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Home My WebLink About2014-00009 � CITY OF ORO O * z 0 1 4 - 0 0 0 0 9 * 2750 KELLEY PAR WAY DATE ISSUED: O1/06/2014 ORONO, MN 553 6- (952) 249-4600 FAX: (95 ) 249-4616 ADDRESS : 4135 BAYSIDE RD PIN : 06-117-23-14-0025 LEGAL DESC : BAYSIDE RIDGE : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE , VALUATION : $ 5,500.00 I NOTE: LENNOX HEATING SYSTEMS-NATURAL GAS APPLICANT MECHANI AL 68.75 STATE SU CHARGE MECH(VALUATION) 2.75 KLEVE&JC MECHANICAL LLC MAIL-IN E 2.00 12907 PIONEER TR EDEN PRAIRIE, MN 55347- TOTAL 73.50 Payment(s CREDIT C RD 7744 73.50 OWIYER HAYSEEN, CHARLES& HELEN 4135 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work Yor 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[he work described and does not grant permission for additional or related work which requires separate permi[s. 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 fbr 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 ate Issue y Signature Date i I . From:KLEVE HEATING AND AC INC 952 941 7240 01 /06/2014 10:54 #017 P.001/005 ��-� `t��- l� F R SE ONLY O City of Orono ) � �O P.O.Box 66 Date Receiv :� Permit# �� 2750 Kclley Pazkway Cryatal Bay,MN 55323 Approvod By: Anwunt S:�� Phone(952)249-4600 Fax(952)249-4616 s � ��kFSH�Q'�` CITY OF ORONO- CHANICAL PERMIT (All Commercial permits nmiat be approved by Building Of�cial or Inspecwr and/or Fire Macehall) GENERAL INFORMATION 1. You may apply for mechanicai pemuts by mail or in p on at the City of�ices. App2ications will be reviewed and a pemut will be issued within two wo king days. 2. Permit cards will be sent by zeturn mail after a review completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WO T T BEGIN UNTIL TI� PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi¢ns—Complete calculations,dctails d specificadons arc required for each heating,vontilation,hwnidification-dehumidification, d air conditioning installation including heat loss/heat gain calculation,design temperatures, �pment ratiogs and identification as to type,manufacpu�er and model. Daffi shall be presen on form provided. 4. When any new construction or remodeling is involv a separate building permit must be abtained 5. All work must be done in accordance with the Unifo Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call 952)249-4600. (2448 Lour nodce required) 7. House Heating Test Record must be submitted before . TYPE OF P Check All That A 1 �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Rep s ,�]Replace Job Site/Owner Information: Site Address: 35 � � � Owner: CHPrR.L�S �Ati1 S S�N Mailing Address: �� 3� g R'�(S l 9� �� City: �j 4�N 0 Zip: �S3S� Home Phone: ��5' �J��(� �°�5> Alternat Phone: Contractor Information: Contractor: �LEl/l-. 4 �� M��.t�1Pr�l��ontact erson: '1� C�(LL, Address: �1 �►v ��- State B d#: � �u S� �p l City: �EN `��\�Zip: ��1 Expirati n Date: �1-3- �y Phone: 1rJ�' 1�,- �1L�` Alternat Phone: � Insuran -Current: ��T�tv ��'R�«i1�- 1 . from:KLEVE HEATING AND AC INC 952 941 7240 01l06l2014 10:54 #017 P.002/005 �_ . ., __. .,.., _.: . . ,.. _.__ _ E v �S � I Note:Ali Geothermal Systems will now require a Site Pl 8c Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATTNG SYSTEMS Quantiry: fLlv R, Make: �N Rf 4 X Model: �I.Z.g�Q03fa0�Q �t.Z�(�03(�D1Q Fuel: N{� �'�'S Flue Size: Z 1` t V� � R U L Input BTUs: U b 0� 0 0 _ Output$TUs: 2 '� � n CFM: �L 9 n� �1____�L.e-�s0 COOLING 5YSTEMS Qusn6ty: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas Factory Fireplacc cand Namc: ❑ Wood Burning Fireplace ❑ Wood Stove odel Na.: ❑ Wood Stove with Flue/Masonry VEN'I'II..ATTON ❑ No. Kitchen Exhaust d recirculating cfm ❑ No. Bath Ezhaust(must have duct utside) cfin ❑ No. Other Fans: Locations c&n F'UEL STORAGE {Must be appraved by F�re MarshaU if pr osing to abandon taAk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons Undergtound ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What Where: 2 . . ,From:KLEVE HEATING AND AC INC 952 941 7240 01l06l2014 10:54 #017 P.0031005 ❑ Yes,this section applies Ttie replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not rrquire modification to electrical or gas s 'ce. 2. Has a total wst of 5500.00 or less;excludine the c st of the fixture or appliance:and 3. Is improved,installed or replaced by the homeo or licensed contractor. Skip next section,if this applies; Cost of P 't S 15.00 State Surc ge $ 5.00 Mail-In F (If Applicable) S 2.00 Totxl Pe t Fee S If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of con4ract pric with a(Mlnimum Fee of S50.00) O x.0125� l�'U��S (conhact pricc) (m�imum 550.00) 2. STATE SURCHARGE �� c��;��, X.0�5 $ z. �s 1 3. POSTAGE&HANDLII,TG(Only on Mail-In Appli ations) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) a �I��5� ■ " CONiRAGT PRICE or JOB COST means the actual r estimated dollaz amount charged for the permitted work inclttding materials,labor,profit,and oth fixed costs. It is the amount to be charged to the customer for the work done. If any material,equip ent,labor or installations are furnished by thc owner,tenant or any other party,the reasonable mark value of such items must be added to the estirnated cost ar 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 submiss on of a signed copy of the actual contract. The undersigned hereby applies to the City for issuance f a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the 'ty and the regulations of the State of Minnesota, and certifies that all statements made on is application are complete, true and correct. Applicant's Signa ( Date: 1— �9—�� 3 �� .� DATE TIME CITY OF ORONO � CALLE�— - INSPECTION NO IC SCHEDULED �� PERMIT NO '� OMPLEfED � ADDRESS OWNER EPHONE NO � � CONTRACTOR � DESCRIPTION � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/G DING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHO FJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE RE OVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSP CTION Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAi T v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW- P � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD CO ER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA ON/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W O WORKSATISFACTORY:PROCEED PROJECT COMPL E � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICAT OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPO ARY V BEFORE COVERING PERMA ENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WIIL RETURN �STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4 hours in advan 5 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copyl Ite tice