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Home My WebLink About2013-01211 - mechanical - ' CITY OF ORONO * 2 0 1 3 — 0 1 2 1 1 * 2750 KELLEY PARKWAY nATE ISSUEn: 11/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1 l65 BROWN RD S PIN : 10-117-23-24-0020 LEGAL DESC : UNPLATTED 10 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: (1)FUJITSU SPLIT COOLING SYSTEM (1)BATH�XHAUST- 150 CFM APPL[CANT MECHANICAL 50.00 NIELSEN, ERIC STATE SURCHARGE MECH(VALUATION) 1.50 P.O. BOX 54 CRYSTAL BAY, MN 55323- TOTAL 51.50 PAID WITH CC# O134 OWNER NIELSEN, ERIC P.O. BOX 54 CRYSTAL BAY, MN 55323- AGREEMENT AND SWORN STATEMENT The work tbr��hich this permit is issued shall be performed according to the approved plans and specifications,applicable CiCy approvals,and the State Building Code. This permit is for only the work described and does not grant permission tbr 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.'I'his permit will expire and become null voi if construction authorized is not commenced w 1 days o the date of issuance,or if construction is suspended r a pe od of 18 days at any time after work has commenced. The app cant is ponsib for assuring all required inspections are reques ed in c orma with the State Building Code.This permit may be revok at a r�m-etetise_ ( � �3 � 1� � ,� �i� i3 ��3 Applicant Permitee Signature Date �� Issu y Signature Date SF,PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � , � ' FOR CITY USE ONLY �O A TO City of Orono 1 y P.O.Box 66 Date Raceived: Permit# 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-46]6 � � y � F � ��KssHo��'� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. 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. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All wark 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: ! � t� � �Iw �� Owner: �(�(L �//G�,�/N Mailing Address: �I` S� �'! City: 4'V�s��'f'� Zip: 5��3 Z� Home Phone: �S�� ' �� T¢ Alternate Phone: � f Z � Z �� 5�s Contractor Information: Contractor: ��(^�" Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 -� T ' r MECHANICAL SYSTEMS BEING 1NSTALLED Note: All Geothermal Systems will now require a Site Plan & 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 Quantiry: � Make: ��/�� S u Model: S � , I d— S`�S f'�-'� Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION . C I'0 a No. _� Bath Exhaust(must have duct outside) l 5 O cfm No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p/ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 * � . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residentia] fixture or appliance that meets all 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; excludine the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. 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 125%of contract price with a(Minimum Fee of$50.00) ��7jJC�0 x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. lf any material, equipment, labor or instailations are furnished by the owner, tenant or any other party, the reasonable market value of such items 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 copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies e for � suance of a Mechanical Permit, agrees to do all work in strict accordance w' the rdi anc of the City and the regulations of the State of Minnesota, and certifies t at all tate en made on this application are complete, true and correct. Applicant's Signature: Date: �� 3 Minnesota State Energy Code Calculations and Mechanical Code Requirements Form Additional copies can be found by going to: htta://www.dli.mn.gov/CCLD/PDF/sbc 1322 cert.pdf , N1101.8 Certificate /� Builders Name/Company Date: `► ' �� " r 3 Site Address: _1�6� ��w� �_ � . Con�ractor Plame: E�� i�-s� ��°y�e�� Lioense Numbew Lacation Type of Insb//ed 7��p�e Locat�on ,Size Insulation R-Ua/ae — Makeu Air :5� Roof Ceilin I �I� � �t:�c Fr S � Combustion Air -x �sL W�1lIS FoRK a �ii� � "75 �',�a�r-�7�� I�� v'��- � , i ri., i .�t� . � r� �. 5�7 Y i.`yK Slab-on-Grade ' i� �Z • �0 K.i,� : , � � �, . �f �� ! a:, , - , .: ' ;� r�- �.. � i:��.�...,.� i ', �.� .... �....:.:n..1 .4� �...... . �._,.. .�,..;..., �� .,, - "�anu `rer' �'f Mode!� Ftoor .'[�ucts`Q��ide�i�'�qd�Rn+�`�� a�es}:: �; Rim]oist .Fr( (9 M�I�r ,�r ,, , a �, �.� , - :� ,. ,�: � , ';, �;��.a � �: Tnterior,Extertor or Irrtegral ;�Q� ��n ' „:��,�/'a�� Foundation Wall '!�i '/0 f/rr� Interior,Exberior or Int ral A�e e U-Fachvr SHGC so/ar beat` ain cvefl�"rcient Passive Active Fenestration , L} , Radon Control T In ut Ratin AFVE Manufactur+er Mode/ Caku/ated He�t Loss Heatin S stem o " � r's�;n/C� Ou ut Ratin SEER Manufactu�ser Mode! Coo/i Load Heat Gain Coolin S m �ir� �xi`5�•` T Locatidn Continuoys Ventilation Tot�!Venti/ation Mechanical Ventilation Z''° �•�� -�s- INSPECTION NOTICE � DATE TIME CITY OF ��a�� CALLED-IN SCHEDULED PERMIT NO. �� 01// COMPLETED�'��_ ADDRESS //G5 1S�v�,� �P� S_ OWNER/CONTR. ❑SITE INSPECTION �MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS '❑I��ECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑ INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � �SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: Q �,�"�, .�'� 'ti ` � 'e � [� ►_- - �S��of - ��-�4,�w� �-- a t'' w _ - , � ��s�t CawK-��.►� S�,a�/� es ,E-- Z _ � �P��. r w .s � W � � � O � O W � Q � Z W � W � � O � FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED � O WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p�DRRECT WORK& PROCEED V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: �, .—� � � �� D� TIM� ��CITY OF ORONO �.�' cALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. 2��-(�l Z�� COMPLETED ADDRESS � �� - � ' OWNER ne TELEPHONE NO.�OIo� �a��`�S� CONTRACTOR . � DESCRIPTION -�Y i ��,-( W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL 2 C NERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O �. � O � W 2 Q � 2 W � W � � � d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O 1 UE CERTIFICATE OF OCCUPANCY W • 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOPORDEii POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. � 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice