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Home My WebLink About2014-01390 - mechanical �' '� CITY OF ORONO * Z 0 1 4 - P1 1 3 9 0 * 27_50 KELLEY PARKWAY DATE ISSUED: 12/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1141 ELMWOOD AVE PIN : 07-117-23-14-0027 LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA : LOT 007 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 5,800.00 NOTE: (1)E3RYA'IN FURNACG-NA"CURAL GAS-2"T'LU1:- 1200 CFM (1)BRYAN�'A/C-3"CON (4)BATH EXk�IAUST GASI.INE rOR I�IREYLACF;MAIN LL VGL APPLICANT MECHANICAL 72.50 STATE SURCHARGE MECH (VALUATION) 2.90 PRONTO HGATING& AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- TOTAL 77.40 (952) 835-7777 Payment(s) CHECK 9755 77.40 OWNER ALNESS, RY�N & STACY 1141 ELMWOOD AVG MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT �I�he work for which this permit is issued shall be performed according to thc approved plans and specitications,applicable City approvals,and the State Buildin�Code. 'I�his 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 of work shall be compied with�vhether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuanec,or if construction is suspended for a period of 180 da}'s at any time after work has commenccd. "Che applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e F3uilding Code.This permit may be revoked at any time tbr due cause. � ��- �� /�� Applicant Permitee Signature Date Issued Signature Date I � � FOR CITY USE ONLY �O�O City of Orono P.O.Box66 ��; �: a DateReceived: Permit# 2750 Kcllcy Parkway ' '� Crystal Bay,MN 55323 Approved By: Amount$: i Phone(952)249-46Q0 Fax(952)249-4616 � ti �;' F (�KfSH�� CITY OF ORONO —MECHANICAL PERMIT (All Commcrcial permits�nust bc approved by thc Building Official or Inspcctor 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 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 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,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) ❑ New ❑ Additional ❑Repairs ❑ Replace Job Site / Owner Information: ) � , �i Site Address: I � � � C�i;��l,ti/C7,�� ^�-��i/� -� Owner. � y��v� ��_ 61 t SS Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: '�/ � � � j �- ;.�, Contractor: ��U�� -��.�r'! �� Contact Person: �l G-� �� r C.�� ,S .� j� � Address: 1 �'�% �'v��d��' � l`-t,��{ '�tate Bond#: � � ��/� City: �� - + /'�G ✓,� Zip: / "�� Expiration Date: Phone: C;''��G�G' �� Alternate Phone: l�� '�G' � ��J ❑ Insurance—Current: 1 � � MECHANIC SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial. IS TffiS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: ! � Make: �� ModeL• 2 � �'S l � FueL• �� c��S Flue Size: Z /r �nput BTUs: G��/ Output BTUs: �GwL' CFM: / i�G' COOLING SYSTEMS Quantiry: � ,� Make: �i � /� Model: � ��/-t'Ci� _ � 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) � cfm No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ��-� , � /! i ❑ Outdoor Grill '� Other/List What&Where: �'� � Y�,%';� ' �� '� �h ��'�/' 2 � ,� � . PERM�T 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; excluding 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(lf 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) � �'✓,�(/. �ZJ x .0125 $ � � , S Cr' � ntract pricc) (miniroum$50.00) 2. STATE SURCHARGE -- �.. C:'. �� C,1� DT.i' x .0005 $ c �� (con�ract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � T C' ■ * 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. 7 � � _. �� A licant's Si nature: ` Date: � ��'� � PP g 3 � _��'------- �7 ATE TIME✓ C�TY O�ORONO CALLED IN /'J � INSPECTION NOTICE SCHEDULED 7-/.3-/S 5: 3 d PERMIT NO. d� �l� �COMPLEfED ADDRESS � � ��GfJ`� L�L�/�-�� OWNER TELEPHO N �o�`��777 CONTRACTOR � �� >: DESCRIPTION -�'�'l��'��"` / ��''"'S W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FI� y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �� Z ❑ RADON SLAB �v1ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL ❑ DEMO-SITE J ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO _ � COMMENTS: �a GlS �/'ZG 4•�' L�cS� a �,��S �t�G �' l3G� i�`/i ��4�•�� Lc�,S�� j /j'� /�J' dlcc�c !< <( �ri 5 �irt�s �✓6�+�c d�o�— 0 � N��G - � ��ws 5 �.�',v�ct.�s. �� ° L,a4+ K .:., �.•��t • raa� - �.o,.�.. �� W 0 • ,�(� � 1S� �l 4.G�74>i�� /N �J'��`^ KG� 5� � Q z /K2Gl, . ra�.�-- � ,��dw� 5�co�/5 �b N'f-G. kJ�G � � �1� ' W n� , � � �td�14S� oc��s:rQ► o•✓ ,..�a�o �^ �2 L/' ,�.•s�.f� d c 'f`j•s f�"rfG� (,t rt!�.' � W ❑WORK SATISFACTORY:PROCEED t�� . ❑ PROJECT COMPLEfE � ❑ CORRECT WORK 8 PROCEED �GC�v�/ ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION . TEMPORARY � BEFORE COYERING rC/"�'S/� pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED �F�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. �� _ Call forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerfContractor on site: //�D �� ` �,,. Inspector.�� >� White Copyflnspector's File Canary CopylSite Notice �� DATE TIME�/" CITY OF ORONO ca,�� i� � 1NSPECTION N�TICE SCHEDULED ! t7�� PERMIT NO.�� U-l'�►� b COMPLEffeD ADDRESS � � � � � l 1`�'1 1.�.>c,�C.��1 � /�'� OWNER TELEpHONE NO�� 777 CONTRACTOR ��Y�'I�"� �� ir � DESCRIPTION ��Sl7 ��i��S ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�,�j�J� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �� Z ❑ RADON SLAB ❑ MECHANICAL Rt ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINA�L ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP kJ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�TIC TALL ❑ FOUNDATION/REMOVA� � OWNERICONTRACTOR�U ES�NO � COMMENTS: � W � � J O � � O � W � � Q � 2 W � W � � GW �]WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 h urs in advance. (95 249-4600 OwnerlConUactor on site: 7 Inspector_ ' White Copyllnspector's File Canary CopylSite Notice � �� O�„!(i/I DATE TIME V/ CITY OF ORONO G CALLED IN ~�� INSPECTION NOTIC �/ SCHEDULED - - �_ � �C� / PERMIT NOd�� /�L�COMPLETED ADDRESS /� `7�� l�l/��'�4D � OWNER TE PHONE N . �� 3� CONTRACTOR � �G� Q,'` � DESCRIPTION \� v� �� vv � �� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FIL NG y ❑ FOUNDATION WATERPROOF UMBING FINAL Q ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING � ❑ CHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REM VAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REM VAL � OWNERICONTiiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � - � "� � 0 �.. � o , � � ; W � Q � � 2 W � W � ti ( �' j d W ❑ RKSATISFACTORY:P EED ❑ PROJEC COMPLEfE �" CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF CUPANCY W O ❑ RRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � 5 -249-4600 OwnerlContractor on site: Inspector. �---- White Copyllnspector's File Canary CopylSite Notice � t 1', DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E _ SCHEDULED � � _�:7»^ PERMIT NO COMPLETED ADDRESS � �� OWNER TELEPHONE NO.y�� a 4�77� CONTRACTOR l � DESCRIPTION �� l v �_,/ �C�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � a • G1�5 ��tt� �,.coao - c y h��.� ' o ' E2 f/' ��/'eG� �,yk ��- oc�-ts�Jc � y' - - r(�� f. •C 9 r �n��d /� l,en•Z � �n� � � �5�� G4rcQ _ Q TG�.ls ( �ts✓vl4le v�.c� L�.��r��o s 2 - � a� a r�c .K.� vjr s�e � r rcc.fi� ��¢— � � �� 1�� a W �❑,_,/WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � /�t(y;ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ��❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: / Inspector. �� Wh e Copyllnspector's File Canary CopylSite Notice