The URL can be used to link to this page

Home My WebLink About2013-01058 - mechancial CITY OF ORONO *�� 0 1 0 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3460 BIRCH LA PIN : 08-117-23-43-0027 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 019 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTF,: NATURAL GAS BOILER APPLICANT MECHANICAL ]00.00 COUNTRYSIDE HEATING & COOLING 651 1 HWY 12 STATE SURCHARGE MECH (VALUATION) 4.00 MAPLE PLAIN, MN 55359 MAIL-IN FEE 2.00 (763)479-1600 TOTAL 106.00 PAID WITH CC# 9617 OWNER LISLE, STEVE&ANGELA 3460 BIRCH LA WAYZATA, MN 55391- AGREEMENT AIVD SWORN STATEMENT I'he work fbr which this permit is issued shall be perfbnned according to the approved plans and spccitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[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.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 l80 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 permit may be revoked at any time for due cause. � � ��;� ��y`�--,;�-- i�, �, , /-� Applicant Permitee Signature Date ��s�ue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • Fram:COUNTRYSIDE HEATING & COOLING 763 479 2518 10l09l2013 07:25 #823 P.001/003 FO CI USE ONLY �O ` ` City of Orono � C7.,� ,�.,—� D��.r Q ��0 F O Box 66 Aate Rec Pccuca# � O 2750 KeJlcy pazkway /� n CrysblBay,MN 55323 Approved$y: Aax�£: ��/ � V Phme(952)249-4600 Fa�c(952)249�4616 � � � � `�'rESHO�E� CITYOF ORONO—MECHANICAL PERMIT (AllCorrv�rcialpermss mast be approved bythe Bui]da�;OfS'icmlor Inspectw andJor Fire MazshalA GENERAL INFORMA7TON 1. Youmay apply for mechazricalpem�IIs by ma�l or mperson at the Ciy oSces. Applications w�l be reviewed anci a pem�will be issued withintwo workmg days. 2. Petmi cards will be serrt by retiuti mail a$er a review is completed. PERMITS ARE NOT VALID UN1IL YOU RECIIVE A PERMIT. WORK MUST NOT BEGIN iJNTILTHE PERMIT CARD IS POSTED O1V T�„E JOB SITE. 3. Mec}ianicalDesiPns—Corr��lete r ilat� ��deta.�7s and specificalinns are requ"ved for each heatu�g ver�.�iion,hzatmc3iS�ation-de}nurridi�aCion,and aa condrtionu�installation inc�iding heai loss/heatgaai calcu]atmn,designtemperaYaaes,equq�merrt ratv�gs and iderrtification as to type,rriazwfadiaer and xrodel Data shallbe preserrted onformprovided. 4. When arry new constnution or remodelmg is�wlved,A sepacace U�iiMn�permit must be obtamed. S. AIl work rrnist be dane�accordazue wit��the U�vfaritiMechazucal Code/St�e Bin7ding Code requaerre�s. 6. Allwork rraist be a�spected(rouglra►�d fnial). Call(952)249-4600. (24-48 hournodce requfred) 7. House Heat.in�Test Record rm�t be subrrrrtted before fu�1l TYPE OF PERMiT (C`l�eck All'Ihat APp2�') : �Residentiai ❑Corruncrcial(ApprovalRequirec� ❑New ❑Addrt.ional ❑Repairs �Replace Job S�e J Owr�r InE'oIInation_ ' Site Address: �l��Q �r� G—��'`� Owner: ��2✓e� Ma�7irig Address_ 3�60 -i tc�n �Q �tP c�y: �c'ov,o z��: 5�3� ! Home PYwne:OI� 7LJ I• .3�6� Altemate Phone: Co�lractor ir�'ormation: Cor�tractor: �� S� ��'-y Cor�act Person: J.�'� /�� '-�✓� `t Address: 6i5�� t ""' r '�` s��Bo�a#: �� #��,� 5��/3 C�.y: ��c/�� /"�l�'�� Zip: i'��n' F�cpuatian Date: � �� r SS� phone: `�6'3_�7� ��O Alterr�ate Phone: �y; �, Iraeurar�e—Cu�rerit:c,�t?L'ZU� J� U(�f�--� �U� 1-'�;�.��L' . �uu'� '-t-"� �yt(i,vi� 1 �'�I�/C (G��7�.� , . . , ��_�________ � From:COUNTRYSIDE HEATING & COOLING 763 479 2518 10l09/2013 07:25 #823 P.002l003 M�C-�-TA��T�CAL.�Y'�TEIvIS BEING II+ISTALi.ED----n- - _�..�;. Note: AllGeott�etmal Systerts will na�c�reqtvre a Srte Plan�c Re�Ti�w by otv-Biulding Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Qu�diy: "JQ( � Make: ��I � E`( � Model: Ft�el: __.�• �__. �,� Fhte Sizc: ;�T�i(i� Irq�ut B'I'ITs: _ Outpu[$T[J s: __ CFM: CO�LING SYSTEMS Quantiy: Make: Model: Tons: H.Power _...____ F1F2EPLACES ❑ Gas Factory Faep]ace Brand Narrne: ❑ W ood Biarm�Fu-ep]ace ❑ bVood Stove ModelNo.: ❑ Wood Stove w�hFh3e/Masoruy VENTILATIQIr� ❑ No. R�chen Fxhaust duct ____reci-cu�tu�g cfrn ❑ No. BaYhExhaust(zn�.�have duct outside) cfrn ❑ No. Other Fans: Locations cfin FZJEL STORAGE (Mrui be approved by Fire Ma�sball if p�nposing to abaxdon tn�k In placu) ❑ Itistailaiion ❑ Removal Fuel Oil: gallons ❑ UndcrgFow�d ❑Inside ❑Outside LP Gas: gallons Other: GAS IdNE ONLY ❑ Outdoor Grill ❑ Otkter/I,ist What&Where: 2 ' From:COUNTRYSIDE HEATING & COOLING 763 479 2518 10/09l2013 07:26 #823 P.003/003 --- -- —----- � PERMIT�'EE CALCUI,ATT�JN�S� � BASED OFF 2002 STATE STATUE ❑ Xes,this section applies T71e repk�cemer�of a Reside»tial f�ctiae or app}iar�e that meets all t}ree ofthe follown�g reqw-emez�s: i. Does not requac modifi�cation to electrical or gas service. 2. Has a total cost of$500,00 or�ss;exc ' Lhe cost ofthe fixtu-e or app�e:and 3. Is ur{�roved,ir�alled or mplaced by the horreowrrr or l�ensed cortractor. Sk�next section,i�'this app}ies; Cost ofPerm't � 15.00 State Surcharge S____ 5�00 Ma�InFee(IfApplicab]e) $_ 2.OQ Total Peimft Fee S --- — - ----�-__ PERMIT FEE CALCULAT'I(JN{S)-JOBS �VER$500.00 � ---- -- __ __ _v�� Ifabove does not apply,follow�leli�ees be�w: i. CONTRACT PRICE "is 1.25%of cordract price with a(Mininsim Fee of S50.00) DQ�J�v. c�'J x.Oi25S (�lEi , � �l (corRract pr�c) (�nnnS50A0) 2. STATE SURCHARGE �L`�� X.000s s �, (c cNract prT e) 3. P�STAGE&HANDIdNG(Only on Ma1-In App}ications) T�____� 2.00 4. TOTALPERMITFEE(AddLaus 1-3 Above) S ��' 00 • * CON'IRACT PRICE or JOB COST means the actual or esti►reted dol}ar azmurt charged for the pem�ied woc�inch�di�g materia�s,labor,profit,and other fixed costs. It is the amourd ta be ch�ged to t}ve custorrer for the wociz dorbe. If arry rrraterial,equip�rrrt,]abor or imst.all�ioms are fixnisl�d by the owner,ter�ant or any other p�ty,the reasor�ab]e rreticet vah�e of such$ems rrntist be added to the estvreted cost or cordract price fnr pec7nrt.fee purposes. In t}�e ever�.tlrat there is a dispute on the annurd of t�u job cos1,the Ci�.y may request the s�rr►issmn of a signed copy of the adual cor9rad. MECHANICAL PERMiTAPPLICATiO?+1 AGREIIVIENT TY�e w�iersigned hereby applies to fl�e Cicy for issuance of a Mechanical Pem�, agrees to do all wo�c in s[r�t accordance widh the ordnra»ces of the City and ii�e reguhtions of 1� State af Minnesota, and cerh�ies that all statemerns made on ths app}ication are camplete, true and correc� Applicant's Sig�iature: �2y��"' `�� Date: �� '�� 3 d� D T TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTI EU�� SCHEDULED //�.'3 PERMIT NO. COMPLETED ADDRESS 3i`�D ��'��'�� OWNER 7� TELEPHONE NO.��Z 7�� 33� CONTRACTOR �; DESCRIPTION �"�V G��`" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �NG RI � $ERT�F}Nq� ❑ FOUNbATION/REMOVAL � OWNE NTRACTOR TO MEET YO :�YES NO � COMMENTS: � W a � J � II "� ' ��r � Q � W 2 Q � 2 W � W � J d � ❑WORKSATISFACTORY:PROCEED L�R�OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑pH0T0 TAKEN INSPECTOR W{LL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on sit - Inspector. White Copyllnspector's File Canary CopylSite Notice