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HomeMy WebLinkAbout2014-01057 - mechanical t �� CITY OF ORONO * Z 0 1 4 - 0 1 0 5 7 * 2750 KELLEY PARKWAY DAT ISSUED: 09/18/2014 ORONO,MN 55356- ' 952 249-4600 FAX: (952 249-4616 ADDRESS : 568 KEENE AVE I PIN : 02-117-23-31-0042 ' LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 016 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYP : RESIDENTIAL CONSTRUCTIO TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,150.00 NOTE: FUJITSU A,�C LJNIT-3/4 TON APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUA ION) 1.08 SKYLINE HEAT G LLC TOTAL 51.08 480 S SKYLINE RIVE Payment(s) ROBERTS,MN 5 023- CHECK 1483 51.08 Minnesota State LiCense#:mech-MB645084 OWNER DAVIDSON,DO ALD&JOANNE 568 KEENE AVE. WAYZATA,MN 5391- AGREEM NT AND SWORN STATEMENT The work for which th s permit is issued shall be perfortned according to the approved plans an specifications,applicable City approvals,and the State Building Code. his permit is for only the work described and does not grant permission f r additional or related work which requires separate permits. All provision of laws and ordinances governing this type of work shall be compied with hether or not specified herein.This permit will expire and become nul and void if construction authorized is not commenced within 18 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 respo sible for assuring all required inspections are requested in conform ce with the State Building Code.This permit may be revoked at any time fo due cause. 9��� / / pp ermitee ignature Date Is ed By Signature Date , � � � � 'F R C Y USE U LY I �O A} City of Orono ` �� �yO P.O.Box 66 Date Recea Permi # 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amo t$: Phone(952)249-4600 Fax(952)249-4616 a a, � ` �q �.�' CITY OF ORONO-MECHANICAL PERM T kFSHOI� (All Commercial permits must be approved by the Building Official or Inspector end! r Fire Marshall) G NERAL INFORl'�IATIC)l�i I 1. You may apply for mechanical permits by mail or in person at the City offices. App�ications will be reviewed and a permit will be issued within two working days. II 2. Permit cards will be sent by return mail after a review is completed. PERMITS AR�NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT THE PERMIT CARD IS POSTED ON THE JOB SITE. I 3. Mechanical Desiens—Complete calculations,details and specifications are required or each heating,ventilation,humidification-dehumidification,and air conditioning installati including heat loss/heat gain calculation, design temperatures,equipment ratings and identific ion as to type,manufacturer and model. Data shall be presented on form provided. I4. When any new construction or remodeling is involved,a separate building permit m�st be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Builc�ing 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. ' - TYPjE OF PERA�SIT" ' (Ck�eck All'That A � �Residential ❑ Commercial(Approvat Required) ❑I New [�Additional ❑Repairs ❑ Repla¢e Job Site/Owner�nfc�rmation: Sit�Address: s� �l /`���-n� t.S� Ow�er:�ou.,"�-� Q�:c�.sb� Mailing Address: S�� ��t�� Cit � lJ�- z.� Zip: S S 3`�� � ' Hor�ie Phone: Alternate Phone: Co tractor Infortnation: Co tractor: c� {« � ���- Contact Person: �� --�� Ad ess: �80 S S ;•�- 'Pf Staxe Bond#: �1� -ScbB Cit : ��-'� �� Zip:Sy�-3 Expiration Date: /�- $-/ � Pho�e: 7/ S- `I�o" ti 1 c7�Ft Alternate Phone: --' I ❑ Insurance-Current: �� 1 � r 1 � • , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THYS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: fi' Make: " Model: ,L�+a�-°'� —� Fuel: « Flue Size: Input BTUs: Output BTUs: " CFM: COOLING SYSTEMS Quantity: � Make: ..: :'�S�l Model: �ti D �i Tons: -3 � 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 cfrn ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi�e 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 . . � Yes,this section applies i Th�replacement of a Residential fixture or appliance that meets all three of the following reqµirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliancek and 3. Is improved, installed or replaced by the homeowner or licensed contractor. I Skip next section, if this applies; Cost of Permit $ � 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $� 2.00 Total Permit Fee $ �— I . If a ove does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5�.00) � �v�/Sc�'— x.0125$ �, (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.b0 �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I ■ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the �ermitted work including materials, labor,profit, and other fixed costs. It is the amount t be charged tp the customer for the work done. If any material, equipment, labor or installations are ished by e owner, tenant or any other party, the reasonable market value of such items must be dded to the stimated cost or contract price for permit fee purposes. In the event that there is a di pute on the ount of the job cost, the City may request the submission of a signed copy of the act�al contract. I The �ndersigned hereby applies to the City for issuance of a Mechanical Permit, agre�s to do all work m strict accordance with the ordinances of the City and the regulations of tl�e State of Minn sota, and certifies that all statements made on this application are complete� true and corre t. I Appli ant's Signature: Date: —/�J 3 � � �� ✓ CITY OF ORONO CALLED IN r���� INSPECTION NOTICE CHEDULED GI� � PERMIT NO. d COMPLETED ADDRESS � � OWNER TEL �/P�� NE NO. s���Z�" / CONTRACTO � i��TG / / O � DESCRIPTION ����K�C �/� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL � OWNERICONTRACTUR TO MEET YOU:_YES_NO v�, COMMENTS: o� W a � J O �. � O � W � Q � 2 W � W � 1 J GW ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O IS E CERTIFICATE OF OCCUPANCY W � ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY V BE�ORECOVERING PEfiMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN � INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STQP ORDER POSTED.CALL INSPECTOR O IN�PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hou in advance. ( , ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle ✓ Canary CopyfSite Notice