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Home My WebLink About2016-00047 - replace one of the heating systems * CITY OF ORONO * Z 0 1 6 - 0 0 0 4 7 * �, 2750 KELLEY PARKWAY DATE ISSUED: OU14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3400 FOX ST PIK : OS-117-23-43-0005 LEGAL DESC : FULLERTON ESTATES : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,500.00 NOTE: REPLACEMENT OF ONE OF THE HEATING SYSTEMS IN THE HOME(BRYANT) APPLICANT MECHANICAL 56.25 STATE SURCHARGE MECH(VALUAT[ON) 2.25 ROL AIR PLUMBING&HEATING MAIL-IN FEE 2.00 11792 272ND AVE NW ZIMMERMAN,MN 55398- TOTAL 60.50 (763)248-8909 Payment(s) Minnesota State License#: mech-MB676827 CREDIT CARD 5148 60.50 OWNER GARNETT,BRANDI 3400 FOX ST LONG LAKE, MN 55356- 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 goveming this rype 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 construc[ion 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 5tate Building Code.This permit may be revoked at any time for due cause. _ t�� , � �� '� � .� �t�� l , �. �� , � � � �� , I � � '�. , �1_ � -� � W l Applicant Permitee SignatureT— Date Issued By Signa�{tre Date f FOR CI'fY USE ONLY � � '"`�. City of Orono �r�-O�f'�� P.O.Box b6 Date Receiv�d: ��t, Permit# � >>�4 "L';_, ��i�: � �✓ '� 2750 Kelley Parkway �-, `i Crystal Bay,MN 55323 Approved By: ___�'�_} Amount$: i z'�J A � Phone(952)249-460O Fax(952)249-4616 , 'f � i r� r� \ t \ t�� `� CITY OF ORONO—MECHANICAL PERMIT `�:�k�FSHt�E�`; ___.-- (All Commercial permits must be approved by[he Building Ofticial or Inspector and/or Fire MaTshall) GENERAL INFORMATION L 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. Perniit cards will be sent by return mail after a revrew is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mecl�anical Desiens—Complete caiculations,details and specifications are required for each bearing,ventilation,humidification-deliumidifieation,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modeL Data sl�all 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 requiretnents. 6. All work must be inspected(rough-in and final}. Call(952)249-4600. (24-48 hour notice required) 7. Ilouse Heating Test Record must be submitted before final. TYPE OF PERMIT (Checl�All That A 1 ,�'Residential ❑Commerciai(Approval Required) "s ❑New ❑Addirional ❑Repairs [�Replace Job Site/Owner Inforniation: Site Address: �� -` �~' �t �,�`�� _,��" �`�-C.f p� '�w ,,� ' ....\ a Owner ��`�.�=�r�� i �,%C1..°�"�'ta.��' Mailing Address: µ��;1:":� � ,,�;�;�`` ..��._ . City: �. !:�G,, �� L_..t�-��'-�- Zip: S�~�:� �._� `_`,i {�� Home Phone: �t� ��"`� /,� �'�`"��" Altemate Phone: Contractor Information: � l- ' f� ,��L�,c.�' I��'� �"�'-p'"". �`l Contractor:�' � �i� �'t�� /`��=x- �;�'v'�j=`�Contact Person: ��''�� `-�� I r �;�_ Address: (i �`�`� �- �� `�- 1��+�SCate Bond#: �''�� :-j . Af �� City: t�.._ ;:s.�pa�'„d'✓��t,�%� Zip:�'`�1� Expiration Date: �---� �� _� _.. �-'��<-� � �, .� � Phone: 4� �,� �� `. �� '�� Alternate Phone: ��.°�' .� �, � � � ❑ Insurance—Current: 1 . M�CHA.I�TC.A�.SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No `> �� ,,s�/ HEATING SYSTEMS ��1�� i`�� Quantity: _ Make: `�l", )�'' l� f,�t,�'1 �~ ,�_ ModeI: G�� ) ��. Fuel: �%;t�it!��. �'�{ .�r Flue Size: �� i�'�� Input BTUs: �`� ��`, '��"' Output BTUs: ��,��"� CFM: �'�; ICn,,� �.Ji,,.��,_ COOLING SYS"CEMS `r�f;�-"�� " � Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove wich Flue/Masonry VENTILATION ❑ No. Kitclien Exhaust duct recirculating cfin ❑ No. Bath Exhaust{must have duct outside) cfin ❑ No. Other Pans: Locations cfm FUEL STORAGE (Must be apprnved by Fire Marshall if proposing to abandon tank in place.) ❑ Installarion ❑ Removal Fuel Oil: gallons ❑ Uoderground ❑lnside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � � � � PERMIT FEE CALCULATION(S) � � �� BASED OFF -2Q02 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of tlie following requirements: 1. Does not require moditication to elech•ical or gas service. 2. Has a total cost of$500.00 or less;e�cludine the cost of tlie fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this appiies; Cost of Pennit $ 15.00 State Surcharge $ 5,00 Mail-In Fee(If Applicable) $ 2.00 Totat Permit Fee $ PERMIT FEE CALCULATION S)-JOBS OVER:$500.00 If above does not apply;foliow guideli�les 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 $ �� ' (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERM[T FF,E(Add Lines 1-3 Above) $ � � � �� ■ * CONTRACT PRICE or JOB COST means the actual or estimatcd 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 materiat, 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 Ciry may request the submission of a sigued copy of the actuai contraet. � � � � �M:ECHANICAL PERMIT AP_PLICATION�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 ceriifies that all statements made on this application are complete, true and � COtTeCt. � r � ��j : r� � l � , _ �� r / �f Applicant's Signa�ur�e:��'�� --'`��" f� �� Date: � �� 3 DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOT,ICE, scHEou�E� -1��1� �'Q"/r` PERMIT NO.� v��7 COMPLEfED ADDRESS � �Sr��I-�'> >C .S�f�e f�� OWNER TELEPHON NO�(r-� �--�T��f`rj CONTRACTOR f� � � � � DESCRIPTION / L��C"� ��'� -/ ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT r INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ A UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � a Ic�✓�� 'e��• o -��c�s��t !/��, � � O 9C �. - � ex�s��ti? i-�s /�� ' b� 0 � Q L��'� G'a�- .e��e�� — �D��s � — � z W � � G,t�� i �� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: ��'�'� f. Inspector.� ;��. `_�`_ j White Copyllnspector's File Canary CopyfSite Notiee