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HomeMy WebLinkAbout2016-01120 - mechanical � CITY OF ORONO * Z 0 1 6 - PJ 1 1 2 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/15/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1135 HERITAGE LA PIN : 10-117-23-13-0021 LEGAL DESC : FOXHILL : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW FURNACE&A/C(GOODMAN) APPLICANT MECHANICAL 112.50 STATE SURCHARGE MECH(VALUATION) 4.50 RC HEATING&A/C TOTAL 117.00 4880 MCALLISTER AVE. ST. MICHAEL, MN 55376 Payment(s) CHECK 3761 117.00 (763)286-3943 OWNER MARKUSEN, LOCKIE 1135 HERITAGE LA 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 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 180 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 ode.This permit may be revoked me for due cause. ` � � �"` C%�sC � / ?� l�,��) �� l �s�`� r Applicant P mitee ignature Date Issued By Signature Date •� � FOR CITY USE ONLY City of Orono �� 2 el � r �ON P.O.Box 66 Date Received: � t Permit# r0'� � � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a � y � F !q`�FSHO��G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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. Mechanical Desiens—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 final). Cail(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 ly) �Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] �New �`Additional ❑ Repairs ❑ Replace i� Job Site/Owner Information: Site Address: //.,�j /-�t�� 7'�c cs�° ��✓ Owner: Mailing Address: City: �J''o-�r Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: C 17� f �� 0� I`YC�. Contact Person: /�C.t`'�� (/ Address: �,�f�i� �/� �.�f State Bond #: �j3D����j y City: �� �IG Zip: ����J Expiration Date: �Q�C� Phone: �G�3�-�6'(p- 3��� Alternate Phone: ❑ Insurance-Current: 1 i � r �. 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: __�_ �� �>,V' �Tk.0 � ��� Make: ��"^cl..J /�X(�j � 'r �� � l 11� , __--� i/ Model: (,�-f✓�U�l r�F/� � S� 6J� �, , Fuel: � j �v : ��--.���4Lr� Flue Size: � `� � � v./'/�/ �r v2 ���Za.�..-� Input BTUs: '�,S p'�1�, y�Qt� U�- D2 S�t,/ � tiV�/1�'�U oUtPut BTus: �� o-� � l/ o � ��✓�� CFM: '� '%a�v COOLING SYSTEMS Quantity: ` Make: �j -?�1J�(,,•4,,�,/ Model: �ff✓�D/�r�C f� Tons: �, ��Z H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust ❑ No. duct recirculating �� Bath E�aust(must have duct outside) ❑ No. Other Fans: Locations �� cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside LP Gas: gallons ❑Outside Other: ; GAS LINE ONLY ❑ Outdoor Gril] ❑ Other/List What& Where: 2 F � -. 1 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � �U� x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: Date: 9�— /S —/�' 3 ! ; � r �� (jw" � DATE TIME CITY OF ORONO CALLED IN =r-'� INSPECTION NOTICE SCHEDULED PERMtT NO.2c�1(� -�//ZC� COMPLETED ADDRESS I I��� , lE',�"i'J��I�� �!� OWNER TEL�PHONE NO.�lr�3 Z��' '-��'� CONTRACTOR / �-�-���� �'�����f/Z� � DESCRIPTION ���� �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICOPfTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � ���ni�PS , /G�u/�s_ aK o �� ,�s - aC � "` ��S�P� !d�✓�rs .�.-�s �s �i� ° �h s��(�� h -� s ��^s W , � ' sqs /.a�� - �.���� -t�,�� " Q 2 4. � '��S� ���Prrc �� � O�S G� � 'V 4C-� L� . r (�G�Z' /CS 4 L�5 � �e � �-,-►��.�,�� � �;�� — Z�K r co,���.�4 d � W ❑V110RKSA7ISFACTORY:PROCEED CIPROJECTCOMPLEfE � �CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspectfon 24 hours in advance. (952) 249-4600 OvmerlContractor on site: Inspector: WhiM CopyAnspecto�'s File C�nary CopylSlts Noties L%%G�' `� ` �/ TE TIME J CITY O ORONO cnLLED IN - l � INSPECTION OTIC SCHEDULED — I�`�7 . PERMIT N O //� COMP ETED T_ ADDRESS ��� � �-� OWNER T E ONE NO.��'Z��-3�� CONTRACTOR ' �`' DESCRIPTION � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WAITER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL �/�� � 2 OWNENCOKTRACTOR TO MEEf 1I�U:_YES_1� QRd�'�w � COMMENTS: a ✓1 r��-�f N�� �a'� {�l C� � -��r viGl p .L ��4 c✓ �a�i '�ts?Cc� .c � o � � Q' �� �i� � c�� St��a S4S �rcG _ �. � o , Fu�h•� 1��� - O�C ' W Q � Z` - r i �f �e ' � �. � �,£� a� �.�dr IL �n�.e/eZ�G � 4�/�✓s� � J � YMORKSATISFACTORY:PROCEED PROJECT COMPLEfE C�ECT WORK 3 PROCEED ❑I CERTIFICATE OF OCCUPANCY O ❑(:ORRECTYYORK�►LL FOR REINSPECTION TEMPORARY V BEFORECOWERING PEqMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cafl for N�e next inspection 24 hours in advance. (952) 249-4600 OwnerlContracMr on site: i���:�� � VYhite CoPYMnspector's Fila Cana►Y�PYISits Notiee