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HomeMy WebLinkAbout2015-01513 - mechanical CITY OF ORONO II 11II I 5 III 11II I I I I* I0IOI 13 *I 2750 KELLEY PARKWAY DATE ISSUED: 12/01/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2350 OLIVER HILL PIN : 34-118-23-33-0071 LEGAL DESC : OLIVER HILL : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 20,000.00 NOTE: 1 HEATING SYSTEM(LENNOX), 1 COOLING SYSTEM(LENNOX), 1 KITCHEN EXHAUST, 5 BATH EXHAUSTS(ALL NEW) APPLICANT MECHANICAL 250.00 STATE SURCHARGE MECH(VALUATION) 10.00 MASSMANN,GEOTHERMAL&MECH TOTAL 260.00 27944 96TH STREET Payment(s) ZIMMERMAN,MN 55398 CREDIT CARD 4027 260.00 (763)416-5066 Minnesota State License#:mech-MB003981 OWNER PRENEVOST,JEAN&REBECCA 2020 ARCHER LANE N PLYMOUTH,MN 55447- 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. i(k,k01: 1 Applicant Permitee Signature ( Date Issued By Signatt e� Date FOR CITY USE ONLY City of Orono 11,--14S _ \ P.O.Box 66 Date Received: Permit 7(15_015 B 2750 Kelley ParkwayCO Crystal Bay.MN 55323 Approved By: 12.- Amount$: Z(P0 1 ph.one(9i,)'494600 Fax(95212494(116 At"St "C,s CITY OF ORONO-MECHANICAL PERMIT ni if w (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 arc required for each heating.ventilation,humidilication-dehtimidification,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) CO.Residential 0 Commercial(Approval Required) ErNew 0 Additional 0 Repairs 0 Replace Job Site/Owner Information: r Site Address: U Owner: ,/, in ng'Address: City: "<1 ,16 k. k Zip: - -) H •:1 <2, Home Phone: Alternate Phone: \-4 • -1 Contractor Information: Contractor: \\-)AlY'\-N*NN0-\1\`' ' ,'= ' 'tontact Person: kL 10-1/41k, Address: tate Bond#: ) 1 \\NINV . City: -" Expiration Date: V.," ‘,.c.--)!2 D.' < Phone: Alternate Alternate Phone: Li Insurance-Current: \;) MEC .IL.STEMS KING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes X No HEATING SYSTEMS Quantity: Make: LCLAnt)Ys. Model: &I-42 4ND OlOA V ki0(.. Idn=0;;;17—TO Fuel: Mo. Flue Size: 02 Of Input BTUs: 7/)1( Output BTUs: 34 CFM: COOLING SYSTEMS Quantity: Make: b2.14140/1/4 Model: XCJIP 4S-236. Tons: H.Power FIREPLACES O Gas Factory Fireplace Brand Name: O Wood Burning Fireplace O Wood Stove Model No.: O Wood Stove with Flue/Masonry VENTILATION O No. / Kitchen Exhaust i?" duct recirculating 3O0 cfm O No. S' Bath Exhaust(must have duct outside) 0 cfm O No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) O Installation 0 Removal Fuel Oil: gallons 0 Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill 0 Other List What&Where: PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE 0 Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does nut 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 S 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-,-.JOBS OVER.$40,00 1.1 If above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) tPqv.Oa x .0125$ ;;;25.01 a 0 (contract price) (minimum$50.00) 2. STATE SURCHARGE .0005 S itt,. PO (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) S 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ef;?4'C'e 46 • * 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. . _ MEC4ANIQA1.,PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do alt 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: ....„,,, .. -'---- 1.— Date: „,, ,c,:; , 0000e• -., 3 ` 2 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _/i�%�.::- I pan PERMIT NO. 2 CI 5-CA 513 COMPLETED ADDRESS 2 35e) 0 L VE Q -i--/ ; )) OWNER TELEPHONE NO.—7(03 -43g 4 CONTRACTOR I ill) CL.Sc-- t'y O. fl 37. DESCRIPTION R). - f��—��t- iY ,...LV ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL )61-- (4. ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT :IT 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ E TIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:YYES_NO j COMMENTS: f - -- Cl)V O q cc Lu COLAd- "-1-c) 1 -4P cc d . cfle....,— cc• 6-e � 4 0 cc cK W ' ' J rOf( 2 W W cc o d W RK SATISFACTORY:PROCEED 0 PROJECT COMPLETE ItW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY to BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / Call for the next inspection 24 hours'n adva I -. ' ' 49-4600 Owner!Contractor onsite: -i,-001-.0% • � Inspector. 41, White Copy/Inspector's File Canary Copy/Site Notice c.,„1-- DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _1 16 1 /30 PERMIT NO. 20/51) 13 COMPLETED ADDRESS 0 • is V F ' -/ i 1 ( OWNER TELEPHONE NO.?6.3 3 89-0 762 CONTRACTOR /7/4 SS /Yl r) ) Cie p . DESCRIPTION / /1 a / MO cA ' L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING y 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO cam., COMMENTS: ac Lu cc agiwor41 O lir ( *------ h/17, --- CCO W CC CE 41411, 11111111/11.1111111116. ffirgalrAIP Z W CC W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE itW ❑CORRECT WORK&PROCEED 0 UE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection lhours in adva ' " ' ) 249-4600 Owner/Contractor on site: / , Inspector. ' White Copyllnspector's File Canary CopylSite Notice