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Home My WebLink About2014-01179 - heating sysem CITY OF ORONO * z 0 1 4 - 0 1 1 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2014 � ORONO, MN 55356- ` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 124 CHEVY CHASE DR PIN : 36-118-23-41-0039 LEGAL DESC : HILL O'WAY MANOR : LOT 005 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 7,862.00 NO'i'E: HEAT'ING SYSTEM APPLICANT MECHANICAL 98.28 UPTOWN HEATING&COOLING STATE SURCHARGE MECH (VALUATION) 393 31 10 WASHINGTON AVE.N. MAIL-IN FEE 2.00 MINNEAPOLIS, MN 5541 1- TOTAL 104.21 (612)827-4674 Payment(s) CHECK 35300 104.21 OWNER DENZIN,CHRIS 124 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pem�it is issucd shall be perfonned according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires scparate perniits. 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[he 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�/�� lY � � �Cc � �i 1,�-�� ,�7L-�, �- �� ;��-�,,�c� i:� � �� ' � . Applicant Permitee Signature Date Issued By�Signa ure Date __ roa c�Tv usE oN�v i� '' ��` City of Orono �� P.Q E3ox 66 Date Received: Permit� • i� � � 375p Kcllev Parkway � � Cn�st.�l 13a��,MN 55323 Approved E3y: Amount$: � � Phone19�2)2d9-a600 Pas(9��1'_a9-l616 i 1 � . 1 � - � -- — ��!-r .��'� CI'I'Y OF ORONO- MECHANICAL PERMIT �, kfsrjc�� / `�.._ (All Commercial permits must bc approved by the Building Ofticial or Inspector and-or Pire Marshall) GENERAL INFORMATION I. You may apply ti�r mechanieal permits by mail or in person at the City of�ices. Applications will be rc��ie�ved and a permit will be issued within two working da}�s. 2. Pennit cards will be sent b��return mail after a revicw is completed. PGRMITS ARG NO�� VAI,ID UN"CIL YOU RI�;CENG A PERMI"I'. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desittns—Complete calculations.details and spccitications are reyuired for each heating, ventilatiun_humidit9cation-dehumidi�icatiun,and air conditioning installation including hcat loss/heal gain calculation.design temperatures.equipment ratings and identification as to t��pe. manufacturer and modcl. Data shall be presented on form provided. �4. When an��ne��construction ur remudrling is involved.a separate building permit musl be obtaincd. �. All�ti�ork must be done in accordancc with the Uniform Mechanical Code/Statc Building Code rcquircments. 6. nll work must be inspected(rough-in and linal). Call(9�2)249-4600. (24-48 hour notice requiredj 7. I lousc I leating"fest Rccord must bc submit[cd bcibre linal. ---- - 1'YPE OF PERMIT -- —� (Chech �111 "I'hat_Apply) �'Residential ❑ Commercial(Approval Required) ❑ Ncw ❑Additional ❑ Rcpairs �Rcplacc Job Site/Owner Information: _..----------- ----- --� i�,,�1 I Site Address: l,f y C_;`-�,V y � i` "�''��r-- �`, ? `'`�_ Owner:_�-�"�1�I 5 �� ►1`Z � }r°` Mailing Address: �� l �`�'-`��y� ��"�t �� ti�'- -� c�ry: c.�c�� S� 5`� I Zip: __ _ ��ic-' '� , ��: Home Phone: r � " �� '� ',�� Alternate Phone: --L---- -- _-— Contractor Information: --- - - ------------- -- � Contractor: ��'�� Contact Person: d5-� ��-..��` / Address: ' ��`� �"�0��'"' �''��State Bond#: !Y;�� City: �'l�nr�F`�!�� Zip:�`�`�'i' Expiration Date: ��1�� .��-, Phone: � �� ' 7�7 - - �"" " � �1lternate Phone: ---�--- ----- � — � � Insw�ance-Current: �-��('�-�t,� �A;�j .�� I � -- — —-- ----- __— --------- � ___-- • _ _IvIEC'HANICAL SYSTEMS BEING INSTALLEp ' Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATINC SYSTEMS Quantit��: � Makc: .5��T�r� Model: SE��`�a��'�� Fuel: �?S ['lue Size: Input Bl'Us �W�� `�J �u�pui B�1�Us: � 3 :��'�� CI'M: COOLING SYSTEMS Quantit�: _ Make: Modcl: I'ons: H. Power FIREPLACES ❑ Gas��actory Pircplac� 13rand Name: ❑ Wood Burning Fireplace ❑ Wood Stovc Model No.: ❑ Wood Stove�vith I=1uc/Masonrv VENTILATION ❑ Na Kitchen Gxhaust duct recirculating cfm ❑ Na L3ath G�haust(must havc duct outside) cfm ❑ No. ___ Other I�ans: Locations cfm FUEL STORACE (Must be npproved bv Fire Marsl►nll if�rnposing!o nb�utdo��tmzA in p[nce.) ❑ Installation ❑ Remo��al Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What& Where: 2 ' PCRMIT FCC CALCULATION(S) �� BASCD OFF - 2002 STAT� STATUE � � � � � ❑ Yes.this section applies T�he replacement of�a Residential fixture or appliance that mcets all three of the ti�llowing requirements: L Uoes not require moditication to electrical or gas service. 2. Has a total cost of$�00.00 or Icss;excludi!ia the cost ofthe fixture or appliance: and 3. Is improved, installed or replaced by lhe homeo��ncr or licensed contractor. Skip next section. if this applies; Cost of Permit $ 15.00 Statc Surcharge $ 5.00 Mail-In I�ee(If Applicable) $ 2.00 Total Permit Hee $ � ------ _ _ __ _ _ -- --- --- -- � �� _PERMIT FEE Cr'.LCULATIGN�S� JOF3S OVER $SG0.00 _� If�above doe�not appl��: follo�v guidelines belo��: I. CONTRACT PRICE * is 1.25%of contract pricc wilh a(Minimum Fee of$50.00) �J . r� �� x .0125$_ / (contracl pricc) (minimum�50.00) � � 2. STATE SURCHARGE � � �� i' � ..`� � c'�` h .000� $ (contract price) 3. POSTnGE&f InNDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PFRMIT FEE(Add Lines 1-3 Above) $ � �� `� � � * CONTRAC"l� PRICF, or JOB COS"I' means the actual or estimatcd dollar amount charged for the permilted ��ork including materials, labor. protiL and othcr tixed costs. lt is thc amount to bc charged to lhe customer for the �vork dune. If anv materiaL cyuipment. labor or installations are furnished by the o��ner. tenant or anv other party, the reasonablc market value of such items must be added to the estimated cost or contract price fiir permit fee purpuses. In the c��ent that there is a dispute on the amount of the joh cosl. thc City may request the submission of a signed copy of the actual contract. MECHAN[CAL PERMIT APPLICATI(�N AGREFMENT '1�he 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: � `�� 3 ��3 �� D TE TIME CITY OF ORONO CALLED IN . Q� INSPECTION OTICE SCHEDULED PERMIT NO.� —� COMPLETED ADDRESS �� ` f �� OWNER TELEPHONE NO. �� CONTRACTOR �� DESCRIPTION , 1 I � k� ❑ FOOTING ❑ PL MBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORE/WETLANDS H Q ❑ FRAMING ECHANICAL FINAL ❑ 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 REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W 'v � Q � 2 W � W � J W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOii ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvance. ( 5 -4600 OwnerlContractor on site: Inspector. White Copyllnspector's File nary CopylSfte Notice