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Home My WebLink About2014-01403 - mechanical CITY OF ORONO �� * 2 0 1 4 — P1 1 4 0 3 * � � • 2750 KELLEY PARKWAY pATF lssuE�: 12/08/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3309 CRYSTAL BAY RD PIN : 17-117-23-41-0016 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 11,000.00 NO'1'I:: (1)LUXAIRE FURNACF,AND A/C GASLINE FOR(2)FIRF.PLACRS (1)KITCHEN [?X}IAUS�I� (4)BATH GXI�IAUST APPLICANT MECHANICAL 137.50 STATE SURCHARGE MECH(VALUATION) 5.50 C& M PLUMBING &HEATING 610 CENTRAL AVENUE TOTAL 143.00 BUFFALO, MN 55313- Payment(s) Minnesota State License#: mech-MB003954 CHECK 7895 � 143.00 OWNER SCHMID, DAVID 3309 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pern�it is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State 13uilding 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 o1�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 oY 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 rcquested in conformance with th�StAte[�yilding Code.This permit may be revoked at any time for due cause.,-�'� / � c .� , ,�, / L� f��_s,%/' -t'-, /_./�-CJ � G � '~ l �/ /lX-�/ � /� npplic�rmitee�ignature Date Issuc y Signature Date . FOR C1TY USE ONLY . �O� City of Orono ��!/ ��Q� O P.O.Box 66 Date Received: Permit T 2750 Kelley Parkway / Crystal Bay,MN 55323 Approved By: Amount$:` �� Phone(952)249-4600 Fa�c(952)249-4616 y � 1 %: F . tq �� CITY OF ORONO-MECHANICAL PERMIT KESH�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. 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 RECEIVE 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 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 shali 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 Apply} �}Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: .� � _ a � Site Address: �---�'-� r- � �� r��-�� _ ." C . �'s-t J , � �-.�_t Owner: �� °-� �- r' �-� ' A � ' Mailing Address: City: C�� ^� L<=.,��. Zip: ��3; �, Home Phone: �'� � �� S `l��S �� Alternate Phone: Contractor Information: � , ;, ` +, �;-,��-li4 -T , _ . Contractor: " `� Contact Person: ��'�k-t-- �'`�� Address: �ic� t,e„n� �_.\ �`�� .� t� c:� J3c State Bond #: �S �( City: � �-�-t�� ' Zip:+`'` '� Expiration Date: Phone: ��= > �� '� �'��' � Alternate Phone: ❑ Insurance-Cunent: 1 MECHANICAL SYSTEMS BEING 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: �,u,,f.c;..��c. C91' � ��aj ,� Model: Fuel: ,��% �.�� 6�:-S Flue Size: �� Input BTUs: �� _n <, Output BTUs: �� , � � �a CFM: COOLING SYSTEMS Quantity: � Make: �,�-..�c._r-L Modei: T'L(��j Tons: `� H. Power � `� � ' � FIREPLACES � Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION r� ❑ No. _� Kitchen Exhaust � duct recirculating � �-�� cfin ❑ No. �_ Bath E�aust(must have duct outside) ra,, cfm ❑ No. Other Fans: Locations cfm FUEL STORACE (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 or gas service. 2. Has a total cost of$500.00 or]ess; excludine 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 lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � � =� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE � �; �-1 ? ' x.0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PR10E ar 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 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 �_ � � DATE TIME CITY OF ORONO CALLED IN / � / INSPECTION NOTICE SCHEDULED /Z- /�� /:�3D'� PERMIT NO. 03 COMPLETED ADDRESS �� OWNER ELE NE NO. 3 a � CONTRACTOR `y v � � DESCRIPTION — � lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POUREO WALL �pAECHANICAL RI ❑ LAKESHORFJWEfLANDS H O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: SuD.nOr a� oL /`�t�LrrK S ' o K - � �- 9�� '��9�f't c,�ls /�rJQ� ' 4� .�' ¢e�L` oa�� ' �O�ts � 5��nc�e lp2-4-/4 — �. � ° D� � G'�e�/ W � Q � Z W � W � � J d � �N9RIfSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. C e " s ion 24 hours in advance. (g52� 249-4600 Owne ontractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice