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HomeMy WebLinkAbout2016-01422 - heating a/c CITY OF ORONO * � 0 1 6 — 0 1 4 2 2�� 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2016 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3145 NORTH SHORE DR P[N : 09-117-23-33-0013 LEGAL DESC : REG. LAND SURVEY NO. 1113 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,970.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW HEATING SYSTEM FOR ABOVE GARAGE- 1-HEAT[NG SYSTEM(GOODMAN), 1-COOLING SYS"CEM(GOODMAN),2 I3AT}i EXHAUSTS APPLICANT MECHANICAL 124.63 STATE SURCHARGE MECH(VALUATION) 4.99 SERBUS HEATING&COOLING TOTAL 129.62 272 INDUSTRIAL BLVD Payment(s) WACONIA, MN 55387- CREDIT CARD 3353 129.62 (952)443-2819 Minnesota State License#: HVAC-MB004570 O W 1YER PETERSON, SVERON 3145 NORTH SHORE DR WAYZATA, MN 55391- AGRF,EMEIYT AND SWORN STATEMENT The work for which this permit is issued shall be perfornled according to the approved plans and specif ications,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 governing this type of work shall be compicd 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 are requested in coiifor ce with the State Building Code.This permit may be revoke i e fo due cause. `� � � �� lr � 1 �� �`-e����:� ii � 9� �/� A licant ermitee Signature Date Issued By Signature Date / � � FOR CITY USE ONLY City of Orono Qy'�y (, 7 ' �O�O P.O.Box 66 Date Received: �� ��/' `"Peimit# �� 4�'7 � 2750 Kelley Parkway n /�, � Crystal Bay,MN 55323 Approved By; ' _� Amount$:���-' , K�� .. Phone(952)249-4600 Fax(952)249-4616 �`�q �,�'�� CITY OF ORONO-MECHANICAL PERMIT kEs H�4 (All Commercial pern�its must be approved by the Building Official or Inspector and/or Fire Marshall) 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 retum 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 fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT Check All That A 1 �Residential �Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] [�New ❑Additional ❑Repairs ❑Replace / � � ,� I Job Site/Owner Information: ' I�, v� � ' b� a,�'" Site Address: 3(�� �o� �`�'�-�- �IL- � �� Q ` Owner: 1 �'�� � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor�nformation: �'�'�4� r ��� Contractor: �*�,�,r s (,Da (��� �'-(;ontact Person: �\ C���—� Address: 2�L ���~S I��� �'State Bond#: /`k(3 a� �S'� �' City: �U�'��Q' Zip:�� Expiration Date: � / /t- Phone: R�Z'��3'Z�� � Alternate Phone: ���-'� ��1' 's�� ❑ Insurance-Current: ��'S 1 , � 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: ��t g g� �z R�r a Fuel: �G(�-: Flue Size: L�t f ��— Input BTUs: � O''�� Output BTUs: 3 ���`� CFM: �� COOLING SYSTEMS Quantity: ( Make: C.�O��^�9� Model: s � 3�� � Tons: � �Z H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION No. Kitchen Exhaust 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.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � , � � y � �' �. ` ��'r ' ' ' .�,.. �" � ♦ l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �970_ � x .0125$ (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. If 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. ti�• . The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ord' a ces of the City and the regulations of the State of Minnesota,and certifies that all statem ts ade on this application are complete,true and correct. � Applicant's Signature: �t Date: l� �� 3 � "� �_L�ii / " D E TIMB/ CITY OF ORONO CALLED IN �� INSPECTION TI /j SCHEDULED `;�-/� /� PERMIT NO. � �v 2'�OMPLETED ADDRESS � � _ .� b-�'� �i�' �/'Q-�. OWNER TE E HONE NO.�I�-- �/ �o-S�.� CONTRACTOR � � DESCRIPTION ti���� — � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEN'CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � S� - �� O � t.�JJr _ " il � � d'��'l �iC7t./Cf�a✓�/ �J ( l � � J O � Q � p �'�✓Or V� Oli C7 .S�G. '1' �-�iti.✓'L� / 2 � V�U//�oL G�� �"'� �Q� ��/U l, �Yul. fl/'/mt!' � !`��^� �' M �r � � � � � W '9�ORK SATISFACTORY`.PROCEED ❑PRW ECT COMPLEfE � ❑CORRECT VMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECONERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��• ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Ca8 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite- Inspector: �U �� � VYhIN CopYAnspector's Fils C�nary CopylSlt�Hotics ( � DATE TIME ✓ � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �--� -t 7 � PERMIT NO. i C�L�-n - Q i�Z Z COMPLETED ADDRESS .� (y'� �i�1'�'1 ���1'�� �: OWNER TELEPHONE NO.Id I L ' ��C� --�� CONTRACTOR ���� � DESCRIPTION ����L�� � �IL �-� � ��'���C��=�� � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA�FI ❑ LAKESHORENVETLANDS y ❑ FRAMING f�MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION �d WOOD BURNERIFIREPLACE ❑ 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 O FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � /�/-�i/�� -�}- -�-�—���-��1 o --,��;�' �� --�.�� v �' �'-,-� z/ �. � -���- ��o/�r°'� 0 � Q -- /�Jcn C'.�-�P� ��' /-�b 1�i:;c, _n.� r��,-���,✓�fi z ��f�,� W � � - /l'?��=�G3,� � GGr.z-,I ,n�� �).l� - � d � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ���'!'� � White Copyflnspector's File Canary CopyfSite Notice