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Home My WebLink About2016-00034 - mechanical • CITY OF ORONO * Z 0 1 6 - PJ 0 0 3 � '� 2750 KELLEY PARKWAY DATE ISSUED: O1/1 U2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 AUDRESS : 455 FERNDALE RD N PIN : 36-118-23-14-0013 LEGAL DESC : HAUSER LAUER WCC ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,978.00 NOTE: REPLACE HEATING SYSTEM(BRYANT) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.99 STANDARD HEATING&AIR CONDITIONING MA[L-IN FEE 2.00 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 55411- TOTAL 53.99 612-824-2656 Payment(s) CHECK 50399 53.99 OWNER JUANG,ANDY&GRACE 455 FERNDALE RD N WAYZATA, MN 55391 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 addi[ional 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 l80 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. �' � � � .� � � _� �f � � , . ,(�) � �_. 7 � �;._ � _ . - _ i` ,,�� ;('� - . ) .I �t__�{ S l� � � � � � � I- Applicant Permitee Signature Date � Issued By Signature Date � � Fou crr��r�s�c��n,t' . � Citv of O►•on (�� 1 '�' � i, � `i�-��7� ��'� � P.O.Bos 66 � � �� Date Racen zd: �� Pemtit= � �� ''' 2750 Kelley P rkway v)3` ' � '� • /�Fp a i"� x - ,.!' Crystal Bay, 55323 ✓ .-�ppru�cd B�: � .-lmount�: G f r y � ��i 'x+ r ' o'�'� 952 249-46 - —f_-3—,=_ �, ( ) � \\�,a.�,HO�' . CITY OF O—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 perniits by mail or in person at the City ofYices. Applications will be reviewed and a permit will be issued within two working days. 2. Perniit cards will be sent by retum mail after a review is completed. PERMITS ARF,NOT VALID LJNTIL YOU RECENE A PERMI"f. 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 for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identifieation 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 Unifonn 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 fmal. T'YPE OF PERMIT Check All That A l�° �Residential �Commercial(Approval Required) ✓ � ❑Ne��- ❑Additional ❑Repairs �Replace Job Site/O��mer Information: Site Address: J� � ��d-P� Owner: � (rG�v� -�'(� Mailing Address: S�'tQ c��: ��m c� z�p: S S3`� ) , 6 Home Phone: �� y �� Al�rnate Phone: Contractor Information: Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 - City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 • ' MECHANICAL SYSTEMS BEING INSTALLED �T ��}��f� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �'No 7� HEATING SYSTEMS Quantity: Make: Model: Fuel: � �i1 S�S Flue Size: Input BTUs: >� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace a Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchcn E�aust duct recirculating cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ Na Other Fans: Locations cfm FITEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) � Installation � Removal Fttel Oil: gallons ❑ L7nderground a Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � (:)ther/List What� Where: 2 � � PERMIT FEE CALCULATION(S} � BASED OFF -?OQ2 STATE STATUE � Ycs,lhis section applies The replacement of a Residential fixture or anpliancc that meets all three of the follo�ving requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.(�or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeo��ner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Swcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fce $ PERMIT FEE CALCULATION(S)-_J4BS OVER`fi�0U.00 IP above does not apply;follow guidelines below�: 1. CONTRACT PRICE * is 1.25%of cOntract pnce 'th a(Minimum Fee of$50.00) Q✓1 Q,O l l X .ol zs$_��- (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Co e Div. Swcharge(Minimum F $.50) � �'l ` � x.0005 $ ' l (contract price) (minimum S .50) 3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT 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 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 pennit 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. ■ **The STATE SURCHARGF,is.000�of the E3uilding Deparlment at(952)249-4600 for the price. ` °'"� � MECHANTCAL�PERMIT APPLICATION�AGREEMENT � �� "�� 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 statement m n this application are complete, true and correct. Applicant's Signature: e: r Reset form 3 �' � � V -✓' � DATE TIME CITY OF ORONO CALLED IN � INSPECTIONNQT�C��,/,C�;) HEDULED �—��—I� �.�� PERMIT NO. ��' �J�� COMPLETED ADDRESS �S �'�{'L�L f �� OWNER � TELEPHO O.�l'� � ��7 CONTRACTOR � � � ✓, >; DESCRIPTION �•��iylGf(�' � �l�G2�/ 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 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �/��IAll4�� ❑ WATER HOOK-UP ❑ FOLLOW-UP W v� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑�2EMQ-_ySITE ❑ SEPTIC INSTALL �OWN RACTOR TO MEET YOU:�YES_NO y COMMENTS: � a Fu�� f�,ol��.�,c�.K�- — o - Gx c�,�'� �,s /�n� — , � " G�c� S'�i�.i� lkifTt.�✓a� �v�� lieK��ts � , O W � worK �e��✓'a �°a h,t�lab,e Q � � � � �� W � 3 W ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � O CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: ` White Copyllnspector's File Cenary CopylSfte Notke