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Home My WebLink About2013-01150 - mechanical CITY OF ORONO 2750 KELLEY PARKWAY * 2 13 - 01 1 5 0 r DATE E ISSUED: 10/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 760 TONKAWA RD PIN 05-117-23-34-0007 LEGAL DESC PARTENS POINT IST DIV LOT 013 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 25,000.00 NOTE: I RUUD NAT GAS FURNACE 1 LOCHNIVAR BOILER 1 RUUD 3.5 TON AC 1 KITCHEN EXHAUST 4 BATH FANS GAS LINES TO DRYER,STOVE,FURNACE APPLICANT MECHANICAL 312.50 LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 12.50 1371 144TH STREET TOTAL 325.00 NEW RICHMOND, WI 54017- (612)940-4565 Minnesota State License#: PC671215 OWNER BORDSON,BRENT&NANCY 760 TONKAWA RD 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 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 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. Q_PIg, O '-4 Applicant Permitee Signature Date Issued By Si atureate SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED A of W04. FOR CffY USE ONLY �O�T City of Orono 1 VO P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:; Amount$: Phone(952)2494600 Fax(952)249-4616 �gkESHo�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) ..GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to type,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. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)2494600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑ Commercial(Approval Required)uired New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: Site Address:_. - " Vila Al /V Owner: ,R-Q4 .f CJSC ' Mailing Address: City: ES G LOUe Zip: Home Phone: Alternate Phone: Contractor Information: ,y e t n e Contact + ct Person: � Contractor: Address: (yS State Bond#: City: )Ueu Lc�picrd Zip:,sV I7 Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes V1 No HEATING SYSTEMS Quantity: Make: R(A U Model: PGRA Fuel: C, 1 e� Flue Size: A PU c Input BTUs: )015CEJ Go Cc 0 Output BTUs: 9 5-6 5-(,�o0 CFM: COOLING SYSTEMS Quantity: Make: Ru (,t Model: U p m 9a Tons: �l a �Gn 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 3W c$n ❑ No. L— Bath Exhaust(must have duct outside) cfm ecc� ❑ No. Other Fans: Locations cfin 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: P KPr. C4G(J G , rCI o nc.0 r 2 r lot v ❑ 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$500.00 or less;excluding 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 price with a(Minimum Fee of$50.00) C/ x.0125$ (contract price) (minimum$50.00) 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 Signature: i Date: a 13 3 DATE TIME L/ l/ CITY OF ORONO CALLED IN t-t1'-(- �r _15- ✓✓ INSPECTION TICE SCHEDULED ]-� PERMIT NO.,46k C'4 COMPLETED ADDRESS :j L Q _MY1LCL / OWNER '' C��C � TELEPHONE NO.(o �(�`-K (43 CONTRACTOR " � / + C C> DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ C1DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS- cc W a J �l O Cz O 2 W QC Q 2 W z W cc J d WW-@%"R"ATISFACTORY:PROCEED ❑ PROJECT COMPLETE QZ W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site Inspector. White Copy/Inspector's File Canary Copy/Site Notice D TIME CITY OF ORONO CALLED IN �6a INSPECTION KqTlC SCHEDULED PERMIT N COMPLETED /� ADDRESS ka OWNER 47 EPH E NO� �v CONTRACTOR `.S `y DESCRIPTION2,,hA 44Z) U�6 W ❑ FOOTING El FINAL ❑ EXCAV/GRADING/FIWNG U. ❑ POURED WALL ❑ CHANICAL RI C1LAKESHORE/WETLANDS C1 FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a j OO O W Q 2 W j d LU ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑1Cc E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in ,ance. (952 9 600 OwnerlContractor on site: Inspector. White CopyAnspectoes File a ry CopyM to Notice