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Home My WebLink About2016-01133 - mechanical � � CITY OF ORONO * z 0 1 6 - 0 1 1 3 � * 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3585 S1XTH AVE N PIN : 29-118-23-43-0004 LEGAL DESC : LJNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW:HEATING SYSTEM(GOODMAN),COOLING SYSTEM(GOODMAN)&GAS LINE SECONDARY REGULATOR TO THE FURNACES APPLICANT MECHANICAL 162.50 STATE SURCHARGE MECH(VALUATION) 6.50 COUNTRYSIDE HEATING COOLING MAIL-IN FEE 2.00 1960 COUNTY ROAD 90 SUITE 200 TOTAL 171.00 MAPLE PLAIN,MN 55359 Payment(s) (763)479-1600 CREDIT CARD 9770 171.00 Minnesota State License#:mech-MB680636 OWNER ANDERSON&DAVID LIND,RICK 3585 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which Ihis 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 widiin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buiiding Code.This permit may be ' revoked at any time for due cause. i ' � ._ .�� (_�z.� 1 ; _�..i`!��? <� ;�j' � �,.. Applicant Permitee Signature Date [ssued By Signature Date From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09/16/2016 15:22 #167 P.001/003 � ~ FOR�CITY USE ONL1' � �� City of Orono c� � /�;�� •�,�I.;_,�, � � .�`� P.O.Box 66 Date Received: Permit f� �� 2750 Kelley Parkway �' ��- Crystal 8ay,MN 55323 Approved By: � 1! � Amount$: —J �1 , � I Phone(952)249-11600 Fax t952)249-4616 Y i� T- r� a � y � . �`9kesHOP``G CITY�F ORONO—MECHANICAL PERMJT (A11 Commerciai permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION i. You may apply for mechanical pennits by mail or in person at the Ciry offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Permit cards will be sent by return mait after a review is completed. PERMtTS AItE NOT VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specificatiotis are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat losslheat gain calculation,design temperatures,equipment ratings and identification as to rype,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. AI1 work must be done in accordance with the LJniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fina]). Call(952)249-4600. (24-48 hour notiee required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 �esidential ❑Commercial(Approval Required) (Backflow Device:❑AVB ❑PVB) �lew ❑Additional ❑Repairs ❑Replace Job Site/Owner Tnformation: Site Address: _ ; �� t.� �-'CtJ�_ � Owner�:�.�.1�... �� Mailing Address: City: � Zip: Home Phone: Alternate Phone: Contractor lnformation: Contracto : V� Contact Person: Address: 1"1 #� State Bond#: City: ` Zip��j�Expiration Date: Phone: �'`,i ,L�,�-�1�1.�—L`�� Alternate Phone: ❑ Insurance—Current: 1 From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09/16l2016 15:22 #167 P.002/003 � , a =NiECHANIC.�SXS�VIS;BEING:`�I�TS�'AL3.ED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATJNG SVSTEMS Quantity: Make: (�-I(Jf.�J�'J� Model: Fuel: �� Flue Size: Input BTUs: � op� Output BTUs: "'1 OU� CFM: COOLING SYSTEMS Quantiry: � Make: � Modei; 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 cfin ❑ No. Bath E�chaust(must have duct outside) �� ❑ No. �_ Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshal!ijproposing to obandon tank in p/ace.} ❑ [nstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: U, �/ •.� 2 �'��-S From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09l16/2016 15:23 #167 P.003/003 � ' ' � ,> 'RE�1vIIT FEE CA�.:CULA'i'IO1�tS ` � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) , `7�� x.0125$_ • (contract price) (m�nimum SS0.00) 2. STATE SURCHARGE ��`•�\ lJV x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above} $��-�'� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,tabor,profit,and other fixed costs. lt is the amount to be charged to the cusiomer for the work done. lf any material,equipment,labor or installations are furnished by the owner, tenant or any other parry, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. !n 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 conh�act. � ;ME��JA�1��AL PE��':;i�'PPL�C�I3QN tAGREEiti�N3' .�.::,.�. .�.� _, The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do atl work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,a��d certifies that all statements made on this application are complete,true and correct. Applicant's Signk�iJC�✓� Date: �_�.�-2 �\ S �,Q..SC7 �C�C�� I.�OL �(,. C1`�. � � —t�,c 1�J �� • �""'� '`-�''�✓Q � � �n ��..� . � ��t CC�.,'�"l�''� v ��.. c�• y . � �.�. �� . � ��-- , 3 �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �OMPLETED : ADDRESS � '� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION t~t1 ❑ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERICONTRACTOR TO MEET YiOU:_YES NO � COMMENTS: �m � � O �� '� c�� t�rv� � 0 W �,�, {�,� � - � Q � W W � � a W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑I PECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next insp�ction 24 hours in advance. (952) 249-4600 on site: . Inspec VYhite Copyllnspector's Ffle Canary CopylSke Notke . �.��- V � ( TIME CITY OF ORONO cnLLED IN � �� `� INSPECTION TICE // SCHEDULED�� PERMIT N�� COMPLET ADDRESS �� C OVYNER ' TELEPHO E N .�� CONTRACTOR �. DESCRIPTION `�" � � � t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �AECHANICAL RI ❑ SITE INSPECTION Q ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEET 1f�U:_YES_NO y COMMENTS: W — � � � `�J�iAO��Cs. �6t w✓� �10✓ L .� - o d- U�G. - a K �. ° � �►! a � 5��5 � ��-�� W ' � Q 2 � -r145 ��ri� !�t�� t� !� �d!�i -tc e� .�ioSr�� '- , Ll� �r �'cs6� ' W 0C J � ❑ K SATISFACTORY`.PFiOCEED ❑PROJECT COMPLETE `�a'�86�qRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED �INSPECI'tON REQUIRED.CALL TO ARRANGE ACCESS. can ro�tne�eXt�spect�«,2a no�,�M a�ra�e. (952) 249-4600 OwnerlContractor on site: ��5�«: � �� -�- yyhite CopyMapector's Fil� Canary Copyf8lN NotMx � � <�� DATE TIME `/ Y CITY OF ORONO CALLED IN �c� , INSPECTION N TICE 'j SCHEDULED �ERMIT NO. � l� /�J COMPLEfED y . ADDRESS ,�`7 S��7 c�`��'� �'- I��. OWNER TELEPHONE NO -3 CONTRACTOR C�C.tl�►-{�'l/.5��; � � DESCRIPTION �r�j C�� `� � 1~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNENCOKTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � �GS �,rtG yylD I�p - /S �►o (cQ K� ' � � 0 r � - O� y�urvlG,LGs � !/erl�rit5 - OK � �G'O^�°/l � a�•S.�/t�.� � %�5 /O S.�slC Q � ��1�'�a/( ��b6( I`�9,�t�e✓S 2 �Gb't Loyy� " � ti� � t�� j� • vl (� W � j r� 7 crc�� s W ❑VNORK SATiSFACTORY:PROCEED ECT COMPLETE ��CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPVINCY O ❑CORRECT YMORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaVERINO pERMANENT ❑CORRECTUNSAFECONDITiONWITHIN HOURS. ppHOTOTAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ^ � Whits CopYAnspecto►'s FII� C�nary CoprfSlb Notic�