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Home My WebLink About2015-00937 - mechanical CITY OF ORONO � 0 1 5 - 0 0 9 3 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 715 FERNDALE RD N PIN : 36-118-23-11-0017 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 12,090.00 NOTE: 2 BRYANT HEATING SYSTEMS APPLICANT MECHANICAL 151.13 STATE SURCHARGE MECH (VALUATION) 6.05 PRONTO HEATING&AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- TOTAL 159.18 (952)835-7777 Payment(s) CHECK 10729 159.18 OWNER LYMAN, RICHARD 715 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro 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 au[horized 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. �� C j� ; _.._.. . . ��C� � ( ��t, �� -.`Y.�� _ •._� t �L �-�, � �7, �� 1 �=- Applicant Permitee ignature Date Issued By Signature Date �IS°I�l� FOR CITY USE ONLY City of Orono J � �O�O P.O.Box 66 Date Received:�(i L�/�SPermit# 2�� j- 3 J 2750 Kelley Parkway , Crystal Bay,MN 55323 Approved By: � Amount$: �1� � � Phone(952)249-4600 Fax(952)249-4616 .� > y � F � lqkE5H0��` CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 afrer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERM[T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 remodelinb is invoh�ed,a separate b�ailding pennit 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 I ) �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs � Replace Job Site / Owner Information: Site Address: � � 5 � �"�rn��Q Koc�r�( Owner: ��d �Y►'►�ti^ MailingAddress: 1�s /1� ��n�a� ``��"O� City: (/ruo-� o Z�p: �� 3�l / Home Phone: �/5� �1�1�' Dy�`1� Alternate Phone: Contractor Information: , Contractor: f%�+�h� �fe��hnc� UNc� lL Contact Person: AN t��>> Sc�,-d��,,1, Address: �� .Jus�,�'�s fr,�t��e S StateBond #: MBOU�I�L� City: Eo�� P�4,��e Zip: SS�`I`( Expiration Date: �`� �� Phone: `j�Z'��5 � �7� 7 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: � I Make: r A✓tt �;y Gr�t Model: �Z� t _l 2�P� Fuel: � l7 /�� Flue Size: Input BTUs: ��UU� ��;d�� Output BTiJs: 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) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marslrall 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 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;excludine 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 CF.LCULATION(S)--JOBS QVER$500.00 If above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) � 2-��1d x .0125 $ � 7 �� ' � (contract price) (minimum$50.00) 2. STATE SURCHARGE / �Z-D�I� x .0005 $ (p . l�7 (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $_ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I �� I " ■ * 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. [n 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 Mechai�ical 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. A licant's Si nature: [./'" � � � Date: i� �� C pP g �/ � .S 3 H V A C & Gas Piping Permit Application q 600 Rice Street East • Wayzata, MN 55391 PERMIT#: � � 952.404-5301 • 952.404-5318 (fax) RECEIPT#: www.wayzata.org SITE ADDRESS PROJECT VALUATION DATE 7 ��, ; � N ��-�� _�� k�� izo�� o�.�zz iz� � �� OWNE�'S NAME PHONE NUMBER FAX NUMBER l<;� i1��✓�� ,��;�� `1 �Z-��( - �,�l`� OWNERS ADDRESS CITY STATE ZIP � ?�`� /1� ,*�'�n�� U�n�a l�l,��, ��t'�' /l/',�1/ �� >`t I APPLICANTS NAME PHONE NUMBER FAX NUMBER i��(,� S r��1� �t�Z � �� 5`� 7 Z 17 COMPANY NAME E-MAII ADDRESS STATE LICENSE# �'ruv�lv N-�,%�fi� ��al �i� (�:�Irh��,�� Q✓tf��p;�� vOl�t��►flol�l COMPANY ADDRESS � CfTY STA ZIP �5�� i��sh� +�� f��-e S �c�e� ��r,e /�1,/� SS 3`�5� DESCRIPTION OF WORK - r +— —-----�-�-G�� '��V+�'f_�?�,�" 1��(�L� - --- ---- --- CHECK ALL BOXES THAT APPLY: INDICATE NUMBER OF EACH: ❑ New Building or � Existing Building: AVAC Equipment GAs Openings Number Size Main Furnace � YDK �k Furnace [�Single Family Residential � Principal Building � Single Family Attached � Garage B011er BolleY � Two Family Residential �Addition Gas Fireplace Water Heater � Multi-Family Residential � Remodel Heet ExChanger Range � Commercial � Repair Air Conditioner Firepiace � Public ❑Swimming Pool ❑ Mixed Use ❑ Other: Ventilation Dryer Other Other ,COMPANY NAME 'CONTACT PERSON ADDRESS CIN STATE ZIP PHONE FAX/E-MAIL e This permit becomes null and void if the woric authorized is not commenced within 180 days of the date of issuance,or if the work is abandoned or suspended for a period of 180 days.All provisions of laws and Ordinances goveming this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provisions of any other Federal,State or Local law regulating construction or the pertormance of construction activities.This permit may be revoked at any time for due cause. • � . � � • � . . � � � � � � - � � APPLICANT'S SIGNATURE DATE . �/ � �`�� , � �'� i l� ��u/� � � USE: AUTHORIZATION TO ISSUE: DATE OF ISSUE: � � PERMIT FEE: L�� '� Fees: SURCHARGE: �✓ ��y Greater than$50,000=$1,000 plus 1.5%of amt.over 50k+surcharge OTHER: $0.00 to$50,000=2%of valuation; minimum =$30.00+surcharge Surcharge= .0005 of valuation, minimum 50 cents TOTAL FEE: Z�� 1 � �T � � `�—__'� DATE T CITY OF ORONO CALLED IN � � INSPECTION�I,O�� T�/�� SCHEDULED PERMIT NO.�< <�-�'1 COMPLETED ADDRESS �� OWNER TELEPHONE NO. C D��y CONTRACTOR �� j�,�� DESCRIPTION � � ' `'��' ' ' �'`-'� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLU ING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL 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 v SITE ❑, PTIC INSTALL 2 WN NTRACTOR TO ET YOU: YES_NO � COMMENTS: ` D� � a .��r ��.��c -- �'� �� _ o r�l't lc� ' ��g�c-a- (.� �r � �. � 0 � W � Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED I SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a an . 249-46�� OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSfte Notice