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HomeMy WebLinkAbout2016-00221 - mechanical iiiiiiiiiiiiiiiiiiiiiillillillillim CITY OF ORONO * 2016 - 00221 * 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS 2535 OLD BEACH RD PIN 21-117-23-22-0019 LEGAL DESC THE MARSH AT LAFAYETTE LOT 006 BLOCK 001 PERMIT TYPE MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 500.00 NOTE: (1)BATH EXHAUST RELOCATE 1 OR 2 CEILING SUPPLIES IN MASTER BATH AND BEDROOM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 PIERRE REFRIGERATION TOTAL 50.25 1920 2ND AVE S Payment(s) ANOKA,MN 55303- CHECK 9779 50.25 (763)421-3604 Minnesota State License#:HVAC-005369 OWNER CODUTE,TOM&ALICIA 2535 OLD BEACH 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. — 04W # A li t Petmitee Signature Date Issued y ignature Date FOR WY USE ONLY ti Q A TO City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount S: i Phone(952)249-4600 Fax(952)249-4616 SHO 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)2494600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) XResidential El Commercial(Approval Required) [Backflow Device: El AVB [IPVB] ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 25.3-�_ 010( feeCA k0o'd 41 Owner: I ()M Aff'dq C" Mailing Address: Sqm e City: W*Z_q Irl Zip: S-S3 q 1 Home Phone: 115,?- yAlternate Phone: Contractor Information: Contractor: �err� e` : feMbdIVIContact Person: JOA OC'C61-- Address: ( ?"® Z V4 14 VP- J' State Bond#: City: Xo kq Zip:�S 4.7 Expiration Date: Phone: 70-cal-360y — Alternate Phone: ❑ Insurance—Current: 1 1VIECHAI�ICAL SYSTEMS�ETNG INSTALLED Note: All 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: Ata ❑ 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) cfin ❑ No. Other Fans: Locations clip 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: 2 r I'EI�MIT E.0 CULATIQNS i 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �3v,0'00—meow x.0125$ . (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ c 2S— (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ SZ• Zy- ❑ * 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. MECITAI�TCAI,.,PERMIT APPLICAT19M"A GREE FNT 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: Date: ✓ / 3 7 DA TIME CITY OF ORONO CALLED IN �7 , INSPECTION NOTICE 2� SCHEDULED PERMIT NO. C /PLLETED ADDRESS OWNERHONE N A-70V CONTRACTOR 162 'erlfe-—arON DESCRIPTION W [3 FOOTING [3 DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q [I FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .1 ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- nn �yGbw< <omozae!— j o , Lu W W oy�J� IwBA TISFACTORIf PROCEED ❑PROJECT COMPLETE W D CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN D STOP ORDER POSTED.CALL INSPECTOR D CITATION ISSUED D INSPECTION REWIRED.CALL TO ARRANGE ACCESS. �-nex inspec*m 24 hours in advance. (952) 249-4600 Own !Contractor on ector: e• 6 Insp � White CopyMspectoes File Canary CopylSlte Noth:e