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Home My WebLink About2014-00464 - mech . CITY OF ORO O * 2 0 1 4 - 0 0 4 6 4 * ' 2750 KELLEY PARK AY DATE ISSUED: OS/16/2014 ORONO, MN 5535 - (952) 249-4600 FAX: (952 249-4616 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 : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,500.00 , NOTE: VENMAR CONSTRUCTO ERV AIR EXCHANGER(BASEMENT) VENMAR KUBIX ERV TOP PORT 1N MAIN FLOOR CLOSET 2 OTHER FANS APPLICANT MECHANI AL 50.00 STATE SU CHARGE MECH (VALUATION) 1.75 KLEVE&JC MECHANICAL LLC MAIL-IN F E 2.00 12907 PIONEER TR EDEN PRAIRIE, MN 55347- TOTAL 53.75 Payment(s) CHECK 12273 53.75 OWNER ALT,JAMES&MARIE 4165 BAYSIDE RD MAPLE PLAIN,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 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 revohed at anv time for due cause. / / Applicant Permitee Signature Date Issued By � nature Date FOR CITY USE ONLY �O A' City of Orono +y P.O.Box 66 Date Received: Pemut# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fa�c(952)249�616 � a y � F � t1kfS NOQ'�G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in erson at the City offices. Applications will 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. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WO MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT . 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificatio and air conditioning installation including heat loss/heat gain calculation,design temperatures, quipment ratings and identificarion as to type,manufacturer and model. Data shall be present d on form provided. 4. When any new construction ar remodeling is involv ,a separate building pernut 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 (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted befor final. TYPE OF PE T Check All That A 1 �Residential ❑Commercial(Approval Required ❑ New ❑Additional ❑Re airs �Replace Job Site/Owner Information: �� Site Address: � ti 5 S 3s� nAp� �(' Iw . p Owner: I�11�� f�l� \ Maili Address: �U[ I`4� ��,: (��N o Z�p: SS 3 Home Phone: ��' v0�� Altern te Phone: Contractor Information: Contractor: l: ,� J�`��N�Conta t Person: ��'�m U� ��L� Address: 0 �� State ond#: d ��_ City: ��C N � E.Zip:�1Expira ion Date: � 3 Phone: 1��_��`��'\` Altern te Phone: � Insur ce—Current: w�SSTF.'Q. N1 A�f10JvN�-� 1 � MECHATTICAL SYSTEM BE G INSTALLED Note: All Geothermal Systems will now require a Site P an&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �No I HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTiJs: Output BTUs: CFM: COOLING SYSTEMS Quantiry: ` ' �E�ln�n�- CpN 5��11 G E.�� k G�A'�I �--L� CBitSE M�N�- � Make: �, Vt{�1 N�� 0 O � � (hPl'1'N ��C�ASF.'r Model: Tons: H.Power F'IItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust uct recirculating cfm ❑ No. Bath Exhaust(must have duc outside) cfin � No. � Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if p oposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List Wha &Where: 2 PERMIT FEE CALC TION(S) BASED OFF -2002 STA E STATUE ❑ Yes,this section applies T'he replacement of a Residential fixture or appliance that me s all three of the following requirements: 1. Does not require modification to elech-ical or ga service. 2. Has a total cost of$500.00 or less;excludinQ 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 of ermit $ 15.00 State S charge $ 5.00 Mail-In ee(If Applicable) $ 2.00 Total P rmit 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 ce with a(Minimum Fee of$50.00) �� x.0125$ S� (conh-act pric ) (minimum$50.00) 2. STATE SURCHARGE �� x.0005 $ • � (contract pric ) 3. POSTAGE&HANDLING(Only on Mail-In Ap lications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �J�� ■ * CONTRACT PRICE or JOB COST means the actua or estimated dollar amount charged for the pernutted work including materials, labor,profit, and o r fixed costs. It is the amount to be charged to the customer for the work done. If any material, equ� ment, labor or installations are furnished by the owner,tenant or any other party,the reasonable m et 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. MECHANICAL PERIVITT 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 ity and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. 1 Applicant's Signature. Date: � I�—� 3 Minnesota Department of Labor and Industry Licensing and Certification Services �Construction Codes and Licensing Division Phone: 651.284.5034 443 Lafayette Road N Email: DLI.License@state.mn.us Saint Paul,MN 55155 Website: www.dli.mn.gov/ccld.asp NOTICES NOT TRANSFERABLE K EVE &JC MECHANICAL LLC CHANGE YOUR BUSINESS STRUCTURE 12 07 PIONEER TRAIL SUBMIT A NEW APPLICATION FOR NEW ENTITY E EN PRAIRIE, MN 55347 RENEW OR REPLACE INSURANCE POLICY SUBMIT NEW CERTIFICATE OF INSURANCE NOTIFY THE DEPARTMENT OF A CHANGE IN YOUR BUSINE S. Failure to do so, subjects you to administrative penalties of U to$10,000. _ 15-Day Notice Requirement-Forms available online at www.dl�.mn: ov/CCLD/LicU date.as � • Change in business'physical address,mailing address, phone umber, or�email address • Change in control, owners,officers,directors,members,partne • Change in business'legal name and/or assumed name�" ' • Loss of or change in RESPONSIBLE INDIVIDUAL • Change in general lizbility insurance or workers'compensation i surance coverage Imm.ediate Notice Requirement—Notification to DLI in writing '• Jud4ment�ebtor. A licensed contractor has 15 days to provid written notice of the finding that it is found to be a judgment = debtor-t�ased upon conduct requiring licensure. _ , _ ,— '' • Bankruptcv Petition Filed. A licensed contractor has 15 days to rovide written notice that it{iled a petition for bankruptcy. • Conviction Notice. A licensed contractor has 10 days to provid written notice that it has been found guilty of a felony, gross misdemeanor, misdemeanor or any comparable offense related to the license, including convictions of fraud, misrepresentation,misuse of funds, tt�eft,criminal sexual condu f;assault, burglary,conversion of funds, or theft of proceeds in this or any other state or any other United.States jurisdiction:-" YOUR CERTIFICATE IS BELOW THE PERFORATION. SHOW CERTIFICATE WHEN OBTAINING PERMITS. ' MINNESOTAOEPARTM�NT�OP MECHANIC . L CONTI�ACTOR BOND � i.ABOR 8c 1NDUSTRY Construction Codes and Licensing Division Licensing and rtification Services 443 Lafayette Road N St.Paul,MN 55155 Website: www.dli.mn.pov/ccld.asn Email: dli.lice se state.mn.us Phone: 651.284.5034 This is to certify that the certificate holder is registered as a MECHANICAL CO TRACTOR BOND in the state of Minnesota and is in compliance with Minnesota Statutes 326B.197,and has filed a$25,000 mechanical bond to erform gas,heating,ventilation,cooling,air conditioning, fuel buming,or refngeration work in all areas of the state during the registration eriod;provided the work performed coroplies with the State Mechanical Code and the certificate holder maintains compliance with t e required bond and workers'compensation laws. Registration : MECHANICAL CONTRACTOR BOND � RegNumber : MB658861 KLEVE &JC MECHANICAL LLC � Effective Date : 10/31/2012 12907 PIONEER TRAIL B Expiration Date : 07/03/2014 EDEN PRAIRiE, MN 55347 � T VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFO AT .dli.mn. ov/ccld/licVerifv.asp (ENTER NUMBER). / / ' / — � pATE TIME � CITY OF ORONO C LED IN —2 INSPECTION NOTIC SCHEDULED -a"— � PERMIT NO. - MPLETED � ADDRESS OWNER T EPHONE N� 3- CONTRACTOR . � DESCRIPTION � � � FOOTING PLUMBING FINAL ❑ E CAV/GRADING/FILLING y ❑ POURED WALL p MECHANICAL RI ❑ KESHORE/WETLANDS Q ❑ FRAMING �EEHANICAL FINAL ❑ T EE REMOVAL Z ❑ INSULATION � ❑ WOOD BURNER/FIREPLACE ❑ SI E INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ P RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ C MPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ F LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ H D COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FO NDATION/REMOVAL 2 �NTRACTOR TO MEET YO�YES_NO c�.� COMMENTS: � a - Ven w�4.�- � (/ ' � � J O �. �Q!�rl ' ' O ' � � o ' �G��r�ceG f��n vte�' _ W � w �� lt CLI'� e��_` Q � � ��✓u�.Z �i�'I�tll� W � � d W� ❑WORK SATISFACTORY:PROCEED �OJECT COM LEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFI TE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEM ORARY V BEFORECOVERING PER ANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUE ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (g5 ) 249-4600 Owne ontractor on site: `G Inspector. ` White Copyllnspector's File Canary CopylSite otice