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Home My WebLink About2016-00601 - mechanical , . CITY OF ORONO * 2 0 1 6 - 0 0 6 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/27/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1135 BROWN RD S PIN : 10-117-23-24-0006 LEGAL DESC : UNPLATTED 10 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,446.00 NOTE: (1)BRYANT 2-TON A/C LTNIT APPLICANT MECHANICAL 55.58 STATE SURCHARGE MECH(VALUATION) 2.22 PRONTO HEATING&AC MAIL-IN FEE 2.00 7415 CAHILL RD EDINA,MN 55439- TOTAL 59.80 (952)835-7777 Payment(s) CHECK 11980 59.80 OWNER GLEW, DUANE&PATRICIA 1135 BROWN RD S 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 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 any time after 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. / � � � o � S-c� 5 ,�--7 ,�-b Applicant Permitee Signature Date [ssued y i ature Date , RECENE� F CIT USE ONLY ' /�—`� City of Orono _�n / �ONO P.O.Box 66 MAY 2 7 �p j� Date Recei :Z ermit# C7�CJ� ��/ � 2750 Kcllcy Parkway 1 Crystal Bay,MN 55323 Approvcd By: Amount$� � � � � Phone(952)249-4600 (952�)�� v� ��y��q . e�'� CITY OF ORONO—MECHANICAL PERMIT �kESHv� (All Commercial pemiits must be approved by the Building Official or Inspector and/or Firc 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. Permit cards will be sent by return mai] after a review is completed. PERMITS ARE NOT VAL1D 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,humidificarion-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). 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) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��1 S '�J�1JV1 �il . � , Owner: '�ULC�IY�� Ci��v�J Mailing Address: 11�5 �'ii'01A3Y� I��l- �: c�ty: U1/�v�.� z�p: S S 3�11 Home Phone: q,�2 Z�' �u�'l.� Alternate Phone: Contractor Information: �1(�Y�'tv �GuhN�� Contractor: f�1Y C�Y1l,L1'hbY�li�('i� Contact Person: �L�1� Address: �"�� C(A.�� • State Bond #: `��(�,��2�' City: � 1V�� Zip: �S ��'�Expiration Date: �'�'�' �� Phone: ��Z'�S �"11`l �I Alternate Phone: ❑ Insurance—Current: 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: Model: Fuel: Flue Size: Input BTUs: 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 ❑ Na 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 Marsha/1 if proposing to abandon tank 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 CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1-`l,�l,�U? X.o i Zs $ �S ,S (contract price) (minimum$50.00) 2. STATE SURCHARGE I ' u u�-1�G x .0005 $ ��Z Z (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��-� i ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar a�nount 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 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. ln the event that there is a dispute on the amount of the job cost, the City �nay 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: �G,yr�•i ��= Date: � "�2j� � � 3 i� �>,." J C,/ DAT TIME CITY OF ORONO CALLED IN 7 �� INSPECTION NnO�TIC`EI �Gb� SCHEDULED ' /,L� /4: 4t7 PERMIT NO. O`�/�1� COMPLETED ADDRESS ��-, �� OWNER u�� T LEPHONE NO.�So? -a� 70 + �/X� CONTRACTOR r � DESCRIPTION � � l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO y COMMENTS: ¢ W a � � J ' O ). � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT VYORK�PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou n advan -46�0 _ OwnerfContractor on site: � Inspector. � i White Copyflnspector's File Canary CopylSite Noti�e