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Home My WebLink About2014-01355 - mechanical � * CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 3 5 5 * DATE ISSUED: 1 U20/2014 ORONO,MN 55356- 952) 249-4600 FAX: (952)249-4616 ADDRESS : 2509 KELLY AVE PIN : 20-117-23-12-0037 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,500.00 NOTE: (1)BRYANT FURNACE AND A/C APPLICANT MECHANICAL 118.75 STATE SURCHARGE MECH(VALUATION) 4.75 KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 12907 PIONEER TR EDEN PRAIRIE,MN 55347- TOTAL 125.50 Payment(s) CREDIT CARD 7744 125.50 OWNER NADLER,CHARLES&CANDICE 2509 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvafs,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 sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.T'his 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. 1 .20 / �L�i �� l e2C�l �� App icant ermitee S' ature ate Issue y Signature Date From:KLEVE HEATING AND AC INC 952 941 7240 11/20l2014 11 :05 #373 P.002/004 , FQ CiT USE Oi�1L�y��c�/— �O A' City of Orono f /��yyr +yO P.O.$ox 66 Date Received. � pecmi► ✓J 2750 Kelley Parkway Crystai Bay,MN 55323 Approved By: Amount S: 0 Phone(952)249-46a0 Fax(952)249-4616 yF��k sHo�``G� CITY OF ORONO—MECHANICAL PEItMIT (Ati Commerciel pmmits must be approved by the Huilding Otrrial or Inspeccor and/or Fin Marahsll) GENERAL INFORMATION +.�t�{ ►Q�a3 0 3 (� 1. You may apply for mechanical permits by mail or in person at the Ciry o�ces. Applications will be reviewed and a permit will be issued within two working days. 2. Pem�it cards will be sent by reriun mail after a tcview is compltied PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MU�'NOT BEGIN LINT�..THE P�R_1�Q'f CARD IS POSTED ON T�JOB�iTE. 3. Mechanical Desiens—Complete calculatians,details and specifications are required For each heating,ventilation,humidification-dehumidification,and sir conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,snanufacturer aad model. Data shall be presented on form provided 4. When any new constcuction or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Huilding Code requirements. 6. All work must be inspected(rough-in and final). Cail(952)249-4600. (24-48 6onr notice required) 7. House Heating Test Record mast be submitted bcfore final. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercisl(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �� E 4L� P►'�/E�1 l�E Owner:LH�t�Fs ? ��NeicE �A�I.EQ MailingAddress: Zsb°� �(,��„�,� �1EIl1V� c��: �o t�0 z�p: SS 3 q I Home Phone: Altemate Phone: �o�L'�5� 32-33 Contractor Information: � �Contractor: KIFI/E`,.7C�iUrL �ontact Person: � Address: IZ9D1 Qro�EEt TRa�L StateBond#: �l �(QS��o� City: ��1.1 �Q/Y12l6 Zip:��{� Expiration Date: �-3-I(o Phone: q5 a - q�{�- 42�r Alternate Phone: � Lnsurance—Curtent: ��3TEQ,N fv�'f�0 N�'L 1 From:KLEVE HEATING AND AC INC 952 941 7240 11l20l2014 11 :06 #373 P.003/004 MECHAIJICAL SYSTEMS BEING iNSTALLED Note:All Geothermal Systems will now require a Si e Plan&Review by our Building Of�icial. IS THIS GEOTHERMAL? ❑Yes �No I�EATIlVG SYSTEMS Quantity: � Make: IJ 11'NT Model: v��p i,� _ Fuel: � �� Flue Size: Ittput BTUs: � ou�Uts�rus: �� Db CFM: COOLIlVG SYS'CEMS Quantity: I Make: D�. !rN\ Model: � g 11� � Tons: Z yL t0� H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTD.ATION ❑ No. Kiteben Exhaust duct recirculating efin ❑ No. Bath Exhaust(must havt duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal!ijproposing to a6andon tank in plare.) ❑ Installation ❑ Removal Futl Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other. GAS LINE ONL,Y ❑ Outdoor Crrill ❑ Other/List What&Where: 2 From:KLEVE HEATING AND AC INC 952 941 7240 11l20/2014 11 :06 #373 P.0041004 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATCTE ❑ Yes,this scction appties Thc rcplacement of a Residential fixtwe or aunliance t6at meets all thrce of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a t tal s of$500.00 or less;�xcIuding the cost of the fixtwe or appliance:and 3. Is improved,installcd or replaccd by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pemvt $ 15.00 State Surcharge S 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S PERMIx fiEE CALCULATIUN S —JOBS O 5 .00 ]f above does not apply;follow guidelines below: 1. CONT1tACT PRICE 'is 1.25%of contract price with a(Mtaimum Fee of SS0.00) °�so� X.oizs$ llb• 1� (��n�t�u� ��om ssa.00) 2. STATE SURCIiARGE ��t� u,.�� V x.0005 S �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-Tn Applications) S 2.00 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) S I�S '� ■ " CONTRACT PRTCE or JOB CO3T means the actual or estimated dollar amount chazged for the permitted woric inctuding 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 fumished by the owner,tenant or aay other party,the reasonable market value of such items must be added to the estisnated cost or contract price for permit fee pw�posts. In the event that thete is a dispute on the amount of the job cost,the City,may request the subtnission of a signed copy of the actual contract. MECHANICAL PERMIT APPY:,ICATIQN AG � � The undersigned bereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sirict accordance with the ordinances of the City and the regtilations of the State of Minnesota, and certifies that all statements made on this applicadon are complete, trve and correct. Applicant's Signa . Date: �� 3 � _�o � / DATE TIME .� CITY OF ORONO CALLED IN �`- �Z/�i I�� -� INSPECTION NOTICE � CHEDULEB—J 7��,L� cG •� �ERMIT NO �OM�LETED ADDRE � �� OWNER � -C/" E PHONE NO.�-s'�-v�l�-Oc�7S CONTRACTOR � DESCRIPTION �/� ,�-[ l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL O-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL OWNE ONTRACTOR TO MEEi YOU:�YES_NO y MENTS: � � W a � J O >. � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ 1 UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva ce. � 2� 49-46�0 OwnerfContractor on site: � Inspector. White CopyAnspector's File Canary CopyfSite Notice