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HomeMy WebLinkAbout2016-00505 - mechanical '' CITY OF ORONO * Z 0 1 6 - 0 PJ 5 0 5 * r 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1955 HERITAGE DR PIN : 10-117-23-13-0014 LEGAL DESC : FOXHILL : LOT 001 BLOCK 004 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : UNDEFINED VALUATION : $ 600.00 NOTE: REWORK IN FLOOR TUBING IN MAST�R BATHROOM APPLICAIVT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 030 ZAHLER HEATING&A/C TOTAL 50.30 6985 WASHINGTON AVE S EDINA, MN 55439- Payment(s) (612)282-2959 CREDIT CARD 1478 50.30 Minnesota State License#: mech-MB004790 OWNER WILSON,JENNY&THOMAS 1955 HERITAGE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 specitied 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 l80 days at any time atter 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 a time for due cause. ) �- , `' \ � �� r-�- / � � / �lo Applicant Permitee S g ature Date Issued By Signature Date } . . w FOR CITY USE ONLY 1 ;-���� City of Orono � �� �0�� _ � P.O.Box 66 Date Received: �� 1 ermit# ��� 2750 Kelley Parkway 3� �) Crystal Bay,MN 55323 Approved By: �� Amount$: �� ' � Phone(952)249-4600 Fax(952)249-4616 „ � l � �� � , �kF�H����`� CITY OF ORONO—MECHANICAL PERMIT ______- (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 UN"1'IL THE PERM[T CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calcu(ation,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 final). 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) [Backflow Device: ❑AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: _) -� '( � `- ' �P� '(, �-- �. --._ � Owner: �i��iM '. �'.i°� ��! ���G6n MailingAddress: iC`i`�`� � tf'(�i �Z't��� �� City: �,^�r:i����,'-�; ���C.t_ Zip: � `_� ��'� � Home Phone: Alternate Phone: Contractor Information: Contractor: �;���•�..�t'.� }-`�(u,�,�:, ` ��� Contact Person: � �r�'�' �l�i.�'��-�� Address: �`�`�`j''_� � C�, i��"�� "r��tate Bond#: ��(���-}-��� � �- _�1 � City: C��f1,'�l�% �� Zip:��`" �j�Expiration Date: � � � � � ',�_) Z "� �. �=-`f Phone: � ��7 _i �i � Alternate Phone: ❑ I nsurance—Current: ��:1.L1 �h 5 . ' �4,�1���� �252�1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: M ake: Model: Tons: H. Power FIREPL S ❑ Gas Factory Fireplace Brand Name: � Wood Burning Fireplace �f ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENT AT N Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL� ORA E (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: \ f GAS LINE �ILY Outdoor Grill ❑ Other/List What&Where: �� (il� a r F~ � � ���J�"� l � �' � 2 �`v b �,� � , ,.� /���s-�-�, �j�� ('�o r►-� � � . PERMiT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) y�` G � l�)�t x .0125 $ contract price) (minimum$50.00) 2. STATESURCHARGE 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all st tements made on this application are complete,true and correct. Applicant's Signature: �� Date: � 1 � —/ � 3 J DATE TIME � CITY OF ORONO CALLED IN � INSPECTIO NO ICE ; SCHEDULED •�"�"" PERMIT N �COMPLETED ADDRESS � f�C ,�v t� !Q. OWNER TELEP ONE NO.��(.� �`�' �J� CONTRACTOR -�� � DESCRIPTION ��� - ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF I�MHU�I FI� NAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ M HANICAL RI ' ❑ SITE INSPECTION Q ❑ FRAMING fifc�€iNAL ❑ RATED WALLS � ❑ INSULATION OOD BURNER/FIREPLACE ❑ COMP�AINT Q ❑ FINAL ❑ WA ER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL r�'��� � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� � — a � J 0 �. � 0 � W � Q � 2 W � W � J d W ❑�RK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in adv 249-46�� Owner►Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice