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Home My WebLink About2015-00574 (mechanical) � CITY OF ORONO * 2 0 1 5 - 0 PJ 5 7 4 * , * 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2696 CAROLINE AVE p�N : 20-117-23-24-0034 LEGAL DESC : WESSELS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,150.00 NOTE: 1 KITCHEN EXHAUST,GAS LINE TO RANGE&GAS LINE TO FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.98 GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 2200 HIGHWAY 13 BURNSVILLE,MN 55337 TOTAL 52.98 (952)767-1000 Payment(s) CHECK 147420 52.98 OW1vER MILLER,CHARLES&JILL 2696 CAROLINE AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The wark for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the 5tate 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 whe[her 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. � �� /� �o�,� � l.-Lt�-�-�'�`'' � , , � , �s Applicant Permitee Signat re Date Issued By ignature Date ,�0�5- 1�3'Z- Ff �52. ��.� rl �� ♦ w (J� FOR C[TY USE ONLY �J City of Orono c c_ �O�O P.O.Box66 DateReceived: 5��Permit# 2� �-'� ; 2750 Kelley Parkway o� Crystal Bay,MN 55323 Approved By: �� Amount$: �� ' � Phone(952)249-4600 Fax(952)249-4616 � � Z � . F`qkfSHO��G CITY OF ORONO—MECHANICAL PERMIT (AII Commercial permrts must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION � l. You may apply for mechanical permits by mail or in person at the City of�ces. 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 VAL[D UNTIL YOU RECENE A PERMIT. WORK MUST I�OT BEGI;Y UnTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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 identitication 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 work 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: i ,� ,f `� r Site Address: ,�( � �/ � ( i;;., ,;;fi��„% ; �. � � � _ Owner:�� %� ��I� �(,t:� l ��I" � �, Mailing Address: _ c��: (l��' a %:.;� z�p: _ Home Phone: Alternate Phone: Contractor Information: -, ', , `�� Contractor: "� `�� "�� V _ �� ContactPerson: � ��_ IV�� - � Address: �� ' �� r��n � V� State Bond#: �� City: L, �'�� V "�� Zip:�,��r Expiration Date: �� _ � " � � Phone: �'1��1��X1 ' �� Alternate Phone: ❑ Insurance—Current: 1 , ' � MECHANICAL SYSTEMS BEING INSTALLED 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 Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � r!\� No. � Kitchen Exhaust duct recirculating , � ��' cfm No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm Fti EL STORAGE (Must be approved by Fire Mnrshall if proposing to abnndon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY . � � �� ❑ Outdoor Grill Other/List What&Where: � (� � 2 ��t,�v �� -� � .-�.;�l a_� PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE �] Yes,this section applies The replacement of a Residential 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;excluding 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 CALCULAT'ION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� ;y:/ � � �� -� x.0125 $ �� (contract price) (minimum$50.00) 2. STATE SIJRCHARGE —�1 J� q� ` � �V ✓ x.0005 $ , �l� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �1 C � 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. If any material, equipment, labor or installations 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 to the Ciry for issuance 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 Signature�� Date: <�r ` � \ _ 1 3 c1l �,�' DATE TIME CITY OF ORQNO �Q !P CALLED IN INSPECTtt�N NOTIC SCHEDULED S 5 �.:os PERMIT O.aU�' ��7�MPLETED ADDRESS � L.fl9 Lp C0�'��nsZ_ �v-e�� OWNER TELEPHONE NO.q 5 a �� '�� CONTRACTOR ��-�cv5�.c?YL �-1-�' - � DESCRIPTION �-�--G�� - � �`1� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL I J ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � 2 I�ne y COMMENTS: � v�-�' � `-� o " � W a � - C as t�sk� �4 s �i�� o r F'• ,4• . o _/ n � �' "` S� �' Er�r L�$Z �ld/�K-� v^��1Ge� -l� ES � . O _ ' �-/4 s � t�iGl�i /5 �J c h �� W � 2 - n�� oa�P ve•��e�0 -t� ��c�,f�o�- cJ� � / - 'rj�� Q i, ��f 1 h 5414'�� — W I / (' � �S /.d e a'}' f6�.C5G ft eC�cQ -i �.�/o� � � � O WORK SATISFACTORY:PROCEED �9.lECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. r n " ion 24 hours in advance. (952) 249-46�� O on site• � �n '� Inspector. '`-�`� White Copyllnspector's File Cenary CopylSite Notice C.-�� ;�� DATE TIME CITY OF ORONO CALLED IN INSPECTION N �TICE SCHEDULED ^ '3� 5 ^� �� }�' PERMIT NO. ��-�'S� COMPLETED ADDRESS �:� Cy`1 Cs (�a'c� �� I�"�— OWN€R �Je,rz--� TELEPHO NO. � `-� �-�IC:�'r- I��`�� CONTRACTOR �� : DESCRIPTION ��-� '`-k � �-��Q ' ` � t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV ADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE O ETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE EMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE NSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PR RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ CO PLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ F LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ H RD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T C FINAL ❑ UNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 2a hours in adva : (952 j 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � r� / C�' DATE TIME � CITY OF ORONO CALLED IN - l.� ��—�� INSPECTION N��I� _�� SCHEDULED �S o�- ��.�� PERMIT NO. ��U COMPLEfED ADDRESS � � �- OWNER TELEPHONE NO. � ' � 7'��7 CONTRACTOR �; DESCRIPTION �-� W ❑ FOOTING ❑ DEMO-FINAL ❑ S PTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEtT YOU:_YES_NO � COMMENTS: C1�S ��"� G`�" �`S� a /�lf CCG�SS � �wc�s� - o "' G'o/t L`�4�o r 7� ,p�o v iq� rn u�wte� r �� - Aoss%�/y c�(C�� F�. 0 2� _ W � 2 Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �FN.�'ECTION REQUIRED.CALL TO ARRANGE ACCESS. s - Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedConVactor on site: Inspector.�� White Copyllnspector's File Canary CopylSite Notice