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HomeMy WebLinkAbout2014-00068 - mechanical � ~ CITY OF ORONO * z 0 1 4 - 0 0 0 6 B * 2750 KELLEY PARKWAY DATE ISSUED: OU22/2014 ORONO,MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1376 NORTH ARM DR PIN : 07-117-23-41-0052 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 008 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 1,200.00 NOTE: 1 HEAT N GLO GAS FP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.60 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 TOTAL 52.60 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2003336 52.60 _ OWNER BOWEN, WILLIAM 1376 NORTH ARM DR MOLTND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 separate permits. All provisions of laws and ordinances goveming this rype 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ♦ ��� �"o—`-^ _/� GL.'�'� / / A licant Permitee Si nature Date �, PP g Issued By Sig ure ��ate FOR CTTY USE-ONLY ���� � � ' , �` City of Orono �a�„ ��'O¢ `��� P.O.Box 66 Date Received: Permit# , 2750 Kelley Parkway �K�,� jt� �r �: a�� Crystal f3ay,MN 55323 Approved By: � Amount$: "`!� ��y�;���yu'��' Phone(952)249-4600 Fax(952)249-4616 �dr�ae�, CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must bc approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION ]. 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 Desi�ns—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 1 ) esidential ❑ Commercial(Approval Required) �w ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: � 3 �� �� G'�✓�� ���LL� Owner:�,c.P,��n9 t�o�r,u�y Mailing Address: �`c�1 �i_ �'_o�� �3 S� City: �-�,,�„n.,,-f.� Zip: �5`�i 3 7 Home Phone: ��� `'���������' Alternate Phone: Contractor Information: Contracto ab RTH & HOME TECHNOLQ�G�E� Contact Person: �Z�.�:r�y Lic 662656 Address: 2700 FAIRVIEW AVENUE N State Bond #: 0� ��`�� ROSEVILLE, MN 55113 Cit 651.633.256�i • Ex iration Date: Y� P• P �"—� � �� Phone: Alternate Phone: ❑ Insurance—Current: 1 � MECHANIC�� �`Y`��"��IS BEING INSTALLED :; . ;. " � .;,:' Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: :nput BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES �� Gas Factory Fireplace Brand Name: C��►'1�' q' ❑ Wood Burning Fireplace —� ❑ Wood Stove Model No.: SL.�4 ' ��—L�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. _ Kitchen E�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ [nstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 P��i1, �EE caLcuLaTloN�s> , � BASED�O�F -�2002 STATE STA�i`UE ❑ 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-[n Fee([f Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULAT�QN S --J4BS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) I ��''L�'� ./lU x.0125 $ �F�, E�.% (contract price) (minimum$50.00) 2. STATE SURCHARGE ��C�iC�, fj�3 x.0005 $ ��� (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �2-.�i� ■ * 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 fumished 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, ine City may request the submission of a signed copy of the actual contract. MECI-���AL P�R.MT'T"A�'��,�CA'�`��1�- ,.. ��I�NT 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 all statements made on this application are complete, true and correct. � Applicant's Signature: ��%G� ������-� Date: ��� �— �� Reset Form 3 ���'��� ✓ � DI�Er/ TIME CITY OF ORONO CALLED IN A� `� INSPECTION NOTI E SCHEDULED — � PERMR NO. � O COMPLETED ADDRESS � 3?�O /�r7�1 I�VI OWNER TELEPHONE NO. I Z 3�7� CONTRACTOR _�S[ _ � DESCRIPTION �� �� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAtNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL_ O NARD COVER REMOVAL v ❑ PLUM PTIC ❑ FOUNbATION/REMOVAL 2 OWN NTNACTOR TO MEET _ �NO � COMMENTS: r e ' ` a V4s �,�LeIQGG '— Uert� �ti�,Tr''`+�94v�/�e$ • J o �Dec•s✓ O� �. � W ---�..�'e�s� �� aF �• P. c�se. Q --� �ea.� �s /.�r e ��». �:. - � a p W /�.GS�i 4/��tt�-f 6E' � � � 0 � ❑WORKSATISFACTOR1hPROCEED ❑PROJECTCOMPLETE W �RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECTYVORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑C�iRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR YVILI RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in advance. (g52) 249-46�� OwnedCorrtractor on site: Inspector: ` White yllnspector's File Cenary CopylSite Notics