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Home My WebLink About2014-00789 - cooling system � � • CITY OF ORONO * 2 0 1 4 - PJ 0 7 8 9 * 2750 KELLEY PARKWAY DATF. ISSUED: 07/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2735 COUNTRYSIDE DR W PIN : 04-117-23-12-0018 LF.GAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 4,526.00 APPLICAIYT MECHANICAL 56.58 STATE SURCHARGE MECH (VALUATION) 2.26 STANDARD HEA I[NG& AIR COND[TIONING MAIL-IN FEE 2.00 130 PLYMOUTH AVGNUE N. MWNEAPOLIS, MN 55411- TOTAL 60.84 612-824-2656 Payment(s) CHECK 46768 60.84 OWNER ALEXANDF,R, TIM 2735 COUNTRYSIDE DR W LONG LAKE, MN 553�6 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�to the approved plans and specifications.applicable City approvals,and thc State f3uilding Code This permit is for only the work described and docs not grant permission for additional or rclated work which requires separate permi(s. nll provisions oY laws and ordinanees governing this type of H�ork shall he compied with whether or not specified herein.This permit will expire and become null and void if�construction authorized is not commenced�vithin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time at�ter work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State l3uildin�Code.This pem�it may hc rcvoked at any time for due cause. �_I'��r�.1i\ l l npplicant Permitee Signature Date Issued Qy Si n ture L��z,��ate . • J FOIZ CITI-ZrSI'OIVI,1- � Cit� of Oron� ,. �� P.O.13os(�, • D� e Recei��ed: _ Yermil= — ---- 2750 I�elley Par �ay a ; '� � � Crystal Bay,MN ;23 �ppro�e<I B}�: _amount$: ��" �"� � ,• o':� (9S2)249-4600 i'�e�p8�/ CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial permits must be approved by the Building Oft'icial or Inspector and/or Fire Marshall) �ENERAL INFORMATION 1. You may apply for mcchanicai permits by mail or in person at the City oftices. Applications will be revie�ved and a pennit will be issued within two working days. 2. Pennit cards wili be sent by retum mail after a review is completed. PERMITS f�RE NOT VnL,ID UNTIL YOU RF,CEIVF,A PERMII'. WORK M[JST IYOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desians—Complete ealculations,details and speciiications are required Tor each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identiiication as to type,manufacturer and model. Data shall be presented on Yorni provided. 4. When any new construction or remodeling is im�olved,a separate buiiding pennit must be obtained. 5. All work must be done in accordance with the Uniforni Mechanical Code/State Building Code requirements. 6. All�vork 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 Yinal. TYPE OF PERMIT (Checl: All Tl�at Appl�-) �kesidential �Commcrcial(Approval Rcquired) ❑Ne�� ❑Ad�liYiinial ❑Kepairs eplace Job Site/O��ner Information: .�1t,�.�A.�� . ' �� S e d ess. �� SZ O�vne�� "�Qailing Address: S��'+yl�L/ City: ��')d Zip: ��,�5,� J / I Home Phone: Z �� llternate Phone: Contractor Information: Contrac�r�ndar ' ' ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 � City: Zip: Expiration Date: Phone: Alternate Phone: � Insurance-Current: 1 � � � - - - - MECHANICAL SYSTEMS BEING INSTALLED � � � Note: All Geothermal Svstems will now require a Site Plan& Revie�v bv our Building Ofiicial. IS THIS GEOTHERMAL? ❑ Yes,�o HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input B1'Us: Output BTUs: CFM COOLING SYSTEMS Quantity: � Mal:e: �L� — — Model: j �I'ons: H. Power FIREPLACES � Uas Factory Fireplace Brand Name: ❑ Wood I3urning Fireplace � Wood Stove Model No.: ❑ Wood Stove With F'lue VENTILATION ❑ No. Kitchen E�haust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Murshall iJproposing to abundon tunk in place.) � Installation � Removal Fuel OiL gallons ❑ L7nder��uuiid �lnside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What�Where�. 2 .v . � PERMIT FEE CALCULATION(S) � BASED OFF -2OU2 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the Yollowing requirements: 1. lloes not require modification to electricai or gas service. 2. Has a total cost of$500.00 or less;excluclina the cost of the fixture or appliance: and 3. ls improved,installed or replaced by the hoineowner or licensed contractor. Skip ne�;t section,if lhis applies; Cost of Pennit $ I�.00 State Surcharge $ 50 Mail-In Fee(If Applicable) $ ?.00 Total Permit Fee $ �� PERMIT FEE CALCULATION(S) -JOBS_OVER$�0�.�0 �� If above does not apply;follow guidelines belo�n�: l. CONT'RACT PRICE * is 125%of con ct}�rice with a(Minimum Fee of�50.00) �� Y .0125 $ � • � (conVact price) (minimum$50.00) 2. STATE SURCHARGE **Add the Staj��ld�de Div. Surcharge(!�Iinimum Fee o�) � � . � .000� $ (contract price) (minimum$ .50) 3. POSTAGE&IIANllLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT 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,protil,and other tixed 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 oT such items must be added to the estimated cost or contract price for pennit fee putposcs. 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 S"TA�I�L? SURCHARUE is .000�of the Building llepartrnent at(9�2)249-4600 for the pnee. MECHANICAL:PERMIT APPLICATION AGREEMENT The undersigned hereby applies to dle City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the Cin- and the regulations of the State of Minnesota, and certifies that all statements ma is application are complete, true and correct. Applicant's Signature: _ � � � Reset Form 3 -�� ( � /IY�E i —` � C�%cf'C�! -- � ' DATE CITY OF OROf6F0 CALLED IN � INSPECTION NOTICE SCHEDULED - — PERMIT NO. O co LETED ADDRESS ��c3� �C� ��l • I/� OWNER T LEP E NO. � 7�� CONTRACTO — e � � � DESCRIPTION n G � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORENVETLANDS � Q ❑ FRAMING �#AECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 WOOD 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL ��ONTFiACTOR TO MEET YOU:�lf ES_NO � COMMENTS: � � .L� �C /'�4l.�cc•ncs=L� � J o �KG�ltiSL�✓ ��lG O�K��i�� -�l�d? � � � e�� c tL �iacL - $` cd-�� -- W � Q F� �O✓(� Q�"7'll/JL �� Z W � W � � � C�WORK SATISFACTORY:PROCEED �i�OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. h-- White Copyllnspector's File Canary CopylSite Notice