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HomeMy WebLinkAbout2013-01294 - mechanical CITY OF ORONO * 2 0 1 3 - 0 1 2 9 4 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 825 OLD CRYSTAL BAY RD S PIN : 09-117-23-21-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE ) McC14-1e.-e PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FSE ,414419" 51 S19rNs__ NOTE: (1)LENNOX HEATING SYSTEM ` VALUATION OF PLUMBING 3940 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.97 SELECT MECHANICAL SERVICES INC. MAIL-IN FEE 2.00 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- TOTAL 53.97 (952)926-4488 Payment(s) CHECK 3496 53.97 OWNER DAYTON,JUDSON&ELIZABETH 121 S 8TH STREET#860 MINNEAPOLIS, MN 55402- 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. (-71/Lidej / �4 /o2--ii /' //3Applicant Permitee Si ne Date Issu By Signature Date FOR CITY USE ONLY s f,itA, City of Orono R�C�4P4j VO P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway DE N , . Crystal Bay,MN 55323 Approved By: Amount$: L (952)249-4600—Main t 4 ,• �. (952)249-4616—Fax .M/ ; 'l,';�.' c` CITY OF ORONO—PLUMBING PERMIT CII 'tKESH04� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt s://www.dli.mn..ov/CCLD/PDF/I e .lumb•lanreva I ..s df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) rsidential ❑Commercial(Approval Required) //❑New ❑Additional ❑Repairs eplace 0 In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: e aS S d L0 (se_ '5-ri -e(t y Owner: 7vV'o /t1 `'1'TDr-) Mailing Address: City: 00 +0 u Zip: Home Phone: C71?' —86)7-4`(a'7 Alternate Phone: Contractor Information: Contractor: SG�- Rt`'ce-ldA4kekt-) Contact Person: �A Le, 645PArua Address: 0a—t9 CA'^ 4I0/L SI. State Bond#: V)0033'10 1O11PCity: cr 100's fi tLL Zip:0140 Expiration Date: ‘11(310-1- Phone: hone: / c • -9,9-0-1-0(86 Alternate Phone: go- c9 ❑ Insurance—Current: 5.7;2-7 1 • • l t Note:All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Lertih$ C Model: -?-96()E4 Fuel: NU Flue Size: 2- ').aC1C-d Input BTUs: !d i CO Output BTUs: (j`7 ZL9:J CFM: ZOD 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 0 No. Kitchen Exhaust duct recirculating cfm 0 No. Bath Exhaust(must have duct outside) cfm 0 No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: gallons 0 Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill 0 Other/List What&Where: 2 . , • • ` f 44, x�k 9µ � 'Sd �' �Y�k1 ❑ 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 $ n� P",�N��Pw ti,aq h,! " ,! 4 ;a �'r,' �.S a � :'s, • i d ,r:�' },;"A�. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of $50.00) 39 `to- x .0125$ , (t (contract price) (minimum$50.00) 2. STATE SURCHARGE � I 70 — x.0005 $ t -et 7 (contract price) 3. POSTAGE& HANDLING(Only on Mail-1n Applications) $ 2.00 ci 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. :9. 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. / / s ate: / c /3," Applicant's Signature: / L✓ -�-r- 3 DATE TIME l CITY OF ORONO CALLED IN v . INSPECTION NOTICE SCHEDULED 6 % PERMIT NO. 3 -OAP 9' COMPLETED ,a?/ 8 ADDRESS 27d GYM ce 5 t-4/ 23.7- go S. OWNER TELEPHONE NO. CONTRACTOR S�lec. 1° 4,. 5c/ • DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q 0 DEMO-SITE ❑ SEPTIC MAINT FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 1:1FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vv,• COMMENTS: `` '' nn 4 Ay WY a1oI .0,e- f4•4100Gt 11 Few" 4 cc Q - ex,s h-t 1s 70.5 /14' z ,kaxt4Its' vobSt``e W �r!C olawcldle.'t-e _ J pry 6C r0Y4/� Lu0 WORK SATISFACTORY:PROCEED �BO.IECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I for the next inspection 24 hours in advance. (952)�c� 249-4600 ( ctoroisite: �(i : Oa t Inspect. 0/ I # 1 to Copyllnspector's File Canary CopylSite Notice