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HomeMy WebLinkAbout2016-00873 - mechanical 4 CITY OF ORONO * 2 0 1 6 — 0 0 8 7 3 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 ORONO,MN 55356- (952)249-4600 FAX: 952)2494616 ADDRESS : 220 NORTHGATE RD PIN : 36-118-23-41-0051 LEGAL DESC : NORTHGATE TWO : LOT 001 BLOCK 007 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (2)BATH EXHAAUST AIR EXCHANGER (4)SUPPLIES BASMENT (2)SUPPLIES MASTER 6"FRESH AIR MOVE CONDENSER APPLICANT MECHANICAL 92.40 PROFESSIONAL MECHANICAL SERVICES STATE SURCHARGE MECH(VALUATION) 3.85 8851 E.RESEARCH CTR RD MAIL-IN FEE 2.00 NEW HOPE,MN 55428- TOTAL 98.25 (763)657-7421 Payment(s) Minnesota State License#:mech-MB003767 CHECK 2322 98.25 OWNER SEE,HENRY&GAIL 220 NORTHGATE RD WAYZATA,MN 55391- 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. Applicant Permitee Signature Date Issue Signature Date �[C�I►tV`��� PLT sIK ONLY City�T City of Orono 3 �Oi V P.O.Box 66 q Date Receive ermit 2750 Kelley Pay LOlea 16 Crystal Bay,MN 55323 AppmVed By. Amount$: 3, Phone(952)f9"FFjD 9-4616 CITY OF ORONO—MECHANICAL PEWArr q SRO (All Commercial permits must be approved by the Building Ostial or Inspector and/or Fire Marshall) GENE Il` Q TION 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 PIE'M Check All That# Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑New g[Additional ❑Repairs ❑Replace Job Site I O"Cr b ion: Site Address: 'a 1-0 0 Iy �aAC �d aA Owner: IAll V7 f + GCL. Mailing Address: 9JO A)�Ct IL I City: 0l aro Zip: a53 l Home Phone: Alternate Phone: Contra ctc)rInformation2. Contractor: v 1 S Contact Person: W3 Address: KOa.,---4 State Bond#: 003 City: Zip: � "Expiration Date: -6 (a- Phone: "1(#3 7— 7 a'/ Alternate Phone: -1 W 7" 4A ❑ Insurance—Current: S84�( Cc 1 MECI ANICAL SYSTEMS BEIrTG TNN'STALI;ED' Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes [A_No 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: ❑ 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) cfm No. Other Fans: Locations cfm �FML , �l i b , 02v► h to" .oar Pwcu Lr�v+� 'erRAGE (Must be approved� Fire 1�1'arshaA of proposing to abandon k in place) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 TV caL,Cu�;AT� �vs 1. CONTRACT PRICE a is 1.25%of contract price with a(Minimum Fee of j$50.00) —1'I 0 0 x.0125$ —ofl a . H o (conbact price) (minimum$50.00) 2. STATE SURCHARGE -1000 x.0005 $ M5- (Contact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • a ■ * 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. WCHAMCAL pEIT.Al'PLICA FION A( 1IT .:' 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 sta ents mad n this application are complete,true and correct. Applicant's Signature. Date: ` � ? '�� 3 �- TE TIME CITY OF ORONO ED IN 7-- INSPECTION INSPECTION N93 C _ 7 SCHEDULED COMPLETED / ADDRESS L S'L'Y C�- �� OWNER 7IEL E N CONTRACTOR S 51�Cyt DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL El TREE REMOVAL Z ❑ RADON SLAB HANICALRI ❑ SITE INSPECTION FRAMING >MEC HANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: cc W Q- Qz M2 A O O Q 2 W W ccj d iRK ❑ SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CORRECTWORK 8'PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECTWORK,CALLFOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours'n adva 952 00 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice ATE TIME a' CITY OF ORONO - ALLED IN INSPECTI OTICE SC DULED PERMIT O.�� �1'111 LETED ADDRESS OWNER EP�jION NO. CONTRACTOR -S R-� DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 7Z ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES—NO COMMENTS: CC f W CC Q 2 W W Wj — YR EIWORK SATISFACTORY:PROCEED WOJECT COMPLETE cc ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O L7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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 Copyllnspector's File Canary CopylSite Notice