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HomeMy WebLinkAbout2014-01125 - mechanical „ CITY OF ORONO * 2 0 1 4 - 0 1 1 z 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/OU2014 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 2655 PHEASANT RD PIN : 21-117-23-23-0005 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 18,504.00 NOTE: (1)TRIANGLE TUBE BOILER-MODEL#PT175-NATURAL GAS- 175,000 INPUT, 166,250 OUTPUT APPLICANT MECHANICAL 231.30 STATE SURCHARGE MECH(VALUATION) 9.25 PEAK HEATING&COOLING, INC. TOTAL 240.55 7801 PARK DR. Payment(s) CHANHASSEN,MN 55317 (952)401-1 l95 CHECK 6688 240.55 Minnesota State License#: mech-MB003156 OWNER JOHNSON,JAMES&CHERYL 2655 PHEASANT RD EXCELSIOR,MN 55331- 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 Iaws and ordinances governing this rype 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 l 0 days of the date of issuance,or if construction is suspended for a perio of 180 days at any time after work has commenced. The pplicant respo sible f assuring all required inspections are req ed in co rtn e with State Building Code.This permit may be rev e at any ti f ue cau . Ci'�� �� /D�o� ��-' Appli t Pe 'tee 'gna r Date Iss d By Signature Date . ��TY�s�;�dNLY � ��A r City of Orono ' �yO P.O.Box 66 T�te R,�ecitYcd: P�t# 2750 Kelley Parkway Crystal Bay,MN 55323 A�ttsvecl k�y: , . A�Dt�tEt S: Phone(952)249-4600 Fax(952)249-4616 �� 1 � : ' ..�. 1.�,��S�Q���' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) � ! �.�,'����.�l�r,��� ' 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions 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 UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�s—Complete calculations,details and specifications are required for each heating,ventilation,humidificarion-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 pennit 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. � �� ���� �T�"P��C�F PER.N�TT ���� �;h�c���'I"hat A' 1 F::. -'�esidential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �place �(3 .�Y /�G�'�C�Tt11�14}Il: .' Site Address: 02� �s �ht�sc,.�.� �(J Owner:��.✓�. �o�v��,w� Mailing Address: �(o$� J�e�c,�,-� �.� c��: �'� P l_�� �r-- z�p: .S-S�3 C Home Phone: �5��—��(�—�Q g y Alternate Phone: tc�It�c�rr�a�oaa.: ' _ � Contractor: ` a �� ontactPerson: f �i :� Address: ��j� � ,�r S'k"BState Bond#: /�? 8-6�/ City: Zip:SS,3/�xpiration Date: �- �?S'—�(� Phone: 1�e� � ���1�l.� Alternate Phone: '� Insurance—Current: QWV�ZI'S 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: � Make: �f�ar�P�,r �u.�t_ Model: �]� J�� Fuel: /'�r�•.� Flue Size: Input BTLTs: �1� Output BTUs: �J V 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) cfrn ❑ No. Other Fans: Locarions cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY , ❑ Outdoor Grill ❑ Other/List What&Where: 2 • �Y �1 .f-,: ��j ❑ Yes,this secrion applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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 Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of a50.00) x.0125$ (coniract 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 chazged to the customer for the work done. If any material, equipment, labor or installations are fumished 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. y The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies th all statem ts ade n this application are complete, true and correct. Applicant's Signature: Date: — / 3 � r �� �C� D E TIME � CITY OF ORONO ca� INSPECTION N I CHEDULED 0 � PERMIT NO. -���� LETE� ADDRE � OWNER ELE ONE N�S��T�'��I�'-' CONTRACTOR � ry � DESCRIPTION -�IdlJ�.f �'l.. � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING �ECHANICAL FINAL ❑ TREE REMOVA� Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � �OI�@ r l"cp�it.CE wte•c� - � �- Cx�5������iS ���G >. . L �., � - 1lG�v�� �K.C � L� O � W Q w'�rK Gb.�l�z�� ' � z - � �i.��� �,���.8 W � j � ❑WORKSATISFACTORY:PROCEED �¢iOJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 11 forthe next inspection 24 hours in advance. (g52) 249-460� OwnedCo ctoronsite: ��''v` � - Inspector. �/ '^ � White Copyilnspector's File Cenary CopyfSfte Notiee