HomeMy WebLinkAbout2011-01408 - mechanical CITY OF ORONO PERMIT NO.: 2011-01408
2750 KELLEY PARKWAY
, � ORONO,MN 55356- DATE ISSUED: i U07/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3685 LYRIC AVE
PIN : 17-117-23-34-0039
LEGAL DESC : NAVARRO
: LOT 003 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,455.00
NOTE: 1 BRYANT NAT GAS FURNACE
APPLICANT MECHANICAL 50.00
STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.73
130 PLYMOUTH AVENUE N.
MINNEAPOLIS,MN 55411- MAIL-IN FEE 1.99
612-824-2656 MISC FEE 0.00
TOTAL 53.72
OWNER
AHRENS&CURTIS ROBBINS,KATHERINE
3685 LYRIC 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 rela[ed work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified hereia 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 fo�due cause.
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Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
� FOR CITY LSSE ONLY
%,�-� Cih�of Orono
P.(�.Box 66 Date Received: Fermii�
���q,�, Q�°�` 2750 Kelley Parkway
{t,� t+�ll�r:' a'� Crystal Bay,MN 55323 Appro��ed B}': rlmount$:
�'�����, �"'-�a`�j1 (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Mazshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pennits 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 rehun mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 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 li�
�Residential �Commercial(Approval Required)
❑Ne��- ❑Additiunal ❑Repau•s eplace
Job Site/O�vner Information:
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Site Address: � r<<- ��
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Owner: �� �C��O'J�� Mailing Address:
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Home Phon�.'ISy 't"� ('��� Alternate Phone:
Contractor'Information:
Contrac�r�ndar � ing Contact Person:
130 Plymouth Avenue North
Address: Minnea olis,MN 55411-3445 State Bond#:
61 -
City: Zip: Expiration Date:
Phone: Alternate Phone: �
❑ Insurance-Current:
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� Yes,this section applies
The replacement of a Residential fixture or anpliance that meets all three of the following requirements:
1. Does not require modification to electncal or gas service.
2. Has a total cost of$500.00 or less;excludina 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$St1.011�
y� SS X.�125$ _1
(contract price) (minimum SSO.W)
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2. STATE SURCHARGE '*Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�3 �ls � X.�S $ �� ��
(contract pricc) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ .1�
■ * 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 chazged
to the customer for the work done. If any material,equipment, labor or installations are fiunished 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 penr►it 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 STATE SURCHARGE is.0005 of the Building Departrnent at(952)249-4600 for the pnce.
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The undersigned hereby applies to the Ci or issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the the City and the regularions of the State of
Minnesota, and certifies tha all s te ents ma on this application are complete, true and
conect.
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Applicant's Signa . Date: ( � l l /
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D TE `/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �� ��HEDULED /f �
PERMIT NO. �� v C MPLETED
ADDRESS �
OWNER f � LEPHONE .c�a� 7�����
CONTRACTOR ah�
�: DESCRIPTION a- �- V����
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contractor on site:
Inspector. /'�f �,
White Copyllnspector's File Canary Copy/Site Notice