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Home My WebLink About2016-00410 (Mechanical) , ` . CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 6 - 0 DJ 4 1 PJ * DATE ISSUED: 04/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1424 BALDUR PARK RD PIN : 08-117-23-34-0013 LEGAL DESC : BALDUR PARK : LOT 009 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 650.00 NOTE: (I)BATH EXHAUST-50 CFM APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.33 AIR RITE HEATING AND A/C INC MAIL-IN FEE 2.00 6935 146TH STREET W#3 APPLE VALLEY,MN 55124- TOTAL 52.33 (952)683-1900 Payment(s) Minnesota State License#: mech-MB005390 52.33 OWNER ROHR,RICK 1424 BALDUR PARK RD WAYZATA, MN 55391- 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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. � U � `�- /�a//<o Applicant Permitee S gnature Date Iss ed Signature Date � � F ITY USE ONLY � � �� City of Orono � �(� P.O.Box 66 Date Received: /fPermit#C�� /� � � 2750 Kcllcy Parkway � ` Crystal Bay,MN 55323 Approvcd By: __�� Amount$: .> Phone(952)2�19-�600 Fax(�)?_')_'-}�)-�r,lt, \?� ` �:i RECEIVED ��, � . CITY OF ORO�10- MECHANICAL PERMIT �., ti"f S F{O� / -____.�'" (All Commcrcal pcnnits must bc appro��cd b��thc I3uildine Ofticial or In,pcctor an��.�h�r��aie+J}Q�� IY L L `�� GENERAL INFORMATION C�"`�Y OF ORONO 1. You may apply for mechanical permits by mail or in person at the Ciry 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 i-e�ie�v is completed. PERMITS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMI"C. WORK MUST '�'OT BEG1N UNT1L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations, details and specifications are required for each heating, ventilarion,humidification-dehumidification. and air conditioning installation inchiding heat loss/heat gain calculation,design temperatures,equipment ratings and identi�cation 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 tinal). Call (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fiinal. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial (Approval Requircd) �Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Rcpairs ❑ Replace Job Site/ Owner Information: Site Address: �� `��/_��ln/' 1,�(a�(��. O.�'n=r' �i ��v�rc'�' ?��Iu:li^� Add.ess: �y � � J,-�G�' � �e,�, city: �n�('ti ti ��,-� zip: SS_� `J/ Home Phone: Alternate Phone: �� -ti��J�(�,�j�� Contractor Information: Contractor: �L�l,r �`� ��ji,��CContact Person: � �', t:,� �,�..�,,,i Address: ��.��- �L�f� t`��f lJ�-�tate Bond #: �'Y��S OdS:� �O City: � � Zip: �"/,��Expiration Date: �� - � - J� Phone: �j S � � Io�S�� ' � �IC/U Alternate Phone: � Insurance-Current: ��Q - �_,��„� 1 " --� _ � r.e�;-�.�� G�,��r � ,�,�. � � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: FueL F;ue Size: Input BTUs: Output BTUs: CFM: COOLiNG SYSTEMS Quantiry: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue i 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 Mar�shafl if proposing to abando�� tank in place.) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill ❑ Othcr/ List What& Whcrc: 2 M � • PERMIT FEE CALCUI,ATIONS � 1. CONTRACT PRICE * is L35%of contract pricc with a(Minimum Fee of$50.00) `�� p�c.� x .0125 $ �� (conh�act pricc) (minimum$50.011) 2. STATE SURCHARGE �>S� ' X .000s � < 33 (contract pricc) 3. POSTAGE& HANDLING(Only on Mail-In Applicatious) $ 2.00 4. TOTAL PERMIT FEE (Add Lines I-3 Above) $ S;�. ,,�3 ■ * CONTRACT PRICE or JOB COST mcans thc actual or estimatcd 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. Tf any material, equipment, labor or installations are fiirnished 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. ln the event that there is a dispute on the amount of the job cost, the City may request the submission of a sianed 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: �— � �7 - f� -, � DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. '�UlS '�'S'�v COMPLEfEO �� '� ADDRESS ��t'o�y ��uPy� �� OWNER TELEPHONE NO. CONTRACTOR �'� '��tC ��S• � � DESCRIPTION �P�/�• ��'�L � �� '�� tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING qECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � • _ � � �rav�o a rKa�i . �2 :j �n s,,��0.1 _ � J O . � y1Q I''c�a r� d ��c�p. � 0 � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECTVYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED �SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. �� /^^-' � White Copyllnspector's File Canary CopylSite Notiee