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HomeMy WebLinkAbout2016-00832 - mechanical , CITYOFORONO * 2016 - 0PJ832 * � � 2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 680 NORTH ARM DR PIN : 06-117-23-43-0002 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 001 BLOCK 000 PERMTT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 5,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. MOVE EXISTING FURNACE AND AIR,CHANGE DUCTWORK TO NEW LOCATION APPLICANT MECHANICAL 68.75 STATE SURCHARGE MECH(VALUATION) 2.75 GOOD NEWS KINGSWAY HEATING&PLUMB TOTAL 71.50 451 BABCOCK CIR Payment(s) DELANO,MN 55328- CREDIT CARD 0571 71.50 (763)479-6715 OWNER GIRARD,SANDRA&BRIAN 680 NORTH ARM DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 aIl required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �-�.G 7 i �/ �/�o Applicant Pe itee Signalure Date Issued B ignature Date �"' � C Y USE OI�LY �►�? City of Orono �,�� �r � �Or v P.O.Box 66 Date Receive Permit#�� ` � 2750 Kelley Parkway Crystal Bey,MN 55323 Approvod By: Amount S: � Phone(952)Z49-4600 Fax{952}249-4616 ���+ ��� C[TY OF KFsrifla ORONO—MECHANICAL PERMIT (All Commercial permits musl be approved by ihe Building Qllicia!or Inspector andlar Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical pertnits by►nail or in person at the City offices. Applications will be reviewed and a perrnit will be issued within two working days. 2. Permit cards will be sent by retum mait aftera review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNT_ !L THE P RMIT CARD IS POSTED ON THE JOB SITE. � 3. Mechanica�Designs—Compleie calculations,details and specifications are required for each heating,ventilation,humidification-dehumidifieation,and sir 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. S. Ap work must be done in accordance with the Uniform Mechanical Code/State Suilding Cade requirements. � 6. AlE work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. Hause Heating Test Record rrEust be submitted before final. TYPE OF PERMIT Check Ail That A 1 esidential ❑Commercial(Approvat Required) [Backflow Devict:❑AVB ❑ PVB] ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/Qwner Informadon: Site Address: �gQ v(/CS� /� Owner: ��t �r✓ l�-,/�fA/ Mailing Address: � `b o � � City: �,� lt,�� Zip: �,,, Home Phone: � � ,��_�`�2���Alternate Phone: Contractor Information: . G La�`�s ' .J Contractor O�5���.� �� Contact Person: � . Address: �-�,� �.�(1,���,,� State Bond #: . G�-- C�n'� '�` ZiP���xpiratian Date: Phone: � �2 �-�-�l n--- p�� �.. ^ ..�'"�:L� o—��lternate Phone: �) Insurance—Current; I�„>�� ��� 1 � ���� _- � - c��_ -L-����s�a�nv ,�sTaii�� .. _ � � �• Note: All Geotherma! Systems wil] now require a Site Plan& Review by our Bailding Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantiry: � Make: � l� Modet: � Fuei: Flue Size: Input BTUs: Output BTUs: CFM: " COOLING SYSTEMS � bG Quantity: , Make: Model: � Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Mode!No.: ❑ Wood Stove with Flue/Masonry VENTIl.ATION . ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust{must have duct outside) �� ❑ No. Other Fans: Locations �� FUEL STORACE {Mwsl be approved by Fire Marshal!if pruposiag fo abandon tank in p/ac�) ❑ lnstallation ❑ Removaf Fuel Oil: gallons ❑ Underground ❑ lnside ❑Outside LP Gas: gailons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 .. �„ _ ' ' �..� � I�.:����C'r�1I%�:TJIiA,�T(�l��S`-~-... ,;: -- , .. . _ = 1. CONTRACT PRICE " is 1.25°!0 of contract price with a(Minimum Fee of$50.00) �- ��► x .O125$ ( ntract price) (minimum 550.00) 2. S'�'ATE SURCHARGE x.0005 $ (contracl price) 3. POSTAGE& HANDLING(Only o� Mail-tn Applications) S 2.00 r 4. TOTAL PERMIT FEE(Add Lines 1-3 Above} $ ,� • � CQNTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit,atid other fixed costs. It is the amaunt 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 paRy, 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 msy request the submission of a signed copy of the actual contract. �� _� � � 11ti��HAN��AL P`E�IT� .�i,r��x��o A� -.���y`r- - - _ .Y� The undersigned hereby applies to the City for issuance of a Mechanica) Permit, agrees to do all work in srrict accordance with the ordi ances of the City and the regulations of the State of Minnesota,and certifies at alt st me on this application are comp[ete,true and correct. ApplicanYs Signat Date: �r �� 7 �� �� 3 '1I� � V I I�,/ �Y DATE TIME C'i� CITY OF ORONO cnLLED IN ���� INSPECTION NO�E��^,O'it'7 SCHEDULED _ PERMIT NO. e � ���vCOMPLETED ADDRESS � OWNER TELEPHONE . �a � C��`�� CONTRACTOR �� � DESCRIPTION ��.r.�!/��L' tV ❑ FOOTING ❑ DEMO-FINAL r.�'�SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI r��u ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNENCONTRACTOR TO MEET Y�OU: YES_NO v�i COMMENTS: � EX�S�rw� �'4iKa� ralex.�t�— j o — IZCGJ �r es4s ���!'d � cf45 /��t� � G✓l� /S ��a��� � 0 � — " ' ` . Q �� r1,-5'�. �a n rcec'ti�K V�Kfi f" �/'pd�{7 Q, 2 �d i ��� s� tl e.�t Go�.r�4.�� 4r.� � �����rc¢�ie•c — _ � G p���LZ ,y�G i w��L �;.r sl� J � ❑VYORKSATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT VYORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaD Ion 2a twurs in arn:e. 952) 249-4600 ator on sit • /YI /� Inspector: White Capyllnspector's File Canary CopylSite Notks