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Home My WebLink About2013-00333 - mechanical � CITY OF ORONO * Z 0 1 3 - 0 0 3 3 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRIN"I�F,D ON 5/9/2013 ADDRESS : 1 10 CHEVY CHASE DR PIN ^ ` : 36-118-23-41-0046 LEGAL DESC : HILL O'WAY MANOR : LOT 012 BLOCK 002 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : M�C�ANICAL-MULTIPLE � VALUATION : $ 2,915.00�! NOTE: 1 KITCHEN EXHAiJST GAS LINE TO RANGE AND FIREPLACE APPLICANT MECHANICAL 50.00 GENZ-RYAN PLUMBING & IIEA"I' STATE SURCHARGE MECH (VALUATION) 1.46 2200 H[GHWAY 13 BURNSVILLE, MN 55337 MAIL-W FEE 2.00 (952)767-1000 TOTAL 53.46 OWNER HIGGINS, KENNETH&LAURA 110 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed according to the approvcd 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 specitied 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pennit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By �gna e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED A OV . FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Datc Rcccivcd: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approced By: Amount$: Phone(952)249-4600 Pax(952)249-461G � � y � � FlqkfSN��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must bc approved by the Building Official or Inspector�ndior Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pe�nits 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 1S POSTED ON THE JOB S1TE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,eentilation,huinidification-dehumidification,and air eonditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to rype,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodcling is involved,a separate building permit must be obtained. 5. All wark must be done in accordance with the Uniforni Meehanical 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. Flouse Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Rtsi�ential ❑ Commercial(Approval Required) � � `� � ❑ New ❑Additional ❑Repairs epla Job Site/Owner Information: Site Address: c� \1 U ^ �{ y�^� U � Owner. � � ��,. , '`-� Mailing Address: �..�� l� r' City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �� . LI.Y� Contact Person: ��V� I��l. �►�l,�y' 1�(� Address: �� v�.1 • � I� State Bond#: _ � ��`f I City: ��c�,l)�� Zip:�>��xpiration Date: � � �� Phone: �� " �� Alternate Phone: ❑ Insurance—Current: ��1�I 5�� ! � �l.�Y'(,�.��, 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothernial Systems will no � req �re a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes o HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VF,NTILATION � No. � Kitchen Exhaust duct recirculating�� cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be app�•oved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ lnside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � --� �L� ❑ Outdoor Grill � Other/List What&Where: }� )(�(..� 2 PERMIT FEE CALCULATION(S) BASED OFF -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;excludin�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 Perniit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) aq� S�� , x.ol2s� �� (contract price) (minimum$50.00) 2. STATE SURCHARGE ��C} I �(�"Gr 1 X.000s $ � . �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � ��1�' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including inaterials, 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 ar 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. MECHANICAL 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 statements made on this application are complete, true and correct. � p �� Applicant's Signature: i� �'�C.� � �'� Date: � 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. • C COMPLETED ,,� --/-/,S� ADDRESS //Q c C'�s� d�� OWNER TELEPHONE NO. CONTRACTOR Gc�� igr! ��-d��c. � DESCRIPTION ��`� f'" �✓I�G � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING �CHANICAL FINAL 0 ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/HEMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . a T/f�S /Je,i..rc.� �s�41P� l�.rt�t r h'�4 s�, j o ��- O�.-�.�'� ao�3 -Oa �o a a ti ��'!F-�.3 � ,,�-�v Gci G�/,�j' '— 0 � W � Q � 2 W � W � � J d W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on site: Inspector. �.� �--- � White Copyllnspector's File Canary CopylSite Notice