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Home My WebLink About2015-01408 - mechanical ^ CITY OF ORONO * Z 0 1 5 - 0 1 4 0 8 * { 2750 KELLEY PARKWAY DATE ISSUED: 1UO2/2015 ORONO, MN 55356- 952) 249-4600 FAX: (952 249-4616 ADDRESS : 95 SMITH AVE PIN : 02-117-23-21-0031 LEGAL DESC : ORONO ORCHARDS : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,800.00 NOTE: REPLACE: 1 HEATING& 1 COOLING SYSTEM APPLICANT MECHANICAL 97.50 STATE SURCHARGE MECH(VALUATION) 3.90 AIRICS HEATING LLC MAIL-IN FEE 2.00 2609 HWY 13 W BURNSVILLE,MN 55337- TOTAL 103.40 (952)345-0032 Payment(s) Minnesota State License#:mech-MB004088 CREDIT CARD 9675 103.40 OWNER AHLBERG,JAMES&DIANE 95 SMITH AVE 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. This permit is for only the work described and does not grant permission 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 aze requested in conformance with the State Building Code.This permit may be 1��, revoked at any time for due cause. , � ,�; " • . ;� Y�} C�..�,�..<c� ; ,�� C� / �,�- � � li , z , �� _ Applicant Permitee Signature ate Issued By Sign ure Date FOR C1TY USE ONLY ��^�� /�� Cit��of Orono ��[_ nv 1 ` V Q� P.O.Box 66 Date Received: __�\\'y\\�Pennit� d" � � YO� 2750 Kcllc}•Parkway �� r Crysta]Bay,lviN 55323 Approved By: _� Amount$:�' � I Phnne(952)249-4ti00 Fax(952)249-�iG(6 _ � 1 1% _ � � s� ` � �"'kfsHv��'G C1TY OF ORO1rr0—MECHAI�IICAL PERMIT (All Commcrcial permits must be approvod by tBe Bailding Officis]or lnspcctor andlor Firc Manliull f GENERAL TNFORM�TION l. You may apply for niechauical permits by mail or in person at the City offiices. Applications�vill be reviewed and a pennit will be issued within two working days. 2. Permit cards will be sent by reeurn mail after a review is completeci. PERMITS ARE NOT VALID U�1TIL YOU REC�IVE A PER.MIT. 'VVORK h1UST NOT BEGII�i UNTIL THF. PERNIIT C?,12D IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specitications are required for eacb heating,vcntilation,humidzf�catiou-dehumidification,and air conditioning instal:adon including hezt iosslheat gain calculation,design temperatures,equipment ratinas and idenrification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new consUvction or reinodelir.g is invotved,a separate building peimit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All�vork must be inspected(rough-in and final). Call(952)249-460o. (24-48 hour notice required) 7. House Heating Test Record must be subtnitted before final. TYPE OI�PERMIT (Check All That Apply) �Rcsidential ❑Commercia:(Approval Required} ❑Netv C Additional 0 Rcpairs �Replace Iob Site i Qwner Information: Site Address: ��J �S�}'�,l l t�l �r�, Ov��ner:�1(�'1 �� b�� Mailing Address: G -rj s�(Yl I �1 '�11.i'� c�ry: b�0 z�p: Ss3z 3 Home Phone: ��Z �j�Sp� Alternate Phone: Contractar Informatian: Contractor: �l�/IGS �-��1 �G� Contact Person: �'1(1Gll�lc�G1 _ Address: 7i�Cirf1 � �� State Bond#: ��-�� City: r ..(�Zip�,j._-�� Expiration Date. � �Z(� �D Phone: ��Z��- —�l �2 Altemate Phone: ❑ Insurance—Current: 1 Z'd 686E-09�-Z�6 6ui�eaH soiaiy d8Z�60 9 L ZO^�N � MECHANICAL SYSTEMS BE1NG INSTALLED Note:All Geothermal Systems will gow require a Site Plan 8t Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity; � Make: Modef: "I V � Fuel: Flue Siae: Input BTUs: ^ � Oulput BTUs; CFM: COOLTI�TG SYSTEMS Quanfity: � Make: I�4ode1: lQ Tons: �•� H.Po�ver FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue J Masonry VENTfLATIC?N ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. �cher Fans: Locations cfm FUEL STORAGE (.'Kust be approved by Fire llfarshall if proposing w abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ��utside LP Gas: gallons Other: GAS i,1NE�NLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 £'d 686£-09�-Z96 6ui;eeH soiaiy d8Z�l0 S 6 ZO^�N . � PERNIIT FEE CALCULATION(S) BASED OFF-2042 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixhtre or a�pliance that meets all thrcc of the following requirements: 1. Does not require modification to electrical or gas sen•ice. 2. Nas a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and 3_ is improved,installed or replaced by the horneowner or licensed con�actor. Skip next section,if this app�ies; Cost of Permit $ 15.00 State Snrcharge $ I.00 Mai]-In Fee(If Applicabie) $ 2_UO Tota!Permit Fee $ PE1t1VIlT FEE CALCULATIOlV S —70BS O'VER$500.00 If above does not apply; follow guidelines below: i. CONTRACT PRICE # is 1.25%of contract price with a(Vlinimum Fee of$50.00) 1, cc�� x.0125$��_ (contract pricc) (runimum�Sd.00) 2. STATE SURCHARGE �, � x.0005 $ �� (conuact prix) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00 4. TOTAL PERMTT FEE(Add L'mes 1-3 Above) S_ �� . c:J'�� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dolIar amount charged for the permitted work inctuding materials,labor,profi�and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, eyuipment,labor or installations are furnished by the owner, tenant or any other parcy, the reasonable market vatue of such items must be added to the estimated cost or coniract priee for permit fee picrposes. In the event that there is a dispate on the amaunt of the job cost, the City may request ihe submission of a signed copy of th� actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pern�it, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of vlinnesota, and certifies that all statements made on this application are complete, true and correct. ApplicanYs Signature: Date: � � I��I 6� � `�j 3 �'d 686E-09ti-Z96 6ui}eaH souiy d8Z�60 9 L ZO^�N / \ I � G'� DATE TIMF/, CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � � � PERMIT NO. "� G/�'��I��9�COMPLETED ADDRESS � � � �'� /��7 �� r� OWNER ��; ' � TELEPH NE N��gf_5 - �0��':� CONTRACTOR - � � c � �. � DESCRIPTION � � ❑ FOOTING � � ''� EM�-FINAL ��i �TIC�L � 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL EPTIC INSTALL �OWNERICON FiAC OR TO ME YES_NO p�__—_— �---._----_ v, COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . 2� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary opylSfte Notice