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Home My WebLink About2015-01341 (mechanical) , CITY OF ORONO * Z 0 1 5 - 0 1 3 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2015 ORONO, MN 55356- 952) 249-4600 FAX: 952) 249-4616 ADDRESS : 4565 BAYSIDE RD PIN : 06-117-23-21-0010 LEGAL DESC : BAYSIDE BERRY FARM : LOT 2 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 35,000.00 NOTE: 3 HEATING SYSTEMS(2 LENNOX& 1 TRIANGLE TUBE),2 COOLING SYSTEMS(LENNOX), 1 KITCHEN EXHAUST,9 BATH EXHAUSTS APPLICANT MECHANICAL 437.50 STATE SURCHARGE MECH(VALUATION) 17.50 MASSMANN,GEOTHERMAL&MECH MAIL-IN FEE 2.00 27944 96TH STREET ZIMMERMAN,MN 55398 TOTAL 457.00 (763)416-5066 Payment(s) Minnesota State License#: mech-MB003981 CHECK 4446 457.00 OWNER DOUBECK,TIM&MARY 4565 BAYSIDE RD MAPLE PLAIN,MN 55359- AGREEMENT AND 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 governing 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[he 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 /'�%j/) revoked at any time for due cause. . �(��/ � �`'�_c�k� � ,� �?C '� l�E,�`f�Z� f�,, i � --- � Applicant Permitee Signature Date Issued By Signature Date I � I FOR CITY USE ONI.Y City of Orono l �-- ZC�(S i / ��' P.O.Box 66 Date Recei��ed: ��,�`��Permit# ��=�� 2750 Kcllcy P:�rkway � � Crystal Bay,MN 55323 Approvcd By: � Amount$:��,�� - � � � � Phone(953)249-4600 Fux(95'_)249-4(i I(i j, ) 1 F ` . CITY OF ORONO— MECHANICAL PERMIT ��t 1�� nll Commcrcial umits nuist bc a iovcd b thc Buildin�Ofticial or Ins��tor and/or Pirc Marshall � n�� r� Y � E �� ) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a perir�it will be isstied 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 PER�tIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complctc calculations,details and specifications arc required for each heating,ventilation, hun�iditication-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 requircmcnts. 6. All work must be inspected(rough-in and tinal). Call (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be siibmitted before tinal. TYPE OF PERMIT (Check All That Apply) [�Residential ❑ Commercial(Approval Rcquired) [�ew ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Infornlation: i; � Site Address: ^��y� �Y.��1�— ,•=f� Owner: ��'1C,� �, t � .\,��L�`'�`1 �t��`�I�ailing Address: � ''�, :;�7L.. 1`��►��f�('�jJi''��L/Jl l/(if City: �,��a`��Lf�� Zip: j��✓�� °� c.� Home Phone: Alternate Phone: ��`7�� y � �1�`�u��% � 1 Contractor Information: � ,- , . ��!�'�9,��.E-�1�.t�° <<��,�-'v�-�(;�tSU►'� ��CGrCSSYY�C�.l� v� Contractor:��1.��11��-�� .��t��1�(.��Contact Person: Address:.�"�� `��J��f�� "State Bond#: ��"�..�� City: ��Yll��l�"��1'u�� Zip:�`��' Expiration Date: � �-� �C? '� �' � Phone: "1 �Jy 3 ��t�� " � 1'`��..r'' Alternate Phone: , �� Insurance—Current. :��%.,� - , a,�-�� .,.�' �.z,` 1 ' I � � MECHANICAL SYSTEMS EEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Otticial. [S TH[S GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: � � � Make: �/'�o� L�l�LQl�x �f�l�� 94 ��v34 Q Mode�: �'L 2gG G�I l�anv� sa�� tro Fue�: .�Il G' ti� .ti� Fhie Size: �f� � a `� .� `� input BTUs: llDi�� ,`(JL� //O,o�a ot�t�u�BTus: /D�, �a'o y�,2v� JdS;�dD cFM: ��DDO � �� l/� COOLING SYSTEMS Quantity: � � Make: l�dNRdX L,P�1rt�1t� Mo�i��: �'C�I� ��D 230 �(�,��azy-23a T�n,: � �- H. Power FIREPLACES �� ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � No. � Kitchen Exhaust U�� duct recirculating 00 efm � No. � Bath Exhaust(m�ist have duct outsi�le) �cfm ❑ No. Other Fans: Locations cfin FUEL S"TORAGE (Musl be upproved by Frre Marshul/if�pruposina tu«bundon turtk in p/uce.) ❑ Installation ❑ Remuval Fucl OiL• gallons ❑ U��dcrground ❑ [nsidc ❑ Outside LP Gas: gallons Othcr: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � f PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this seclion applics Thc replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require moditication to electrical or gas service. 2. Has a total cost ofi$500.00 or less; exclti�lin�the cost of the tixture or appliance: and 3. Ts improved, installed or replaced by thc homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) —JO}3S OVER $SOO.UO � lf above does not ap�ly; full�w guidelines below: 1. CONTRACT NRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ,,.�.5,C'X�� x .0125 $ y�7 �� (contract pricc) (roinimum$gp.pU) 2. STATE SURCHARGE �� x .0005 $ � �, �D (contract pricc) 3. POSTAGE &HANDLING (Only on Mail-lu Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� Od ■ * CONTRACT PRiCE or JOB COST means the achial or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixcd costs. It is the amount to be charged to thc customcr 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 ur 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 subrnission of a signed cupy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigncd hcreby applies to the City for issuance of a Mechanical Permit, agrecs to do all work in strict accordance with the ordinances of the Ciry and the regulations of the Statc of Minnesota, and certities that all statements made on this application are complete, true and correct. Applicant's Signature: Date: � � � ��;,, 3 / r� DATE TIME w� � C TY OF ORONO CALLED IN / INSPECTION NOTICE ,/ SCHEDULED / � �'7 � PERMIT NO.��/�5,�'3]'/COMPLETED �� , ADDRESS �� r� �7 �'�� /P� OWNER TELEPHON NO. J � ` /� CONTRACTOR � - � ^ � � >; DESCRIPTION ,� �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �-ME6HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEN/ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � �e �S e�• � � ho��Ps - iyl.0 � !� . !�<l � � /.�e ,i� �e�� fb�.r "_ 0 '� El. L� � k �t°� Z` �` .�� -- �—ra�� o .�, �� , �cl� G�oil� � �.. r��bn��-lorrc� W ._1,.. / � �j��es /o �7� sA�� aCN1Pg IiK�t • Q Z � �� 'd�9 p ,�-✓ l' �'!�I"fG�iQ r � �' � ✓L v��.e 4 /t ri� is'lOK o • �'i�EG. ` � QS�� G /U d!!�� '"'t` �C W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � �l 9flRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN �� STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED u INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerfContractor on site: Inspector. �'-� White Copyllnspector's Ffle Canary CopylSlte Notiee a / � f� DATE TIME CI OF ORONO ' ALLED IN INSPECTION NOTICE SCHEDULED � �i�'' PERMIT NO. 2f% /�� ,, I�`I i COMPLEfED ADDRESS L� �� 1f � k"�� f� � S I �� OWNER , _.-- TELEPHONE NO. ��3��I � �3�/� :_ CONTRACTORj'`� . ,; �In Q I i � i r �S��`l-'l�c��-, � DESCRIPTI�� '� ly ❑ FOOTING ��r ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL y ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF , ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ FiADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEW�R HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ EPTIC INSTALL Z OWNERICONTRACTOR TO MEEf YOU: `YES_NO � COMMENTS: � W a � ' J O � � � O � . W � Q - � � / W � ' j d W� ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou n advan . ( 52� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice / '' � � � ME" DATE TI CITY OF ORONO CALLED IN INSPECTION NOT��,..�,��j�SCHEDULED _=� � t � � �� PERMIT NO. 2 COMPLEfED ADDRESS �� .� �''�l Ct..�/��- f�r� OWNER TELEPHONE NO. � -� Jv��.fS� CONTRACTOR '�' � � -r ' / c � DESCRIPTION l ��/� I t` �I7� � 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 yGJ 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 _ J ❑ DEMO-SITE ❑ EPTIC INSTALL Z OWNERICONTIiACTOR TO MEET YOU'.�� YES_NO � � COMMENTS: '��i �i12 I.rQ�� ' I S ��d�l�te ' � '/ � / W ' P�Q�/ - � 5 ,(7t�4�tLP�. � a 2 J O � �c � �l� L�D/!C l'ot�iO4+s"t- O � W � � �/.yr•� �rr�lrO Q � z W � W � j d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT VYORK 8 PROCEED ❑ ISS TIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �"'' White Copyllnspector's File Canary CopylSite Notice