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Home My WebLink About2015-01106 - mechanical CITY OF ORO O * 2 0 1 5 — 0 1 1 0 6 * ' 2750 KELLEY PAR WAY nAT� [ssuEn: 08/3U2015 � ORONO, MN 55 56- (952) 249-4600 FAX: (95 ) 249-4616 ADDRESS : 4165 BAYSIDE RD PIN : 06-117-23-14-0019 LEGAL DESC : REG. LAND SURVEY NO.0748 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL COI�ISTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 9,200.00 NOTE: 2 COOLING SYSTEMS(BRYANT) APPLICANT MECHAN CAL 115.00 STATE S RCHARGE MECH (VALUATION) 4.60 KLEVE&JC MECHANICAL LLC MAIL-IN EE 2.00 12907 PIONEER TR EDEN PRAIRIE, MN 55347- TOTAL 121.60 Minnesota State License#: mech-658861 Payment( ) CHECK 12931 121.60 OWNER ALT, JAMES&MAR[E 4165 BAYSIDE RD MAPLE PLA[N, MN 55359- 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 sepazate permits. AII 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. f / / 1� � ��Gc i C�c-� �.�-� /��,� �f `� (� �' �3� � / Applicant Permitee Signature Date Issued B Signature Date I FOR CITY IISE ONLY ` �� City of Orono y�,� �ONO Y.O.Box 66 Date Received: 3�'��Permit# �16 � `V � 2750 Kelley Parkway � Crys[al Bay,MN 5�323 Approved By: � Amount$: ��Z1 � � Phone(952)249-4600 Fax(952)249-4616 � , � � � �' CITY OF ORONO MECHANICAL PERMIT ��ES tl�� __ ____-- (All Commercial permits must be approved b the Building Official or[nspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical permits by mail or in person at the City offices. Applications wilt be reviewed and a permit will be issued within two orking days. 2. Permit cards will be sent by return mail after a revie is completed. PERMtTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WO K MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT . 3. Mechanical Desi�ns—Complete calculations,detail and specifications are required for each heating,ventilation,humidification-dehumiditicatio ,and air conditioning installation including heat loss/heat gain calculation,design temperatures, quipment ratings and identification as to type,manufacturer and model. Data shall be presen d on form provided. 4. �Vhen any new construction or remocieling is involv d,a separate building permit must be obtained. 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). Ca 1 (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted befor final. TYPE OF PE IT (Check All That 1 ) �Residential ❑Commercial (Approval ReqUired ❑ New ❑ Additional ❑ Re airs ' Replace Job Site /Owner lnformation: Site Address: " 1 WJ �1 �0 t� � � Owner: IV��Q,��, �L� Maili Address: City: d�A N o zip: ,�5 �� Home Phone: �S�` ��' ��3� Altern te Phone: Contractor Information: 1 T � Contractor: Y``.F� ? J� M�CC�1rtN�c�l.\ Cqnta t Person: ��m� � �C'��L v..0 p, Address: 1290'1 �IoN �fr.e� T(��L St�te ond #: Mg ��U��Q � City: �oEN ��h�(LI'�ip: SS3Y1 Exlpira ion Date: 1 ' 3 � (� Phone: �S� �� I` Altern te Phone: ❑ Insura ce—Current: k`F�� N A-T�oNq-�. 1 + MECHANICAL SYSTEMS B ING INSTALLED Note: All Geothermal Systems will now require a Site lan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLiNG SYSTEMS Quantity: I I Make: ,h�,� �'+v� �J�-' l� � Model: �VyCNgo04 � �gIU ��v0 � To„s glAu��- 5 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 du t outside) cfm ❑ Na Other Fans: Locations cfm FUEL STORAGE (Must be npprove�J by Fire Marshnll if roposing to ebnitdon tnnk in pinee.) ❑ Installation ❑ Removal Fuel OiL gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List Wh &Where: 2 i PERMIT FEE CALCU ATION(S) BASED OFF - 2002 ST E STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that me ts all three of the following requirements: 1. Does not require modification to electrical or g service. 2. Has a total cost of$500.00 or less;excluding th cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeo er or licensed contractor. Skip next section, if this applies; Cost ot Permit $ 15.00 State S rcharge $ 1.00 Mail-I Fee(If Applicable) $ 2.00 Total ermit 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 p ice with a(Minimum Fee of$50.00) X .o�zs $ 115� con ract pri ) (minimum$50.00) 2. STATE SURCHARGE q � � X .000s $ y.le0 (contr ct pri e) 3. POSTAGE& HANDLING(Only on Mail-In Ap lications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�1 •�Qb ■ * CONTRACT PRICE or JOB COST means the actu or estimated dollar amount charged for the permitted work including materials, labor, profit, and ot er fixed costs. It is the amount to be charged to the customer for the work done. If any material, equ pment, labor or installations are furnished by the owner, tenant or any other party, the reasonable ma ket value of such items must be added to the estimated cost or contract price for permit fee purpose . In the event that there is a dispute on the amount of the job cost, the City may request the submi sion of a signed copy of the actual contract. MECHAMCAL PERMIT APP�,IC TION AGREEMENT The undersigned hereby applies to the City for issuanc 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 Signatur : Date: �'�� ` �S 3 �, �� ✓ _ ^G- TIME CITY OF ORONO CALLED IN �--� �_ INSPECTION OTI E SCHEDULED - - PERMIT NO - ` l � �G COMPL ED � � ADDRESS � OWNER 1 �� TELEP � NE NO��'�� CONTRAC R `�� " � �'�u � DESCRIPTION �f� �1� W ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU BING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ P MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING HANICAL FINAL ❑ RATED WALLS � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERKAIdTRACTOR TO MEET Y�OU:_YES NO y COMMENT5: � W � � J O �. � O W � Q � 2 � W � J O W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 249-46�0 OwnedContractor on site: � inspector: White CopyMnapector's File Cenary CopylSite Notice