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HomeMy WebLinkAbout2017-00184 - mechanical CITY OF ORONO * z 0 1 7 - 0 0 1 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 r ADDRESS : 325 FERNDALE RD N PIN : 36-118-23-41-0029 LEGAL DESC : HILL O'WAY MANOR : LOT 024 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS L[NE ONLY VALUATION : $ 350.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITG AT FINAL INSPECTION. REPLACE GAS L[NE ON RANGE& DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.18 TSCHIDA BROS PLUMBING TOTAL 50.18 1036 FRONT AVE ST. PAUL, MN 55103- Payment(s) (651)488-2596 CHECK 9127 50.18 Minnesota State License#:plbg-PC705705,mech-MB005810 OWNER MS RELOCATION SERVICES 2108 43RD ST E MINNEAPOLIS, MN 55407- AGREEMENT AND SWORN STATEMENT fhc work for�vhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. 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 Code.This permit may be revoked at any time for due cause. —� � � � ` � �, � `—;C ;,��;� �' .� l_c �l� �-' `7 � -- � � h- 4 / 7 � Applic t mitee Signature Date [ssued By Signat e Date ' ' FOR CITY USE ONLY /���� City of Orono �j �� - i P.O.Box 66 Date Received: �' ��:����Permit# f��.�f ���� � � (��� 2750 Kclley Parkway � � i�� � Crystal Bay,MN 55323 Approved By: �' �� Amount$: � Phone(952)249-4600 Fax(952)249-4616 ' . � al y � F� � �.�' CITY OF ORONO—MECHANICAL PERMIT �kEs��� (All Commcrcial permits must bc approvcd by thc Building Ofticial or[nspector and/or Firc Marshall) GENERAL INFORMATION 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 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 final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Recard 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: �✓�j���,�, �_ __ Owner:� � � �� Q,�jys_ Mailing Address: ���,�i,�,. {�� City: ��.2t�1�� Zip: Home Phone: ��,,�������� Alternate Phone: Contractor Information: Contractor:���,��,, . �:IG�'�� Contact Person: �� Address:��,j(p���,�t� �. State Bond#: �'J�b�f��i��/�(� �i�'��� City: � � Zip��'1�� Expiration Date: Phone: (�,���y��'���(o Alternate Phone: �'� �` J�/� ���✓ ❑ Insurance—Current: 1 ������� �� � � � - Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. ' IS TffiS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLTs: Output BTUs: CFM: COOLING 5Y5TEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locarions cfin FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground �Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: ��- � � ^�� 2 y '���"�• �.,������ �.:' � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��i�" � x.0125$ (contract price) (minimum S50.00) 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 pernvt 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. ���.�� ��- » ,. . , . .. . . ,��������; �� 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: 7 _ 3 / DATE TIME CITY OF ORONO caLLED IN INSPECTION NOTICE SCHEDULED �r�� PERMIT NO. ������y COMPLETED J �d`'Y`�Z_� ADDRESS 3o�r_,.���•'��/e /�Q- /I/. �NNER TELEPHONE NO. `�a ' �Da-�7�'� CONTRACTOR �+�g ��'05• /��s ��'�- � DESCRIPTION G�s J..�e+ +�'a�' �ry►�.� "� rg..r�'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI N 4L � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �'1btECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERR.'ONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � 4 te uJ �rsS /it�s �� c�ry� .� ,F /'t r�s-� - j - Go�OaQe/ - OO � � � �/'D�//E'J.9 �ftS �iq2 4 •� ��5� -�a"�-- - Q 2�cG� �/�'!d 6� /'1��1� .�� c✓!�I/'� � S�S�.� ` W � � GUr/G e.�,f c.P L/ �v.• rc��c-S.o �c��o�► J W ❑YVORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR P$4RISLECTION REW IRED.CALL TO ARRANGE ACCESS. !/ Ca8 for the next inspection 24 hours in advance. (g52) 249-4600 OMrnerlContractor on sRe: Inspector: �� �+^' � wh�ee coprnn�e�eo�Fi�e Gnary CopylSits Notfce