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Home My WebLink About2014-00425 - mechanical �. CITYOFORONO * 2014 - v� 0425 * 2750 KELLEY PARKWAY DATE ISSUED: OS/09/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 120 CREEK RIDGE PASS PIN : 03-117-23-12-0014 LEGAL DESC : CREEKSIDE IN ORONO : LOT 003 BLOCK 001 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: INSTALL HEAT RETURNS HEAT N GLO GAS FIREPLACE (1)BATIi EXHAUST-80 CFM GASLINE FOR E�IREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 GUSTAFSON, MICHAEL& SUSAN TOTAL 51.50 1000 SHELARD PKWY#300 Payment(s) MINNEAPOLIS, MN 55426- CHECK 10485 51.50 OWNER GUSTAFSON, MICHAEL& SUSAN 1000 SHELARD PKWY#300 MINNEAPOLIS, MN 55426- AGREEMENT AND SWORN STATEMENT "l�hc work fbr which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and [he State E3uilding Code. This permit is tbr 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 lhis type of work shall be compied with whcther or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenccd. The applican[is responsible for assuring all required inspections are �/ � requested in conlormance with[he State Building Code.This permit may be � � y revoked a[any time for due c�dse. , � __------ i ,%�-, - � � r� , �. i� -y% %'� � �1 � ppli �� Per Itee � at e Date � Issued B� ignature Date � �C Y USE ONLY + -. (� City of Orono ` �-j� ,� �- � �*✓�O P.O.Box 66 Date Receive�:` Permit# �f%�`7�'-• " , �-� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: �. J Phone(952)249-4600 Fax(952)249-4616 r, > i Z � F /�-- .� ,_ �,�x�S}{��,`� CITY OF ORONO—MECHANICAL PERMIT �� — � (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 SITE. 3. Mechanical Desi�—Complete calculations,details and specifications 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. 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 Hearing Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) c� ❑ New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: I ' / � � Site Address: l��.,% �.1i'�-�-�c. � �G�S.e. �`"�.�S-S ��o'►� {?'1 A1 -S� 3 j�o Owner:�, V�. l��t,S�`�.`�J� Mailing Address: �02� C�� 1��,c. �sS city: (�'��o zip: �3� Home Phone: �>�- L{��a-- �b� � Alternate Phone: �,(� �2" S�b� t �"�1 Contractor Information: �==�c� ►-,-,� �� :� �-,�O v-�-- Contractor: - Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 .' � MECHAI�TICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes QQ No (� HEATING SYSTEMS Quantity: �,►'� S�`'� � �4� � Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: , E�T C �� Wood Burning Fireplace /� ❑ Wood Stove Model No.: (�7�� C- ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm � No. / Bath Exhaust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (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: V{- ��i ,L�J _ 1� � � 2 . ' rERMIT 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 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 next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) w � ,T�,g,'� x A125 $ �� ` (contractpnce) (minimum$50.00) 2. STATE SURCHARGE r � x.0005 $ � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �-9� � � .� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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: l � 3 �Q� _ D T� TIME � CITY OF ORONO CALLED IN =c�� __`� INSPECTION NOTICE SCHEDULED � PERMIT NO. -�D �S COMPLETED ADDRESS �.ZD OWNE LEPHONE NO�/3-.SO��1077 CONTRAC R � DESCRIPTION D7J � � ❑ FOOTING O PLUMBING FIN ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORFJWETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q � RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO' � COMMENTS: �• G� F�n� � � , a J��IdI') ��cs " /L, tLr, rnf � � � J L�' . � � �� J�t � ��e�. 1'Jc v�C t v�ts+t�� /n, e�S�� O . _L / � Li�✓ PeG4r1� Ch,�SGG — � -- F.P. ��,s �.�� ¢,� �.s��< �6a,�s�� eC' Q✓ �6�1�� KG 1 ��t7E� ✓� Cldtrf � � � mp��a� l�. � af� �f �� rt a J�— � , �GS� �K- �'G��c� �- l��—C'o v�✓ � a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE v��66RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. for the next inspection 2a hours in advance. (g52) 249-46�� Owne ntractor on site: /��'�� Inspector. 14.• White Copyllnspector's Ffle Cenary CopylSfte Notice �� ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION O IC !� SCHEDULED �� PERMIT NO�� 7�COMPLETED ADDRESS OWNER � ��ELEPHONE NO. � 8� � CONTRAC OR � DESCRIPTION ��`" ` � ly ❑ 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 �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � . o/ /GLGe N �.i � �' P • - Gv K ��.-,o � o /�l�i��r�s S.o��S — �. � ° � 41 t o�' rn e�- !Jo r� �.�/�-- W � � ,��.�.� �:,�.�.� z W � W � J W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: �i ��e . Inspector. � White Copyllnspector's File Canary CopylSite Notice