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
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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. —�
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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 '
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�.�' 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:
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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:
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- 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: ��- � �
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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.
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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: �
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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.
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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