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HomeMy WebLinkAbout2016-00654 - mechanical ` ' CITY OF ORONO * z 0 1 6 - PJ PJ 6 5 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 81 HACKBERRY HILL PIN : 33-118-23-44-0014 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 008 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 10,243.00 NOTE: (1)BRYANT FURNACE AND A/C APPLICANT MECHANICAL 128.04 STATE SURCHARGE MECH(VALUATION) 5.12 PRONTO HEATING&AC MAIL-IN FEE 2.00 7415 CAHILL RD EDINA,MN 55439- TOTAL 135.16 (952)835-7777 Payment(s) CREDIT CAEZD 2586 135.16 OWNER STANKEV[TZ,GEOFFREY&JENNIFER 81 HACKBERRY HILL LONG LAKE,MN 55356- AGREEMENT A1vD 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 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 I 80 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. �'� . /,`"Y�Z-��-t�-c� � lJ ' �' i � i '��". Applicant Permitee Signature ' Datc Issue B ignature Date From:Pronto Heatfng and Air 952+767+97Y0 06/06/20Y6 73:06 #Y77 P.002/004 1 I' R C Y USE ONLY � �_� City of Orono �,/� ` ��N p.q.}3����,6 Dale Recei�ed: � �� Pennit# ��f�— �� �f � � _7�0 Kelley Parkway ( ��, Clysial 13ay,ti1N�S3?3 Approved By: .A�nount$: � Nhonc(952)249-4600 1'ax(9��)349-46i6 ,F `/i ��qKtst{����/ CITY O�ORONO— MECHANICAL PERMIT �___� (All Commercial pennirs must be opproved by the l3uilding O(ticial or Inspector and,�or Fire Marshall) GENERAL INFORMATIaN 1. 1'ou may apply for mechanical pennits by mail or in person at the Ciry offices. Applications will be reviewed and a perrnit wi[! be issued within tti�o working days. 2. Permit cards will be sent by return mail after a review is completed. PEKMITS ARE NOT VALiU L'NTII_YOU RECEIVE A PERMIT. «'ORI{A1UST NOT BEG1N UNTIL'CHE PERMIT CARD IS POSTED Ol�`THE JOB SITE. 3. Mechanical Desi�ns—Complete c�lculalions,details and specifications are required for each heating,��entiiation,humidification-dehumidification,and air conditioninb installation including heat los,/heat gain calculation,design temperatures,equipment ratinss and identification as to type,manufacti�rer and model. Data shall be presented on fonn provided. 4. When any new construction or remodcling is invoh�ed,a separate building permit inust be obtained. 5. Ali work must be done in accordance with the Uniforni Mechanical Code/State Buildi�tg C'ode requirements. 6. All work must be inspected{rough-in and final). Call(952)249-4600. {24-48 hour notice required} 7. House I�eatin�Test Record must be submitted b�fore final. TYPE OF PERMIT Check All That A 1 �Residential ❑Comrnercial(Approval Required) [Backflow Device:�AVB ❑PVB� ❑l�iew ❑Additional ❑Repairs '�]Replace Job Site/Owner Information: Site Address: �� (,�(, ", _1,'�l� �,�� �1��1 W� � U�-�(}-�+ Q Owner: �-�in�2 V 1� Mailing Address: U, �(,� ,(L( �'�V�/} �l l� J City: ����L Zip: ��� Home Phone: "1�2�����2� �� Altemate Phone: Contractor Information: � �1�U1�11v �tLl�flV��J'+� Contractor: �'lL� �i171�1titd�l�'1G1 Contact Person: ,�j'�j,��� J Address: ���� L(,:.�ll�� � � StateBand#: ���t7u�"�� City: � ll'�(J\. Zip:��� Expiration Date: 1.��2"t'�� Phone: �,�Z'`��7�-�1 l 1. Alternate Phone: ❑ Insurance- Current: 1 From:Pronto Heating and Air 952+767+9�10 06/06/2076 Y3:07 #177 P.003/004 MECHANICAL SYSTEMS BEING II�ISTALLED Note: All Georhenna]Systems �vill i�ow requirc a Si[e Plan& Revie�v by our E3uilding Ofticial. 1S THIS GE01'HERAIAL? ❑Yes [�.No HEATING SYS'TEMS Quantity�: � Make: 1�EY V 1(�1��___ —� — ---------------- ------ -- Model: C�1_-L����C —___-_ _,_.. _ Fuel: _�_�--- Flue Size: I��put B"TUs: � ��� � L; Output BTUs: ���_��_.____ - ----_.�-------- CFM: COOLING SYSTEMS QuantitY� __�_.__._._.________- ---------- — -- Make: - ���----- --- ------- Model: ��.Y `I'1N� __.___.__-_--- ---.__.. _._._._.__.._.._.__..___�._. Tons: H.Po�ver FIREPLACES ❑ Gas Factory Pireplace Brand Naine: ❑ Wood Burning Fireplace ❑ Wood Stove Vlodel No.: — --------._._.—.� ❑ Wood Stove���ith Flue/Masonry VEN7�ILATION � ❑ No. ___ ____ Kitchen Exhaust duct recirculatin� cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ :�o. Other Facts: Locations _______cfin FUEL STOT2AGE (Must be approveci by Fire Alarsl:al!if proposinb to aburido►t tank in place.) ❑ Installation ❑ Removal � Fuel Oil: _______�gallons ❑ Underground ❑Inside ❑Outside LP Gas: __ gallons Other. GAS LTNE ONL,Y ❑ Outdoor Grill ❑ Otller/List What R Where: _____ _ __ __.__._�____� � From:Pronto Fieating and Air 952+767+9Y�0 06/06/20Y6 13:07 #�l7 P.004/004 PERMIT FEE CALCULATIONS 1. CON7�F2ACT PRICE *is 1.25°%of contract price with a(Minimum Fee of$50.00) ����-I� X .o�2s�_(2� �_._----- (coniract price) (minimum$50.00) 3. S'TATE SURCHARGE � �u LU �__,_x .0005 �.-.--._� • ��� (ca�tract pr;ce> 3, POSTAGE&IIANDI_ING(Only on Mail-In Applications} $ ��- 4. T01'AL PER�IIT FEE(Add Lines I-3 Above) � ��'���� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amo�mt charged for the permitted work includiitg materials, labor,profit,and other fihed costs. It is the amount to be charged to the customer for the work done. lf any material,equipment,labor or installations are fumished by the owner, tenant ar any other party, the reasonable �narket value of such items must be added to the estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of d�e job cost, tlie City may request the submission of a signed copy of the actual contract. MECHANlCAI,PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permii, agrees to do all work in strict accordance ��ith the ordinances of the City and the regulations of the State of Minnesota,aiid certifies that all statements made on tfiis application are complete,true and correct. � Applicant's Signature: �'(.��� ��(�L����_ Date: �`��"��� 3 � � � . � � C� ` DATE TIME CITY OF ORONO CALLED IN _�1��L� _�_7"`— INSPECTION NOTICE CHEDULED PERMIT NO.����(� `��D;r7�cOMPLETED ADDRESS C� L � �%� �� OWNER TELEPHO NO. 7� CONTRACTOR � DESCRIPTION ��Q����//�� l 4r ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL� ���ra,�,z Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADI G/FILLING� Q ❑ FOUNDATION WATERPROOF ❑ PLU BING FINAL ❑ TREE REMOVAL � Z ❑ RADON SLAB CHANICAL RI ❑ SITE INSPECTION �G 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 v ❑ DEMO-SITE ❑ �PTIC INSTALL 2 OWNERfCONTRACTOR TO MEEf YOU: YES_NO c�., COMMENTS: � W a � J O ). � O � W � Q � 2 W � W � j O W ❑WORK SATISFACTORY:PROCEED ❑ OJ ECT COM PLETE � ❑COflRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 h rs in advance. 9 Z OwnedContractor on site: � Inspector. ' White Copyflnspector's Ffle Canary CopylSite Notice