-00042 - mechanical . CITY OF ORONO * 2 0 1 4 - PJ 0 0 4 2 * � 2750 KELLEY PARKWAY DATE ISSUED: O1/14/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 885 FERNDALE RD W PIN : 02-117-23-44-0007 LEGAL DESC : AUDITOR'S SUBD. NO. 184 : LOT 105 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 5,000.00 NO"I�t?: ? LENNOX NA�I�GAS FURNnC1:S APPLICANT MECHANICAL 62.50 STATE SURCHARGE MECH (VALUATION) 2.50 SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 6219 CAMBR[DGE ST ST. LOUIS PARK, MN 55416- TOTAL 67.00 (952)926-4488 Payment(s) CHECK 3520 67.00 OWNER WOODHOUSE, KIRT 885 FERNDALE RD W WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which diis permit is issued shall be pert�ormed according to ,� the approved plans and specitications,applicable City approvals,and the S[ate Building Code. This permit is t�or only die work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this typc of work shall be compied with whether or not speciYied herein.This pennit will expire and become null and void if construction authorized is not commcnced within 180 days of the date of issuancc,or if construction is suspended for a period of 180 days at any time atter work has commenced. I'he applicant is responsible for assuring all required inspections are requested in confom�ance w�ith the State E3uilding Code.This pennit may be revoked at any time for due cause. 1 V�'�M, l l � Applicant Pennitee Signature Date [ssucd 13y Sign w�e Date ,. � , � FOR CITY USE ONLY �O A'O City of Orono �y P.O.Box 66 Date Received: Pem�it# 2750 Kelley Parlc�vay Crystal Bay,MN 55�?: Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � �, y � F � `qKESHO�'�C CITY OF ORONO-MECHANICAL PERMIT (All Commercial pernuts mnst be appruved 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 oftices. Applications will be reviewed and a permit will be issued within two warking days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NO�I� VALID LTNTII.YOLJ RECEIVE A PF,RMIT. WORK MUST NOT BEGIN UNTIL THE PER'�1IT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details aiid specifications are required for each heating,ventilation,humiditication-dehumiditiratiun,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remudeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Meclianical Code/State Building Code requirements. (. All work must be inspected(rough-in and tinal). Call(952)249-4600. (24-48 hour notice required) 7. I Iotase I Icating�I�est Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ Ne�� ❑Additional ❑ Repairs �Replace Job Site/ Owner Information: � -� � ��� � Site Address: � � � � ���U%''��-� �v��� ��� Owner:l� I�'.T l�C�J i-) t'i'J�.�'� c�C,� c��' Mailing Address: � ����o��� � .�`G ��� c��,: i�J�y�.��T� z�p: `�c:��� /��� j�, �� �,� Home Phone: � ���1� Alternate Phone: Contractor Information: ������ Contractor: r����,/v�1�1 r c'-��- Contact Person: ��"�� ��-r�'a� -, ;�� / r--- Address: ��-!/ �1�'�`�1�-����v/ State Bond#: City: �L���'S� �G��� Zip:.�✓`�`���� Expiration Date: Phone: ����� %t�lq, ���vic� Alternate Phone: ❑ Insurance-Current: 1 . � t MECHANICAL SYSTEMS BEING INSTALLED Note: All Geotbermal Systems will now req ire a Site Plan& Revicw by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � � Make: �aJ►J G'j( �''1 J/�10 Model: 1��L I�u�� /✓���`fri �-- Fuel: �ATU�14L ��':� v' Flue Size: � ���— Input BTUs: �� Zt�(.> VU � , Output BTUs: V ��U �` L � CFM: �lv iiC�` ���� COOL G SYSTEMS antity: Make: Model: I�ons: H. Power FIREP CES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTI TION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL ORAGE (Musi be approi�ed by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ LJnderground ❑Inside ❑ Outside LP Gas: gallons Other: GAS L � ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . � PERMIT FEE CALCLTLATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential tixture or appliance that meets all three of the following requireinents: I. Does not require moditication to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowuer or licensed contractor. Skip next section,if this applies; Cost of Permit $ I 5.00 State Surcharge � 5.00 Mail-In Fee(If Applicable) $ 2.�0 Total Permit Fcc � PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply; ti�llow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) >9 ��" C?G�O- ✓ X .oi2s � ��1 , ��i' (contract price) (minimum$50.00) 2. STATE SURCHARGE �-- � �.- ,-,' )C�'�' x .0005 $ Z. �' � (con[ract price) 3. POS'I�AGE&I�iANDLING(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 aniount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party, the reasonable market value of such ite►ns inust 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: �,M�� Date: � � / 3 � � � � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �` �"� G�'T2�.� PERMIT NO. ��-��4 `e���{Z COMPLETED ADDRESS ��5�� I�=�'�►'�cl��� �'��-( t� OWNER TELEPHONE NO. 5� ' � CONTRACTOR �� 1�� L � DESCRIPTION ��� ��C t �����' ty ❑ FOOTING ❑ DEMO-FINAL �Q��` ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �na� ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA � ' n�❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI��1►�-�-'�S�ITE INSPECTION Q ❑ FRAMING MECHANICAL ❑ PROGRESS � ❑ INSULATION 000 BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL J 2 OWNEFUCONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a a �u✓r�aG� ✓�Df- p ' G J«S�"ii rct �a,s /�KdS '' 's �.-sf��„K �— a - ¢,�`.s�,•�. 0 � W � 'jt)O/l� �tsNt/���i e � Q � 2 ' � �G/N� '� �e.✓l�.r.� W � J W ❑WORK SATISFACTORY:PROCEED �PR9.fECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C or the nex ' ion 2a hours in advance. (952� 249-4600 Ownerl ontractor o site: � � � ''� Inspector. "'� � White Copyllnspector's Flle Canary CopylSite Notice � � DATE IME CITY OF ORONO CALLED IN --�� INSPECTION NOTICE SCHEDULED � PERMIT NO. 1 G/'-� —U�`��eOMPLETED ADDRESS � � � �������- �V OWNER TELEPHONE NO���-��� `��� CONTRACTOR ��' I�'�'�� l' 1����-�-r- �; DESCRIPTION �" i�� � �(.,t.f'NG��� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FI ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP. FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOFj,�Q MFET Y��' YES_NO � COMMENTS: o� a oZ Fu��s- ✓'e..oi(� 0 � t�JC��rI t SG S /"'�'3 �. � " G+�5'�i�YG VG.�GY.! O � �O fu S�I rL� (��f�JO�/ — W � Q � (,c>dr eL C'o�d!�c � z W � � �G/�,�,..� �a�G¢l�� J O W� ❑WORK SATISFACTORY:PROCEED P�iOJECT COMPLETE W ❑CORRECT WORK&PROCEED [� IS UE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑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 Ownerl ntractor on site: r Inspector. �"' White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �I�ERMIT NO.�C,� /�'(X��1a2 COMPLETED l�/�y /.`�� ` % `��� ADDRESS ��`i /=zi��r'l� ✓CCU- �''� � OWNER TELEPHONE NO. CONTRACTOR �c����',/7%���'- 5����✓«r_� �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE 0 SEPTIC MAINT. �fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL •�❑\HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: a JC?f�.yc:� /fa�� r �•��� � �� ll �c�� � � � ~ - o ��✓I<>l /�1 S�I�'�z��cY-� �' - �J �; j'�'Cc� l'f� C� � �`--�. - �✓! S/.J��_��c!�-� � O � Q ��� ��7� �c> v'✓l�. - 2 pl�<<s � c4 !l c-��'Q�t� C���c,� /t�� !< � W _ . � .��U���l� « � «��C ���,O��c��o�t ��r�' � �L`/� �� � �� "� �1 J GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advan . (g52 j 249-46�0 OwnerlContractor on site: inspector. -- 7� White Copyllnspector's Ffle Canary CopylSfte Notice