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Home My WebLink About2015-01327 - mechanical ` CITY OF ORONO * z 0 1 5 - 0 1 3 2 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2015 ! ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 801 FERNDALE RD N PIN : 36-118-23-11-0027 LEGAL DESC : LYDIARD H1LLS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATIOIV : $ 14,392.00 NOTE: REPLACE:2 HEATING SYSTEMS(LENNOX)&2 COOLING SYSTEMS(LENNOX) APPLICANT MECHANICAL 179.90 STATE SURCHARGE MECH(VALUATION) 7.20 MARSH HEATING&AIR COND MAIL-IN FEE 2.00 6248 LAKELAND AVE N MINNEAPOLIS, MN 55428- TOTAL 189.10 (763)536-0667 Payment(s) Minnesota State License#:mech-MB003532 CHECK 86210 189.10 OWNER ALEXANDER,DONNA&JAY 801 FERNDALE RD N WAYZATA,MN 55391- 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 additional or celated 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 cons[ruc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 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�� «,�� c�� s��-�S�; 1 � � t�f� 1 � Applicant Permitee Signature Date Issued By Signature Date � � FOR CITl'tiSE ONLY �' City of Orono � � R-� �� P.O.Box 66 Date Received: �� f �ertnit# Zcl S-� 3L � � Q ` 2750 Kelley Parkway / p l �` 1 Crystal Bay,MN 55323 Approved By: Amount$: � �� Phone(952)249-4600 Fax(952)249-4616 �� , 1 I,' , �� F . � `�'�F5H�R��j CITY OF ORONO -TvIECHANICAL PERMIT (All Commercial permits must 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 City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIl,YOU RECENE A PERNIIT. WORK MUST NOT BEGIN iJl�'TIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desions—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification, and air conditionin�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(9�2)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: �� - r �,! C�C� �L �Q� Owner: Ja(�9i-��oi11�Q ��'�nlc�-�.y-Mailing Address: ��, / ��Y f�%o�G� �' y�C'� City: !)/�2 0 N O Zip: _�.�� 1� / Home Phone:�l� J� -�-/7�- ��'�7s Alternate Phone: Contractor Information: Contractor: /'/ �9T1/� ��G Contact Person: /�el/!� /�GI/'� �— Address: �ZyS�Q�e�Q/��!/�.1� State Bond #: m�J �� City: ��f 1��l't� �"�Zip:,��a�S Expiration Date: 8 �o Phone: 7�0��7 Alternate Phone: ❑ Insurance- Current: 1 � * ,l MECHANICAL SYSTEMS BEING INSTALLED � Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. i IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: / / Make: �E'/�//L� % �C� ..� �t' /1./r"l;'(� S� Model: S�f 9SLl�//U,C�'� � �SL�'�/��07d-1� �'�� Fuel: Flue Size: InputBTUs: j ��10�� v� Output$TUs: CFM: COOLING SYSTEMS Quantity: � � Make: �L a1� /1i�) X �� /L/v`l,�x Model: � .7 X C%��'7� � �C ��X C /— d�U 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 cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) , 1 �. , � �t.. .C.f�.t r,..�". r `.` . � ` 0` • 'Installarion ❑ Removal ' ` , `'' • ' ' ` , ��`�- • - 'Fuel Oil r `� � gallons �,U`n�iergrofi{fid��nsi�`e`��Outside LP Gas: gallons s.. ,Qths�� ^'a-�� •fe�• .:' .� `�, � , . � -, . .':r_• � r ., ,. , ..1 .`ti" . �`.r� . � . , GAS LINE ONLY <<s ,,.,� � t , . .. - -� . � , ❑ Outdoor Grill ❑ Other/List VJhat&Where: 2 A � !� t 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;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 1.2�%of contract price with a(Minimum Fee of$50.00) �`T► J 1� O� x.0125 $ � �� ' �O (contract price) (minimum$50.00) 2. STATESURCHARGE o� 1 �,��z' X.000s $ �.Zo (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ I g 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 reGuest the submission of a si�ned 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. ,. � ' q 3�1i Applicant's Signature: �' �� Date: 3 � � � DATE TIME CITY OF ORONO CALLED IN INSPECTIO T SCHEDULED � l'S � PERMIT N�� L COI�LETE ADDRESS�'`f��I �i��' (�� ' OWNER �Q,�nt.•Y�vt�, ELEPHONE NO.l�C2-ZtC�"QJ�� CONTRACTOR z t�Z� >: DESCRIPTION �t r�� -'� \ ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �-fl.��;�� ❑ SITE INSPECTION Q ❑ FRAMING `❑ MECHANIG�J�-FINAL" ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � �+ a � -i 4✓y.4Ge ��''/�'�• "" �cL/!SL�'rr.f �'4's �i.t�,S � o � I/G'.�a�'�tFi s' � � - - ° � ��G re� /� ' �le�_f�«tL Q re G a�•�ce�� — � z � 1t� � � -W� �� h�� J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. �`-- White Copyllnspector's File Canary CopylSite Notiee