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Home My WebLink About2015-00692 - cooling system CITY OF ORONO * 2 0 1 5 — 0 0 6 9 2 * ` 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015 ORONO, MN 55356- 952 249-4600 FAX: 2 249-4616 ADDRESS 1100 TOWNLINE RD PIN 30-118-23-32-0007 LEGAL DESC DIESEN DEVELOPMENT : LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 2,850.00 NOTE: LENNOX COOLING SYSTEM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.43 OWENS COMPANIES, INC. MAIL-IN FEE 2.00 930 EAST 80TH STREET BLOOMINGTON,MN 55420- TOTAL 53.43 (952)854-3800 Payment(s) CREDIT CARD 7497 53.43 OWNER DEAKINS, DOUGLAS 1100 TOWNLINE RD MAPLE PLAIN, MN 55359- 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 separat permits. All provisions of laws and ordinances governing this type of wo 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 commence The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pe it may I e revoked at any time for due cause. J Applicant Permitee Signature Date Issued By Signature Date ' FOR CITY USE ONLY City of Orono r(,�U J, ` <V P.O.Box 66 Date Received: �j r ermit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: 153.q- Phone(952)249-4600 Fax(952)249-4616 yF �q CITY OF ORONO—MECHANICAL PERMIT RfS H O� (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)249-4600. (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) D4 New ❑Additional ❑Repairs El Replace Job Site/Owner Information: Site Address: 100 TOWN I-j JE �o�D Owner: 'DOUGLAS l e 4 H I AI S Mailing Address: 004 City: MA-PI-E Pi-Ain/ Zip: 5 535 e! Home Phone: J/80- a�9" 0��/ Alternate Phone: Contractor Information: Contractor: QWENS .Co NPAN/eS'&c. Contact Person: 8X IMKE &W bOA Address: 9 0 BEAST kOTyS7kEeT State Bond#: M8 DO 317 8 City: �3WAiIAIVDAI Zip: S 0,10 Expiration Date: 9 Phone: 95 -FS"11"3fOD Alternate Phone: ❑ Insurance—Current: —YE Z 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: I-EN N 0 Model: 3Lo't�/P Tons: H.Power 1 FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing 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: 2 i PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATU ❑ 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. Hasa 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 $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply-,follow guidelines below: r � 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) T X.0125 $ 1, (contract price) (minimum$50.00) 2. STATE SURCHARGE r X.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ :2.00 -- V,` s 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � T V3 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount carge or`t 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. - MECHANICAL PERMIT APPLICATION AGREEMENT =" The undersigned hereby applies to the Ci for issuance of a Mechanical Permit, agrees to do all g Y PP City 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: �//1L,Gt�t>7- ��GO� Date: 3 DATE /TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED r (� PERMIT NO.s2 J CI_LDOZSOMPLETED ADDRESS nI L---'r`�� OWNER TELEPHONE CONTRACTOR (�1 ueyLs D DESCRIPTION Mc�C �/ tl q l W ❑ 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 ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q OFI-EINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE 111frTIC INSTALL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS: ccWWI �/Oi'aya.dG /eGlrvc�4 L / ns�era a. cc 0 U. W QC Q 2 W W cc Z) 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �RRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call fort inspection 24 hours in advance. (952) 249-4600 Own ontractor on site: �� l Inspector. White Copy/Inspector's File Canary Copy/Site Notice CJ 1 `ems DATE TIME CITY OF ORONO CALLED IN PZ- INSPECTION NOTICE SCHEDULED 5 �— PERMIT NO.Qo -o u L-12- COMPLETED ADDRESS `o �.��•l� -ham, OWNERL- TELEPHONENO. CONTRACTO >; DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ;*fINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QZ AC- I ✓�Sia�/ N c%J� W Cc a O Qc � or ,4 ef%e crow�.rrs W Cc Q W z W Cc j d LQ ElWORK SATISFACTORY:PROCEED ECT COMPLETE QC W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. _ Call for the next inspections 24 hours in advance. (952) 249-4600 OwneN ontractor on site: /J_ Z�Ed y 49 Inspector. Whit opy/lnspector's File Canary Copy/Site Notice