HomeMy WebLinkAbout2014-00993 - mechanical ,_� � ��� CITY OF ORONO * z 0 1 4 - 0 PJ 9 9 3 *
O�.`� 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2014
��� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS � 50 KELLBY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
NOTE: (l2)CARRIER HEATING UNITS
(11)CARRIER COOLING UNITS
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APPLICANT STATE SURCHARGE MECH (VALUATION) 111.35
TOTAL 111.35
MINNESOTA PLUMBING INC. Payment(s)
520 RIVER STREET S CHECK l 11.35
DELANO,MN 55328-
(763)972-9181
Minnesota State License#: mech-MB003326
OWNER
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O.BOX 66
CRYSTAL BAY, MN 55323-
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[he date of issuance,or if construction is ,
suspended for a period of 180 days at any time afrer 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.
/ / �/
Applicant Permitee Signature Date Issue Signature Date
AUTOMATIC FIRE SPRINKLER PERMITS
Please Check One:
❑ New ❑ Addition ❑ Remodel � Replace
Job Site/Owner Information:
Site Address: �7�� �e��y ' °✓ �'"`y
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Owner: �'�y ° OrQ''`v Mailing Address: /� `, � ��
City: ��s��i O4y z�p: s�3a 3
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Home Phone: Alternate Phone: 9��"��Q� ���
Contractor/Applicant Information:
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Contractor/App.: ��•1 k����� �y�-��� � Contact Person: ��� �"""
Address: �°� �'�e �J� State License#: ^ C��
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City: Zip: �S Expiratt�n 1atc:
Phone: �������' 3��� Alternate Phone:
TYPES OF FIRE SPRINKLER PERMITS
� Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkler
Fire Systems Permit Fire Systems Permit
* Base Price=Contract Price: $ x A125 =$ (Minimum$50.00)
*Surcharge=Contract Price: $ x.0005 =$
*Mail-In Fee(Only On Mail In Applications) _$ 2.00
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*Total Cost of Permit: _$
The undersigned herby applies to the City for issuance of a Sprinkler Systems Permit. Applicant agrees
that all systems shall be designed, installed and maintained to N.F.P.A.-l3,N.F.P.A.-25, Minnesota State
Building Code, Minne ta State Fire Code and Standards, and certifies t at all statements made on this
applicatio e com e,true and correct.
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Applicant Date
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CITY OF ORON � CALLED IN �
INSPECTION I CHEDULED r �
PERMIT NO. ~ OMPLETED
ADDRESS
OWNER T PHONE NO. '
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� DESCRIPTION {LlT-��—�
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W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL � �IECHANICAL RI ` ❑ LAKESHORFJWETIANDS
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Q ❑ FRAMING � FJIECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CGMMENTS:_/I /aP� ��•�t��S �r �cN"d��T �
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W RK ATISFACT RY:PRC)(:EtD ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal t inspection 24 hours in advance. (952) 249-4600
Owner ontractor on sit l�r��o
inspector.
White Copyllnspector's File Canary CopyfSfte Notice