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HomeMy WebLinkAbout2016-00276 - mechanical ,� , CITY OF ORONO * 2 0 1 6 - 0 0 2 7 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 425 LAKEVIEW PKWY PIN : 06-117-23-32-0004 LEGAL DESC : LAKEVIEW OF ORONO : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 24,350.00 NOTE: (1)LENNOX FURNACE (1)LENNOX A/C (1)KITCHEN EXHAUST (6)BATH EXHAUST GASLINE FOR MAIN,FURNACE,RANGE,DRYER AND 3 FIREPLACES APPLICANT MECHANICAL 30437 STATE SURCHARGE MECH(VALUATION) 12.17 SEDGWICK HEATING&A/C MAIL-IN FEE 2.00 1408 NORTHLAND DR-SUITE 310 MENDOTA HEIGHTS,MN 55118- TOTAL 318.54 (952)881-9000 Payment(s) CHECK 16524 318.54 OWNER Source Land Development Inc. 18215 45TH AVE N STE D PLYMOUTH,MN 55446- 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 dces 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � /�/ �� Applicant Permitee Signature Date Issued ignature Date �I b � � i a �7 �3 � � S� FOR CITY USE ONLY �O A}O City of Orono <y 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 R�G �` ��'�'f5Hd4�G CITY OF ORONO—MECHANICAL PERMIT MA p A � � (All Commercial permits must be approved by the Building Official or lnspector and/or Fire Mazshall) MI� [ GENERAL INFORMATION ���`�"Y O�ORONO 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 PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 pr�vided. 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 ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �oZS �Gl, Q,V1.l,W �(�L�( LaIGtAn �V� , IM�� Owner: �'��M �,S MailingAddress: �� �1S �}-S 1�" E�Y-� 'c�1• City: � Zip: ��J`�`� � Home Phone: Alternate Phone: Contractor Information: Contractor: -�1��� Contact Person: �t Address: ���� �'�/ `�� �� State Bond#: City: ���'Zip: S IZ� Expiration Date: Phone: ��"�(��'al�� Alternate Phone: ❑ Insurance—Current: 1 '< :. .= : .. ,: . = ��"��[�T�A . �"�`ST`E1�S BE�N`Gr,TI�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: `1, Model: �tX� Fuel: Flue Size: Input BTUs: � � Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: �,E/6 LwV� Model: C I � � � Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ VVood Stove with Flue/Mzsor.ry VENTILATION No. � Kitchen Exhaust duct recirculating �cfin No. lP Bath Exhaust(must have duct outside)�TJ l/-(i�. ��cfin No. Other Fans: Locations � cfm 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 ❑ ���f � � Outdoor Grill Other/List What&Where: ti , ��-�1'�-� 2 �,�� - 3 �P ' �� � . � . R.,:br£��� ���iJ��\J�f'�T���� i . ' ��. �:�... ' ., a✓.v . '� �� � ... • �'... �..��. �. �':. 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �2�� 3 5v. l�ti� X.o�2s $ 3��-{.��— (contract price) (minimum 550.00) 2. STATE SURCHARGE ��, 35a. (lu X.000s $ 1 �- i�7 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� D ��—I ■ * 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 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. � , �.., i � :�a. � ... :... ���_���������� ,������.�� �, '� . ���5�.,. ' ,.. ,,. ,. �� ���.��. 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 all statements made on this application are complete,true and correct. Applicant's Signature: �� /� Date: 3 r�����' 3 �� ATE TIME � CITY OF ORONO CALLED IN �-� � INSPECTION NO I _����sCHEDULED � PERMIT NO. 1�oM E ADDRESS OWNER �EPF�IE NO. �- a` CONTRACTOR � � DESCRIPTION v�''� � � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEP FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/ ADING/F ING Q ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: - a - W a � J � ` � O � � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT YVORK 8�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. 9 49-46�0 OwnerlContractor on site: ' � inspector: ` � i�' White Copyllnspector's File Canary CopyfSite Notice �—� � ��D TIME CITY OF ORONO CALLED IN � INSPECTION y TICE SCHEDULED �� PERMIT NO. -��� co LETED ADDRESS OWNER LEPHON N 'Z � CONTRACTOI§,_ _��, ��^� ����� � DESCRIPTION `��� C�� � , G%�� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y CO MENTS: � W C j ,� O �.. ' � O � _i Q �'7� �' � z W � � G� � J W ❑ RK SATISFACTORY:PROCEED ❑ PROJ T COMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WFIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2 ours in adva . 952) 249-460� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopyfSite Notice �� � �✓���� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED _�,Q_ PERMIT NO. ' Dl '��COMPL ED T ADDRESS 5 G� � v�� ,��, OWNER TELE�N NO. �a�`�`3/S�� CONTRACTOR �-�-�� �� � DESCRIPTION ��' � ��Y ��`Sf ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a / 2^ � !� �U G� ✓ �sLJ. . . j � � � o �s 1,�� �•.- � e S� ������� � a �SG J ��G Q d� ' ^c� 1� 0 W ��_� � CO!i e ✓ Q � 2 � � / / � � W n � ' . /'" s J �,�L�9RR'SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W��O CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � 1 �-- � White Copyllnspector's File Canary Copy/Site Notice �/� � � D E TIME CITY OF ORONO CALLED IN ��-�- « INSPECTION T C /�S,CHEDULED � - <v �� PERMIT NO. �a71�o �'(� ADDRESS -_���/ OWNER TELEPHON o��a-�b3 - / Z�d-- CONTRACTOR � � DESCRIPTION t~i� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERlCONTRACTOR TO MEET YWJ:_YES_NO � � � COMMENTS: G'�/J� �D�'ItJ' /S `Iv ld�•K S " � 0 -- �i/l�S�. /r15��/�!K c ��aa✓ r�P1;•5Z`�s ��r � /� � �r i-�Mi SI�G�� O ' � �) Sc.�/ �S. /��1����rt�.n�, � /�?04�irt� � • Q /'4 et dGn E��•E�ce rc �ro� ���si I�c��Pr - � W � (t'�S� � Lva/� �"v��o lez�c -a. W � �Q�S oC — . � cor✓e-c� -o ��••�'� �•�r�r � ❑WORKSATISFACTORY`.PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952 j 249-4600 OwnerlCor�tractor on site: Inspe�tor: � White CopyAnspector's File Cenary CopyfSke Notke DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED �7Iv PERMIT NO. ���"��7� co PLETED ADDRESS � OWNER TE HONE NO. CONTRACTOR � DESCRIPTION ��� , W ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTA 2 OWNERICONTRACTORTOMEETY�OU• _NO y COMMENTS: � � j J OO a� � r W � W � 1 J a W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 3 PfiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector: White CopyAnspector's File Canary CopylSite Noties