The URL can be used to link to this page

Home My WebLink About2014-00436 - mechanical CITY OF ORONO * 2 0 1 4 - B 0 4 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 AUDRESS : 1975 FAGERNESS POINT RD PIN : 18-117-23-14-0006 LEGAL DESC : FAGERNESS : LOT 005 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIUENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 6,300.00 NOTE: C�IRRIER AIR IiANDLER 3'fON AC. APPLICANT MECHANICAL 78.75 STATE SURCHARGE MF,CH (VALUATION) 3.15 CENTER POIN7'ENERGY M[NNEGASCO MAIL-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 83.90 COON RAPIDS, MN 55433 Payment(s) (763)757-6202 CHECK 18426 8�.90 OWNER ETAL,JOHN PURDY 1975 FAGERNESS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT l�he work for��hich this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and Ihe State[3uilding Code. This perniit is for only the work described and docs not grant permission for addi[ional or related��ork�vhich requires separate permits. All provisions of la�vs and ordinances governing this type of work shall be compied��ith��hether or not specitied herein.'fhis permit will cxpire 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 o1� 180 days at any time afrer w�ork has commenced_ The applicant is responsible for assuring all required inspections are requested in confonnancc with the State[3uilding Code.'I�his permit may be revoked at any�time for due cause. . / / �lpplicant Permitee Signature Date Issued By � ature Date FOR CITY USE ONLY �O A rO City of Orono <y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crys[al I3ay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � > �y � F � �qk�s��o��.�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permi[s mus[be approved by the Building Ofticial or Inspector and/or Fire Mazshall) 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: Site Address: ( ci� I`; ��-��f��vl�� C+�v'�� c� Owner: �dE1r'l ��;��-� � Mailing Address: 1� -�5 �«<;.�,_�.�c-w f p;rl� �') City: .��,_�_ �.�v_� <<- zip: � � 3�t I Home Phone: �I`� � " �� ` �� j r 1 Alternate Phone: Contractor Information: ` � Contractor: � e"��- c`,� ��,�1�� _.r��:�, �� ContactPerson: ��(c��t\��i ��v�l�-c.� ,, ��J �, �, -�f r�� (� h.��-State Bond #: I� l��C�C�_��C__5 Address: _el 5d�-`�; �- � � � c��..s_�"�C-'�1✓ City: ° � � ' �,K-�.� Zip:`5��1��3 Expiration Date: C-��`��c',y � Phone: ��=-� l�;`� `��{C!�( AlternatePhone: �' Old Republic Insurance Co. IriSUT'ariCe—CUI'Terit: Workers Compensation&Employers Liability 1 Policy#WLR C47875717 Policy Period 01/O1/2014 to O1/01/2015 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: �l�rr�e� - t�� 1��.nca1 E.� Model: �?C � Q��Gj ] 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 STORAG E (Must be approved by Fire Murshu/!if proposing to abandon tank in pluce.) ❑ 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 appiies 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 1.25%of contract price with a(Minimum Fee of$50.00) � �L'�-' � ��-� x .O l 25 $ �� . �� (contract price) (minimum$50.00) 2. STATE SURCHARGE L-,�C c_, c-�-_ X .000s � �3 i S (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �.?j �<<� ■ * 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. [t 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 o;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 w' the ordinances of the City and the regulations of the State of Minnesota, and certifies that I1 statements made on thi ��application are complete, true and correct. ' �� y �` t Applicant's Signature: �� ` : Ci'' Date: � � �� i , � �.._� 3 c � � � _�ATE TIME CITY OF ORONO CALIED IN INSPECTION NOTICE /� SCHEDULED "7�L� ��•� �� PERMIT NO. d� v'-' MPLETED ADDRESS � OWNER ND�i(!�l � T PHONE NO.��7I'�7i�— CONTRACTOR ("�L� ��T � ��'LG�� : DESCRIPTION �/� ��"`� � � ❑ 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 O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �E�VAL ❑ SEWER HOOK-UP ❑ COMPLAINT � �❑ 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: � n e _��T G_(�D�i��r�.'IG�K� — � i � O � � � ��r'� C�G ' ��C'o►,�c� � 0 � � 1✓al'�.' �D,flca /s Ca�+i!/,l�-� Q � � . z W �e�,.�� t�/'�� W � � d W� ❑WORK SATISFACTORY:PROCEED ECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. � ( ` Whit opyllnspector's File Canary CopylSite Notice