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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. ��� � � / / 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$: �'�����, �"'-�a`�j1 (952)249-4600 ��� CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL 1NFORMATION 1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by rehun mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and,identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A li� �Residential �Commercial(Approval Required) ❑Ne��- ❑Additiunal ❑Repau•s eplace Job Site/O�vner Information: _ _ � Site Address: � r<<- �� . Owner: �� �C��O'J�� Mailing Address: c��: �rt�nz.� z� : ��.�G? l ,� Home Phon�.'ISy 't"� ('��� Alternate Phone: Contractor'Information: Contrac�r�ndar � ing Contact Person: 130 Plymouth Avenue North Address: Minnea olis,MN 55411-3445 State Bond#: 61 - City: Zip: Expiration Date: Phone: Alternate Phone: � ❑ Insurance-Current: 1 , ,�a �,�- x`m, � ,�,��x�' � '��"$l��� '��'�' � • � � r � '. k��' � rt " ���` '� x�' � �+ r`�� ;�� '������,„ ` e .c. v�� ���'�, ���._ � 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 $ ��- � � `T � .�- ��,�.�'�� '�- �*�� �'�x" ,_ a . ._ , �. v � �. � , , . . r . ,� .� . _, . �,�.. ...,�� . � �. _ . �_ ..v . ., �,, �e ,. _.�� 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) 1�� �'� 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. k�� �;�� ,- .,... ,-s -.. : �, 7�° :-: Y�,y' y,. ��. ��' �':-�` .t�.,s.�z, �' �`'h ..5�++�,.� r"C���: 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. , Applicant's Signa . Date: ( � l l / � ���� ,� ��� �� . . -, . 3 �i- 1 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���� � � ❑ 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 � COMMENTS: � W � � J O >. � O � W � Q � 2 w � W � � d � ❑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