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HomeMy WebLinkAbout2016-01084 - mechanical � CITY OF ORONO * Z 0 1 6 - 0 1 0 8 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 65 FERNDALE GREEN PIN : 36-118-23-44-0026 LEGAL DESC : FAIRWAY HILLS ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,800.00 NOTE: REPLACG:COOLING SYSTEM(BRYANT) APPL[CANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 1.90 PRONTO HEATING&AC MAIL-IN FEE 2.00 7415 CAHILL RD EDINA, MN 55439- TOTAL 53.90 (952) 835-7777 Payment(s) Minnesota State License#: mech-MB004828 CREDIT CARD 8852 53.90 OWNER LAPERRE, TIMOTHY&NANCY 65 FERNDALE GREEN 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 shail be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a 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. ��� 1 � �C ,'1 ��..���f�� �> �l (D l / (� Applicant Permitee Signature Date Issued B Signature Date From:Pronto Heating and Air 9521-767+9170 09/06/20Y6 07:33 #276 P.002/004 FOR CiT�'USE ONLY �-��� City of Orouo � �oNo P O 13ox 66 Date Received: � Pennit,#�ps a�� 2J>0 Kelle�°Park�a�ap � �, Crysial IIay,A1N i5323 Approved F3y: �_ Amoum 5: �� � Phone(952)249=3600 Fa�(9>^_)249-4616 �/ S � \���5_"_°��/ (.A�t c'omm�rCITY tOFsOROrNO t—ME C�HAoNI'CAL PERMIT p pp y b � c�or andlur Firc f�4arshall) GENERAL INFORMATION 1. You may apply for mecha�tical permits by mail or in person at the CiCy offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wil]be sent by return mail afler a revie��is completed. PL-RMITS ARL NOT VALID UNT'IL YOU RECEIVE A PERMIT. W'ORK MUS7'NOT BEGIN UNTIL 7'HE PER:�4IT CARD IS POSTED ON THF 30B SITF,. 3. Mechanical Desi��s -Complete calculations,details and specifications are required for each heating,ventilarion,humidification-dehwnidification,and air conditioning installation including heat loss,�heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modei. Data shal!be presented on form provided. 4. Wl�en any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be do»e in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work musf be inspected(rough-in and ti�ial). Call(952)249-4G00. (24-48 hour notice required) 7. House Heating Test Recoi•d must be submitted before final. TYPE OF PERMIT Check All That A I [�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑New ❑Additiona! ❑Repairs �Iteplace Job Site/Owner Information: Site Address: �� r��1,�.,1 Q(�P __�/�/Q-(�(/� Owner:�� ��.���� Mailing Address: �� ���p vl��.� City: ��`l� Zip: �/1Gj'�'JGl � Home Pho�ie: ���-�f��.(Jl!�.�--� Altemate Phone: Contractor Information: t����� �1��� (�(�t� Contractor: � Contact Person: Address: �1.�,T/I Ct/t.�/tt�l �. State Bond#: ��'jlN��"f� City: � �ti11G1. _ Zip:�l_��Expiration Date: �-����_ Phone: "t V1�"��rJ'���� Altemate Phone: ❑ lnsurance—Cui7•ent: I From:Pronto Heating and Air 952+767+9110 09/06/2076 07:34 #276 P.003/004 MECHANICAT;SYSTEMS�E1NG INSTALLED Note: All Geothennal Systems will now require a Site Plan& Re�iew by our Building Officiat. IS THIS GEOTHERMAL." ❑ Yes '�I�ro I-IC;ATING SYSTEMS Quantiry: Make: Modef: Fuel: Flue Size: Input BTl's: Output B"rGs: CFM: COOLING S�'STEMS Quantity: � Make: �- ��.lL —_�__._, __—_.�—__ —�—� Model: ll �/ _ _--- -��.—_— �—._�— ------- Tons: H.Yower �IRI:PLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace --- ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry - -------- VENTILA'I'ION ❑ No. _ Kitchen Exhaust duct recirculating �_cfin ❑ No. _ _ Bath Exhausi(must have diict outside) cfm ❑ No. __i Othe,-Fans; Locations __ _ _ cfm FUEL STORAGE (.�llust be approved bp F'ire Marshal!if proposing to abandat tunk ru p/ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underg•ound ❑Inside ❑Outside LP Gas: ^__gallons Oth er: GAS LI1�E ONLY ❑ Outdoor Grill ❑ Other/List VVhat&Where: 2 From:Pronto HeatincJ and Air 952+767+9170 09/06/20�6 07:35 #276 P.004/004 PERMIT FEE CALCULATiONS l. CONTRACT'PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��i " '� x .0125$ �__� (contrac�price) (minimum 550.00) 2. STA7'E SURCHARGE (�„�.� —__��U U x ,0005 $ /� (con(rac�price) �— —���SL__.-- 3. POSTAGE&HANDLI�G(Only on Maii-In Applications) $ _� _ 4. 'TO"!'AL PERMIT FEE(Add Lines 1-3 Above} � � �.�� ' "` CONTRACT PRIC� 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 f'or the work done. If any material,equipment,labor or installations are furnished by the owner, tenant or any other party, d�e reasonable market value of such items must be ac�ded to ihe esiimaied co5t or contraci price for permit fee purposes. Li the event thai there is a dispute on the amouni of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERIv1IT APPLICATION AGREEMENT Ti�e undersi�ned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with tlie ordinances of the City and the regulations of the State of Minnesota,and certifes that all statements made an tl�is application are complete, true and correct. Applicant's Signature: V vGw"�- �/(, Date: l � Y'� 3 t" G� �i� DATE "TIME c%— CITY OF ORONO �)D�� CALLED IN INSPECTION NO E SCHEDULED ��� PERMIT NO. COMPLETED ADDRESS �� �'����� � o C�����'/ OWNER`�I�1 �cl a-q fr K �[�'�TELEPHONE NO. ��� ��7 7�� CONTRACTOR � �Y��l—��f/�j` ` �J � DESCRIPTION � / Y�Q l �y ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT r FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ITE ❑ S,EPTIC INSTALL ? �NTMCTOR TO MEET YiOU: YES._NO y COMMENTS: � � o � � - c \ !�- �t-CcL`— O Q �{� Cv ���G�C � � 2 � ` � � � ,Q'v✓ rrr•� �/1��,.� , � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED O I CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE Cd1/ERIN(3 PERMANENT O CARRECT UNSAFE CONDITION WRHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL RETl1RN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advanoe. (g52) 249-4600 OwnedContractor on site: Inspector: c -___.l � � � - White CopyAnspector's File Can�ry CopylSlt�Notice