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Home My WebLink About2015-01515 - mechanical CITY OF ORONO * Z 0 1 5 - PJ 1 5 1 5 * . 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2015 . ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 1629 BOHNS POINT RD PIN : 17-117-23-I1-0005 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS L[NE ONLY VALUATION : $ 2,000.00 NOTE: GAS LINE FOR RANGE&ROT[SSERIE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 MAJESTIC HEATING&AIR INC. TOTAL 51.00 2030 BASSWOOD CT Payment(s) ROCKFORD,MN 55373- CREDIT CARD 0386 51.00 (612)227-5507 Minnesota State License#: mech-MB646225 OWNER AMPLATZ,CAROLINE 345 LEAF ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT 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 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 B ng Code.This permit may be revoked at a e for due se � �� _ _ ` ��1? - L,�� _��`�� -�,i_ � � � ��_ Applicant P itee � ature Date [ssued By Signature Date /;. % FOR CTTY USE ONLY City of Orono � , �� P.O.Box 66 Date Re�eivcd: � Z`��'Per�nii#i "�—�-�[`� U 51 S � 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: �� Amount$: � "� Phone(952)249-4600 F�(952)249-4616 �F � `�kESH�R�G 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. PERNIITS 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 calcularions,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 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) i �New ❑ Additional ❑Repairs ❑Replace Job Sifie/ Owner Information: Site Address: %L� 2 �''l %3��s �--� �d , Owner: �A-✓�o/�� i'h��Z Mailing Address: /(0 2 y �o��J /�� Cl�: �J2V N`' Zip: Home Phone: � �3- � y-9iiS Alternate Phone: Contractor Information: Contractor: /yl�S�S-/�� Hr�--i�n��:.�.4��Contact Person: �I v � �£sc�4ti`i , Address: 2�3 a hA-ss c� o a�� -- State Bond#: �� l( 2�.� City: �� !� a- Zip:��i Expiration Date: l-/`f- � �7 Phone: !oi 2 ' 2 z�-f S`'7 Alternate Phone: /'-'�- ❑ Insurance-Current: �l`�S 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 FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Other/List What&Where: ��'�' �9 £- a'�'� �'� �`S�� 2 . � PERMIT FE�CALCUI.AT'I0�1(S) BASED �FF-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;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 Pemvt $ 15.00 State Surchazge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ .: PER�II'T FEE CALCULATI�N S -3t3�3S 4VER$S��.Ot� , " .-; i If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with�(Minimum Fee of$50.00) �L� f l� � ��j �✓ti/X.�12,5 $ —� (cdntract price) (minimum$50.00) 2. STATESURCHARGE 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 ar 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 charged to the customer for the work done. If any material, equipment, labor or installations aze 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. N�EC:��ANICAL P�R.MTT APP�,I�ATIU�T AG�E�NT The undersigned hereby applies to the City 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: �2 — 2 � � �' 3 �� DATE TIME �. CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,�1�l.S��S�� COMPLETED ADDRESS �� J C�G7�S �f' y -� OWNER TELEPH NO.�/��Z��T. CONTRACTOR �-�- P`��t� r � DESCRIPTION r � % �� `��/ tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL� � Q ❑ POURED WALL ❑ PL ING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL 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 _ J ❑ DEMO-SITE S TIC INSTALL Z OWNERICONTRACTOR TO MEET YOU: YES_NO v�i COMMENTS: �-�� W C � � O � � O � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours i advance. (g52) 49-46�0 OwnerlContractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO D��CALLED IN INSPECTION�OT SCHEDULED �ERMIT NO. � ' C�M�LETED /'/ - /D- � ADDRESS f�i a'g ��l;1� �� - i��- OWNER TELEPHONE NO. CONTRACTOR � cr-�` ' � DESCRIPTION ��° �.�� `� /�� - r��y t � tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC�NAL �f�� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa ��S ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTNACTOR TO MEET Y'OU:_YES_NO y COMMENTS: a� W � O �0� K. �p' �/�75+� � �. � OO Q ,�rh,. � r dt-�.c� � 2 W � W � J � ❑WORK SATISFACTORY`.PROCEED �1E4'T COMPLEfE W ❑CORRECT VYORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advanoe. (952) 249-4600 OMrneNContractor on site: Inspector: '"� � White CopyAnspector'a Ffle Cenary CopylSits Notke