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Home My WebLink About2016-01103 - new duct work only • CITY OF ORONO * 2 PJ 1 6 - PJ 1 1 0 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 CRYSTAL BAY RD PIN : 17-117-23-44-0018 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT O 15 B LOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAI_ CONSTRUCTION TYPE : DUCT WORK VALUATION : $ 915.00 NOTE: ALL TESTING REPORTS SHALL BE ON SiTE AT FINAL INSPECTION. NEW DUCT WORK ONLY-ADD ONE SUPPLY&RETURN APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 0.46 PRONTO HEATING&AC TOTAL 50.46 7415 CAHILL RD � Payment(s) EDINA, MN 55439- CHECK 12407 50.46 (952) 835-7777 Minnesota State License#: mech-MB004828 OWNER JABS, JASHUA&NICOLE 3375 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMEI�T AND SWORN STATEMENT The work for which this permit is issued shall be performed according to die approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission 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 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. �� .�-1 � �L / �C> � �� I ��L'1�� I�L--> �� Applicant ermitee Signature Date Issued By Signature Date FOR CIT USE ONLY �1�� City of Orono '�j� ��!I , � � J • �-O�O P.O.Box 66 Date Received: , Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amouot$:— �n_L_ Phone(952)249-4600 Fax(952)249-4616 J`1 y`�I.,,� �ti`'~ CITY OF ORONO —MECI-IANICAL PERMIT ES H� (All Commcrcial pemiits must bc 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 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 ar 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 Apply) �VResidential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New `�Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �� C- /`v5'�"G� �ay �� Owner: Mailing Address: city: �j r��o zip: �S 3`�'J Home Phone: Alternate Phone: Contractor Information: Contractor: P�`��►�� H �� -� dQ �� Contact Person: ��a�� Address: �7�/S �-g,h,�) +�-� State Bond#: ��vC,`��J�� City: ��✓I u Zip: S�y3`lExpiration Date: C� Y- /� Phone: �5�'4Iy�-JJ3v AlternatePhone: `��Z'�6"35�7??�7 ❑ Insurance—Current: 1 � ' MECIIANICAL SYSTEMS BEING 1NSTALLED Note: All Geothermal Systems will now t�equire a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: � i��-'� v�) C�� J �v�c+�,� � � �C�fitJ�^✓1 Make: Model: Fuel: Flue Size: Input BTUs: 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/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 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 CALCULATIONS 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) � -! �S•`"� x .0125$��ti-�� 5�� (contract price) (minimum$50.00) 2. STATE SURCHARGE � � � , GT�`7� x .0005 $ �� (conh-act price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �6 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��° ■ * 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. MECIIAIVICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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. Applicant's Signature: � Date: �`2�� 3 �� TIME , �' DATE CITY OF ORONO CALLED IN � INSPECTION OTICE _� SCHEDULED l�` PERMIT NO. " COMPLETED ADDRESS �-� ._� _ � , _ `� OWNER TELEPHONE NO.� ��`�` y yy'�1�� CONTRACTOR �'�C�7��' ��`� � DESCRIPTION , ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��'�� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑�S PTIC INSTALL 2 OWNERICONTIUICTOR TO MEET YiOU: � YES_NO y COMMENTS: ` � W � o �" I�l`�-C� �. .1�, � �. � o / ' � l.-S✓J r l� �' +�c. �-��f�1 �2 � s . �..•c-� =�e k W � � �-o �,��,� f;-•,� , Q � � a. lU - ' v ��_� � �C'� , w � � � � ❑WORKSATISFACTORY:PROCEED �' .�RWECTCOMPLEfE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WiLI RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. / �� White Copyllnspector's File C�nary CopyfSits Notice