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Home My WebLink About2013-00968 - mechanical � + CITY OF ORONO * 2 0 1 3 - 0 0 9 6 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3020 SOMERSET LA PIN : 04-117-23-23-0031 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 000 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,200.00 NO'I'E: (1)LENNOX FURNACE AND A/C f�URNACE- 1 10,000 INPUT BTU'S- 105,600 OUTPUT BTU'S A/C-4 TONS APPLICANT MECHANICAL 115.00 GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 4.60 5182 WEST BROADWAY CRYSTAL, MN 55429- MAIL-IN FEE 2.00 (612)535-2000 TOTAL 121.60 PAID WITH CC# 7420 OWNER HARE,ROBERT&BENTE 3020 SOMERSET LA LONG LAKE, MN 55356- 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 Sta[e 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 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. �� _ � li i� i l� �i�Y�,z��ti �i i�i i�� Applicant Permitee Signature Date � Issue By Si�nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e � F R C Y'USE 03v`[.Y �¢Q City of Orono �`3 � �/_ � � � P 0.Box 66 IIate Recei� �3 Pertnit# SU �; �i,,:,��, �''� Z7S0 KeUey Parkwa}� / �7�J ,,��{ //7 Phonte'($2)249 46G0�Fax(952)249-i610 °`PProved By Amount$: � �I� �p v �\��4�w . . .' � � i � CITY OF OR0�40-MECIiANICAL PER,VIIT � � (All Commercial permiu must be approved by the Building Official or inspecCor and/or Fir2!�Iarshalij .3=- GENER;AL INFORI��ATION , n,..4, �� °`a, " l. You may apply far mechanical permits by mail or in parson at the City�offices. Applications�vi(I be reviewed and a permit will be issued within two working days. 2. Permit cards wi11 be sent by return mail after a revie�v is completed. PERNfITS AF�E NOT' V�ALID U'vTIL YOU RECEIVE A PERNIIT. �'ORK�l4UST?�OT SEGII�`U\TIL THE PER411T C:�RD IS POSTED ON THE JOS SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehum'rdifrcation,and air conditi�ning installation including heat loss/heat gain ca{culation,design temperatures:equipment ratings a��d identification as to type,manufacturer and model. Data sha(1 be presented on form provided. 4. When any new construction or remodeling is invol�ed,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform��Iechanical Code/State Buiiding Code requirements. 6. All work must be inspected(rough-in and final}, Call(9�2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMI:r � � � (Check A11 That Apply�) � �kesidential ❑Commercial(Approval Required} ❑ �ew" ❑.4dditional ❑Repairs ❑Replace Job Site/Owner Infortnation: -� � S ite Address: ��-`��f ;��,A..t�`��-� ��E�(� Owner_ ��U��-�� C''� :�,,,,.� Mailing Address: f/r� „� � City: �f i�{.�Yl f� Zip: � r�,:� Home Phone: _ r� L--�� 1��Alternate Phone: _ Contractor Information: i Contractor:Q u��T1NQ ��C• Contact Person: 5182 WEST BROAD�JVAY Address: �•��e ALrMhI 5.�s42,� State Bond#: 7fi3-535-� City: Zip: E�piration Date: Phone: Alternate Phone: ❑ Insurance -Current: 1 _ • �:�,;v Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes�No HEATING SYSTEMS Quantity: r Make: C.%�V1�1C� ,C_ — Model: ��,-��'j �N ��, Fuel: (�,�e/ Flue Size: Input BTUs: (� � O Output BTUs: I��; �''�� CFM: COOLING SYSTEMS Quantity: � Make: �,X�{�1('r jt Model: r �eQ�.�Ci�7 Tons: _'�— _ H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireptace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchcn Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations cfm FUEL STORAGE {Must be approved by Fi�e Marshal!if'proposing to abandon tank in ptace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 • �. � � . �� _; '��Nti , ❑ Yes,this section applies The replacement of a Residential fixture 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$500.40 or less;excludin¢the cost of the fixture or appliance:and 3. Is irnpraved,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 $ � ��xa lf above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%o�contract price with a(Minimum Fee of$50.40) 1 �� x.0125$ f 1�: �' (contract price} (minimum$.50.00) 2. STATE SURCHARGE �J � r /'f J � �'� ` x.0005 $ l� �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Apptications} $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ j�—t� C(i�% ■ * CONTRACT PRICE or JOB COST means the actual or estimated dotlar amouni charged for the permitted work including materials,labor,grofit,and other fixed casts. 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 perrnit 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. �,r '.�t The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do ail work in strict accordance with the ordinances af 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 Signature: �_ �� _,�,�..� i Date: � � � ,o,,,, �,� �i� 4� 3 t/'�.�_. DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�D/_._,..��11—� COMPLETED ��,�-�� ADDRESS c��?o .�c_-�cr5rt �4 _ OWNER TELEPHONE NO. CONTRACTOR ��✓� U�/�� '� � DESCRIPTION I�i�rH� •�F-/��G re,oJ, � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y O FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. OLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � �erNt� llsla0�✓ ��.�� Gt�� 'vr � . o ,;�i.� 'l ..�se�c L��o H � o� ° r1� D�e 1iv wt�. - W � Q � Q��e4,sc �!l Oro� G<`u �f�<l b�r z , . W � /�� !Q !� �yl //1S�cl�/a.�c 0 r _ � � k g f/ld�C � � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PEHMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP OROEH POSTED.CALL INSPECTOH �CITATION ISSUED NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCoMractor on sHe: inspect White CopyllnspectoPs File Canary CopylSke Notice �o ao o�a.� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�D!� "�/nR COMPLETED � �_ ADDRESS � OWNER � TELEPHONE NO. CONTRACTOR � DESCRIPTION l2CG� / U�"�?(',LC�. �H' f7�� ly ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., L'OMMENTS: � � �rrtPi ..Gcc �o n s u ��/' � � O � (� ��i (�' _-- O ' � Q ��/Y P �� G � � � � �:�� t . �2 -� c t�r.� l�� w � j W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlCon on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee