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HomeMy WebLinkAbout2008-00046 - mechanical CITY OF ORONO PERMIT NO.: 2oos-00046 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 07/15/2008 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 1200 LYMAN AVE PIN : 35-118-23-43-0024 LEGAL DESC : REG.LAND SURVEY NO. 1067 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,200.00 APPLICANT MECHANICAL 140.00 CITITES COMPANIES INC. STATE SURCHARGE MECH(VALUATION) 5.60 BIG LAKE,MN 55309- (763)263-0220 TOTAL 145.60 OWNER GIBSON,RICHARD&LISA 1200 LYMAN 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 gtant 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 conformanc the State Building Code.This permit may be d at any time ue c � 5� o�' �.�..-�-�.�, �n��, �s,�8` A icant Permitee Signa ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY ,.,,�(� �� . O¢��O City of Orono �I�� p� � , lJ•� P.O.Box 66 Date Received: l ( Permit��i � � �;., ; 2750 Kelley Parkway �t�� ip�'�� �� Crystal Bay,MN 55323 Approved By: __� Amount$:_� \�����o�� (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (A11 Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION L 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 RECEtVE 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. 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 l �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Slte AddI'ess: 1200 Lyman Ave �Wrier: Rick Gibson Malllrig f�dCITeSS: same as above C1Ty: Orono Zip: 55321 Home Phone: (61z�3ss-i�2o Alternate Phone: Contractor Information: COritTaCt01': Cities Companies Ina COfltaCt PeTS01]: Jake Eliason Address: 11�1 wati St State Bond#: BDA�9oo666t�6 CITy: BigLake Z�p. 55309 Expiration Date: o3i3iio9 Phone: ��63)263-0220 Alternate Phone: �763��42-o9as 11/13/08 �✓ Insurance—Current: 1 , ME��CAL; aY�T���3EII��t�I�TAI,G�D HEATING SYSTEMS Q��ri� 1 Make: Trane Model: T�2D120A9VSV Fuel: natural gas Flue Size: 3r� Input BTUs: 120,000 Output BTCTs: 114,700 CFM: 1950 COOLING SYSTEMS Quantity: 1 Make: Trane Model: 4TTX6060B Tons: 5 H.Power �� FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen E�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIItE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: ' gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill 0✓ Other/List What&Where: Ma'I' 2 , P��'�����'��f S�j ��� . ���BA��� �S'�`�'`�i�'° , .�: '�.. .� .:. � ° . � ❑ 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;excludin�the cost of the fiacture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ ; PERMIT'�'EE�A�,CLTL�►Ti�'J S �� . t����t3 If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$35.00) 11,200.00 x.0125$ 140.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fes of$.50) 11,200.00 x.0005 $ 6.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 147.50 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 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 signe�copy of the actual conttact. ■ **T`he STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. ������.���Z`f����'���������' 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 a11 statements made on this application are complete, true and correct. Applicant's Signature: �� Date: 0�/15/08 i�f� 3 � �°ATE TIME � � � � CITY F ORONO CALLED IN l Z�-�� INSPECTION OTI E SCHEDULED �� —� ° 30 PERMIT NO. � � �y�O COMPLET o ADDRESS V / OWNER CON . � S TELEPHONE NO. � DESCRIPTION �'�C� �� � � ❑ FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLAND��� O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL f%�y Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING R� ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL f ) ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � W C � Ci (� i�5� � �'-��-� ��cP o ,- � �7- l�' - O� 0 � W � Q � z W � W � � ��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice