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HomeMy WebLinkAbout2017-00732 - mechanical , * CITY OF ORONO * z 0 1 7 - 0 0 7 3 z * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2660 PHEASANT RD PIN : 21-117-23-23-0022 LEGAL DESC : PHEASANT LAWN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,101.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)CARRIER-MODEL 24ACC642A003 (1)CARR[ER-MODEL FB4CNOY2LOD EACH 3.5 TONS APPLICANT MECHANICAL 101.26 ABEL HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 4.05 6501 COCINTY RD 15 MAIL-IN FEE 2.00 MINNETRISTA,MN 55364- TOTAL 107.31 (952)472-2665 Payment(s) Minnesota State License#:mech-MB003400 CHECK 22002 107.31 OWNER HAYHURST,GREGORY&GAYLE 2660 PHESANT RD EXCELSIOR,MN 55331- AGREEME1vT 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. ' � � � �� �� Ap lica Permitee nature Date Issued Signature Date ��CEIVED RC YUSEONLY • ' City of Orono )� ��► . • ` �ON P.O.Box 66 I � . -.., ,,, ��- � Date Receiv� Permit;�i'y// / / 0 2750 Kelley Parkway�°�� >'w ;' x_� � T � � , Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4¢Qp.,�F,as,(;�,52,�Z,4��� � ,., � C:I I T lJt' CJ#'C 2 � � � . �qK£s H���.`'� C1TY 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. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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 shali be presented on form provided. 4. Wt�en 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 A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: 2(.��, r� t�l�z,:,5�.,,,,�� �J Owner: L�; ���.� 1-1ti", �n..�•�� Mailing Address: Zt_.�cS,� �1r.tw�.�„�� ��� . City: �f �--�l5�. . Zip: ��-,?i 3 t Home Phone: �1`i Z - ZZ� - �; �Z�,. Alternate Phone: Contractor Information: Contractor: ��c-� �� � �.,�, Contact Person: � ` ���-�-S��- �u � � :� . � f'1 uc� Address: �� v. �� I � State Bond#: b 3`1 a � City: �� ,��-� tf�s��� Zip:�3�.�'( Expiration Date: Phone: �`i 2- 4�l Z- 2� �� Alternate Phone: ��Z J `'L`� " � �`�3 ❑ Insurance-Current: J•k.5w✓��-`e 1 � `1' 8 � �b�SZ-- ' MECHANICAL SYSTEMS BEING 1NSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes [�No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � ' Make: 1..�.i�. �-e/ , �� �-e.� Model: Z'-�A C C �y Z/+Aoo'� ��j�t N�`I Z l.-b�� < < Tans: --� Z �j rz 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) cfm ❑ No. Other Fans: Locations cfin 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 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of 550.00) Z la �j\i> \ J� x.0125$ 1 b 1 --- (contract price) (minimum$50.00) 2. STATE SURCHARGE �/ u S x.0005 $ `�J (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ` 3� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I �� ■ * 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agees 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: r Date: Cv � Zv I 1 -1 3 „ � � � D�A/TE TIME ITY OF ORONO CALLED IN � �,/j-y1� f• �"v INSPECTION NOTICE 9GHEDULED PERMIT NO. dG���7���OMPLETED ADDRESS ��� /�-� OWNER TELEPHONE NO.CIsa-��a�S CONTRACTOR � DESCRIPTION - 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �fAECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Z^OU:_YES_NO � COMMENTS: �Su�(i 4 Gi�� �it.����r { �G r'eDl�rP.✓��� - o - /'�C cJ /..sa sc� t�/ l!�/ D�D?���uc �J�5� � � a.rw � - .'od ” s a� a <, � O � �`' G�GG�r� <�fG /'�cCr��lccL` �Or �/��,.irr� W � Q ZGt�r� �"o r�dlc�+iE +F 47.�4 f ��' �' W � � x�.+�=� �7,��✓,e,O � O WORK SATISFACTORY:PROCEED �ECT COMPLETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COAIERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN iNSPECTOR NfFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours�n advance. (g52) 249-4600 OwnerlContractor on sRe: Inspector. ► "w Wh te CopyAnspectoPs File C�nary CoPYISM�Notfee