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Home My WebLink About2015-00724 - mechanical � , CITY OF ORONO * Z 0 1 5 - 0 0 7 2 4 * + 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 ORONO, MN 55356- 952 249-4600 FAX: 952) 249-4616 ADDRESS : 3630 EILEEN ST PIN : OS-117-23-21-0013 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,300.00 NOTE: 1 REGENCY HEATING SYSTEM&GAS FIREPLACE APPLICANT MECHANICAL 53.75 STATE SURCHARGE MECH(VALUATION) 2.15 THE FIREPLACE GUYS MAIL-IN FEE 2.00 680 HALE AVE N SUITE 110 TOTAL 5�.90 OAKDALE,MN 55128- Payment(s) (612)326-1919 CHECK 12693 57.90 Minnesota State License#: mech-MB643168 OWNER MCCUTCHEON,MARK&JAYME 3630 EILEEN ST MAPLE PLAIN, MN 55359- 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 addi[ional or related work which requires separate permits. All provisions of laws and ordinances goveming 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. ;:J,,, � `�J C la, I O�,f �0 l� � � ,� � � � Applicant Permitee Signature Date Issued By Signature Date M "' FOR CITY U E ONLY , �O� City of Orono ,,� � O P.O.Box 66 Date Received: Permit# __� 2750 Kelley Parkway (}� Crystal Bay,MN 55323 Approved By: Amount$: ,-},v Phone(952)249-4600 Fax(952)249-4616 .� �. y � F � � �`' CITY OF ORONO– MECHANICAL PERMIT �kf S H�� All Commercial pennits mu,t be approved by the Building Official or Inspector and'or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the Ciry 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 MLJST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi r�is—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. Wt,en any i7ew consttuctioi:or rernudeling is invo.ved,a separate building pe.�nit 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 ) �],�Zesidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �� — I � C'�17 �fi Owner: (`�C�rk M �Ct.{�C{�-e Ot'1 Mailing Address: 3�� l ��i�l Sf"; City: n�l'�l: Zip: �J�J� Home Phone: ��2-3 G� `3 03`� Alternate Phone: Contractor Information: , Contractor: The (–��P��CP, C-��,��j Contact Person: t� �-e. � Address: (p�C� �-�� -Z.. (�� State Bond#: N�� (p�� o�U' S��-�, � 10 City: �,KC�CX.�� Zip: ,�j�S I��Expiration Date: 2.0 Phone: ��Z- �J2�o "I�I � Alternate Phone: � Insurance -Current: ,�fi'U�'e, A1,1-�'O P�per-ty 1 � Casua.l�Y 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: B�(pX�� Fuel: �� p v� �, �-!> Flue Size: Input BTUs: � Gutput BTUs: CFM: COOLING SYSTEMS Quantiry: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: jZe�C� ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �3 C�j x � � ❑ Wood Stove with Flue/Masonry YENTILATIOi� ❑ 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 ❑ 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;excludinQ 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 $ PER.�IT FEE �ALCUL�TION S —JQBS OVER$SOQ.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) 1 C�0 X .oi2s $ 5�i 7 � contract price) (minimum$50.00) 2. STATE SURCHARGE � O� x.0005 $ �.� , (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. 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 Ciry 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: (, � � Date: `' �� 3 > DATE TIM� �. �CI OF ORONO !c� CALLED IN -/D t INSPECTION NOTICE �7� SCHEDULED ��1� /•�� PERMIT N0�2(,lS �COMPLETED ADDRESS �� / l�Gr1 � OWNER iELEP ONE NO. � � `� CONTRACTO Gr �: DESCRIPTION � � " " � / ly ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� . / v a ��K�/ "<<, � G[r2rc/!c �'�'�,S � ��+ � � O � � y� ��• /�i K t� VP �!✓4 �.vt4.S- O � C��,n��, De� sv��s - W � Q �' - /j0 C�5 ��rt.c Q�i� ��Sz' /� �c`g �e"�l� ' 2 W � W �i, � / /�?�Sl-► l�ls�� /vl�/r��re%l' ��f�- j W �MORKSATISFACTORY:PROCEED G PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedContractor on site: Inspector. �--� White Copy/lnspector's File Canary CopylSite Notice