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HomeMy WebLinkAbout2014-01016 - mechanical CITY OF ORONO * z 0 1 4 - 0 1 0 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2014 � 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 : $ 1,100.00 NOTE: GAS LINE TO KITCHEN RANGE&KITCHEN EXHAUST APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.55 BINDER HEATING&A/C, INC. MAIL-IN FEE 2.00 222 HARDMAN AVE.N. MN 55075- TOTAL 52.55 (651)457-8781 Payment(s) CHECK 43842 52.55 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 pians 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 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. ��7 / /i ` l�'l�E ( �L�- ��`� ��.1�� L��'L,1 C. i f7 /�� ��' � �(/ � Applicant Permitee Signature Date Issued By Signature Date � ,�" (( ,� �� 1������ �- � �, �;���-� l.' �� - � � �O � , n�) � S � � FOR CITY'USE ONLY City of Orono ' �.O�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 � � � y .� `�l,�Kf a,��,�� CITY OF ORONO—MECHANICAL PERMIT S� (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire 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. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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. R�CEtv�� 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 SEp 0 8 2014 requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. CITY OF ORONO �24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A l ) , �Residential ❑Commercial(Approval Required) ❑ New Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: c��� 1 �/ C / I�/ !— � — � �^�/ � / Owner�i���C.-� ��.� ,��Li(..1����iailing Address: , / /�-` ��� � �J City: �' Zip: � �� Home Phone: Alternate Phone: Contractor Information: � ��7y��' ����� Ti� Contractor: � �act Person: _ � i�- , (� �, Address: �� ���ta e ond#: City: � � � Zip���''��ration Date: Phone: �� �- � — � ! Alternate Phone: ❑ Insurance—Current: 1 w t� � City of Urono 2750 Kelley Parkway Orono MN 5535fi 952-249-46u0 Receipt No: 3.011744 Sep 10, 2014 Binder Heating & Air Previous Balance: .00 Permits 2014-01016 -� 2509 Kelly 50.U0 ;,,.. ' -i .:Z530 M� i,anical/Septic/Other � ��r n�its ��� '�a �01016 - 25J9 Kelly .55 G�c� �::i t��8�2 ;��,� to gcvts-State � . ���its .����i�-01016 - 2509 Kelly 2.00 �� "'.-34440 i i�;q Permits-mail in fees ' .tj1: 52.55 � ���:ck Check Na: 43842 52.50 Payor: Binder Haating & Air Cash .05 Payor: Binder Heating & Air ------------�-- � Total Paid: 52.55 Total Applied: 52.55 Change Tendered: .00 09/10!2014 09:45AM . ���,` , c � � ��������� . . a�;rF���'�.;��`„,,,,�� I�E, � . ��..::� ... ...� �. �........ ���. _ .�`_�� :�.. _.. ..._, '.� Note:All Geothermal Systems will now re u' e a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS 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 Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm ❑ 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: �il/! 2 i ,, , .: .;_.. �Ry,��ek ." ,,. ... � � E�, ti�,.� � 3 �A,✓' �EE' .�.� ae �. �"�� �(���'"��� '� i.. '1 � "'` N� 4��, EN�a Y,,�(�E`�1� _�cui - - � .. ¢ _. ; ,,, _:.�,: ... .. ,.,' ., ._ � ';' a .,.� , , _ '-,,,,,,.`..,. , ,�._.,;: �, ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 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 appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. 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 $ , c �_. , . �. ,, -; � � ' � �� �i: E € € �Y;.s.. ?F,. u F...�i�, �, ,...., _ ,.. ,�r £ �..,,, ,;..'., ,.. '" ... .�� .,.t., , .�, If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ v (contract price) (minimum 550.00) 2. STATESURCHARGE �l � G V 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 aze 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 �€ � � � � ,F�. �,.,.;:.,;' .,..; n,„<,,,, � .. ,....x .�„, „, :,.....�..1 ., ....� „� ,.=k,,,,,,, „ E ....,,� 'i. „ ,_,,, ,...:__ .. . . � �'.;. 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 11 statements made on this application are complete, true and correct. £' °� � 1 Applicant's Signature �ate: � 3 :��Q , � ,,:,_. ; QD TE /�IME! "CITY OF ORONO CALLED IN 7 INSPECTION OTICE SCHEDULED %� PERMIT NO. / �d/OI COMPLETED ADDRESS�� /��%�1� OWNER T LEPHONE NOM�+���r � I CONTRACTOR � DESCRIPTION O U � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL �MECHANICAL RI p IAKESHORE/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 = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:�YES_NO y COMMENT5: W iC.f� /[4�J� � � � e.t�+te�. a ��i� �IL✓'r4���� �Qq or� � ��` �C!'�G�.�. p�1s+^� lpZ � C'/d4�'�.c<< ��'.� I�of�� O /� L e _ . p�r 2'-�7�. � .�7tt/��fI �i �L� !/t�Ciee.n L��ft4�'��'s.�l � ��'O�/¢9 t� �� ��a6/ �I a'S'C /�E�Q4 a.� ' Q � f ��/Et s � �O✓ � K C � 2 i: �,e � l�i�e �� sG �tG'� - •! � L t�� •Ko W � � W�J(UORKSATISFACTOR�PROCEED ❑PROJECT COMPLETE W ❑�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail xt inspection 24 hours in advance. (952) 249-46�� Ow ctor on site: ���� Inspector. Wh e Copyllnspector's File Canary CopylSke Notice ��/D � DATE �TIME CITY OF ORONO CALLED IN / INSPECTION N � _D��/� SCHEDULED � - -/ o?. � � PERMIT N COMPLETED ADDRESS OWNER ' PHONE NO - ✓�7� �� CONTRACTOR �' DESCRIPTION �J�� �I'�C.� C�� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG QO POURED WALL ❑ MECHANICAL RI � ❑ LAKESHORE/WETLANDS y ❑ FRAMING �ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ f-0UNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � � �- C�K -���c �.�� �.«��— a K o - ,c� / ' - a � � � � ° �e�� -' �,� W aC Q � W � W � � J W O If1�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PMOTOTAKEN �NSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ` WhiM CopyAnspector's File Canary CopyfSite Notice