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HomeMy WebLinkAbout2017-00289 (Mechanical) { CITY OF ORONO * z 0 1 � - 0 0 z 8 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1212 ARBOR ST PIN : 10-117-23-24-0022 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 300.00 NOTE: ALL TESTING REPORTS SHALL BE ON S[TE AT FINAL INSPECTION. VENT LOWER LEVEL BATHROOM RELOCATE COMBUST[ON A[R VENT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 0.15 SERBUS HEATING&COOLING TOTAL 50.15 272 INDUSTRIAL BLVD. Payment(s) WACONIA, MN 55387 (952)443-2819 OWNER 529 Indian Mound St Spydernt 401 LAKE ST E WAYZATA, MN 55391- AGREEMEIVT 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 goveming 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 requeste in conformance with the State Building Code.This permit may be revoke at�ny time for due cause. � L� J�G 1 � j r- ,�� I`� � � ���� �� A� ic nt Permitee � ature Date Issued Signature Date / ' . ' OR C Y USE ONLY ' City of Orono ��� P.O.Box 66 Date ReS��� �� . Permit# --���� � 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: �QI� Phone(952)249-4600 Fax(952)249-4616 � � ti � � � �qk�SHp��CG CITY OF ORONO-MECHANICAL PERMIT (All Coinmercial permits must be approved by the Building 0lficial or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat�ain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB] ❑ New �dditional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �L l Z ff7��n ti- �(', Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: � � � L�� l//` n � ..J "l Contractor: ���s ��� '_��g Contact Person: /�'�t �$ Address: �`1 L ���.��`� �j�l'c� State Bond #: ILI�Ov�/�7 v 3�� City: (�tJ�r�/r1 Zip:� Expiration Date: // /� 1� Phone: �SL' �/tf�-?-��y Alternate Phone: ❑ Insurance -Current: t/� 1 �- � , t � - � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �.No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTLJs: 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 cfin ❑ 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 0i1: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ,r . �� ����,'� � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ���� x .0125$ � (contract price) (minimum$50.00) 2. STATE SURCHARGE 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 are fumished by the owner, tenant or any other parly, 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. ,�� '. The undersigned hereby applies to the City f issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordin ce of the City and the regulations of the State of Minnesota,and certifies that all statement m de on this application are complete,true and correct. � '�/�?�7 Applicant's Signature: � Date: "� - —i-- 1 - ��` �� . 3,�4�-, 7 z - ����� ������'-',' �' �� 3 l.� � ��� DATE TIME CITY OF ORONO CALLED IN ��/7 INSPECTION N TICE SCHEDULED —07�L7 ' � PERMITNO. ���— � COMPLETED ADDRESS ���� ���G'� ��� OWNER / T L PHONE NO.��- ���'5.3.3� CONTRACTOR � � DESCRIPTION \� — � �`�"� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO «� COMMENTS: W �(� . G.. 1 n 4 ��� ��'L ve�vGQ� � GL���►rUr o � rr� SccL. ^ �K �. . � _ � �ellwc��� Q�t�c �fb�a-�, a � � �� 0 � W � G1-C �- � �.,� � Q � � z W � W aC J � �SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT YVORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: White Copyllnspector's File Cenary CopylSite Notice �/� � � -'�� <-t- '� DATE TIME CITY OF ORONO (��� CALLED IN INSPECTION NOTICE ,, ,. EDULED __;���I�I � � PERMIT NO. OMPLETED ADDRESS � �.�� '�Z— �-� � �7�:i" C�•1_ OWNER TELEPHONE NO.��2��L���� �`'�'� CONTRACTOR �:��� C.� . � -{--J `d-� �1/le C' �, � L� � DESCRIPTION - ` � �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTRACTOR TO MEEi YOU: Y _NO y COMMENTS: W L . t - F���s� � � � � S�.an l� �s - �rGt4�dc — O o � � 0 W � Q 2 I��Ch ���c r�o'� a.� �!1•s �i�r •i W � � Q K '� �d ��� � � �.�1�6KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE w ❑CARRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on site: Inspector: White Copyllnapector's File Canary CopylSite Notks ✓ DATE TIME CfTY OF ORONO CALLED IN INSPECTION NO ICE /�'l��J SCHEDULED �7 � PERMR NO. ���vv—`" � C MP ED "� "/ 7 eC7 ADDRESS � �� �� �� OWNER TE EPHONE NO. _.v___._ . ..___ CONTRACTOR � S � � DESCRIPTION � Ly ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 �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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � o Fti� � ' �— c� � ° �s r`3�s� '� a�G W OC Q 2 � � W � W � J � ❑VMORK SATISFACTORY`.PFiOCEED �PRD7ECT COMIPLETE � ❑CORRECT WORK 8 PROCEED l O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECOMERINO PERMANENT ❑CORRECTUNSAFECONDiTiON WffHIN HOURS. p prypTOTAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (952) 249-4600 site: Inspector. t , � White CopYIlnsPector's Fils C�nary CopY181b Notic�