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Home My WebLink About2015-01213 - mechanical 111111111 CITY OF ORONO * 2 0 1 5 — 0 1 2 1 3 2750 KELLEY PARKWAY DATE ISSUED: 09/2 V2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 375 WAKEFIELD RD PIN : 36-118-23-31-0017 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE HEATING SYSTEMS VALUATION $ 9,595.00 NOTE: REPLACE STEAM BOILER LIKE FOR LIKE (WEIL MELAIN) APPLICANT MECHANICAL 119.94 STATE SURCHARGE MECH(VALUATION) 4.80 OWENS COMPANIES,INC. 930 EAST 80TH STREET MAIL-IN FEE 2.00 BLOOMINGTON,MN 55420- TOTAL 126.74 (952)854-3800 Payment(s) Minnesota State License#:mech-Mb003718 CHECK 11410 126.74 OWNER WARNER,DALE&ANN 375 WAKEFIELD RD 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 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. Applicant Permitee Signature Date Issued By Signature Date ,M FOR CITY USE ONLY O�l City of Orono YO P.O.Box 66 Date Received:J(Permit#'ZQ C� 1 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y � l� �� CITY OF ORONO—MECHANICAL PERMIT kES 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)2494600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs Replace .Spat Job Site/Owner Information: SiteAddress: Owner: (iifA/ Mailing Address: City: 01119h n Zip: 3 / Home Phone: Alternate Phone: Contractor Information: Contractor: ,e,Ij m n eS Contact Person: Alesheiai Address: F �ff/ee-7'� State Bond#: M j3 �D371� City: ��orrc Zip:,S`S .tv Expiration Date: q 911& Phone: �/.sa -444-Y-3fd D Alternate Phone: ❑ Insurance—Current: 1 • ; = MECHANICAL SYSTEMS BEING INSTALLED . __ Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes XNo HEATING SYSTEMS Quantity: Make: eda,4 Model: Fuel: hla4l u j Flue Size: Input BTUs: Output BTUs: 15-I"i Bk CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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: 2 • ti M � h r " A ❑ 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 $ 1.00 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$50.00) 5,S�r x.0125$ // 9, 5 (contract price) (minimum$50.00) 2. STATE SURCHARGE s55' x.000s $ � �U (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) G, ■ * 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. 015- W imam 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 Signator : Date: 3 J DATE CITY CALLED I� INSPECTION OTICE SCHEDULED TIME ED PERMIT NO —10 1213 COMPLETED��,/ / ADDRESS :37S OWNER LEPHONE NO. �Z,'191f-77Z CONTRACTOR I&DESCRIPTION6 ' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING vj ❑ FOUNDATION WATERPROOF ❑ PLPdBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: ac W C j O cc O W W cc Q f2 W Z W J O W 0 WORK SATISFACTORY:PROCEEDPROJECT COMPLETE cc ❑CORRECT WORK 6 PROCEED 0 I UE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CI BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) A49-4600 OwnerlContractor on site: Inspector. White Copylinsimtor's File Canary Copyf to Notice ' CITY OF ORONO CALLED IN DATE TIME INSPECTION TIC SCHEDULED PERMIT NO. Mt 13 COMPLETED 'l ADDRESS 3-) 6- !tip OWNER TELEPHONE NO. CONTRACTOR 640 «;5 (1a DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING i ?44ECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q [3 FINAL ❑ WATER HOOK-UP AOLLOW-UP W [3 AS BUILT-SURVEY ❑ SEWER HOOK-UP [3FOUNDATION/REMOVAL ..1 ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 4 C TA .1 Scfer� S<<a - lam W D; Q W Q; j tU ❑WORK SATISFACTORY:PROCEED ECT COMPLETE W ❑CORRECT WORK&PROCEED �❑ISSUE C RTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 00 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 OwnertContractor on site: Inspector: •�.- White CopyAnspectoes File Conary CopyWo Notlae