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HomeMy WebLinkAbout2014-00248 - mechanical 1►. �`. � � CITY OF ORONO * 2 0 1 4 - 0 0 2 4 8 * � 2750 KELLEY PARKWAY pATE �SSUED: 03/31/2014 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 3,200.00 NOTI��:: SUPPLYS AND RI;TURNS FOR BASTMGN"l�. APVLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 1.60 EATING&COOLING TWO INC. :50 COUNTY ROAD 81 TOTAL S1.60 MAPLE GROVE, MN 55369- Payment(s) (763)428-3677 CHECK 1 1785 51.60 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work Yor which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc 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 specitied herein.This permi[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 180 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. � <�� L � � �� /� Applican rtee Signature Date Issu By Signature Date � � � , FOR CITY USE ONLY �O^ TO 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 Fax(952)249-4616 �. �. ti � `� ti�'� CITY OF ORONO—MECHANICAL PERMIT lqKfSHOt� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL 1NFORMATION 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. Mechanica]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 fina]). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) '�] Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: _.-_�-� ,� �. Site Address: _ ��a"� � / "� �- � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: HEATING & COOLING TWO INC. Contact Person: 1855 ounty . 81 Maple Grove, MN 55369-9231 State Bond #: Address: ������g ����-� www.heatcool2.com City: Zip: Expiration Date: Phone: Altemate Phone: ❑ Insurance—Current: 1 , , i �'�F . °� ;;�{ ,� �::' �� �..:1VIEGHANICAL;'SYSTElVIS B�ING INSTALI,ED' ' �_� ; ;,;'. �` i HEATING SYSTEMS �u S � �(,( �P` � � ����''�y , �� � Quantity: Make: �� '/ ���-� j/�r`. `�i� � ' Model: Fuel: Flue Size: Input BTUs Output BTUs: � CFM: � COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Bunung Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 r j_� ! PERMIT FEE CALCULATION(S) �� = ` BASED OFF - 2002 STATE'STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrica]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 homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee (If Applicable) $ 2.00 Total Permit Fee $ - PERMIT FEE CALCULATION(S)-JOBS OVER$500:00 : , If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) ����-� �. � �` 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 work 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. ' •� �`' 1v1ECHANICAL PEItIv1IT;APPLICATION AGR�EIvIENT ` ' 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 state�nts made on th' pplication are complete, true and correct. � Applicant's Signature: ! Date: ��=�l` 3 � � � DATE TIME " CITY OF ORONO CALLED IN 3 – INSPECTION OTI E SCHEDULED — � —� PERMIT NO.�� a conn ErE� � ADDRESS �3 sv � OWNER LEPHONE NO.��� '�Z�-�J�07� CONTRACTOR � �� � DESCRIPTION '" `�-� V�– � v � `� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING Q ❑ POURED WALL �[MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑�ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a .54 ��Q,3 r� L�fs�Ks �� rt�rQ ✓'oor,a � � � �a�e /'o �, _ �c� rC �s �c�m, � 0 � W � Q � 2 W � W � J � /�B�BLiSATISFACTORY:PROCEED ❑PROJECT COMPLEfE W��O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlConVactor oRsite: , �e– Inspector. � Whi Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN _� INSPECTION NOTICE SCHEDULED PERMIT NO.�o�4 '�.�S�� COMPLEfED /�6-,CS� ADDRESS 3�-�v �`�x S�� OWNER TELEPHONE NO. CONTRACTOR �'t" �-L�o/�,,.s TGJd �: DESCRIPTION L. L� �;n�s�. � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING �ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ,�/7� � ��f���" �Y��Li�i� .(J a ic..��` � .�t_ � iY - aea �� b � 7 ` � - ��/ 0 � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �R ,I.E�T COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CdVERING PERMANENT �CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR Wlll REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �-' Whit opyllnspector's File Canary CopylSite Notice