HomeMy WebLinkAbout2014-00473 - mech CITYOFORO O * Zp� 14 - 00473 *
2750 KELLEY PAR WAY DATE ISSUED: OS/20/2014
ORONO, MN 553 6-
(952) 249-4600 FAX: (95 ) 249-4616
ADDRESS : 4245 BAYSIDE RD
PIN : 06-117-23-13-0001
LEGAL DESC : UNPLATTED 06 1 17 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL �
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,300.00 ;
NOTG: (2)BRYANT HEATING&COOI.ING SYSTEMS
APPLICANT MECHANI AL 141.25
COUNTRYSIDE SOLUTIONS STATE SU CHARGE MECH (VALUATION) 5.65
1960 COLJNTY ROAD 90 MAIL-IN F E 2.00
SUITE 200 TOTAL 148.90
MAPLE PLAIN,MN 55359 Paym�nt(s)
(763)479-1600 CREDIT C RD 8071 148.90
OWNER
WHITE, GREG &AV1S
PO BOX 375
LONG LAKE, MN 55356-0375
ACREEMENT AND SWORIY STATEMENT
I�he work for which this permit is issued shall be performcd 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 ,
i�ot 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 construetion 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 aze
requested in conformance with the State Building Code.This permi[may be
revoked at any time for due cause.
�C � Zv � �� /
Applicant Permitee Si ate Issue y ignature Date
I I
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05l19l2014 08:29 #961 P.0011003
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�AR C'I�"1'USE UNI�I' ��
��� City of Orono I � ;
P,O.Box 66 i)gce Rece���i �emut�l ��_,_„___ :�
2750 KelIey Parkway 7�
Crystal Bay,MN 5�323 ApprnVed$u: �t�txta�tnL�: � r ��
Phone(952)249-4600 Fax(952)249-4616 1��
� � �
y`�l.�xE 04-�.�' CITY OF ORONO—MECHANICAL PERMIT �
SH (All Commercial permits must be approved by he Building Official or Inspector andlor Fire Marshall}
1. You may apply for mechanical permits by mail or in erson at the CiTy offices. Applications will
be reviewed and a permit will be issued within iwo w rking days.
2. Pern�it cards will be seni by return mail after a revie is completed. PERMITS ARE NOT
VALTD UNTiL YOLJ RECEIVE A PERMIT. WO MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB ITE
3. Mechanical Desi�ns—Complete calculations,details nd specifications are required for each
heating,ventilation,humidification-dehumidification and air conditioning installation including
heat loss/heat gain ca(culation,design temperatyres,e uipment raYings and identification as to
type,manufacturer and model. Data sliall be present on form provided.
4. When any new construction or remode(ing is involve ,a separate building permit must be
obtained.
5. All work mast be done in aceordanee with the�nifo Mechanical Code/State Building Code
requirements.
6. All work must be inspectcd(rough-in and final), Call(952)249-4600.
(24-48 hour notice required)
7. House kleating Test Record must be submitted before final.
' _ TYPE(��'VP��T��II`�' - �
.�.._.� {Check.�Il Tl�at�ppl��)
�Residential ❑Commercial(Approval Reyuired)
❑ New ❑Additional �Rep irs �Replace
Site Address: `�� S'►��{'
Owner: ��� �Uq�� MailingAddress: �.�. G"�"�'X oC�G
c�ty: �t,a'�'�e z�P: �� $�3�7`��
Home Phoiie: ��,���"'���� Alternat Phone:
�Can#ractor inform�tion: , _ -
/ � / �.�
Coniractor:� � hOG� Contact erson: �rlGt� L�l�n
Address:lQb4J(.0 ! 'V �o� State Bo d#: !r��8'bD !I J�
!) �
City: 4� r�Q(4 Zip:ss�s�Expirati n Date: ���� Z C�f;�
Pno»e:7�3�179. �6� Alternat Phone:
[� Insuranc —Current:��Fu.r�l� /Ok'�j0y / �S �
/ �
',� 6 3 6�d��
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05l19l2014 08:29 #961 P.002/003
Note: All G�eothermal Systems will now require a Site ]an&Review by ow�Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity:
�
Make:
Moa�i: qi�S��l�O�OSI� ---------
Fuel; _�_��_____
Flue Size: �~ v�
��-- ---- -- —_ __�
Input BTUs: � G I
Output BTUs: �� ____._________ _ �_ _.._.____. __._.
CFM:
�� -- -
COOLING SYSTEMS
Quantity: _�__
Make: - —
�G���� --
�fodeL• F�� �1'� � �2 Y
Tons: _�_
H.Power �.7� --_. ------------- � - —
FIREPLACES ��
❑ Gas Pactory Fireplace rand Nazne:
❑ Wood Burning Fireplace
❑ Wood Siove odel No.:
❑ Wood Stove with Flue/Masonry �
VEIVTILATION
❑ No. Kitchen Exhaust d ct recirculating cfin
❑ No. Bath Eachaust(must have duct utside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Afusi be approved by Fire Marshal!if pr osing to abandan tank in place.J
❑ Installation ❑ Retnoval
Fuel Oil: �________ ,_gallons Ilnderground ❑lnside ❑Outside
LP Gas: ___gallons
Other: __I
GAS LIN�ONLY
❑ O�tdoor Grill ❑ Other/List What \�'here:
2 _
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05/19/2014 08:30 #961 P.0031003
❑ Yes,this section applies
7"he replacement of a Residentia]fixture or appiiance that mee s al1 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;excludin�the ost of the fixture or appliance:and
3. ]s improved,installed or replaced by the homeo ner or licensed contractor.
Skip next section,if this applies; Cost of ermit $ l 5.00
State Su harge $ 5.00
Mail-In ee(If Applicable) $ 2.00
Total Pe mit Fee $
r ,
If above does not apply;follow guidelines belo�v:
1. CONTRACT PRICE * is 1.25%of coniract pri e with a(Minimum Fee of$50.00)
r I 30o X.0�25$ ��1. �,r'
(co�tract price) (minimum$50.00)
2. STATE SliRCHARGE �'
x.0005 $ � 6 5
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Appli ations) $ 2.00
Q. T'OTAL PERMIT FEE(Add Lines 1-3 Above) $ ���fD . ��
■ * CONTRACT PRICE or JOB COST means the actual r estimated dollar amount charged for the
permitted work including materials,labor,profii,and othe fixed costs. It is tbe amount to be charged
to the customer for the work done. If any materia3,equip ent, labor or installations are fumished by
the owner,tenant or any other party,the reasonable mark value of such items must be added to the
estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the
amount of the job cost,the City may request the submissi n of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance o a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the Ci y and the regulations of the State of
Minnesota, and certifies that all statements made on th's application are complete, true and
correct.
Applicant's Signature: Date: �/� ��/�
3
�� ��"�/� DATE TIME ✓
CITY OF ORONO CAL - '
INSPECTION N ICE SCHEDULED � - ,
PERMIT NO. �� � 73 MPLETED
ADDRESS `�- I
OWNER � T P NE . �a-�`� g �
CONTRACTOR �
�
�; DESCRIPTION y
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/�iRADI G/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHOR EfLANDS
y O FRAMING �MECHANICAL FINAL
❑ TREE RLMOV L
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPEC ON
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD G�OVE REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUND/�TIO EMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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a /' � ►A'ce•t —
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0 � f � �/KG
�' - ��t� 7�'i �t I/G� Z� � �j �°o*t � 4�r •�
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPIETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE O OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORA
V BEFORE COVERING PERIyIANE T
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL REfURN ❑CITATION ISSUEb
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �
Call for the next inspection 24 hours in advance. (951� 9-46��
OwnerfContractor on site:
�
Inspector. ^�
White Copyllnspector's File Canary CopylSft�Noti '