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Home My WebLink About2015-01283 - mechanical T �' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 5 - 0 1 2 8 3 * DATE ISSUED: 10/OS/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1432 SHORELINE DR PIN : 11-117-23-22-0014 LEGAL DESC : LINPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,200.00 NOTE: EXISTING FURNACE REPLACE(1)YORK A/C UNIT-3 TONS (1)KITCHEN EXHAUST-300 CFM (1)BATH EXHAUST APPLICANT MECHANICAL 52.50 STATE SURCHARGE MECH(VALUATION) 2.10 ANDERSON COOLING&HEATING 20 HILLCREST DR TOTAL 54.60 TONKA BAY,MN 55331- Payment(s) (612)202-7673 CREDIT CARD 2400 54.60 OWNER JOHNSON,MATTHEW&SUSANNE 1432 SHORELINE DR 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. 1'his permit is for only the work described and dces not grant pertnission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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. �'�� ! O/ �//�--� Ap �can ermitee ignature Date Issued Signature Date � ,- � � FOR USE ONLY �OA r City of Orono /Q� � �lp� 1 V P.O.Box 66 Date Received: --�y`-�=— Pern�ii# ��l S �.c 0---� � 2750 Kelley Pazkway Crystal Bay,MN 55323 Approv$d$y: Acnvunt$: r . Phone(952)249-4600 F�(952)249-4616 �`�l.�xE oR�.�'� CITY OF ORONO—MECHANICAL PERMIT S H (p]�Commerc�al permits must be approved by the Building Official or Inspector and/or Fire Marshatl) GENERAL INFORMATION 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. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TI3E JOB STTE. 3. Mechanical Desi ns—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 fmal. TYP�OF PERMIT (Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑Repairs ❑Replace Job Site/ Owner Information: ., Site Address: r''' �� /' �, " Owne��-'T�.--.��Jnd�.� Mailing Address: City: CJ'/�..o��.0 Zip: �-j�� =' Home Phone: Alternate Phone: Contractor Information: Contractor: � �� -•. � �� Contact Person: �-�i�id�'�So,�V Address: '� ��:�� 2�`,�i'.C� State Bond#: � City: �`�'"0`"� � Zip��.�( Expiration Date: Phone:��-�U`�7�J� Alternate Phone: ❑ Insurance—Current: 1 ' � � � ME��IAI�ICAL SI'STEI�S BEING INSTAI.LED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes�No HEATING SYSTEMS . � Quantity: � �~-S..fG��G�G� Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: ��'� ModeL• ��(� �� `1 j s\r Tons: �� H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � No. i Kitchen E�chaust duct recirculating•5'�� cfm ❑ No. 1 Bath E�aust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FiTEL STORAGE (Must be approved by Fire Marshal/ijproposing 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 CALCULATION(S) BASED 4FF-200� STATE STATUE ❑ Yes,this section applies The replacement of a Residential fiature or appliance that meets all three of the following requirements: 1. Does not require modification 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 Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERI�IIT FEE CAI;CULAT'II�I*� S —��BS t��2;$��, If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) L�� ' � �j X.oi2s$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (conVact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��9- 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. A�E�-iAATICAL P�R�TT..A�'�'LI�:ATT{3�'AG�2EE.1vIZ,NT 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. ' � �- S l� Applicant's Signature: C� Date: / �' 3 � � � DATE�� TIME CITY OF ORONO f—cnLLED IN ID- � INSPECTION N,O� �D��(y� SCHEDULED ��' � �I•�.3 PERMIT NO�� a COMPLEfED '� ADDRESS �� CLOZO��{/yt-�J OWNER TELE E 0�� - CONTRACTOR � ��3 � DESCRIPTION - 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF. ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:�UES_NO � COMME T5: . a �Ga(orrLlO'b w�qr�C� ' J O � - v�4p ��.�s� i�t4�ns - D� o _ W � Q � W � W � J � KSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C e next insp ion 24 hours in advance. (g52) 249-4600 Ow ra si . � Inspector: /^" Whfts CopyllnspectoPa File Canary CopylSite Notke �� kf-/`` DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE L��g� SCHEDULED � PERMIT NO.�CL�-"�_ COMPLEfED ADDRESS I � � 2 �� I�� OWNER TELEPHONE ."7�4 �7�'aG'(o� CONTRACTO� , � DESCRIPTIO� �" �� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECI�AA�I6 ❑ SITE INSPECTION Q ❑ FRAMING � —�---_1 � ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: �---�� W a � J O ). � O � W � Q � 2 W � W � J O W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. 9 49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSi Notice