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Home My WebLink About2016-00003 - mechanical � CITY OF ORONO * Z 0 1 6 - 0 0 0 0 3 * 2750 KELLEY PARKWAY DATE ISSUED: OU05/2016 ` ` ORONO, MN 55356- � '�'��`�� (952) 249-4600 FAX: 952) 249-4616 ADDRESS . 2 BRIAR ST PIN : 10-117-23-31-0075 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATI01�1 : $ 10,000.00 NOTE: 1 HEATING SYSTEM(LUX), 1 COOL[NG SYSTEM(LUX),VENTILATION: 1 KITCHEN EXHAUST&3 BATH APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH(VALUATION) 5.00 BEN SCHERER PLUMBING& HVAC INC. TOTAL 130.00 4520 85TH STREET SE DELANO,MN 55328- Payment(s) CREDIT CARD 4343 130.00 (763)972-8137 Minnesota State License#: mech-MB003633,p1bg-PC648530 OWNER NITZBERG, KEVAN&LAURIE 1212 BRIAR ST WAYZATA, MN 55391- AGREEMENT A1vD 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 goveming 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 I 80 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. �� ) ' ��: ;� \ �"��`--��L � � �� / k , Applicant ermitee Signature Date [ssued By' gnature Date r FOR L'ITY USE ONLY � �� j , � City of Orono �t ��'� �- i�;�� ' �" , � � P.O.Box 66 Date Received: Perm�t#{ �: �li ' ' ' O 2750 Kelley Parkway " t1'J� ' Crystal Bay,MN 55323 Approved By: Amount$:. ��"�: ,� Phone(952)249-4600 Fax(952)249-4616 �� t�xESH��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by ihe Building Official or Inspector and/or Fire Marshall) GENERAL IIVFORMATION 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 wili 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 far 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 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 Checi�All That A 1 �]Residential ❑ Commercial(Approval Required) , �� f`[�] New � ❑Additional �� p'� ❑Repairs ❑Replace y\ + ,r,� � ob Site/Owner ¢rmatiori: s �M � � ��.Y�I� \ Site Address: l,?r'I � � � 1''�� ' d �C,; � Owner: Mailing Address: City: � ��=�-� Zip: Home Phone: Alternate Phone: Conlractor Information: � � � Contractor: �� ' �� Contact Person: �t'1 ��- �-�� S h�.�is�� ' �'� Address: y 5�-� State Bond #: Y`�� V�� 3 �- -� City: �� Zip: !�'� Expiration Date: ��"��Z -�� Phone: �I Z-� 3:� -��S��I 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 TIiIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: ��c-.,i+ �� Model: � � ��j S Fuel: �� Flue Size: �� , Input BTUs: � �c �" 'J Output BTUs: r� �';U'f.� CFM: I Z-�� COOLING SYSTEMS Quantity: ' Make: �-`��+c: Model: �7 L� � Tons ��s H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � � � �,� � No. � Kitchen E�chaust duct recirculating �� cfm � No. �_ Bath Exhaust(must have duct outside) �cfin ❑ No. Other Fans: Locations ��► FLTEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Undergound ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � --�, � � �. �x aR �,"�'� � �',� ' PERMIT FEE CALCULATI0�1(S) BASED OFF- 2002 S'T'ATE 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;excludinQ 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 Pemvt $ 15.00 State Surchazge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PEIZA�IIT FEE CALCULATION S -JOBS D�ER$500,00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) I � v�" �"'�-� x A 125$ (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 esrimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be chazged 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 pernut 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. � ,:4 I�CI3ANICAL PERMiT.APPLIC.A'��,��' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accardance 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: /� �� 3 l.Y � �� DATE TIME CITY OF ORONO , �ALLED IN �-�-� `INSPECTION NOTICE , L� SCHEDULED ��L� � PERMIT NO. �� COMPLETED ,j ADDRESS � ,�.�1� I i� ��/ ,�UC�� '�" � q- OWNER �� -�� TE PHONE NO. Ci 1 a. �� '�'�l`� CONTRACTOR � � �C�-G'�I��-'�' � DESCRIPTION r `--�' ( /`� 4� ❑ FOOTING ❑ DEMO-FINAL ��,��,,,�q ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �t7rl "�❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �v1ECHANICAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES\NO � COMMENTS: ��V1�� t d e, c+�/' -�e s� �v a��sc.� c,�.��F�� - u�►L�� c e a r' �lrb"v�o c �i��v- o ►"�u�►q, �� d�o�c��, ra d-F� a✓�cQ �v��.-r« �kc.�4.br,� � � ��Ov��c I�E�%4� ,5fir4.�S '�f 7�p 1� � � O � � �d�o w! �I�GS f� K1ovc.Q �ad �k�wo-� W � Cbr r-ec� —E /�JZ• L . t !�� L . — OK Q � 2 `i'I�5� Se�ali�is .a!� `J d t �t�` � �rl a c� ,(, l .C . -1- G4 �l t a r ' s ¢c Z`�s W � 5u 6r� q �� L y j b GW ❑WORKSATISFACTORY:PROCEED G PROJECT COMPLEfE ��4L W �:GORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24�ours in advance. (g52) 249-4600 OwnerlContractoronsite: �i�� Inspector. ^ Whit Copyllnspector's Ffle Canary CopylSite Notice � l.� � DATE TIME CITY OF ORONO CALLED IN -Gc�t� INSPECTION NOTICE ��,��3 SCHEDULED ;�_,.;<<v PERMIT NO. � l�� OMPLETED ADDRESS ��a T ��C�� ]�" • OWNER TELEPHONE NO. �Z-2.��s� CONTRACTOR ��/�' �� DESCRIPTION 6�� , D �-� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANtCAL FINAL ❑ RATED WAL�S � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: ES_NO c�.� COMM NTS: � � - � J O � a� O �— � W � � Q � ' W � � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �QR T WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � RECT WORK,CALL FOR REINSPECTION TEMPORARY V ORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24{�ours in advance (95 �-46�0 / OwnerlContractor on site: r• Inspector. White Copyllnspector's File Canary CopylSite Notice � (� � �-Q�� v " ` DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _5� -�� PERMIT NO. -� lt?'OFY`�b� COMPLETED ADDRESS � Z Z y' �j r I (�.r S� • OWNER TELEPHONE NO. CONTRACTOR �eh SGh�re r � DESCRIPTION � � � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL� O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAM�NG ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I TALL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO � r � COMMENTS: '� C��C_ �,1� � b-1�� Ir C��-� , W � � � O � � � O � � W � L Q � 2 W � W � 1 � d W ❑ RKSATISFACTORY:PROCEED ROJECTCOMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V• BEFORE COVERING PEFiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2 ours in advan . (952) 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopyfSfte Notice