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Home My WebLink About2013-00053 - mechanical � , CITY OF ORONO * z 0 1 3 - 0 0 0 5 3 * ' 2750 KELLEY PARKWAY DATE ISSUED: OU22/2013 ORONO, MN 55356- ° (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 763 FERNDALE RD N PIN : 36-118-23-I1-0026 LEGAL DESC : LYDIARD HILLS : LOT 001 BLOCK OOl PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,149.00 NOTE: 1 BRYnNT NA"I'GAS PURNACG APPLICANT MECHANICAL 51.86 STANDARD HEATING & AIR CONDITIONING STATE SURCHARGE MECH (VALUATION) 2.07 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 5541 1- MAIL-IN FEE 2.00 612-824-2656 TOTAL 55.93 OWNER ESTENSEN, DAVID&JODY 763 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�curk for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Coda 'I�his permit is for only thc work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciiied herein.'fhis pcnnit will expire and become null and void it�construction authorized is not commenced within 180 days of the datc of issuance,or if construction is suspcnded for a period of 180 days at any time aRer work has commenced. �he applicant is responsible for assuring all required inspections are requcsted in conformance ti�ith the State f3uilding Code.This permit may be revoked at any time for due causc. �� Lt/L / / �"l�i ta. , l l r�.�,r,��l npplicant Perm�tee Signature llate Issued By, �nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OVE. FOR CIi'1 i?SF.O\'LI- � ,�� C'tt� of Oronu ��O O I'.C)�13u�b(, Da�e Kecei�ad: ------ Ytrntit� ------- 2750 lkelle}'Yarkway a ''� � � Crt�stxl 13a�'.AiN 55�23 -�ppro��ed B��: 1�nount$ --– —_ _ �. ��K�� ! � :- ti�-� (952)219-4(UO r�i�pe``"`, CITY OF ORONO—MECHANICAL PERMIT (.All Commercial pennits mus[be approved by the Building Offieial or Inspector and/or Fire Marshall) _ _.. .-..____�� GENERAL�INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Appiications will be re��ie�ved and a permit will be issued within two working days. 2. I'ennit cards will be sent by retum mail after a review is coinpleted. PERMITS ARE NOT VALIll UN7'IL YOU I�,CF,IVE A PF,RMIT. WORK MUST 1vOT BEGIN UNTIL THE PERMIT CAI2D IS POSTED ON THE JOB SITE. �- Mcchanical Designs—Completc calculations,details and specifications are required for each heating,�•cntilaUon,humidification-dchumidiYication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ralings and identiiication as to type,manuYacturer and model. Data shall be presented on fonn provided. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. All��ork must be done in accordance with tl�e Unifonn Mechanieal 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 (Checl: All Tllat Appl�) �Q IZesiilential �Commercial(Approval Required) ✓ ❑ Ne�� AJditiunal ❑Repairs �Zeplace ✓\ Job Site/O��ner Inforniation: Site'Address: � CY Owne��((� �S��1 Mailing Address: �-�� ryt ��l•(�j l��l ��: _�3,� z�p: .�.s3�, J Home Phone: �� L�� l B�t�ite ate Phone: Contractor Information: Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 City: Zip: Expiration Date: Phone: Alternate Phone: � Insurance—Current: 1 --- -- _____-� _- ._ . - -i , • � MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will no�� require a Site Plan & Revie��by our Building Official. IS THIS GEOTHERMAL? � Yes �No HEATING SYSTEMS Quantity: Make: � _ Model: � Fuel: N"U ��_ _ Flue Size: Input B1�Us: �� 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 VENTILATION � No. Kitchcn 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 tan�k in place.) � Installation � Kemoval Fuel Oil: gallons ❑ Undergruuiicl �lnsicle �Outside LP Gas: �allons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What X:Where_ 2 , PERMIT FEE CALCULATION(S) � � • BASED OFF -2UO2 STATE STATUE � Yes,lhis section applics The replacement of a Residential fi�:ture or appliance that mects all three of the foilowing requirements: 1. Does not require modificalion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if ihis applies�. Cost ol Permit $ 1�.00 State Surcharge $ �0 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � PERMIT FEE CALCULATION(S)-JOBS_OVER `��00.00 � � If above does nol apply;lollo�v guidelines below: 1. CON'I'RACT PRICE * is 125%of co trac�ice with a(Minimum Fee of�50.00) � Y .0125 $��.�1p (contract price) (mm�mum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum k'ee of�.50) L � x.000� $ �-- �� (co tract price) (minimum$ .50) 3. POSTAGE&IIANDLING(Only on Maii-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��"�� ■ * CONI�IZACT PRICE or JOB COST means the actual or estimated dollar amount charged Yor the pennitted work including ivaterials,labor,protlt,and other fixed costs. It is the amount to be ch�uged to the customer for the work done. If any matenal, 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 estimaled cost or contract price for perniit 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 cop}• of the actual contract. • **"I'he S7�A�I�1?SURCFTAKUE is .000�of the Building L)epartment at(9�2)249-4600 for the price. ' MECHANIGAL PERMIT APPLICATION`AGREEMENT T1ie undersigned hereby applies to the City for issuance of a Mechanical Pernlit, 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 on tliis applicarion are complete, true and correct. Applicant's Signature. ( � l Reset Form 3 �� DATE TIME ✓ CITY OF ORONO �ED W � - 'n1 1� INSPECTION N��CE,b�5 SCHEDULED � -�-/ � •�� PERMIT NO. COMPLETED ADDRESS `� ��- OWNER TELEPHONE N0.�9�03` 7�� "g�D� CONTRACTOR G >; DESCRIPTION �7�%��- �- Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s e: Inspector. � /�/ \ White Copyllnspector's File Canary CopylSite Notice