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Home My WebLink About2014-00458 - mechanical CITY OF ORONO * z Q� 1 4 - 0 0 4 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3470 BIRCH LA PIN : 08-117-23-43-0001 LEGAL DESC : BALDUR PARK : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 8,000.00 NOTE: 1 I3RYANT NAT GAS PURNACG 1 aRYAN"C 3"I'ON AC APPLICANT MECHANICAL ]00.00 STATE SURCHARGE MECH (VALUATION) 4.00 COUNTRYSIDE HEATING& COOLING MAIL-IN FEE 2.00 1960 COUNTY ROAD 90 SUITE 200 TOTAL 106.00 MAPLE PLAIN, MN 55359 Payment(s) (763)479-1600 CREDIT CARD 8071 106.00 OWNER BERNARD, MR. & MRS. 3470 BIRCH LA � WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'fhe work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [hc State Building Code. This permit is for only the work describcd and does not grant permission for additional or related work which requires separale permits. All provisions oY 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 Ihe date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Quilding Code.This permit may be revoked at any time for due cause. �/Z�'(�'c� / / Applicant Permitee Signature Date Issued By S� ature Date 'From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05/14/2014 11 :36 #958 P.001/005 F�(tz-Y�- CC�.I.( 1 ��I rt�1 -�ct- A��W�w�t- 163,�{7Q. �604 �a � FUR CT'Il'USE O1�LY �O A*O City of Orono „ i�/ P.O.Box 66 Date Received: � Permtt�t � �� 2750 Ketley Pazkway ' , � Crystal Bay,MN 55323 ApprovedBy: _ Atnount$:� Phone(952}249-4600 Fa�c(952)249-4616 �� ` t�kESHO��G CITY OF ORONO-MECHANICAL PERMTT (Atl Commercixl pennits mus[be approved by the Building OfFicial or lnspector aod/or Fire Marshall) :GENERAL iNFORMAT'ION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two workuig days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALiD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. MechanicaI Desians—Complete calculations,details and specifications ate required for each heating,ventilation,huraidification-dehumidification,and air conditioning installation including heat Ioss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction ar remodeling is involved,a separate building permit must be obtained. 5. All wark must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. � � � �TI�PE�OF PERMIT _��" � � ; , _ - - Chec�:All That A 1 � = �]Residential ❑Commercial(Approval Required) � � `,_,( ❑ New ❑Additional ❑ Repairs `�(j Replace /� Job Site/Owner Infofmatio�:° Site Address: �� !� ��//'�� G� Owner. �OWt �na��t Mailing Address: �� 7� �r� � City: o�n� Zip: J��J� � Home Phone:(��d. ��. �d y3 Alternate Phone: Cont�ac�tor��'axinati�n. � ` _ � .�y_�: r...��=__.�._� _�.:.< < . __..� .,� , t r _ �_F �, Contractor:� � ��OW� Contact Person: �"��a 1 �t Address: �Rd� � r� _`��'Ted�� State Bond#: ��j6�6��0 Cit�y: � a1� 7i�}��1 ExpirationDate: `� �� o��l� Phone: 763.47�I �� Alternate I'hone: � Insurance—Current:e��, liG��lO�e ,�$ CO 1 �t d k 366q�. From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05l14l2014 11 :37 #958 P.0031005 1Vote: All Geothennal Systems will now require a Site]'lan &Review by our Building Official. IS THIS GE�THERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: � ________ Make: ►'4�'�� ' qU Model: d.� Fuel: 1 � - � Flue Size: �� I ✓` _- Input BT`ils: _ � �'� Output BTUs: � ��L�__ _ __ CFM: � C�C� C_��", COOLING SYSTEMS Quantity: l —,---,--.�_..__. T__ Make: �� . ModeL• �oC� `�IY� Tons: 3 H.Power � z L' � FIREPLACES ❑ Gas Factory Fueplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ____ _ ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. �_ _ Bath F.,xhaust(must have duct outside) ____cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Musi be approved by Fire Marshal!ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ ptl�er/List What&Where: 2 From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05/14l2014 11 :37 #958 P.002/005 ❑ Yes,this section applies The replacement of a Residential fixture or ag�liance that meets al]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. ]s improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ SAO Mail-In Fee(If Applicable) $ 2,OQ Total Permit Fee $ If above does not apply;follow guidelu�es below: 1. CONTRAC'I'PRICE * is 1.25°/a of contract price with a(Minimum Fee of�50.00) � �-� x.0125$ l Q,Q , o 0 (contract price) (minimum SS0.00) 2. STATESURCHARG.E x.0005 $_ �• �� (conrract price) 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � l�`�• '�'� ■ * CONTRAC7' PRIC� or JOB COST means the actual or estimated doliar amount charged for the pertnitted work including materials,Iabor,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 or contract price for permit 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 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 conect. Appl icant's Signatw•e: � __ Date: ��'�L' 3 �� DATE TIME V CITY OF ORONO CALLED IN (p-� �_ INSPECTION N C��/ y��,Q SCHEDULED �_ PERMIT NO �'7"'��''7� COMPLETED ADDRESS 3 Ilr OWNER TE EPHON�TI . �7� - CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUM G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M HANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ OD 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 ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in ance. (g52) , 9-46�� OwnerlContractor on site: ' Inspector. �. White Copyllnspector's File Canary CopylSite Notice