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Home My WebLink About2014-01402 - mechanical " '� CITY OF ORONO 2750 KELLF,Y PARKWAY * � 0 1 4 - 0 1 4 0 z * DATE ISSUED: 12/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3010 SOMERSET LA PIN : 04-117-23-22-0029 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUAT[ON : $ 16,000.00 NOTE: (1)LENNOX FURNnCG AND A/C APPLICAI�IT MECHANICAL 200.00 STATE SURCHARGE MECH (VALUATION) 8.00 GOLDEN VALLEY HEATING&AIR MAIL-IN FEE 2.00 5182 WEST BROADWAY CRYSTAL, MN 55429- TOTAL 210.00 (612)535-2000 Payment(s) CREDIT CARD 7420 210.00 OWNER CARSON, WALLACE&SHARYL 3010 SOMERSE"I' LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perYormed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for a'dditional 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.'rhis 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 rcquircd inspections are requested in conformance with the State E�uilding Code.This pe it may be revoked at any time for due cause. � � l�' l � �� ' v�-u-�--- /.z � � �/ Applicant Permitee Signa ure te Issue By Signature Date 12/05/2014 10:26 7635354379 GOLDEN VALLEY HTG PAGE 02/04 � + FOR CITY USB Ov�,1' ,�O A rp City of Orono +V P.O.Box 66 pare Received: petrtut�e�� z750 KelIey Parkway /� Crygtal Bay,M(V 55323 Apptov�J�y: Amvunt$: a �V � Phonc(9�2)249-4600 Fax(952)249-�1616 y��rEs�o�-`'�� CITX O� OR�NO—M�C�LaiNICAL PERMIT (Al�Commercia!pern,{�;�ruat be approved by the Auilding Officinl or Inspecror andlor Firr Marchal�) GENERA.L INFORIv�.,q,TION 1- Xou may apply for rr►eehanicai pernniu by mail or in person at the City offices. AppGcations will be reviewed and a permit wa11 be issued wit�in two�vorking days. 2. Permit ca1'ds will be sent by re[um mail a�er a review is completed_ PERM(TS p.RE NOT VALID UNTIL YOU RECFIV�A P�RMIT. W�RK MUST 1V4T BE ,IN UNT1L THE PERMIT CARb IS POSTED ON THE JOB SITE 3. Mechanica� esi ns—Complete calculations,details flnd specifications are rcquired for each heating,ventiiation,kiumidification-dehumidffication,and air conditioning installation including hcat loss/heat ga�t►ealcttlation,desigrt temperatures,equipmcnt ratings and identi�cation as to type,tnallufACturer and model. Data shall be pa•eseflted on form provaded. 4. Wkae�any ncw construction or rcmodeling is i�nvolvcd,a separate building permit must be obtaincd. 5. All work must be done in accordar�ce with the Uniform Mechanical Code/Seate Building Code requirements. 6. All work must be inspected(rough-in and final). Ca1)(952)249-4600. (24-4$b�our notice required) 7. Housc Heating Tese ReCOrd must be subttutted before fiqal. TYPE Qk'PERMIT Ck�eck,A,11 That A 1 p5E Residential [�Commercia)(Approval Requlred) / ` ❑'`�� ❑Additional ❑ Repairs ❑Replace Job Site/Owne�Z�formation: Site Address: �V � L1 d�`�r � '� l��t�-�� Owner: Q-�� {� Mailing Address: ��-�� City: Y pl�`+(� Zip: _�,��j �j� Home Fhone: � � � Aate�rnate Phone: Contractox Information: Contractor: Cai�tact Person: G. . C. Address: 5182 WEST BROADWAY State Bo�d#: � ,� C►h'� 7��"��L�: Expiration Date: Phone: Alternate Phone: ❑ Ir�surance—Current: � 12/05/2614 10:26 7635354379 GOLDEN VALLEY HTG PAGE 03/04 � , t � `;., , ': .��GH:A�NICA;L;:.�XS'TEMS:BE�i+G;�NSTALLED ,;,;,. Note:All Geothermal Systems wiil now re uire a Site�)an&Review by our Buildir�g Official, IS Ti�iS GEUTHERMA,�.? �Yes o HEATING SXSTEMS Quan�ity: Ma2ce: �.-�2 h N C� Model: �iL��(D(�l(�l f�� Fuel: Flue Size: Input BTUs: b �� 0 Output a'�'Us: "/ � CFM: COO[.1NG SYS'�'ENIS Quant�ty: ` Make: V1�0/l.d �- Model' L ,�"Q i I Tons: H.power FIRE�PLACES ❑ Gas Factoly Fireplaco Brapd Name: ❑ Wood 8uming Fireplace ❑ Wood$tove Nlodel No.: ❑ Wood 5tove with Flue/Masonry VENTIL V ❑ No. Kitchen Exhaust duct recirculazittg cfm ❑ No. Bath Pathaust(must have duct outside) cfm ❑ No. Qther Fans: i.ocations ��p F�)EL S'1'ORAGE (.A�us7 be approved by Fire Marskall if proposing tv abaRdan wnk[n place.) Q 1nstQllation [� Removal Fuel Oil' gallons ❑ Underg�r'ound ❑Inside ❑Outsidc _ LP Gas: gallons Othe�: JCrA,5 LINE ONLY ❑ Outdoor Grill ❑ pthe�/�,ist What&Where: 2 12/05/2014 10:26 7635354379 GOLDEN VALLEY HTG PAGE 01/64 �......... ...... . ... . �: ,,,.. ,..,,. > . ..:.. . ' � ,�,:::"' ��:;::> �; :. : .. , ........:::..:... ...:.. .:... '. � _ , . :. ,.��A RNIl'f FE . .„,... ULAT'[9�T(S),, � . .........::.. ,-: ;:..: ..... SED O�'F ::2002.5'�'ATE;�'X'A`�UE,. ❑ Yes,this section applies 7't►e replaCement of a Residerttial fixture or ennliance that meets all thrcc of the following requirements: 1. Does not requi�e modification to electrical or g�s service. 2. Nas a total cost of$500,00 or tess;excludine the cost o�the fixture or appliance:and 3. Is improved,instalied or replaeed by the homeowner or licensed coniractor. Skip next section,if this applies; Cost of Perr�pt $ I5.00 State Surcharge $ 5.00 Mail-In Fee([f Applicable) $ 2_00 Total�ermit Fee $ ....:.:. ...:....: ��: �.:,�.�,�.. .,. ; : ;:;,:PERl1!�T�EE CA►LCi��,.A:T�ON S --rOBS OVE�t$500.00 � xf above does not apply;follow guidelines below: i. CONTRACT PRICE *is �_2S%of contract price with a(Minimum�'ee of 550.00) d� x.0125$ �� (contrac price) (�uioimum 550.00) 2. STATE SURC�#ARGE A,,,l !, •' � VV x.0005 $ � i V� (connact rice) 3. POSTAGE&HA,NDLING(Only on Mail-ln Applications) $ 2.00 4. TOTpL PERN(]T FE�(A,dd Lines 1-3 Above) $ \ �C,�� ` * CONTRACT P�tzCE or JOS C05T means tho actual oc estimatcd dollar ampunr chargcd fo[tk�e permitted work ineluding materials,labor,profit,and other fixcd costs. It is tho amount to be charged to the customer for tbe work done_ If any material,equi�ment,labor or iqstallations are furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated eost or contract p�ice for pernr►it fee purposes. In the e�ant that chere is a dispute on the amount o�'the job Cost, the City may request the submission,o#'a signed copy of the actual Contract. � � , ,,.,,.,:.�........:: :::::„:;....: ,,. � .'. - -�CHYIN�C;A,�;'PE T.APPI:I�A'I"T�N q, .:. .:........:... G�EEIVI�NT The undersigned hereby applies to the City for issuancc of a Mechanical Permiit,agrees to do all wo�rk in strict accordance w�ith the ordinances otF the Ci�ty and the regulations of the State of N�innesota, a�nd certifies that a�l statements rr�ade on this application are eompfete, true and correct, Applicarr�'s Si ature: � L "'r`''� � /� / 8� Date: � 3 ��i�� DATE TIMEv ��//CI OF ORONO CALLED IN INSPECTION NOTICE 4fS�o SCHEDULED _�� PERMIT NO. — COMPLETED ADDRESS�� OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL HANICAL RI � ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � MB RI ❑ SEP i FINAL ❑ FOUNDATION/REMOVAL � OWN NTFiACT�YOU: YES_NO � COMMENTS: ��16�� I� - �D��aZ 3 �J� � � - - 8�a � � O � Gi✓'N. r� . - s'eti/e� ��. ��c� ° _ 2,kc 5�i y c �4s �t•[� �u _ . , . �r � • Q �x�s�� w�,�a - 3 c�6.�s6�ona� .. � 3 ,. �x/�us�— z - . � -s eC� 'C-�C.�4'�to✓ .Q v6G7T✓'4�4� ' � /'eS� Q� - GG r�¢�t� %�� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: u/Q L'y - Inspector. � ��-�' � White Copyllnspector's File Canary CopylSite Notice D/�LD� DATE TIM� / C TY OF ORONO � ALLED IN �� INSPECTION TIC. SCHEDULED 2 � � �.�f� PERMIT NO. cOMP�ETED ADDRESS ��>� �� r 'I�P � � ��— OWNER TELEPHONE NO. - � � CONTRACTOR "TC' �'1 ��/Ptf �--- � l I�'��k C_C-' ��!''�� DESCRIPTION �`�, y � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA_ ❑ LAKESHORFJWEfLANDS � ❑ FRAMING ❑ ME` C�N�CALFJ►�!A ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL PLUM I G RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL OWNE NTRACTOR TO MEET YOU: YES_NO v, OMMENTS: � W a o nQ �/1� lI�,M� � lv�1i�".�c�� c.rf,'� ?„'/ �S' � ��E' �sf'!( 4�� C'��.�,�il� W =• , Q �i�'1�� ,1�2 S/�IE�f�Z�/a�-z � 2 W � W � j W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED °�NSPECTION REQUIRED_CALL TO ARRANGE ACCESS. � �- Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ( ��h^' � White Copyllnspector's File Canary CopylSite Notice