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Home My WebLink About2014-01257 - heating systems CITY OF ORONO * 2 P1 1 4 - 0 1 2 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3405 CRYSTAL BAY RD PIN : 17-117-23-44-0022 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CO(vSTRUCTION TYPF. : HEATING SYSTEMS VALUATION : $ 2,928.00 NOTE: 1 LGNNOX NA"I�URAL GAS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 1.46 ABEL HEAING& COOLING MAIL-IN FEE 2.00 6501 COUNTY RD 15 MINNETRISTA, MN 55364- TOTAL 53.46 Payment(s) CHECK 19758 53.46 OWNER SWEET, CATHERINE 3405 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued sl�all 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 fbr additional or related work whicl�requires separate permits. All provisions of laN�s and ordinances governing this type of work shall be compied with whether or not specified herein.This permit�cill expire and become null and void it�construclion authorized is not commenced within 180 da��s uf the date of issuance,or if construction is suspended ibr a period of 180 days at any time after work has commenced. l�he applicant is responsible for assuring all required inspections�re requested in conformance with thc State f3uilding Coda This permit tnay be rcvoked at anv time tor due cause. �� ..�--� C� f �� ,-� , l�-�' Applicant Permitee Signature Date Issued I y Signature Datc '�' FOR CITY USE ONLY � City of Orono ; / �O�O P.O.Box 66 Date Received: Permit# , 2750 Kelley Parkway � CrysWl Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 -� i a y ,� , F � l�kf SH��` CITY OF ORONO—MECHANICAL PERMIT ` (All Commercial permits must be approved by the Building Official or Lnspector 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. Pemut 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 Desians-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). Cail(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: �� C_v��I S�u- � ��/ �0 Q.C,'� Owner: �(�_�(.� eu�;v�� s�-'�-�-� Mailing Address: Ciry: (�ro v�� ziP: 5 J � ` 1 1 Home Phone: ��J� '�� '�l Z�33 Alternate Phone: Contractor Information: �bc%,� Q.t�..t ' n� Contractor: �-ti�� LD p I , �-t,� Contact Person: �r��;� � ;�;� /�V1 � so � c�«.��y Address: 1� c� I S State Bond#: �1'1 t� f�O 3 �I D � City: ��u v�r:� Zip: S5 36�Expiration Date: � �/ I�I,�I�O Phone: �15�—`I�Z"2610 S Alternate Phone: C�S� "�� Z - 3 I � �� ❑ Insuranee—Current: �2c��v�e�,+�G� ��'1 U,�-u.ct-� � Shs�n�.-��c � �� ! 9'�Z��,� • . MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �lo HEATING SYSTEMS Quantity: i Make: �Q�✓► ►'1 O Model: r�'1 L I�O fJ�=C��l S��y /� Fuei: JV�� u--'` Flue Size: Input BTUs: �-� S j 00 C� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ 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 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 $ 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 125°/o of contract price with a(Minimum Fee of$50AU) �� .Z�j � �`�� x.0125 $ 5� ' C� � (contract price) ��inimum$ 0.00) 2. STATE SURCHARGE '�,� a� , ��-' X .000s $ ( � `� � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ � � `� � " ■ * 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 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. , n Applicant's Signature: ` � Date: �� l ` 3 (0 `� �� T TIME " C�ORO CALLED IN I INSPECTION OTICE SCHEDULED � PERMIT NO. " C�JMPLETED ADDRESS OS S OWNER TELEPHONE NO. — CONTRACTOR �� y � ��1Tn„► �: DESCRIPTION e.�, 0��,1 ��^ �� tL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOFi TO MEET YOU:_YES_NO � CGMMENTS: � 'Tlr�a�_��h-� � a ,�� J O t ' 'l � `7 C7`� Lk/h.lJ� ^ S �f�_ �� ' � �� .�..`'��.112�"-S W � Q z �c�r nCtC e. 1��J �cGe�e� - L . W — ��<<ovb�f=�G� ��2t`i "(= ��ov� - � - �°�7M rEJ Gt�L�t o r��, .lc�i 6J r��i'� � J � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ' C7 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii forthe next inspection 24 hours in advance. (952) 249-46�� Ownerl ntractor on site: !��-� nspector.��"' "� White Copyl�nspector's Ffle Cana,ry CopylSite Notice