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Home My WebLink About2014-00299 (mechanical) CITY OF ORONO * Z 0 1 4 - 0 0 2 9 9 * • 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3135 CASCO CIR PIN : 20-117-23-43-0029 LEGAL DESC : SPRING PARK : LOT 041 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 7,500.00 NOTE: 1 RNEEM NAT GAS FURNACE 1 RtI�EM 2 TON AC 3 BATH EXHAUST APPLICANT MECHANICAL 93.75 STATE SURCHARGE MECH(VALUATION) 3.75 WESTAIR HEATING MAIL-IN FEE 2.00 11184 RIVER ROAD NE HANOVER, MN 55341 TOTAL 99.50 (763)498-8071 Payment(s) CHECK 18717 99.50 OWNER SHEEHAN, KEVIN 18479 SCHROERS FARM ROAD EDEN PRAIRIE, MN 55347- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to the approved plans and specitications,applicable City approvals,and the State Buildii�g Code. "('his 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.'I'his 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. r 1�� " � v � � Applicant Permitee Signature Date Issued By S nature � V X Date �j C��n FOR CITY L?SE ONLY �Q A T� City of Orono ��f P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y�9 (.G` CITY OF ORONO—MECHANICAL PERMIT Kfs�o� (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. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON 7'HE JOB SITE. 3. Mechanical Desi�ns—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 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 reyuirements. 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: �,)�"`,�'�� ,1��( � �.�', (�� Owner: -��(� ��(� (� Mailing Address: � 'J �� `� �(.i.�l� City: ��, (1��1� Zip: ��`��f� Home Phone: Aiternate Phone: Contractor Information: � ; � n. . � , Contractor: ��i�'e�t j��s i�� `1�� Contact Person: � � � � � � �' y: Address: ��V'�P(� �� State Bond #: ��(�� A1 ' C City: �'U Qr Zip�I Expiration Date: `�'' � � �� Phone: � � �' p�� Alternate Phone: ❑ Insurance—Current: 1 �_ �.,,,,,.;:�- , ;i',�,�°�.',,,,, , �� ,�„, _ �K�t�,.��,�, .�„�,� �,, . ".�i� ,. a�� --� _� � ��-.. ... ��-:- ... ,;:�, „, ,., , , .'�i. ...� .�-� ._, ..��-,. 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: f �1;` � Fuel: ,>' L �t Flue Size: �1 ��v %'� Input BTUs: J ,, � Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: 1 �.�� Model: Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑. Na Kitchen Exhaust duct recirculating cfm � No. � Bath Exhaust(must have duct outside) �X�;�� k=�'I cfm �' ��,��'�'i�� ❑ No. Other Fans: Locations cfm 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: 2 � PERMI�I� FEE CALCULATIC?N(�} � � � � BASED �FF - 2fl{}Z��STATF 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;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip ne�.t section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 T'otal Permit Fee $ , � ? 1�� ,.'.. ,.. ,.; ��. '... �. � #�BS OVER`�t�4.00 a � � 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,� � ��i"7 , X.o�2s $ � J � � (contract price) (minimum 550.00) 2. STATE SURCHARGE �X' �� x.0005 $�_ " (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ��u 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 amo�:nt �f t!ze job cost, the Ciry may request the subrnission o�a signed copy of tiie actuai contract. s.. . , „ r, � . � � � ` ff�E�:� _� `�;, � , �, � s �;: 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. , , '° '� ' �j ' PP ' g � ° � ' �� A licant s Si nature: Date: 3 ��'� WESTA-4 OP ID: TR '`��,R�'' CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY) 04/02/13 ', THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CpNTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 763-536-8006 NAMEACT . Insurance Advisors,Inc. 763-398-4060 PHONE Fnx - 15020 27th Avenue N. ac,No EXtl__ _ (ac,No�: Plymouth,MN 55447 E-MAIL Jason C Richmond AooRess_ INSURER�S)AFFORDING COVERAGE NAIC# ir,suReR a:West Bend 15350 _ __ _---- — — -- - - INSURED WestAir, �IIC. INSURERB: 11184 River Rd. --" — Har�over, MN 55341 INSURERC: __ � INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AD L S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE pOLICY NUMBER MM/DD/YYYY MM/DDlYYYY LIMITS � GENERAL LIABIUTY EACH OCCURRENCE $ �,OOO,OO DAMA ET RENTED A X COMA9ERCIAL GENERAL LIABILITY BC01848010 04/0�/13 04/07/14 pREMIS�Ea occurrence $ 200,�� CIAIMS-MADE � OCCUR MED EXP(Any one person) $ �O,OOO PERSONAL 8 ADV INJURY $ ��OOO,OO GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z,OOO,OO X POLICY PR� LOC ' $ AUTOMOBILE LIABILITY ' COMBINED SINGIE LIMIT 'I�OOO�OO Ea accident $ . /Q X ANY AUTO BC01848010 04/01/13 04/01/14 BODILY INJURY(Per person) $ A�L OWNED SCHEDUIED BODILY INJURY(Per accidenl) $ AUTOS AUTOS X HIRED AUTOS �( NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident� _ — $ X UMBREILA LIAB X OCCUR EACH OCCURRENCE $ 'I,OOO,OO A EXCESS LIAB CLAIMS-MADE CU01848012 04/01/13 04/01114 AGGREGATE $ �-�-- DED X RETENTION$ O $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N WC01848011 04/01/13 04/01/14 E.L EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED7 � N 1 A -- - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5�0,�0 It yes,descriGe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO,OO q Voluntary Prop Dam BC01848010 04/01/13 04/01/14 Ea Occur 2,50 $250 Deductible � Gen Agg 2,50 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHIC�ES (Attach ACORD 101,Addltlonal Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION ORONO-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Orono ACCORDANCE WITH THE POLICY PROVISIONS. 2750 Kelley Parkway PO BOX F)F) AUTHORIZED REPRESENTATIVE Crystal Bay„ MN 55323-0066 n ,n�� . �. .��u�� O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD (/✓ a�� ` v� DATE, TIME V CITY OF ORONO `��JCALLED IN `1` ��_ INSPECTION NOT E SCHEDULED /:� PERMIT NO � "� COMPLETED !- ��1 ADDRESS �135 (�✓CO �LJ OWNER TELE O NO�� a�7.1 CONTRACTOR ��L� � �LC�ii-�D �; DESCRIPTION /' � `�C� �-�-- � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL � MECHANICAL RI ❑ LAKESHOREM/ETLANDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � 2 W � W 2 J d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContra o�r n t Inspector. �{�----� White Copylinspector's Ffle Canary CopyfSfte Notice �� ( �LJ ATE TIME � CIN OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. Z-[�l� -C�� COMPLETED ADDRESS ��J ��.,�L� �/� % OWNER TELEPHONE NO. '•� �`�"� "� �I CONTRACTOR , --e� -� � DESCRIPTION � + �� O FOOTING ❑ PLUMBING FINAL Q EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING �ECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: o� /� , . - a C'4s li►� {�rt6 sco- t3 �1 0��i�G j ., 0 /�'e[.) 1%�c i rl��e -- U C.�'L�ts� i�� - � � ` v p� �'6n�• 4l�� lrKC — O � Q ! ��(I� �!� LLII� r `L�[c 5� �-(CGT/^�.C{(i �O�D� � Z � GJa r r�C ccMoO L�.-f� W � J d W� ❑WORKSATISFACTORY:PROCEED �R@Q,IECT COMPI.EfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail f e next inspection 24 hours in advance. (g52) 249-4600 Ownerl ctor on ' �t`=�� Inspecto, � White Copyllnspector's Ffle Canary CopylSite Notice