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HomeMy WebLinkAbout2013-00589 - mechanical CITY OF ORONO *" z 0 1 3 _ 0 0 5 8 9 2750 KELLEY PARKWAY DATE ISSUED: 07/01/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 4731 NORTH SHORE DR PIN 07-117-23-32-0067 LEGAL DESC BERGQUIST&WICKLUNDS PARK LOT MB BLOCK 5 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 15,000.00 NOTE: (1)DAY&NIGHT FURNACE-NATURAL GAS (1)ELECTRIC BOILER (1)DAY&NIGHT A/C UNIT (1)KITCHEN EXHAUST (5)BATH EXHAUST GASLINE FOR(2)FIREPLACES,DRYER,AND COOKTOP AIR EXCHANGER APPLICANT MECHANICAL 187.50 MASTER HEATING&COOLING LLC STATE SURCHARGE MECH(VALUATION) 7.50 4963 70TH AVENUE TOTAL 195.00 LORETTO,MN 55357 (763)498-7883 OWNER Colson Custom Homes 216 WATER STREET 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 rev d at any tim fo due cause. A cant Permitee Signature Date 41sid4Zy—Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. OR ITY USE ONLY City of Orono 7 / 9 P.O.Box 66 Date Receiv d` Permit# - 50/ 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: cJ' Phone(952)249-4600 Fax(952)249-4616 a � y � F � t�kESHo��G CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits 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 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 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)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑ Commercial(Approval Required) XNew ❑Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: o r U r Owner:(Ibkopl L.usfom ( 1�w12S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: 11Al LL v. Contractor: �C�S f +►�^5� c 'tact Person: -B Address: !��7yState Bond#: 3 ( � City: Lola* Zip7Expiration Date: Phone: 7(.3-- 1%-7R5-_L Alternate Phone: �,12- 24-?' 3'9 Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes fj�No HEATING SYSTEMS Quantity: r Make: Elt3v�C- 2v Model: G 9 M X E 46-0 Fuel: N0- GS E(�"fv 1,C- Flue Size: 2t1 lic Input BTUs: bo,600 16 kc,) Output BTUs: Z OOd 0 K CFM: �OO COOLING SYSTEMS Quantity: f Make: y Model: /VA A A3 b Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust X duct recirculating 461? cfin KI No. _ Bath Exhaust(must have duct outside) cfm 12 No. Other Fans: Locations bq -v' cfn 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: �L. 6�s�iYe�laoe �SM� Gc,,s r�er 2 CSSk�o PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excluding 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-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) JOBS OVER$ 00.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%off contract price with a(Minimum Fee of$50.00) _- o(Do j2,2-- 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: f/vILU Date: 3 S-ej- D TE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO D 13 -AQ_6,ff9 COMPLETED ADDRESS 7 -e In ve- OWNER TE EPHO NO. � CONTRACTOR DESCRIPTION % LLC lc C W ❑ FOOTING ❑ PLUMBING FINAL ❑ EX A I I G W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT .1 ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Q OWNEWCONTRACTOR TO MEET YOU:_t YES_NO y COMMENTS: a; W o, 0 tom- v7- �AS+A4 e cc (0 t9,0 f-P-4 Q Q J e ea r -so A c J PEI 44 ORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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. . White CopyMspector's File Canary Copy/Site Notice 1 / CITY OF ORONO CALLED IN DATE TIME INSPECTION N TICE SCHEDULED it)-31-t3 PERMIT NO.o2 �.3�oos�9 COMPLETED ADDRESS J(73 iVcv)-4 �,SAOV_ j/ OWNER TELEPHONE NO. �p�Z CONTRACTOR ' S y v > DESCRIPTION a''4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0. cc ° J/V��,, p ,r►.�L few :}� �-- 0 U_ W Q Z W W cc Wj ❑WORK SATISFACTORY:PROCEED A<ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E)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. A White Copy/Inspector's File Canary Copy/Site Notice d`''' Alf, TIME CITY OF ORONO CALLED IN le v INSPECTIONOT CE SCHEDULED PERMITNO ,,0 :3_06S_ q COMPLETED ADDRESS��I �� ` �6t_l G OWNER —TELEPHONE N0.7P3 YqD 78�J CONTRACTOR Z&91fA_ Al DESCRIPTION !A -r"*410tjr 11-ez?4 4*f vaz:�-_ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q EJFRAMING [IMECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W CC O O cc O W Cr Q 2 W z W cc J d WCr ElWORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORKS PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 1i PHOTO TAKEN INSPECTOR WILL RETURN F.,CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice