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HomeMy WebLinkAbout2014-01451 - mechanical CITY OF ORONO * 2 0 1 4 - 0 1 4 5 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2014 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3320 NAVARRE LA PIN : 17-117-23-44-0059 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: 2 HEATING SYSTEMS& 1 COOLING SYSTEM&4 BATH EXHAUST,GAS LINES FOR FIREPLACE,FURNACE,STOVE&DRYER APPLICANT MECHANICAL 100.00 STATE SURCHARGE MECH(VALUATION) 4.00 HEATING&COOLING DESIGN INC TOTAL 104.00 10830 ABLE STREET BLAINE, MN 55449- Payment(s) (612)328-7172 CHECK 4248 104.00 OWNER CUBE INC. 4825 HANOVER ROAD MOiJND, MN 55364- AGREEMENT A1vD SWORN STATEMENT The work for which this pertnit 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 nul�and void if construction authorized is not commenced within 0 days of the date of issuance,or if construction is suspended for a pe od of 180 days at any time after work has commenced. The applicant is r sponsible for assuring all required inspections are requ � con ormar�e with the State Building Code.This permit may be rev ked at ai� me fo due cause. 2. �y � c �� 1 � ( / lic t e itee Si nature � ate -T ��Q gL�' � � PP g Issued By Signature Date "' • FOR CI1'Y USE ONLY � � �O, ` City of Orono ' 1�l� P.O.Box 66 Date RecEiued: Per►uit# 2750 Kellcy Parkway Crystal Bay,MN 55323 Approved By: Amuunt$: Phone(952)249-4600 Fax(952)249-4616 �i�n ti C.�kFs����,�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Matshall) 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 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 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. T`�'PE Q�PERMIT Check All That A 1 `�Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job�ite!Owner Information: Site Address: ��2-� ���l12�� 'l,t� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infarmation: Contractor: ��r C�o�+n ��,Fv� Contact Person: �6�i u Address: �Ot33u L�,b(�� State Bond#: M� �1�3� c�Ty: ��u,�e Zip:f 9'3`r' Expiration Date: Phone: 1�3 2qI f35�q Alternate Phone: ❑ Insurance—Current: 1 '^� . ���� �� , . „�,✓�t. 'va: �`•��":"���jus���.�,� ,"-:;,� t z.�� ,;-'�.e. � .�z_ ��n Si�,� �€r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. 1S TH1S GEOTHERMAL? ❑ Yes �No � \ HEATING SYSTEMS � \ � ���10� Quantity: � t �� Make: �??�ty��Ib1�'t' ��'� Model: N`�Mf I�Qfvp ,4�L fl ��� _\ O11� �Qxt.�v►U n�Fuel: N� f�Pt J' ��� �� Flue Size: ��� rp�� InputBTUs: T Output BTUs: �� �d ,�,�,ac,cr * CFM: `S(� �� �� _..�a� COOLING SYSTEMS � -C►��p� Quantity: ( �U'�" Make: �bP�`/Jt11bt� ,,"�'tN'e/ Model: ' Tons: 2�5 H.Power FIREPLACES 1'� Gas Factory Fireplace Brand Name: �� Wood Burning Fueplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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 ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: y�{��L(�-�w_ ctl,Q�1jal,� A�V�jy-r 1 � 2 �^� R I f �::r��yN/�M l� Y y� �� � •� �:� $ .& � �; tr .. y�`%#� � �a r rw �1! ' �,�w �'�r���;���' a- ��s�§.rs.� a � ' �� �'x ..�,a � � fr¢i���s,�.�� ❑ 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;excludine 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ , � � -�... ,, � & ���,: � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00) 800U X.oi2s$ (contract price) ' (minimum$50.00) 2. STATE SURCHARGE x.0005 $ . (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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. lf 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. ��s �: ; �` �A� r � - , •- . , > . � � ..... .. <.,.t, • ��.:�; . : � :. ..• ,: The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the r inances of the City and the regulations of the State of Minnesota, and certif that all ate ents made on this application are complete, true and correct. Applicant's Signa re: Date:�2 1 °� � 3 �- / �`^ �— DATE TIME / CITY OF ORONO CALLED IN /- �/-� �—� INSPECTION NOTIC �5/SCHEDULED I-•�l-/S �•.�O PERMIT NO. ' COMP EfED ADDRESS � � OWNER TELEPHONE NO ���JJ CONTRACTOR — � �; DESCRIPTION � � tt� ❑ FOOTING P MBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL MECHANICAL RI ❑ LAKESHORE/WEfLANDS h ❑ FRAMING ❑ ECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W a � J O >. � O � � W � Q � 2 W � W � j W ❑WORKSATISFACTORY:PR ❑ PRO COMPLEfE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 h urs in advan 2) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee