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Home My WebLink About2014-01302 - mechanical , CITY OF ORONO * 2 0 1 4 - 0 1 3 0 2 * • 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1675 CONCORDIA ST PIN : 17-117-23-22-0043 LEGAL DESC : REG. LAND SURVEY NO. 1628 : LOT 000 BLOCK 000 PERMIT TYPE : MECHAN[CAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTF.: KITCHGN EXHAUST APPLICANT MECHANICAL(<$500) 15.00 ZAHLER HEATING&A/C STATE SURCHARGE MECH(<$500) 5.00 6429 W218TH STREET TOTAL 20.00 JORDAN, MN 55352- Payment(s) (952)492-5558 C��1ECK 3749 20.00 Minnesota State License#: mech-MB004790 OWNER TRAINOR, HELEN 1675 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT T'he work for which this pern�it is issued shall be perfornied according to die approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Z � - � - � � A plic t Pe i ee Signature Date Issued By Signature Date i , FOR CITY USE ONLY �� City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway l Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 � � � , �F � � �." CITY OF ORONO–MECHANICAL PERMIT �Kf S H�� (Alt Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. You may apply far 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required far each heating,ventilation,humidification-dehumidification,and air conditionin�installation including heat loss/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 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 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 final. TYPE OF PERMIT (Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: S ite Address: �� (�1�'1 � �'�� f � �� ` � , , Owner: �I � i ��i,I �'1 L � Mailing Address: ` ►rl � i GL �fi City: 1;�'�- — Zip: �� Home Phone: Alternate Phone: Contractor Information: Contractor: ��t(�✓ ��GL`�c� 4 -�� Contact Person: � � i'' ��l��-'Ir Address: �j`t�2�'I �ti . �� fi State Bond #: � �'�� City: ��`��'� ►"��Zip: r-5��xpiration Date: � � � �� Phone: ��'��Z � `�`.�� Alternate Phone: �r7�Z�� ❑ I nsurance–Current: �C{,l.{ I Vt� • ' �U I,�� .2.�� I , �x -�/�� P � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Pian & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �'No 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 VENTILATION �� No. _�_ Kitchen Exhaust�duct recirculating �� cfm ❑ No. Bath Exhaust(must ave duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAC E (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ 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 ar 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 $ 5.00 Mail-In Fee(If App(icable) $�,,,199� Total Permit Fee $ 7�•GL� PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.O125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciuding materials, 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 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. 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. � �Applicant's Signature: �� Date: 3 �' C ii�� O� � DATE Tlf� CITY-OF ORONO CALLED IN t� INSPECTION TICE SCHEDULED J PERMIT NO. COMPLETED ADDRESS � ,� �.rZ�� f�/�l CD/'c�iQ .S� OWNER TEL�PHONE NO.yv 50�`��o��-�� CONTRACTOR ��`1��r 1�� DESCRIPTION � � ��'t-� `�re� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �.pQECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATEFi HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ EW HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU• YES_NO � COMMENTS: ¢ a r�Ks� �� -�S� — � J O � wo r K Cb�,.c;p�� d-�o��,. : d� 0 � Q ,�G/ vr�-� r.cs�� 2 W � W � j a � ❑WORK SATISFACTORY:PROCEED O�P.�ECT COMPLEf E W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice �/� DA TIME � " CITY OF ORONO CALLED IN �� INSPECTION^I�O�T,IC/� /`\ ��SCHEDULED � � �� PERMIT N�� •� COMPLETED ADDRESS I�� —/�, OWNER TEL�PHONE N�Sa`'`�` �� CONTRACTOR �� : DESCRIPTION � � ❑ FOOTING 0 PLU INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHA I ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL Z OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o J�a� �x��rt' , v r��K s c � � '' � `` !'`?�� y- I�'1 St�� "�r4 ✓��— � 0 � W �� '� Q � 2 W � W � � � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOfi ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: � Inspector. �"" White Copyllnspector's File Canary CopyiSfte Notice