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HomeMy WebLinkAbout2017-00224 - cooling system; � CITY OF ORONO * 2 0 1 7 - 0 0 z 2 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 146 CHEVY CHASE DR pIN : 36-118-23-41-0045 LEGAL DESC : HILL O'WAY MANOR : LOT O11 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 10,000.00 NOTE: (1)MITSUBISHI A/C-3 TON APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH(VALUATION) 5.00 PRONTO HEATING&AC MAIL-IN FEE 2.00 7415 CAHILL RD EDINA,MN 55439- TOTAL 132.00 (952)835-7777 Payment(s) Minnesota State License#:mech-MB004828 CHECK 13109 132.00 OWNER ANDERSON,RETA&STEPHEN 146 CHEVY CHASE DR 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 dces 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 Code.This permit may be revoked at any time for due cause. �.u,�e � � � l-7 Applicant Permitee Signature Date Issued By gnature Date �, RECEIVED MA� G � Z U�� � USE ONLY O City of Orono � P.O.Box 66 �ate�g��„>-,. �,. �e�tt.,, ; � �0 2750 Kelley Parkway(��N OF ORON� l Crystai Bay,MN 55323 Approv�d$y t�pottnt$ ! �, Phone(952)249-4600 Fax(952)249-4616 ""�`' �` '`''•��`� `��'' =r;.�>: yF q �.`',� CITY OF ORONO—MECHANICAL PERMIT xkSH�4 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) :GENERAL INFORMATION 1. You may apply for mechanical pernvts by mail or in person at the City offices. Applications will be reviewed and a pernrit will be issued witl�in 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 Des,�►s—Complete calculations,details and specifications are required for each heating,ventilation,hwnidificarion-dehumidification,and air conditioning installation including heat loss/heat gain calcularion,design temperatures,equipment ratings and idenrificarion as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new consiruction 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. TXPE OF PERMIT - Clieck All Tliaf'A�'� l� �° esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑New ❑Additional ❑Repairs �i teplace Job Site/Owner Information: Site Address: Owner• Mailing Address: �a�GIDx-I d�+ � c��: L`�'Y'D�1 D z�p: ��?�G Home Phone: �,Q ]Z'�,�(�'� U(p� Alternate Phone: Contractor Information: Contractor: � � /l�►'�• Contact Person: � � Address: � State Bond#: �-1 City: �°�G( Zip:�� Expiration Date: ��� Phone: "!JZ'0���- 7�7� Alternate Phone: q;7Z 8 -7��� ❑ Insurance—Current: 1 , , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �To HEATING SYSTEMS � Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: I Make: � Model: 1 v� 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�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � �,�,, ; ��r. � . _�,. ; .w;� ; �. ��,:.z : 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��� U�� xA125$ �ZJ (contract price) (minimum 550.00) 2. STATESURCAARGE �O�OpO x.0005 $ I� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �: (/�� O� ■ * 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 chazged 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. ,,, �a. � • �,-,� � - s,.'-- The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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. ' ` 1ApplicanYs Signature: � Date: " 3 �/� �� DATE TIME �/ CITY OF ORONO CALLED IN / INSPECTION NOTICE / L z�� SCHEDULED � � � r� PERMIT NO. Z'C�'I� C�'�'' COMPLETED , D� ADDRESS � y ' � �-' ' ''� `� OWNER TELEPHONE .�� 2 � �S � ��I CONTRACTOR ��I���"��� �-�-t-�-� � ' • � 4�1 C � '`', (`r �.� W� DESCRIPTION � R -���-�--�—� ❑ FOOTING ❑ DEMO-FINAL ❑� PTIC FINAL �— �/"� I Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S PTIC INSTALL ? OWNERICONTRACTOR TO MEET Y�U:�YES_NO y COMMENTS: -�- � - ������, «� �,�, ��i�-��.�1 �-y 5 f�f� 0 o r� �- :�o - �� �. � � , , � `L= ��' C' ;r� C c�.� /�G :n,� C ca rv1.��Q�'_P.�-? W Q �rtic� �nn�S �',�' ���'�ar'�'��if-:J- �t� /��� 2 `�'iJ �l� -- W � W � �/!7/2� !'Y�r .7 � �1S WORKSATISFACTOR'1"PRC�d �RWECTCOMPLEfE W�Cu CORRECT NfORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: �t1S�8Ct0�: /��?wA.r� �. yyryiM CopyAnspector's Flle Canary CopylSite Notice