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Home My WebLink About2015-00832 - mechanical CITYOFORONO * z0 15 - 0083Z * 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2015 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2715 COUNTRYSIDE DR W PIN : 04-117-23-12-0019 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 004 BLOCK 003 PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULT[PLE VALUATION : $ 13,399.00 NOTE: 1 HEATING& 1-COOLING SYSTEMS APPLICANT MECHANICAL 167.49 STATE SURCHARGE MECH(VALUATION) 6.70 PRONTO HEATING&AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- TOTAL 176.19 (952)835-7777 Payment(s) CHECK 10632 176.19 OWNER WILSON, MARK&KIRSTIN 2715 COUNTRYSIDE DR W LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved 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 goveming 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 l80 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 reques[ed in conformance with the Sta[e Building Code.This permi[may be '] revoked at any time for due cause. � }� ('� � .. 1 " J` � , . _ . \ ,� � � � � i l � .� I �S�-�-� . �,c -:.�� ; �r, J�, � Applicant Permitee Signa re � Date Issued By Sig re Date FOR CITY USE ONLY City of Orono p � �O�O P.O.Box 66 Date Received: �! (r, Permit# �� ) �3 � Z~ 2750 Kelley Parkway �r Crystal Bay,MN 55323 Approved By: �_ Amount$:�� Ly "� � Phone(952)249-4600 Fax(952)249-4616 /� iC��3L yF��kes o��'G` CITY OF ORONO—MECHANICAL PERMIT H (All Commercial permiu must be approved by the Building Offic�al or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. 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 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 IS POSTED ON THE JOB STTE. 3. Mechanical Desi�ns—Complete calculations,details and speci�cations are required for each heating,ventilation,humidification-dehumidification,and air conditioning 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. VVhen 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: Site Address: Z� �� J��'�fi�'Lj�I� �✓' � ��)�� j� Owner: /"I r�� w � �s�`� Mailing Address: 2� �5 �UU✓I tV yS��E' �J•'"V� city: �'�o�v Zip: �S S 5� Home Phone: �� y 7� - Zy�y Alternate Phone: Contractor Information: Contractor: ��' l�i��l�'�1 '��Y/� �` ' �� Contact Person: l��GI _�Ci1r(,�l �I� nn y Address: 7�5�� L''S��v��A'v� -� State Bond#: 'Y 1� �`I �i.�� City: ��n t��ii�t Zip: J7j� Expiration Date: ��`� ��L`�i � Z�� b Phone: ��Z' �� 7 7 11 Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: � Make: ✓' %�1� Model: I D 1M:�t�� Fuel: Flue Size: Input B'TLTs: I�a��i� Output BTUs: CFM: COOLING SYSTEMS Quantity: I Make: �'� �1V�1 Model: �D 6 NV��O� Tons: '> H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FLJEL STORAGE (Must be approved by Fire Marshall fproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , PERNIIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fi�rture 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;excluding the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERI�IIT FEE CALCULATION S' —JOBS OVER$St�0.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) �3�3� �1 X.oizs $ ( �� `l� (contract price) (minimum$50.00) 2. STATE SURCHARGE � �5�� x.0005 $ �. r D (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �!�� '` � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including 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 iob cost, the City may request the submission of a signed copy of the actual contract. MECHATTICAL PERNIIT 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. � I/��.�L � � ��5� Applicant s Signature: Date: ��/�� 3 {� � DATE TIME 1 CITY OF ORONO CALLED IN ��—S INSPECTION N TICE ,,ScyHEDULED /� �': 3U PERMIT NO. —Dfl� •�c�oMPLETED ADDRESS "- �� OWNER TELEPH NE NO.�S'�-�7��5� CONTRACTOR �: DESCRIPTION `��i�"�- �� C W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � _ a �u v K �c� r�/• ' c�t. •�� a,s �.t�, ' a �' vc�t�� - D� � � 0 � W � � ��G i'e,o�.cLo..�,c-�� - .e fecW�c�C, rGcow d�G� Q � W � � (,CJO�� Vl!]lGtif � �G�'�'''�� /h�sl�� W � J GW ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � W ❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a11 for the next inspection 2a hours in advance. (J52� 249-4600 Owner rttractor on site: ��✓� G��l S��l Inspector��-�� White Copyllnspector's File Canary CopylSite Notice