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Home My WebLink About2015-01113 - mechanical � ,' �' CITY OF ORONO * 2 0 1 5 - 0 1 1 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3465 SHORELINE DR PIN : 20-117-23-12-0033 LEGAL DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,975.00 NOTE: SLANTFIN-NATURAL GAS-8"FLUE-250,000 INPUT,201,000 OUTPUT APPLICANT MECHANICAL 149.69 STATE SURCHARGE MECH(VALUATION) 5.99 CITY VIEW PLUMBING&HEATING TOTAL 155.68 1880-B WAYZATA BLVD W P.O.BOX 150 Payment(s) LONG LAKE,MN 55356 CHECK 35616 155.68 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER Shoreline Center REALTY LLC,NAVARRE PO BOX 3 MINNETONKA BEACH,MN 55361- 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 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 consWction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ` 9 , �o `' P' ,�/ �� cant Perrr►i ee ignature Da Issued Signature Date �. � �FO ITY USE ONLY �� A�O� City of Orono / \ O<V P.O-L3ox 66 Date R eived: /� Permit# �/,� / j �� 3750 Kelley Parkway �X� ti Crystal Bay,MN 553�3 Approved By: Amount$�. _ (, � � � Phone1952�249-4600 �ax(9S3)249-4616 �,,� :, �q,�_t�F„y�L��` CITY OF ORONO—MECHANICAL PERMIT __,_, (AII Commercial permds musl be approved by the 6uilding Ofticial or Inspector and/or Pire Marshalll GENERAL INFORMATION I. You may apply tor mechanical permits by mail or in person at the City oY7ices. Applications will be reviewed and a permi[will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PGRMITS AR[i NOT VALID UNT1L YOU REC�iIVIi A P13RMl"I'. WOKK MUST NO'f 13EGIN UN7'11.7'HF. PERNIIT CARU IS POS"I'ED ON'I'I�IN:J06 SI"TI?. 3. Mechanical Desi�ns—Complete calculations,detaiis and specitications am required for each hemting ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturcr and modeL Data shall be presented on lorm provided. 4. When any ne�v construction or remodeling is involved,a separate building permit must bc obtained. 5. All work mus[be done in accordance with the Uniform Mechanical Code/State 13uilding Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. Iiouse Heating"fest Record must be submitted before tinal. TYPE OF PERMIT Check All That A I ❑Residential �ommercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: �y I�J� �Q``(�/ �' `�✓ -1� ` Owner: /'1�i��. '`Q1�M��1 h Mailing Address: �� 4�'t"�1f�� City: !"��'�,'� fJ��L�'1 Z�p: .5� �� Home Phone: �f�� rO bY'I� Alternate Phone: Contractor Information: `' 1I ( /� ,�}� � Contractor:�� V i�'vJ �I� "4 �'I'T�, Contact Person: vCU�V�Ye 1' 1� Q� ✓ /� Address:'�$�� uQ��"+�"'► yl��State Bond#: /`� �7�O��DO City: � �� Zip:S�J-bExpiration Date: l/� G � �� Phone: �50��1�b�� Alternate Phone: � ��—�lD�3b (i"� ❑ Insurance—Current: P,� 1 .. . -� r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � � Make: S�4111 ( ��Y1 S ��✓1 Model: VL'�� C��.�1,..� Fuel: 1`�01�urel� 3 �C��L�dAI � 3 „ g „ Flue Size: Input BTUs: ��Q)�� dv Output BTUs: �O �d� a.0 � i�� 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) cfm ❑ No. Other Fans: Locations cfm 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 � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. 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 $ 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 pric�ith a(Minimum Fee of$50.00) J� ��S °- X.0�25$ (contract price) (minimum 550.00) 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 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. 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 Signatur � Date: D 3j � � r 3 � � � � V C��// DATE TIME CITY OF ORONO CALLED IN � INSPECTION<NOTICE SCHEDULED ' PERMIT NO.��/�`D/I f � COMPLETED ADDRESS ��n �'`�-E'F'f/�� OWNER TELEPHONE NO. � � - 7� CONTRACTOR � DESCRIPTION �!�� / a� �O/�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING ILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE EPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YiOU` YES_NO c� COMMENTS: � W 4 j O ). � OO W � Q � � W � � J O W� O WORK SATISFACTORY:PROCEED O PROJECT COMPLEfE W ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner on site: Inspector. VYhite Copyllnapector's Flle Canary CopylSite Notfes J5 � � � DATE TIME CITY OF ORONO CALLED IN �I'Zc1-l-S INSPECTION N T!� _ �// SCHEDULED "''��I� __�� PERMIT NO. U COM ETED ADDRESS � ��-5 �r� � OWNER LEPH NE NO�'�'?'� �-a�3 S CONTRACTOR �� —_�d � DESCRIPTION �l � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMEN?� � � f/�Clti � -- c�s 0 ��o --� � 0 a � �i� �d��f �� 0 � W �C Qy F� � W � j O W� O WORK SATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 r on site: Ins WhiM CapyAnspector's File Canary CopylSMe Not�s