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HomeMy WebLinkAbout2014-01218 - mechanical . '� � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - 0 1 2 1 8 * DATE ISSUED: 10/20/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3660 LIVINGSTON AVE PIN : 17-117-23-34-0030 LEGAL DESC : NAVARRO : LOT 008 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,000.00 NOTE: (1)GOODMAN HEATING SYSTEM-NATURAL GAS-2"FLUE-60,000 INPUT BTU'S-51,000 OUTPUT BTU'S-800 CFM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 CENTRAIRE HEATING&AIR MAIL-IN FEE 2.00 7402 WASHINGTON AVE EDEN PRAIRIE,MN 55344- TOTAL 53.00 (612)941-1044 Payment(s) CREDIT CARD 6260 53.00 OWNER HOFMAN, STEFANIE 3660 LIVINGSTON AVE WAYZATA, MN 55391- 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 sepazate 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. C��tr,c.� � /a .Zo / o ,v � ��� �� Applicant Permitee Signature Date Issue y Signature Date � � ����� . � � . , - � JD CITY SE ONLY� / � rr�` � City of Orono ��� !� f�'4'�" P.O.Box 66 Date Reeeive .� r Permit# 7� � ' a ` 2750 Kelley Parkway �:-, ,� �"• X a:' Crystal Bay,MN�5323 ApProved By; Amount$:�_ ;�;�i�j (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 retum 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 Desi�ns—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 rarings 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) ❑New ❑ Additional ❑Repairs p,J�Replace 1�✓ Job Site/Owner Information: �� � _ , {-� � � " ��1 Site Address: Owner: - �� � 1/r'�lYi-�ailing Address: �/'��-'��"� City: Zip: Home Phone: ����j ��=�c��� Alternate Phone: Contractor Information: Contractor: ;�'-°"�" �'—"" Contact Person: `"'�-��c��4�' � '" '� ��� � - � Address: � � � State Bond #: � � �6` — 7�d�c VNasPoingtor�,�venue D�' �� l�'� J City: -�+A� ����•�o �t��34r�._ Expiration Date: �;�.2-�41-1044 Phone: Alternate Phone: ❑ Insurance—Current: �� l I/ 1 . . . . ,; ME�FIANIC�L 5YS'T�IvIS BE���.�3�'�;��`�,�;� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �iNo HEATING SYSTEMS Quantity: Make: ��f� �/'I�'�-� � Model: - ��f�_y�� Fuel: ,,��'� Flue Size: �� �� � Input BTUs: � � j � Output BTUs: .���C� � 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ' ❑ No. Bath Exhaust(must have duct outside) cfm ❑ 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 a Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 ' � i � ��� � � � � ���� �E��T�E�e�.�r�zA�o�v�s� ° BASED t�FF -20Q2 STATE S'�'ATUE ❑ 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;excludin2 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 $ �� Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � - ,P��IT FEE C�LCULATIO�T S = �B;. � ` - . `��L�. �3... .. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) x.0125 $ t�� (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ /' vv (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ----�� � 4. TOTAL rERMIT 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 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 Cit�� may request the submission of a signed copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. ' M:ECHANIC.A.L.�ER1VfIT�:APPL�C�;���'����1J���`�' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 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: Reset Form . , 3 � �C`�'`J�.� ATE TIME � sF� CITY OF ORONO CALLED IN � INSPECTION OTI E SCHEDULED PERMIT NO. ' %�� COMPLETED ADDRESS ��-�-��Jlr��J OWNER TELEPHONE NO.��^' I"��� CONTRACTOR �_��`C� � DESCRIPTION ���� �ur�-� c��� � ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfIANDS y ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � /�IyAL ❑ SEWER HOOK-UP ❑ COMPLAINT � V❑ DEMO-SITE ❑ SEPTIC MAINT. i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑�R REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: W .� a �u�v�.�e r�-Al�rt�.v�,e.�,� � � 0 � — 2Dc� s�a� ✓14�H�� �r� vc�.s��a,� o � _ - tQ,Y�iti�G�S 1/NB W � Q � �,Jd�GC L°Q�./���e — a W � + � j r.�?� �i��� � ❑VVORKSATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT V1fORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. II for the next inspection 2a hours in a4lvance. (952) 249-4600 Ownerl ntractoron site:��%e�/��� Inspector: <^- White Copyllnspector's File Canary CopylSite Notice