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Home My WebLink About2014-00007 (mechanical-heating) � CITY OF ORONO * z 0 1 4 - 0 0 � 0 7 * t 2750 KELLEY PARKWAY DATE ISSUED: OUO3/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3600 CASCO AVE PIN : 20-117-23-31-0042 LEGAL DESC : REG. LAND SURVEY NO. 1 115 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,200.00 NOTE: 1 RUUD NAT GAS FURNACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.60 SHARP HEATING&AIR COND INC. MAIL-IN FEE 2.00 7221 LJNIVERSITY AVE NE TOTAL 52.60 FRIDLEY, MN 55432 (763)572-0459 Payment(s) CHECK 21522 52.60 OWNER YOUNG HYI AN,JON DUK KIM& 11434 GOODHUE ST NE BLAINE, MN 55449- 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 Yor only[he work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his 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 cons[ruction 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 bc revoked at any time for due cause. / / Applicant Permitee Signature Date Issued I3y S' ature Date • FOR CITY USE ONLY � '" —� City of Orono �'01�t�. P.O.Box 66 Date Received: Permit N ��;w, , ��i� 2750 Kelley Parkway � �j� n r�' Crystal Bay,MN 55323 Approved By: Amount$: � ''��ty�o�/i� Phone(952)249-4600 Fax(952)249-4616 �ao.-� , CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the BuIlding Official or Inspector and/or Fue Marshall) GENERAL INFORMATION 1. 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 VALID UNTII,YOU RECEIVE A PERMIT. WORK MIJST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desiens—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 identificaiion 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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �.Replace Job Site/Owner Information: .. Site Address: , Owner: �j,� Mailing Address: � l,� ��, ��: ��o�'� Z�p: 5'S3 9� Home Phone: � , b� Alternate Phone: Contractor Information: Contractor: L,�arp H _a i ng & AC Contact Person: Flo�d ,7o�wi ek Address: 7221 University Av. N.E State Bond#: MB003294 City: Fridley, MN ZIP: 55432ExpirationDate: 07/21 /201 4 Phone: �6 3-5 7 2-0 4 5 9 Alternate Phone: ❑ Insurance-Current: Yes 1 � � :G 1NSTALLED �"��«`:�� . Note:All Geothennal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No • / ' HEATING SYSTEMS Quantity: Make: V� Model: � Fuel: Flue Size: / Input BTUs: � Output BTLJs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIltEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct rec'trculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm b`CJEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Cras: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � �'ERMIT�FEE CALCULATION�S�� 'r�� BASED Q�F - 2002 STATE STATU�,"�`��, � �,;�� ❑ Yes,this section applies The replacement of a Residential fi�cture or appliance that meets all three of the following requirements: 1. Does not require modi�cation to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fi�cture 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 $ !�� ° �. � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � � � � x.0125$ , (contract price) (minimum$50.00) 2. STATE SURCHARGE � �.(/ � � x.0005 $ . (con act 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. 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. ' °` � ,� IT AFPLICATION AGREEM� , The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies t all statements made on this application are complete, true and correct. Applicant's Signature: , Date: ��V a�� ,��m��; .7ames M. Morg '�,s« , : e� �� 3 DATE ✓ TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�1.y ��`} COMPLEfED /� �3Q/�j ADDRESS �/�a� �`��c� ��/c� OWNER TELEPHONE N . CONTRACTOR s �; DESCRIPTION ��r� - �� ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAVlGRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfIANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ MO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ H RD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES._NO � COMMENTS: a ,��rvx�� 7�%�e ,� �,�� / ' : � */s�lf�� ,l�'! s� r LLia.-, �. � � � Ce>r�c� � � �'-��/ � '�1Q�� e y, �cr� � � Q ` �,X�S��[G�� 12 — r • 2 �' ��`�� _ � '' s�.�[ ��o c�•�� vB/L� < .e, 4�G� � /'X� �� '✓✓'c�f',�� W ❑W�RKSATISFACTORY:PROCEED OJECTCOMPLEfE��,�� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEN POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. ��'^' White Copylinspector's File Canary CopylSfte Notice SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. " '�� 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-7739 TEST RECORD ADDRESS ��oO � J C� �v� CITY 0�� OCCUPANT OWNER '` �O"'" "� � 'v � SOLD BY � "� ��DP'� INSTALLED BY o % �`��DU� �� D �i nA� 9 Z��9 MAKE �'��'�� M�DEL �7` SERIAL NO. � ��%q � �� INPUT_I,�� O� THERMOSTAT ,'��-�f� � VENT SIZE-`l1 VALVE v` TYPE OF LINER� ) �� LIMIT LINEF SIZE�L��l LIMIT SETTING ��C� FILTERS: SIZE�� `'� ,/�I NUMBER � FAN SETTING `r�'�L WIRING ��.'��i vSLL �/`�� ' � «. PILOT TYPE � TEST TAG IGNITION MODEL °S � LIGHTING INST,~- PIIOT TIMING �� ' DATE TESTED '� '� PRESSURE f`` ��L PERCENT COz � /��'� � ' INPUT CFH `�� PERCENT OZ �O�/� COMPANY TESTING STACK TEMP. � `" PERCENT CO ~� NAME OF TESTER � FORM 235(REV.6/08) FORM DISTRIBUTION: WHITE COPY-JOB FILE YEILOW COPY-CITV