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HomeMy WebLinkAbout2017-01272 - mechanical t. a CITY OF ORONOI I I I I I I I I � I 1 l it * 2750 KELLEY PARKWAY * 2 1 7 - 0 2 7 2 DATE ISSUED: 100/06/2017 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 490 OLD LONG LAKE RD PIN : 36-118-23-34-0010 LEGAL DESC : SUMMIT STATION : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. 1-FURNACE,2-A/C,KITCHEN STOVE&GARAGE HTR APPLICANT MECHANICAL 118.75 AIR QUALITY SERVICES N. STATE SURCHARGE MECH(VALUATION) 4.75 7900 EXCELSIOR BLVD TOTAL 123.50 SUITE#750 Payment(s) HOPKINS,MN 55343- CREDIT CARD 3185 123.50 (952)401-3838 Minnesota State License#:mech-M13003119 OWNER LITSEY,CAL&CHRISTINE 490 OLD LONG LAKE 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 tim for due ause. ioell l l . ltcant Pe firth tee S a e Date Issued By Signature Date FOR CITY USE ONLY �r City of Orono I44-1 // WODate Received: /1 i /7Permit 4 o7l7Z. 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: `logAmount$: I 3,$C)Phone(952)249-4600 Fax(952)249-4616 � CITY OF ORONO—MECHANICAL PERMIT k�SH04 (All Commercial permits must be approved bythe BuildingOfficial or P PP 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 0 Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional /:) Repairs .Replace Job Site I Owner Information: (/ Site Address: . 11'D t !a 14774.1 L.Ku Nom. Owner: al Li 15cy Mailing Address: WD Q 1 Lzt Id, City: g4..41.), Zip: 3339/ Home Phone: Alternate Phone: (l i- V)' 7 Zq 4 Contractor Information: Contractor: A it r,),40 Contact Person: &?2u1 &Ai 611 At1411,k- Address: 7t Eictd.Vg R//,zi 75d State Bond#: /IS ODS 111 City: k Zip:55-39 Expiration Date: .2'2:31g. Phone: /52-‘12. -35'38/ Alternate Phone: 6 iV Z? -1351 AInsurance—Current: 1 4 MECHANICAL,SYSTEMS BEN.INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes No HEATING SYSTEMS Quantity: l Make: 1' D4)h)E l.' ii/)Tv. Model: Oto OW Fuel: 4i Flue Size: It Input BTUs: (JO K Output BTUs: 51/g CFM: COOLING SYSTEMS Quantity: I / Make: 6, f yp, lAA pp Model: 2.10_11121 !21,N)KOZN Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION al,, No. / Kitchen Exhaust — \ duct recirculating to cfm M 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 ,/ / 1112 ❑ Outdoor Grill Other/List What&Where: 5t-p UIt fy1?JJ/,) + 4 'att 2 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) SOD x.0125$ 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. ;s .t +^ r•n} .f":._4.€WwE !VIilyroNintylrrrei `f^*' C .g..n .'C zi i 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: &tad Date: /0-61? 3 "\i3 DATE TIME \/ CITY OF ORONO CALLED IN INSPECTIO N TIEq SCHEDULED 12515=c, PERMIT NO. t- a 21 r,�,� COM LETED ADDRESS .0 (75-(i/�( / t I e OWNER _ TELEPHO NO. t 2• 4'.2 • 1g5)-, CONTRACTOR 0 '� DESCRIPTION • q' Cr444l • ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 12 ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL ▪ ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: /1 t+ov r t m,4 /"o vile 14..ecc el/t✓.!'L. 1%4.r( 4. (i4 sir rte+t 1 d . j.ra's ',ate r 4 N a k host rf4"•-h 4,c CC Vi• ri4.10 Q C uVIjkS o4 r ac, e g 1 cc W W CC ' — ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CIO 0 CORRECT 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 OwnedContractor on site: Inspector. f 9 h A White Copyllnspector's File Canary CopylSite Notice