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Home My WebLink About2013-00141 - mechanical � , CITY OF ORONO * 2 0 1 3 - 0 0 1 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3443 CRYSTAL PL PIN : 17-117-23-43-0005 LEGAL DESC : NAVARRE HEIGNTS : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 3,500.00 NOTE: (1)DAY&NIGHT HEATING SYSTEM-NATURAL GAS-2" FLUE-60,000 INPIT-55,700 OU'I'PUT-800 CFM (1)DAY&NIGHT COOLING SYSTEM- I/]2 TONS APPLICANT MECHANICAL 50.00 COUNTRYSIDE SERVICES STATE SURCHARGE MECH(VALUATION) 1.75 6511 HWY 12 MAPLE PLA1N, MN 55359 MAIL-IN FEE 2.00 (763)479-1600 TOTAL 53.75 PAID WITH CC# 1067 OWNER GULLICKSON, FRITZ 3443 CRYSTAL PL 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 no[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."i'his 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 tbr a period of 180 days at any time atter work has commenced. 'rhe applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revokec� ny[ime for due caus� � � �� r3 Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � From:COUNTRYSIDE HEATING & COOLING 763� 479 2518 02/28/2013 15 :59 #693 P.001J003 ,��C�7'Y USE ONLY � _ // ��A�_ City of Orono ,/� �/'"' r� D/� (1 f� `r P.O-Box 66 Date Receiv�'� '�� Penni[# � �� T ��,,,r �� 2750 Kdicy Parkway ry \3 �'�'�.;r;:: �;, Crystal Bay,MN SS323 Approved By� Amount 5=�3, / � .��fr�.`o/ Phonc(952)249-4600 Fax(952)249-4616 � \�aw�� , CITY OF ORONO—MECHANICAL PERMIT , (All Commercial pcnnits n�us�be approved by the Building O�cial or lnspector and�or Fue Marshall) GENERAL INFORMATION � 1. You may apply for mechanica]permits by mail or in person at the City offices. Applications will bp reviewed and a permit wi[l be issued within two working days. �'� Z. P�rmit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT �ALID UNTIL XOU RECEIVE A PERMIT. WORK MUST NOT BEGIN U�TTIL THE i PIERMIT CARD 1S POSTED 03�T THE JOB SITE. 3. 14[cchanical Dcsigns—Complete calculations,details and specifications are required for each I ating,ventilation,humidification-dehumidification,and air conditioning installation including �at loss/heat gain calculation,design temperatures,equipment ratings and identification as to �� t pe,manufacturer and model. Data shall be presented on form provrded. 4. �Jhen any new construction or remodeling is involved,a separate building permit must be _ qbtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspecYed(rough-in and fina]). Call(952)249-4600. (�4-48 hour notice required) 7. House Heating Test Record must be submitted before finaL iTYPE OF PERMIT � (Check All That A 1 ' �Residentia( ❑Commercial(Approval Required) �New �]Additional ❑Repairs ❑Replace Job Site/Owner Information_ Site Address: 3 L/�.3 ��`� �C��2- Q/�� v _ Owner: �G�Z�t'iI�S D� Mailing Address: 3�l�l 3 Q-t' l�-�CICe City: �/(2�l�l O Zlp; SS�� Home Phone: Alternate Phone� Contractor Information_ / � ^ / _ Contractor.i.,�011il'! s�o ' �� Contact Person: ,�6'/hGf,C1� (/r,/� i Address: � �� f�l�c� � o�� State Bond#: �G��5� � 3 I �Q City: (��/�l`�Z�/�`i Zip�_S�Expiration Date: � 3 D o�.0 �y i �� Phone: 6 3„`7�C1_ �(DCJ�J Altemate Phane: � lnsurance—Current: (/h��'�i�'� (3��u-P 1 t' : _ , ;' . r ' � ,,. il/'i . . , ., � �. � . • . � ��.... . . . _ ... � � . . . . . � . � � r�' , . , W .�. From:•COUNTRYSIDE HEATING & COOLING 763 479 2518 02/28/2013 15:59 #693 P.003/003 � -;_ . �:MEC�TANIG -'S'YS�'EIviS B£II�TC%:;II�TSTAI.LEl7.': .:; ` Note:All Geothennal Systems will noyv require a Site Pian&Review by our Building Official. I IS TNIS GEOTHERMAL? ❑ Yes [�f No � � � HEATING SYSTEMS ; Quantity: _.___� __ Make: 's �/��/-�� Model: � � �l/`ul 5 f�6(vD -- Fuel: � �� '�U�L— Flue Size: I �-`� Input BTUs: �f/. �/U U ----- + .� Output BTUs: 'i. 7�'> CFM: � ---------- `_ � .. . , . CO�LING SYSTEMS Quantity: � Make: '� �' �`�� _ Model: 1V`t�/�b �K Tons: � �/� H.Power ' �-. FIREPLA ES Gas Factory Fireplace Brand Name: � Wood Burning Fireplace � �� ❑ Wood Stove Model No.: ❑ Wood Stove with Plue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FU�L STORAGE (Must 6e approved by Fire Mai_chall ifproposing to abandon te�rk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: _gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � i - F.rom�COUNTRYSIDE HEATING & COOLING 763 479 2518 02/28/2013 15:59 #693 P.002/003 �PERMIT FEE CALCULATION�Sj. ; � � � ,�� _:- � _ :, ` �� . �� - BASED OFP- 2002 ST;ATE STATUE� � ❑ Yes, this section applics The rep(acement of a Residential fixture or appliance that meets all three of the following requirements: ]. Does not require modi�cation to electrica] or gas service. 2. Has a t t cost of$500.00 or less; xcludine ihe cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. 5kip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ .. ��.:- .. .�-- .��'�R�1/ii�"`��A��i.J:L.��3L�J�1 �..�JOBS:D�,+',ER.,.$SUO::OA ..��;� .t} .�:;..?�... � If ab ve do s not apply; follow guidelines betow: � 1. CONTRA.CT PRICE *is 1.25% of contract price with a(Minimum Fee of$50.00 � �a '� �..5"'�0 0� �, .oi2s$ �J(, �' (concracc price) (minimum$50,00) 2. � STATE SURCHAItGE �� /� I • ��'-y„z�� x.0005 $ b • (conhact price) � 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00 I ^ . �� 4. '�TOTAL PERMIT FEE(Add Lines 1-3 Above) � ■ * CONITRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the p�erm�tted work including materials, labor,profit, and other fixed costs. It is the amount to be charged � tp the customer for[he work done. If any material, equipment, labor or installations are fumished by i + the owner, tenant or any other party, the reasonable market value of such items inust be added to the estimated cost or contract price for permit fee purposes. In the eveni 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. :; ` `' ' ....:�.`�!�E�:i�i.`I?�f3�!�i..'�'�12�I'�'1�PPL��I'I+QN"�.+Q��1'iT'�, x,,.::.. .. 'i:�..,...... ....a.,.:... 1 The undersigne� hereby applies to the City for issuance of a Mechanical Pennit�,agrees to do alI work in strict �ecordance with the ordinances of the City and the regulations of the State of Minnesota, and certifees thaY all statements made on this app2ication are complete, true and correct_ �� /�� f� � Applicant's Signature: �` �" i?✓ Date: ��% �� {�� 1��`` � ' � 3 I ` � � �i D'RTE TIME � CITY OF ORONO CALLED IN 3-`�' INSPECTION NOTICE SCHEDULED 3-5��- /D•:3� PERMIT NO. a0� 3 �T U�� COMPLETED ADDRESS ��F� ��t�'�--�f �� OWNER TELEPHONE NO. 6�L �� CONTRACTOR �/f^ ��7� �' C6 G��'il�t� � DESCRIPTION ,� /V`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O �-��C�1�� a � O � W � Q � Z W � W � � d W� C1�WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECI WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on te: Inspector. � White Copyllnspector's File Canary CopylSite Notice