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Home My WebLink About2013-01147 - mechanical CITY OF ORONO * z 0 1 3 - 0 1 1 4 7 * . 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3365 CRYSTAL BAY RD Pl N : 17-117-23-44-00 l 6 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 013 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,642.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 BRYANT 2 TON AC APPLICANT MECHANICAL 83.03 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 3.32 7588 WASHINGTON AVE S EDEN PRAIR[E, MN 55346- TOTAL 86.35 (952)835-7777 OWNER LOFRANO ET AL.J R 3365 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "l�he work for which this permit is issued shall be pert�ormed accordinc 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 pemiission for additional or related worh which requires separatc permits. All provisions of laws and ordinances governing 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 am time after work has commenced. The applicant is responsible for assurin�all required inspections are requested in conforniance with the State Building Code.This permit may be revoked at am time for due cause. / / / / Applicant Permitee Signature Date Issued B�•Sienature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY 1� �� City of Orono / O P.O.Box 66 Date Received: Perniit# 2750 Kelley Parkway ( Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 .� � y „i F • �qkE�No��`'� CITY OF ORONO—MECHANICAL PERMIT �_�� (All Commercial perniits must be approved by the Building Ofticial or Inspector and/or Fire Marsliall) 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 bc sent by return mail atter 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�ns—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,manufacturPr•and rnadel. Data shall be presented er,form provide:l. 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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address:3�� S�� ,,o.��e n Owner: w' Mailing Address: SGI��'"LSL- t ' I SS 3 �1 1 City: W Zip: Home Phone: �S 2 �y�� S�� Alternate Phone: Contractor Information: Contractor: ��✓l'1� Ht�l,"C� � �C" Contact Person: � C� L�%f.� Address: �5�� 1�"� �'� � State Bond#: �(� DU`-(�'j L� City: � Zip:Ss��'( Expiration Date: `��) `� Phone: ��Z��S '�111 Alternate Phone: ��s��c ❑ Insurance-Current: �� 1.i1-I,t. 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: 1 Make: �� Model: ?j IZ��✓d�bd�7 D Fuel: ��S Flue Size: Input BTUs: �G� 0�a _ Output BTUs: 0 0 c� CFM: COOLING SYSTEMS Quantity: I Make: �� Model: �1�'�P�D� Tons: � H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry :'ENTILAT:^v:�' ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exliaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon lank in place.) ❑ 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 moditication to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 $ ]5.00 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) (�I��Z . oc� X .oi2s $ �� ° 3 (contract price) (minimum$50.00) 2. STATE SURCHARGE ��c�'Z , b U �j • �Z x .0005 $ (contract price) 3. POSTAGE&HANDLWG(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ U �`� � S ■ * 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 otlier 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. �� lu � � � Applicant's Signature: G"' Date: 3 D��\ DATE TIME " CITY OF ORONO CALLED IN !-2� INSPECTION NOTICE SCHEDULED �•Z-3/.3 !=�� PERMIT NO.�D13�D/�� 7 COMPLEfED ADDRESS 3 OWNER ✓4� � TELEPHON N0.1S2' �71�� CONTRACTOR �YY.TYI� � DESCRIPTION / �� v��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � 2 W � w � J d ///�� W� ❑WORK SATISFACTORY:PROCEED �ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR HEINSPECTION TEMPORARY V BEFORE CWERING 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. (g52) 249-4600 OwnerlContractor on site: Inspector. t_ White Copyllnspector's File Cenary CopylSite Notice