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HomeMy WebLinkAbout2017-00029 - mechanical .�. `` CITY OF ORONO * z 0 1 7 - 0 0 0 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: O1/12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2695 PHEASANT RD PIN : 21-117-23-23-0012 LEGAL DESC : PHEASANT LAWN : LOT 008 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. ADDITIONAL MECHAN[CAL ITEMS:2 HEATING SYSTEMS(GOODMAN), 1 COOL[NG(GOODMAN),VENTILATION 4 BATH EXHAUSTS INSTALLING DUCT WORK(10 SUPPLIES, 5 RETURNS AND 4 FANS APPLICAI�IT MECHANICAL 150.00 STATE SURCHARGE MECH(VALUATION) 6.00 DLT HEATING&COOLING LLC TOTAL 156.00 283 MYRTLE DR S Payment(s) ANNANDALE,MN 55302- CREDIT CARD 4132 156.00 (952)221-5711 Minnesota State License#: mech-MB004959 O W NER MARTIN&STEPHANIE SARANTOPOULOUS, ROBERT 2695 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 specitications,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 i conformance with the State Building Code.This permit may be ; , revoked a any time for due cause. , /��� / i �-�-�'� �- }�`�' rr.�>� 1�� I�� � � � � � I --� pplicant Permitee Signat Date lssued By Signature Date � � FOR CITY USE ONLY City of Orono � ,/}��"� �O�O P.O.Box 66 Date Received: /��L/�Pennit# � � "" � 2750 Kelley Parkway i`.L� Crystal Bay,MN 55323 Approved��� Amount$: /C � Phone(952)249-4600 Fax(952)249-4616 ..� y y�. : !qk£SH���G CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 �Residential ❑ Commereial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New (�Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �� � �� ��" �^J��� r � . Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ��� � Contractor: �'lr� �1�,�r�t�act Person: q-n rC � �.J Address: S���', �;� 1,,'�l '��• State Bond #: h$ C''�C��-{ � � S� City: �.� �a Zip:���13 Expiration Date: � "1 � --J � Phone: �3� ������_3 Alternate Phone: ❑ Insurance—Current: 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geotl�ennal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [,-�,No HEATING SYSTEMS Quantity: � Make: ' G/�1�✓� Model: ��J'Y!j��-`�'(� �p�9� C,'O� � Fuel: Flue Size: � Input BTUs: ��v� Output BTUs: S�1 l�� � CFM: � Z��`) COOLING SYSTEMS Quantity: � Make: �C�r"��►.. Model: �S X 1,3 Tons: � �i 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 cfm FUEL STORAGE (Must be approved by Fire Marslzall 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��� ��lj�/(/:,� ,�C� [� C,.i i�>-/C� /(� �--��i'�Y � ,S �/'y�- c�,,�c,/ -���� �/ PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) Cst-% ,� _ C,� ��.(�C� '"'_ x .0125 $ ��.., . (conU�act price) (minimum$50.00) 2. STATE SURCHARGE ��C� �A C �--, x .0005 $ " ' ( ontract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2�.00 ` C,� �G) 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: � �7 c%��-E' Date: / '�� `� � 3 + F `- ��-� ,� � ( � � DATE TIME CfTY OF ORONO CALLED IN r INSPECTION NOTICE r ,�: SCHEDULED / /�yL�' - /"y� PERMIT NO. .� � I� �C C�� COMPLEfED , . , �y�� � f-�� ADDRESS L- �� �_._.> j_ ��c-'� _,��/-J� OWNER TELEPH. NE NO. I I CONTRACTOR �� / - _ C.PIt'�iYL� � /.� G1�'/ , � DESCRIPTION J� �L�r l r� �� .`:� �l( < �-- � ly ❑ FOOTING ❑ DEMO-FINAL `d SEPTIC FINAL I,C�L''/�K Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF �❑-PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �{yv1ECHANICAL RI ❑ SITE INSPEC.TION Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: U• � ` �c'y"��'�-� � � �f ��( �a•�ts — I/�r�'t�� 'f" �x `�r�a� �-- . c� p /��u.t�t� ,� � � S �+�J/,1�►�s � r����L.S ' �� �O . o�k� �a .!c �h, �t�►�`., - J a•.ti`Lf �.c,oc12 Q { a ►( I,v i�� b c r1 s o!�� � /�.— � 04� � z , � - C�¢5 f�/l.G -Go,�l�<r �i�i{.ks ' 4• .��5� r � OJ� � �'o•�.L- r rl�r,� ���.,�,` J W �!0lQRKSATISFACTORY:PROCEED O PROJECTCOMPLETE � ❑CORRECT WORK 8 PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINf3 PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED �INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector:���' WhiM CopYAnspector's File Canary CopYlSfta Notks �-_ ,v �e�' TIME � CITY OF ORONO CALLED IN '� � iNSPECTION NOTICE SCHEDULED - -/ PERMIT NO�o��'"a�� PLETED ADDRESS �- OYNNER TELEP NE , 3- ���g7� CONTRACTOR L � � DESCRIPTION _-�� !/���-�''� �L�-`� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECNANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMINENCOI�ITMCTOR TO MEET Y�U:_YES_NO � COMMEN'i'� 4 �.n�r�ZZ�%� �� a c�c�l�a� /��d' �csc� � 0 0 1ii�.�a�►S 6� � � � � r� ` O � W � W aC � J � K SATISFACTORY`.PROCEED ECT COM PLETE W RRECT VMORK 3 PROCEED ISSUE CEATIFlCATE OF OCCUPANCY 0 ❑CORRECT VMORK����R REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pryOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �aTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caq forthe next h�spection 24 hours in adva�e. (952) 249-4600 OwnerlContractor on site: Inspecta: �%`� �� YYhit�t�p�rAnsp�ctors FlN C�nary CopylSlb Notkx