HomeMy WebLinkAbout2017-01077 - duct work CITY OF ORONO 1 I 1 I�I I i 11 I I I 1 I I i 7111111
2750 KELLEY PARKWAY DATE ISSUED: 09/06/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2509 KELLY AVE
PIN : 20-117-23-12-0037
LEGAL DESC : REG. LAND SURVEY NO. 1428
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 400.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BATH EXHAUST-DUCT WORK REPAIRS
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.20
BINDER HEATING&A/C,INC. MAIL-IN FEE 2.00
222 HARDMAN AVE.N.
MN 55075-
TOTAL 52.20
(651)457-8781 Payment(s)
CREDIT CARD 0362 52.20
OWNER
NADLER,CHARLES&CANDICE
2509 KELLY AVE
EXCELSIOR,MN 55331-
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 all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ature Date
Sep. 6. 2017 10: 18AM No. 0753 P. 2
Az try USE ONLY D 1-7
P. Box 66 Date Ftc � r/
Ci of Orono
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2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By. Amount S.
Phone(952)249-4600 Fax(952)2491616 N
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�KaHa�*c CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marehall)
CrENERALINFORMATION
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 ItECEiVE A PERMIT. QRK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs 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)249-460(1
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
= TYPE OE;PERIv1IT
..(Check Al1;That Apply} ,;
Residential ❑Commercial(Approval Required) (Backflow Device:❑AVB ❑PVB)
❑New ❑Additional IN Repairs ❑Replace
Job Site/OwneiiC Inform itlo Site Address: 50 /QLL i
Owner: A)A-l? /?it' Mailing Address:
City: Zip:
Home Phone. Alternate Phone: 1051_ s017(2
Contrackor Tnfo�riatiori
,
Contractor: , , . . ,,1�,, ,_i" Contact Person: fl1A_tv . y'
Address: 4342,2 Ckn State Bond#: Th.b 0 b 3;1311
City: 5).5f" QC Zip;5O7J Expiration Date: F7/y/ -0/er
Phone: ( '/- 7(05/—(1'5717.gi Alternate Phone:
Insurance—Cui.Tent: lr-[e$ 1r, 10-9'4 7
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Sep. 6. 2017 10: 18AM No. 0753 P. 3
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Note:Ail Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes KNo •
HEATING SYSTEMS
Quantity!
Make:
Model:
Fuel;
Flue Size:
Input BTUs:
Output BTUs:
CFM:
•
COOLING SYSTEMS •
Quantity:
Make;
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
O Wood Burning Fireplace
Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
•
VENTILATION
❑ No. Kitchen Exhaust duct recirculating din
(
No. I. Bath Exhaust(must have duct outside) b 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:_P WA, r
2
Sep. 6. 2017 10: 18AM No. 0753 P. 4
•
Lmtogififfig
L CONTRACT PRICE *is 1.25%of contract price Wwwith a(Minimum Fee of 550.00)
L(OD x.0125$ 56.
(Contract price) (minimum 550.00)
2. STATE SURCHARGE
°°-
V x.0005 $
(contractpnce)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Sa, .2.0
■ R 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.
Ft. w 4
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:
3
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ATE TIME ,/
CITY OF ORONO CALLED IN �17 ci—1 14 7
INSPECTION NOTICESCHEDULED q-I a-17 c„/,—'U v
PERMIT NO. I�b/O�7 COMPLETED
ADDRESS o?SCD ci --J L C e/ L,c
OWNER �;� r---------, TE i I GONE NO.�"SI i S -q7/7
CONTRACTOR &-44 Lori 'q-"( - 4v 147)
E DESCRIPTION
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LU 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
rd) ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 1AQECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 01,1E01441611614MAL 0 RATED WALLS
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❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
JQ 0 FINAL 1:1WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
i OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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B; e"CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. r M.. Z"
White Copy/Inspector's File Canary Copy/Site Notice