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Home My WebLink About2014 - 00606 - mechanical CITY OF ORONO II 11 II1111 111 II 1111 II 11 II 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 364 WESTLAKE ST PIN : 05-117-23-23-0043 LEGAL DESC : HILLSIDE PARK : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 28,400.00 NOTE: 1 HEATILATOR HEIR 42T I HEAT N GLO RED4O-NM I HEAT N GLO SLR-C I HEATILATOR CNXT4236IT I HEAT N GLO SALARI 536-ST APPLICANT MECHANICAL 355.00 STATE SURCHARGE MECH(VALUATION) 14.20 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MISC FEE 0.00 (651)633-2561 TOTAL 371.20 Minnesota State License#: mech-20512060 Payment(s) CHECK 2004506 371.20 OWNER Identisys, Inc. SHIELDS TRUSTEES,JANELLE K&MICHAEL R 7630 COMMERCE WAY EDEN PRAIRIE, MN 55344- 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. 34/ Applicant Permitee Signature Dale Issued By S' iature ?AAP Date FOR CITY USE ONLY ;a7 City of Orono ,fi { d, P.O.Box 66 Date Received: Permit# (! L 2750 Kelley Parkway ' Crystal Bay,MN 55323 Approved By. Amount$: • Phone(952)249-4600 Fax(952)249-4616 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)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) ❑ New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: J(011 WJ-kis Owner: L,O,ik Mailing Address: ?2112- lava- 3 c3 '� -6 City: ��,(,�c{� Zip: .3 Home Phone: 6/2-"kgs (106 Alternate Phone: Contractor Information: HEARTH & HOME TECHNOLOGIES Contracto>dba FIRESIDE HEARTH & HOME Contact Person: Lic 662656 2700 FAIRVIEW AVENUE N Address: RO.SEVII L G MN 551 3 State Bond#: e 00.3 I �+-►�7-r.r�vo ram 651.633.Q561 City: Zip: Expiration Date: 7-'/ "/9 Phone: 6 57- 6 '33- / y 2. t/ Alternate Phone: Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No S tag Az4..od 410. Quantity: 1 1 1 Make: "40, H- Model: 1441,1- `lit /k 1jC,, IY/Yl SLR-c Crv;i,T h12.3 6 i 5°1-441' 3c�--S i Fuel: /1/ N g 1111 /1/ Flue Size: V b1/ Dv Dv Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES (i-•""--.----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 e, d,•i ❑ 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 Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract/� price with a(Minimum Fee of 550.00) ?Li 06. OD x.0125 $ 65" CSD (contract price) (minimum$50.00) 2. STATE SURCHARGE 2$'leo f 10 x.0005 $ 111, 10 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 371, '2.0 ■ * 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 thereis 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 ofthe State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: h Ci r` Date: 6- 1 2^/Y 3 (v 1 3 L Lq1 14-ME I CITY OF ORONO CALLED IN (31/�F • WEDINSPECTION I�T�C�`` UL-) �(SCHEDULED PERMIT NO. p�1�t`[�� ` L- TOMPLETED I• ADDRESS 2(4 OWNER { TELEPHONE NO.' - X38- 3312 CONTRACTOR PL-Q-518- • DESCRIPTION I-. W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS y /W ❑ FRAMING ■ ❑ TREE REMOVAL Z ❑ INSULATION ' ❑ ` URNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB [ WAT HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REM OWNER/CONTRACTOR TO MEET YOU:_YES_NO(51� o11414) y COMMENTS: `'. cc W Q CC 6-6;25 144,a0 cc 0 W CC Q W cC LUCI WORK SATISFACTORY:PROCEED PROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR Cl CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (952 249-4600 Owner/Contractor on site: IP" Inspector. White Copy/Inspector's File Canary Copy/Site Notice C-. 4 -e--i- _____44 /, TIME ` �J V CITY OF ORONO CALLED IN - / MMll INSPECTION OTIC SCHEDULED 7 n2s/ /l.vi., / PERMIT NO. I`P !00(--, COMPLETED �� ADDRESS , 3(p4 0 i -e x'1Q i7 -11- OWNER . TELEPHONE NO. - y 9 CONTRACTOR VY—af--!fix ' DESCRIPTION `f Pep! Eco k dricdi • 4., 0 FOOTING 0 PLUMBIgG FINAL 0 EXCAV/GRADING/FILLING LL. ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS y /W Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS Is 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP 4.1 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL r 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWN ERICONTRACTOR TO MEET YOU:_YES_NO rte3 COMMENTS: cc W Q. CC J '11111o o - fit ri-i , -f/O7 Z-6r/( It 4. W CC Q 2 W Z W cc W ► •RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ■ •;i•ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho,rs in advance. ' /249-4600 Owner/Contractor on site: 41IL _ - de Inspector. �j� White Copyllnspector's File Canary Copy/Site Notice