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Home My WebLink About2017 - 01634 - mechanical • ` CITY OF ORONO 1 1 1 1 1 1 1 II 1111111111111111111 * 2017 - 0 1 6 3 4 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 50 WEAR LA PIN : 04-117-23-21-0006 LEGAL DESC : ROLLING MEADOWS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,729.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)BRYANT HEATING SYSTEM APPLICANT MECHANICAL 59.11 STATE SURCHARGE MEG!(VALUATION) 2.36 STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- TOTAL 63.47 612-824-2656 Payment(s) CHECK 55450 63.47 OWNER HILL,DAVID&JEANETTE 50 WEAR 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 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. YIU/de: ( Applicant Pe itee Signature Date /41Issued B ignature Date • • FOR CITY USE ONLY City of Orono �r \ P.O.Box 66 / `- 1 Date Received: Permit e r' \t h 2750 Kelley Par ay ' n t� --RECEIVED .'l Crystal Bay,MN 323 Approved By: Amount S: � (952)249-4600 DEC 1 4 Z U 17 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) CITY OF ORONO 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 1 Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site'/Owner Information: Site Address: S-o (,& eG r Owner: N. ctu ((( 1' / l Mailing Address: � e� City: `zip: S-5350 Home Phone: 95y' t 7 l Alternate Phone: Contractor Information: Contras randard Heating&Air Condlitioning Contact Person: 130 Plymouth Avenue North Address: Minneapolis, MN 55411-3445 State Bond#: 612-824-2656 City: Zip: Expiration Date: Phone: Alternate Phone: ® Insurance-Current: 1 �' MECHANICAL SYS FEMS BEING INSTALLED. Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. .1 IS THIS GEOTHERMAL? 0 Yes 35No HEATING SYSTEMS Quantity: ' Make: Model: 3 L Fuel: Flue Size: Input BTUs: FE, coo Output BTUs: 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm O 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 8 Inside ®Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 kx � F PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of co tract price with a(Minimum Fee of$50.00) �-- x.0125$ 1 oi contract ricemini�$50.0 2. STATE SURCHARGE 7 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 ordinan' s o e City and the regulations of the State of Minnesota,and certifies that al atements ad: on h . application are complete,true and correct. Applicant's Signature: Vaige„/,„. s ate: I -„( I // --)3 DATE TIME CITY OF ORONO CALLED IN /2---/g?-/ / INSPECTION NOTICE SCHEDULED /P•-/V-11 /. 6'6 PERMIT NO. C MPLETED ADDRESS - J OWNER ■ TELE HO O. 9 X7'31 '7)- CONTRACTOR DESCRIPTION �J`�/ l a_ t W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q1_, FOUNDATION DRAIN TILE ElPLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:16YES_NO v) COMMENTS: Alt G-1 'Fc'1.-Y16 Ce j ' 51-4 I It P c J' Let {te a n tr ePatt•-v r es s p•G,S u s i r�jc t-?c 5/5 eh' o �SS Sur ply •n 2 V%►moi- cc W cc 2 W CC Cl IQ VI WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice