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HomeMy WebLinkAbout2014-01317 - mechanical ' , - CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 4 - 0 1 3 1 7 * DATE ISSUED: 1 U10/2014 ORONO,MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3825 NORTH SHORE DR PIN : ]7-117-23-22-0046 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 800.00 NOTE: INFLOOR TUBING BASEMENT-4 LOOPS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.40 MACDONALD HEATING&AIR MAIL-IN FEE 2.00 11848 305TH AVENUE TOTAL 52.40 PRINCETON,MN 55371- (612)919-0538 Payment(s) CREDIT CARD 8804 52.40 OWNER LANDSOUCE 3845 NORTH SHORE DR MOiJND,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 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 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 ali required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �� / �_ f� / ��/ � Appl cant Permitee ignature Date Issue By Signature Date �qk�sHoa` Ut i i Vi� vrvi�v-irir,�,nrxi�i�,.yi.,rr.nivti i. ,�� (All Commercial pertnits must be appmved 6y the Building Ofticial or inspector und/or Fire Marshali) , � � � GENERAL INFORMATION l. You may apply for mechanical permits by mail ar in person at the City offices. Applications wil •� be reviewed and a permit will be issued within two workin�days. � � 2 I� 2. Permit cards will be sent by return mail after a review is completed, PERMITS ARE NOT � rJ VALID UNTIL Y�U RECE[VE A PERIvIi'T. W RK UST NQT BEGIN UNTIL THE �,�D PERM.[T CARD IS PQSTED ON THE JOB SITE �I 3. Mechanicat Desi�ns—Complete caiculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditi oning ins t a l la tion inc lu d�ng heat loss/heat gain calculation,design temperatures,equipment ratings and identificatian as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is invalved,a separate building permit must be obtained. 5. All work must be done in accordance with the Unifocm Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4b00. (24-48 hour notice requ[red) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑Comm�rcial(Approval Required) ,'�New ❑Additionat ❑Repairs ❑Replace Job Site/Owner Tnformation: Site Address: �� � � ��� Y{��'1v�"� � � �-�}-- -^ Owner� Q � � ,C���ailing Address: City: Zip: Home Phone: _ Alternate Phone: Contractor lnformation: , 'jContractor: � ��� t c Person: .�1,1 i N v i� � Address: t j��t� ��-� 't' h `��,�Bond#: , , Ciry: �1 - ��''�1 Zip-�7�)�Expiration Date: � Phone:�t � `� ( L� ��-��� Alternate Phone: �ct�l -�°''� ��.,-�-.. ❑ Insurance—Current: �f�S �eG�'i'cgYl �'�'' �--�-,',�,.--� -'7"c,�nr�� c� '� �, � � � �� � ua.,a-aai��V OlDICilYja • Quantity: i 1 N-r�L��t'Z-- C.�..�J f I/1 �i�..���� Make: �._ � C� � � � � Model: Fue(: Flue Size: Input BTUs: � Output BTUs: CFM: COOLING SYSTEMS ` Quantity: Make: Model: Tons: ----------- H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Modei No.: ❑ Wood Stove with Flue/Masonry VENTtLAT101V ❑ No. Kitchen Exhaust duct recirculating �� ❑ No. _ Bath E�chaust(must have duct outside) cfin ❑ No. _ Other Fans: Locations _ c� FUEL STORA�E (Must be approved by FireMarshall ifproposing to abandon tank in pluce.) ❑ Installation ❑ Removal Fuet Oil: galions ❑ Underground ❑Inside LP Gas: gallons ❑Outside Other: GAS LINE ONLY ❑ Outdoor Gri(1 ❑ Other/List What&Where: 2 L► Yes,this sectlon applies • ' � The replacement of a �' ential fixture or ag iance that meets all three of the following requirements: 1. Does not require modific;ation to electrical or gas service. 2. Has a total cost of$SOO.flO or tess;excludins the cost of the hxture or appiiance:and 3. Is improved,instailed or replaced by the homeowner or licensed contractor. Skip next section,if ihis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 � V� U���U�� Mail-[n Fee(IfApplicable) $ 2.00 ��j �0 , C� � ��� j �---� Total Permit Fee � PERMIT`FEE CA�..,CULATION S -JOBS OVER�500.00 If above does not apply;follow guidelines below: 1. CUNTRACT PR10E *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$SO.UO) 2. STATE SURCHARGE 4 x.0005 $ (contract price) 3. POSTAGE&HANDLINCi(Qnly on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) $ • * CONTKACT PRICE or J�B COST means the actual or estimated dollar amount charged for the permitted work inciuding materials,labor,profit,and other fixed costs. [t is the amount to be charged to the c�stomer for the work done. If any material,equipment, labor or installations are furnished by the owner,tenant or any other party, tt�e reasonable market value of such items must be added to the esumated cost or contract price for permit fee purposes. [n the event that there is a dispute on the amount of the job cost, the City may request the submission of 1 signed copy of the actual contract. MECHANICAL PERIvIIT AFPI.,IC.�TIt�N'AC`,,R,EEM:ENT The undersigned hereby applies ta the City for issuance of a Mechanical Permit, agrees to do all work in strict accordanee with th.e ordinances of the City and the regulations of the State of Minnesota, and certifies that al} statements made an this applicatio7� are complete, true and correct. ,�'``��� J AppGcant's Signature: � � Date: � "` �� ��' � ___- 3 , �� " � / DATE TIME � I F ORONO CALLED IN ` ������ ;��� INSPECTION NOTICE SCHEDULED _�_sLLa.1_ PERMIT NO � l COMPLETED ADDRESS Z� I �1 _ � CIY� � OWNER TE P NE ���9 CONTRACTOR � DESCRIPTION � ❑ FOOTiNG ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP p PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLPJNT J O DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T FINAL ' ❑ FOUNbATION/REMOVAL 2 �IIfNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � � � a //1 -� ar �� ��.6�KS �'o� .L , - o __�c sc �� ��� o.� aZ �` rc��:P c�rr'1 - � � ° � a'�:- �-e,s� ,f.�G��s � 3ops� — W � Q Z j�/C $— �O(JC� t� . W �M�' �►i/ `���!/�GL � /�� ;/CSi K v � ��` ` -�'o�'' ra��. r 4���. s��rr�.,H — , J � �IQ�RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: h- White Copyllnspector's File Canary CopylSite Notice 1 � ��/Q�� C J DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �3�� SCHEDULED � 1� PERMiT NO. � 11���� COMPLETED ADDRESS �gZ-S ``F ` ��Y� D� OWNER TELEPHO E NO. CONTRACTOR �Z��_11YL'.��� �-u�at� � DESCRIPTION � / v�C�� ���� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �EGHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: �a0'��1'��—T/ I1'`� � � a � ( � o ',� ,�6 — - !6 �5 ,, . .� � �� .-� �..� -wc � e�D ° '!O`/5 .s. W � . � �/�.SCa� �S Ii rt e �Ot��l��'ra�6'w►� O•t C,�/�v✓ Q /-� � 2 (/�� SCl.-1 I��G GONt�or�Sr✓ �i.yG �datsL'r�Fl+� O+t e/C�:' W � W � j � ❑WORKSATISFACTORY:PROCEED �.eROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. C� i �.- �-' White Copyllnspector's File Canary CopylSite Notice