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HomeMy WebLinkAbout2017-01048 - mechanical CITY OF ORONO !1� 1 � Ill ' l' I 1111I II 0 * 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 0 4 8 DATE ISSUED: 08/31/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1669 NORTH FARM RD PIN : 27-118-23-44-0008 LEGAL DESC : THE FARM AT LONG LAKE : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE ACTIVITY : 0/S GENERAL VALUATION : $ 1,950.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. POOL HEATER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.98 METRO GAS INSTALLERS MAIL-IN FEE 0.00 685 141ST LANE NW TOTAL 50.00 ANDOVER,MN 55304 (763)754-7119 Payment(s) Minnesota State License#:mech-MB003162 CHECK 16897 50.98 OWNER BEENDERS&PETER MONTGOMERIE,ANTOINETTE 1669 NORTH FARM RD LONG LAKE,MN 55356- 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 d cause. / / Applic. t Permitee Signature Date Issued By Signature Date FOR CITY USE ONLY g�A r City of Orono *plc_ V P.O.Box 66 Date Received: Permit# O 2750.Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount 5: Phone(952)249-4600 Fax(952)249-4616 yk� o4�G� CITY OF ORONO -MECHANICAL PERMIT ski (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 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 Apply) ❑ Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional ❑ Repairs ❑Replace Job Site I Owner Information: Site Address: ./6.0 IPA-- /� Owner: A 6/ ,d Mailing Address: / ,9 47d !IA^ City: ./1,O11,0 Zip: Home Phone: 95;- ,75-- /?c Alternate Phone: Contractor Information: / // Contractor: ��74 r/ ��/' Contact Person: //h .4 yo thst Address: P 1 K 7 / /'J4 State Bond #: ge 00316d City: / ZipS�,3OV Expiration Date: 9-'91� Phone: 7a3- ?S$ 7/1% Alternate Phone: (.00-33 -7q '/01' ❑ 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 ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES p Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace LI Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) 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 7( Other/List What&Where: 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contractpricewith a(Minimum Fee of$50.00) /qc) x .0125$ (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. 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 ade on this app-"ion are complete,true and correct. /// Applicant's Signature: Date: ✓�[ 7 3 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NQTICS SCHEDULED C13)C)A\""1 j PERMIT NO.( 11 C)� COMPLETED ADDRESS lb coo, L) !t 61- <i\r \'- ,c-1 OWNER TLEPHONE NO. CONTRACTOR k1 U -.-S �1 SI Com.( b DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 14. • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z• ❑ RADON SLAB ICAL RI 0 SITE INSPECTION Q 0 FRAMING MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 41 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES 1'NO y COMMENTS: (44-S14. cc W CC W W CC W ' K SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY y BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection ,hours in advance. (952) 249-4600 OwnerlContra on He: , Inspector. 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