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Home My WebLink About2014 - 00058 - mechanical 1111 II11.111111111111111 CITY OF ORONO * 2 0 1 4 - 000 5 8 2750 KELLEY PARKWAY DATE ISSUED: 01/2112014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2740 WHITE OAK CIR PIN : 04-117-23-42-0019 LEGAL DESC : REG. LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,564.00 NOTE: LOWER LEVEL REMODEL-ADD 2 WARM AIR REGISTERS AND 1 R/A,RELOCATE 2 R/4 RELOCATE EXISTING A/C TO SIDE OF HOUSE (I)BATH EXHAUST-50 CFM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.78 DL JOHNSON HEATING MAIL-IN FEE 2.00 19620 JACKSON ST NE EAST BETHEL,MN 55011- TOTAL 52.78 (763)434-1248 Payment(s) CHECK 5192 52.78 OWNER BERRELL, ROBERT& KAREN 2740 WHITE OAK CIR 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. pecan Permitee '_nature date Issued By Sig6ure Date ''Jan 1?14 02:19p DL Johnson Htg. 763-434-1934 p.1 a F R ' U E ONLY OD� rJ City of Orono el°// r 0 /L� CJX(------:-...b.,----v,), P.O.Box 66 Date Receiv / Permit# 2750 Kelley Parkway 7s21 Crystal Bay,MN X5323 Approved By: Amount$.`,i�C<i1 Phone(952)2494600 Fax(952)249-4616�rESH CITY OF ORONO-MECHANIC PERMIT (All Commercial permits must be approved by the Building Official o'i'nspector and/or Fire Marshall) GENERAL INFORMATION II 1. You may apply for mechanical permits by mail or in person at the City 4 ' ces. 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. PE TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK b1UST NOT B'GIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs-Complete calculations,details and specifications •re required for each heating,ventilation,humidification-dehumidification,and air conditioni g installation including heat loss/heat gain calculation,design temperatures,equipment ratings . d identification as to type,manufacturer and model. Data shall be presented on form providell, 4. When any new construction or remodeling is involved,a separate buildili ig permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Coli !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: '7N0 W I^.}-e_ O...k C-=-1 Owner: Rob c,.,..t f1-- /If-cc-1f Mailing Address: R7,-1 o Lok-,-.1-t- CYC,-. City: Or ono Zip: S5-356 Home Phone: 95-d- iI o Li- s-aa-J Alternate Phone: Contractor Information: Contractor: OL --To ‘ti kl- Contact Person: OG.cryt -'7'1Lv.S Address: I y bolo .3 _cic- .- SL State Bond Ii: Hot3oOi34t i . City: i..sf' gdic-I Zip: It Expiration Date: Sf��h't,Z0FL1 Phone: 767- I-13,-1- I au s' Alternate Phone: 7b 3-- $07- 3,43ci [✓ Insurance—Current: irk"Pi re,s. 1 'Jan 1714 02:19p DL Johnson Htg. 763-434-1934 p.2 MECHANICAL SYSTEMS BEING INSTALL ;D Note: All Geothermal Systems will now require a Site Plan&Review by Iiur Building Official. IS THIS GEOTHERMAL? ❑ Yes 12'No HEATING SYSTEMS 4.0c✓rr- /r ✓t•/ / o n.• �(�./— ..jd we rrr- -r Ort e- Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS „ ! ri /.0 . o/t. Quantity: Make: L e v,d o p f Model: Tons: -7 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: p Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct re rculating efm [a- No. l Bath Exhaust(must have duct outside) ,51V cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to aban,,n tank in place.) El Installation ❑ Removal Fuel Oil: gallons ❑ Undergrouns' ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 1 - Jun 1 Y 14 02:19p DL Johnson Htg. 763-434-1934 p.3 PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the f Mowing 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 sr appliance:and 3. Is improved,installed or replaced by the homeowner or licensed co tractor. 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: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) /,-yb4/ '--f x.0125$ Sv''✓ (contract price) (minimum 550.00) 2. STATE SURCHARGE .8' (,5i = x.0005 IS . 79 (contract price) 3. POSTAGE&HANDLLNG(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 6-, . , -27 - * CONTRACT PRICE or JOB COST means the actual or estimated doll r amount charged for the permitted work including materials, labor,profit,and other fixed costs. It' 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 Mems 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 dopy of the actual contract. MECHANICAL PERMIT APPLICATION AGRE I MENT The undersigned hereby applies to the City for issuance of a Mechanic. Permit, agrees to do all work in strict accordance with the ordinances of the City and the re: lations of the State of Minnesota, and certifies that all statements made on this applicatio I are complete, true and correct. Applicant's Signature: 3�- 61 2, Date; I y7 4/ 3 ATE TIME V CITY OF ORONO CALLED IN —eO- INSPECTION NOTICE// Ur��LL 'SCHEDULEDDk7-1e7 _1 ` , 4-r)Tl PERMIT NO. a 0/ 0 0 COMPLETED � ADDRESS C:2741{-) L Jt, l/k a (,tx - OWNER \ TELEPHO O. CONTRACTOR LU L- % I /r DESCRIPTION rL 0 i L 1=1FOOTING 0 PLU BING FINAL LI EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Z ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP LU ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO r0., COMMENTS: CC W Q. CC (9. O CC O W CC Q 2 W Z W CC O LU ❑WORK SATISFACTORY:PROCEED JECT COMPLETE CC W CICORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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. Call for the next inspection 24 h• rs in advance. (952 249-4600 OwnerlContractor on site: A _TIPP f Inspector. White Copyllnspector's File — Canary Copy/Site Notice