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HomeMy WebLinkAbout2016-00447 - mechanical . CITY OF ORONO * Z 0 1 6 - 0 0 4 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 960 FERNDALE RD W PIIv : 02-117-23-44-0017 LEGAL DESC : COUNTRY CLUB ESTATES : LOT 000 BLOCK 000 PERMIT TYPE : MECHAN[CAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUAT[ON : $ 2,842.00 NOTE: (1)LENNOX FURANCE-4"FLUE,60,000[NPUT BTU'S,48,000 OUTPUT BTU'S,830 CFM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.42 DITTER COOLING&HEATING TOTAL 51.42 820 TOWER DRIVE Payment(s) MEDINA,MN 55340 CREDIT CARD 7511 51.42 (763)478-9558 Minnesota State License#:mech-MB003161 OWNER BROOKS,JOHN&JOAN 960 FERNDALE RD W 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 goveming 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 the date of issuance,or if construction is suspended for a period of]80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e Building Code.This permit may be revoked at any time for due cause. _ � � ^�� �� � 'G �� �/ Applicant Pe itee Signature Date [ssu y Signature Date 04i27i2016 14:53 DITTER INC � 9522494616 N0.991 D02 , MOIi C[TY US�:OIV4Y Ci1y of Qrono �.��/� P.0 Box 66 naw Rconivr�i: 7crmit 11 V 27S(?ticllcy Pt�rkway Crysrol O�y,MN 55323 �1ppT�vGd�y: Amuunt$;_,.,.,,._„_,,,,, Phune�9�2)z�19-a600 Fax(4Sz)2�tya6i 6 ' � � I `� ��' CITY OF 4174N0—MECY�ANICAL PFRMIT rR�`ES h►��' (qll Commcrcini permits�nusc ba aPprovea by ilie Building officinl or CnspeGot ond/or rire MarSha�U c��r���At���ro���raw I. Yau iroay apply For mEch�nical permits by mail or in�erson Rt the Ciry offices. Applicatians will be reviewed and fl permit will be issuod within two working clays. 2. Permit cards will be sent by return mail after a revietiv is campletEd. PCRMITS AR�NOT VALIT7 UN'�IL'YOU R2CC(V�A.PERMIT- WORK M ST NOT B�,GIN UNT1L T�F, PERMIT CARb'IS P $7'E�D ON TI•1�.l�R SITE. 3. Mechanicll T]es��nS-�Comnlcte cmlculations,det�ils nntl specifications are req�iired For each � heatin�,ventilation,httmidification-dehurnidifie�ttion,And Air eonditioning installation including heat loss/heflt gain c�lculacior�,design cemperatures,aquipment ratings and identifention as to type,mRnui�eturer and mode). Da�a sltall be presented on form��rovided. 4. When any new consiniCtion Or Ye�lodelins is invoNecl,a separatu building permit musl'be pbtained. S. RIl work must be done in Record��ce widi che UniCarm Meclaanical Code(St�te i3uilding Code requirements. G. All work must l�e inspeo[ed jrough-in and final). CAI1(9S2)244�1600. ; (24-49 hour notico required) , 7. Flouse 1-leatii�g Test Record musC be submitted before final. TYPE QF P�RMCT I Ch�ck All That A l I ��l2esiden'tiAl �Commercial(Approval fZequired) [Bflckflow Device:❑AVI3 ❑PVB) �New ❑AddicionaJ ❑Re�>nirs �R�pl�ce I dob Site/Uwner lnfc�r�ration. � Site Acldress: 1�7d r Wn�°��'e �Q�S� Owiler:�v}1'�l �Y`c'��J� Ma,iling Address: i C�tY: Z�P� I Flome Phone: Alternate C'hone: ����-����� � Cant.rActor Infarmatian: Contractbr� ��}4��r ��- CoilC�cc�'Erson: �i r^ �n �' �� Address: ��� �Oin��� �9V� SCace Bond#: �'��d31�� _ � City: �V�c.� Zip:SS�`10Fxpiration Date: � -7l ��� � I �� Phone: `3�3��-4`-1`�` `i 5� ,a.lterna.te Phane: ��3 ��`�6-�__�_) � ❑ Insurance—Current: �n -��,�� 1 I� 04i22i2016 14:53 DITTER INC � 9522494616 N0.991 D03 , i I , ��' r � )li � p: �1 � y.�^ �in � �<�� ''4 ;�"+ �,'�.r .I•� ,�i �� 7 n' �� 'la'f� I II��l.fi, i�. � { I �.� 9 �X"r�fiAl I. � 1Vote:All Geotherm�l Systems will now require a.�ite Plan&Review by our Quilding Official. I IS"CHIS G�OTHERNlA�? �Ycs �No HEATyNG SYSTEMS Qiiantity: ( Make: h�,1f>l�l� ,_ Madel, �...��,� �oQ'�i U�l:'� �W'�� Puel_ o � I �� Flue Size: Input STUs: �C _,cIUC� Output fiTUs: ���T II cr-M: $3d i C(TQy.rNG SYSTEMS � � Quantity: Make: Model: ._.. 04i27i2016 14:53 DITTER INC � 9522494616 N0.991 D04 �16,�"���� ��,i,�'r,'!'�����+ �'�`�lif� p ; ,i i �� � �, .� �?i6�hCsl.;� 1. CONTRACT PRIC� '"is 1,25°/n aCconcrAct price with a(Minimum Fee oF�50.00) ��.��l 1� �� � x.0125$ (contrscl price) �(minimum SgQ,00) I �, STATE StIRCIIARG�: � a�y.�� x.p045 � � `�� _ _ ccomrocc prsce) ._...... 3. POSTAGG 8c,1-IANI�LING(Only oo Mail-ln Applicn#ions) $ Z.aO � [ �� 4. "fOTAL PERMLT f EE(Add Lines 1-3 Above) � �J ' • � I ■ '� CONTRACT PRI�CE or J�D COS'I' means tltie A�tual or estimatetl dollar amount charged for tht permitced work including mQterials,la�or,prafie,end other fixod costs. It is the amount to be charged I to the custonier for the work done. I Eany material,ec�uipinent,labo�or installacions are fiirnislled by the ' owner, tenant or any other party, the reasonable inarkel value of such itents must be added to tlte estimatad cost or contract pricc for pennit fee purposes. In tl�e event thati there is a dispute on the amount af lhe joh cost, tlie City mey request the submission of 1 signed copy of the flctual contract. � � �. �•, � 'i I � �l Vl.i�I .9 Y ! ��� I � The undersigned hereby Applies to the City for issua,nce of a PJlechanical Permit, agrees ta do all I work in strict �tccordQ,nce r�vitlt the ordinances o�the City and the re�ul�tions of che State of ; �Vtinnesota,anCl certifies that ztll stal'ements made on this application are cnmplete,tru�and correct. ' Applicanl's Signature: �"'��� l�ate: �^"Z�' �� ��I i � 3 l 04i27i2016 14:53 DITTER INC � 9522494616 N0.991 ( � I � � � I �� ' I � � b��p�~ � � ,� � � � U fn v� �/� i �. e YlM ti' � � P ��. � , � � � � � �n� � a� � r i �. �� � / v' CITY OF ORONO CALLED IN �— D� TIME INSPECTION OTIC _�� SCHEDULED S- - 3=�3� PERMIT NO COMPLETED ADDRESS � GC'��C- OWNER EL HONE NOT S � � CONTRACTOR �1 � DESCRIPTION /� " /!./' fI ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ IN�N ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL I v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS:�_�iKe �.� ���5'd— !� � ..,� - ��� a o - I/enz'�i`(c � D,L -f/ire i'Y,�� - �, _ . - � �t�« ve.,t•!��f.,, S�.e/d� �r��tl� - � "-GI'�.,Ha � � ���`�7 - W � � � / I C� /v� � Q 2 .� � Gt�XX/e 1�GYS ,8�� c�i��S �-' W � � �� V ��n� � ��f f GGtirt � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector.�/w f�- White Copyllnspector's File Canary CopylSfte Notiee