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HomeMy WebLinkAbout2016-01253 (mechanical-gas furnace & A/C) + CITY OF ORONO * Z 0 1 6 - PJ 1 2 5 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2440 CARMAN ST P[N : 20-117-23-12-0058 LEGAL DESC : LEHMAN LAGOON : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : MECHANICAL- MULTIPLE VALUATION : $ 6,113.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECT[ON. AMANA NATURAL GAS FURNACE AND A/C UNIT APPLICANT MECHANICAL 76.41 STATE SURCHARGE MECH(VALUATION) 3.06 BONFE'S PLUMBING, HEATING&AIR MAIL-IN FEE 2.00 505 RANDOLPH AVE ST PAUL, MN 55109- TOTAL 81.47 (651)287-2237 Payment(s) Minnesota State License#: PLUM-058395 CHECK 42698 81.47 PM,mech-L09836613 OWNER REEP, GREGORY&SALLY 2440 CARMAN ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work ror which Ihis permi[is issued shall be performed according to the approved pians and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related H�ork which requires separate permits. Ali 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 auUiorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after 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. � 10 ,� �/� Applicant Permitee Signature Date Iss By Signature Date / O City of Orouo / ECEIVED �. F Y SE OIYLY � � �O P.O.f3ox 6G Date Received: Permit# ���% T ��� �C j 2750 Kelley Parkway I U Crystal[3ay,MN 55323 Approved By: Amount$: �� I PFwne(952)249-4600 Fax(952)249-4616 OF ORONO '.: a � �� / l�kt's F�o��`, `' CITY OF ORONO–MECHANICAL PERMIT �_/ (Ail Commerciai permits must be approved by the Building Official or Inspector andlor Fire Marshall) GENERAL INFQRMATION 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 VALCD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN UNTIl,'t'HE PERM IT CARD IS POSTED ON TIiE JOB SITE. 3. Mechanical Desiens—Compiete calculations,details and specifications are requircd for each heating,ventiiation,humidificatiorrdehumidification,and air conditioning installation including heat loss(heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and mocEel. Data shall be prPsenteci on fe*rr.n�ovid�c. 4. When any new construction or remodeling is involved,a separate building permit must be obYained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Build ing Code requirements. b. All work must be inspected{rougfrin and final}. Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. � TYPE O� PERMTT ^ � � ____ (Check All That Apply) ,e'F�esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑ New ❑Additional ❑ Repairs �Repiace Job Site/Owner Information: S ite Address: _,G �� u �' /''��,�- ��`'� Owner:� L ��: Mailing Address: "��S/G �1^��,� C�,� .---- City: �%`G/7�� Zip: �� c� �/ Home Phone: ��� � - � �--�'` Alternate Phone: ? Contractor lnformation: Coniractor. ,� ',� �� Contact Person: ,,�� �' � �Q��� Address: ��.i.� � State Bond#: �.� � City: � G Zip�..�.��xpiration Date: Phone: �:_�j J---����— Alternate Phone; ���� ❑ Insurance–Current: 1 MECHANICAL SYST�MS BEING]NSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial. IS THIS GEOTHEKMAL? ❑ Yes ❑No HEATiNG SYSTEMS Quantity: _ _ � _ Make: �iodel: � r-�_J/ _. Fuel: ��� .5 - ---...__..__..-- T�.y Flue Size: Input BTUs: _ Output BTUs: CFM: COOI,TNC SI'STEMS Quantity: Make: ���i ;s��/YZ' Model: � ����'J� Tons: �- H.Power _ I+[REPLAC�S ❑ Gas Factory Fireplace BiandName: ❑ Wood Burning Fireplace ❑ Wood Stove ModeiNo.: ❑ Wood Stove with Flue/Masonry VEN'I'ILA'I'IOIV ❑ No. Kitchen Exhaust___ _ . ._duct __ recirculating cfm ❑ No. 8ath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations_ ._.,___.�cftn FUEL STORAGE (Must be approved by Fire Marshall iJproposing ta abandon tank in place.) ❑ Installation ❑ Remova! Fuel OiL• _ gallons ❑ Underground ❑Inside ❑Outside LP lias: galions �ther: GAS LiNE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMTT FE�CALC�.JLATIOiNS : t. CON1'RACT PR10E * is 1_25%of contract price with a(Minimum Fee of$50.00) ..(Pl���j G _ x.0125 $ ` _�'"" �� (contrac;t price) (minimum$50.00) ��� 2. STATE SURCHARGE `,�y�� x.0005 $ k�.. (cOnh2cl(lYice) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $,. 2A0 4. TO'I'AL PERMiT FEE(Add Lines 1-3 Above} $ • �7 * CONTRACT PRICE or JC�B COST means the actuai or estin;ated collar amoutrt charged for the permitted work including ma#erials, kabor,profit, and other fixed costs. It is the amount to be charjed ta the customer for the work done. lf 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 Qrice 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 1VIECHANICAL I'E1rMIT APPLICATI4N AGIZEEMENT � _.._ _._ -- 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 S#ate oF Minnesota,and certifies that ail statements made on this application are complete,true and conect i Applicant's S ignatur : Date: •-�r� 3 � � �- � L� � ------""' E / TIME CITY OF ORONO � CALLED IN J� I iNSPECTION N TI SCHEDULED l�z"� � PERMIT NO. �U� �G�2� OMPLETED ADDRESS � �l � OWNER TELEPHONE NOg.S ��`�7�� ��-� CONTRACTOR ` '' DESCRIPTION � � /'`� ` ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa �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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ S PTIC INSTALL �OlNNFWC�KTMCTOR TO MEET YWJ:�YES_NO COMMENTS: r r � -�`��n �.-e.. � .ti� - � j — .�c t%�iV!> � ��7v�' c�r�'t,-�,(.'l O f � ^ ti.> � v v n� d.7 !� C ��-- � � �c.�/ �' _�� � .-;�, � c-, �._ W / � - �/`.t,���--�'_ T -� k"��'7- i ,� 7 Q Q - 2 — l- ��v►.: ,v. -sC'.�ti(-!'1 � W � � J W ❑��K SATiSFACTOHY:PFiOCEED �PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 00 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOl1RS- ❑ p►{OTO TAKEN INSPECTOR Wlll RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call ror the next inspection 24 hours in advanoe. (952) 249-46�0 OwnerlContractor site: Inspector: �z: L- , Whits CopyAnapector'a File Gnary CopYlSk�Notke