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Home My WebLink About2015-00011 - mechanical • CITY OF ORONO * 2 0 1 5 - 0 0 0 1 1 * l 2750 KELLEY PARKWAY DATE ISSUED: OU05/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1165 FERNDALE RD W PIN : 02-117-23-43-0026 LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 15,000.00 NOTE: HEATING SYSTEM KITCHEN EXHAUST GAS LINE FOR FIREPLACE APPLICANT MECHANICAL 187.50 STATE SURCHARGE MECH(VALUATION) 7.50 SELECT MECHANICAL SERVICES [NC. TOTAL 195.00 6219 CAMBRIDGE ST ST. LOUIS PARK,MN 55416- Payment(s) (952)926-4488 CHECK 3814 195.00 OWNER BROOK, ROBERT 1165 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AIYD 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 related work which requires separate permits. AII 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 construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e Bui mg Code.This permit may be revoked at an time for due c se. �� N' � �� i � / ' - � � / ` � ��f � i� i � ., .�`-.1..�.�;,- Applicant Permitee Signature Date � Issue By Si ature Date � � � . dy �� FOR CITY USE ONLY / City of Orono �n d� �O�O P.O.Box 66 Date Received: rJ 5 Permit# !N�� ' �(/ 2750 Kelley Parkway p(7 � Crystal Bay,MN 55323 Approved By: Amount$: �9� ��)� Phone(952)249-4600 Fax(952)249-4616 a a y � FC�KES NO��G` CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fue Marshall) GENER.AL INFORMATION 1. You may apply for mechanical pernvts 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 Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installarion 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 wark 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 fmal. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace i Job Site/Owner Information: Site Address: ��OS ��R�p'�L''� �6P'D W . Owner: R06 �S�o 01'�- � SH f�R0� �X�iN�'Zlailing Address: S'o '"t � c�Ty: I,�l A��ATA z�p: �S3�/ Home Phone: Alternate Phone: Contractor Information: Contractor: S�L�CT hEGN�4��- Contact Person: GE/l�/� ��✓�L�k Address: �Z/� C'�4/�1/j�lD��,S?�i �'�TState Bond#: /784033 �O City: S�T�I/1� P�OJZ�C.Zip:�SY/�o Expiration Date: � �(o Phone: 9 SZ• �Z6• �`��B Alternate Phone: ❑ Insurance—Current: 1 t • � MECHANICAL SYSTEM5 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: ��1J1��, Model: ��Z`��O�ND��g� Fuel: N�{LJ4L �� Flue Size: 2�� 'P��- Input BTLTs: ��,�� Output BTUs: �y�� CFM: 3 S� 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 �cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations _ cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oii: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill [� Other/List What&Where: ��RFPL A Gg 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;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. 5kip next section,if this applies; Cost of Pernut $ 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 1.25%of contract price with a(Minimum Fee of$50.00) �SO(/�. � x.0125$ ��J �• �U (contract price) (minimum$50.00) 2. STATE SURCHARGE � /� �fj �� x.0005 $ /. —� cootract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��:�– q� � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �/J• ■ * CONTRACT PRICE ar 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 City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and conect. Applicant's Signature: Date: / � ZoI.S� 3 �� TIME / CITY OF ORONO �� CALLED IN �' INSPECTION NO ICE SCHEDULED �/.� /� PERMIT NO - <� MPLETED ADDRESS �l S Q � � � OWNER T H E NO. CONTRACTOR � DESCRIPTION �� v � tl� ❑ FOOTING ❑ D - NAL SE IC INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ,�C] MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W �T/�GS �rh� li� ✓ �e�SZ` �ov /'�r.c�e -t- ��. a 0 �D ��c? � ��,OSr. S��/C�. a «`/� � � �' 1'1 B r� �,r r�.�'e - Sc��/.I� (°� t1 s�,c�`ry _ ° I�enL�r k � �,K W ` } /+ �/ �� — ' � � �/O d L�l c. J�10l�/[l•t�c� tb I'' CO r�l�S T<v t� �t l r Q /� � — 6 h.�`4�d ti6 /�N��Gti et�vt /a1 '� Q,G�lJG S�'JQ'�4d'�lslN � � rQ-✓�rj� j ~ f��nt Q� `JyDd�!/s-� ✓��./✓vlf -0,� d � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE �CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� Owner ontrac or on�ite: � N'� Inspector. �� White Copyllnspector's File Canary CopylSite Notice �?�' �S�DdD/l ��5 DATE TIME CITY OF ORONO CALLED IN J'� �3-�5 _�� INSPECTION NOT y� SCHEDULED �Sa y�-/S >��0 �l PERMIT NO.o�D K/Q�� COMPLETED ADDRESS � � OWNER ELEPH NE N07�/��/ CONTRACTOR � c � DESCRIPTION ,�u�� /7��/"s� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � o � . �. �: 0 � W ° � +� Q � � . / 2 W � W j �/ d : W� �,WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ' ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cal1 forthe next in ion 2a hours �. (952) 249-4600 OwnerlContractor cro sit . Inspector. / �� White Copylln tor's Ffle Cenary CopylSite Notice �� / DATE TIM�:'/ CITY OF ORONO CA ED IN INSPECTION NOTICE SCHEDULED , � � � PERMIT NO.�.�i� �fl��ll COMPLETED ADDRESS L � ' OWNER TELEPHONE NO. 7 Z CONTRACTOR , � DESCRIPTION �a� �`�'�`� ��/' T-�' ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ SE HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: a ��G.l ��K�C ' /) �45��G �� r�b�h -�'f/+cLc✓ � o �,,��r� - '' " ��fi� • �� . � � 4,r- �as 'L`' �5 �t,elcC�� z� W � Q 2 al� `� Covc✓ W � W � � W �8l�RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE 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 ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. �.r� � White Copyllnspector's File Canary CopylSfte Notice � ` ` � /• � .-C�� ATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED 0 �� PERMIT N� l�J�' ��a/� co PLETED ADDRESS ��f�s �-�� / OWNER TEL PHONE NO��^3��--2yT� CONTRACTOR � C� �� y� � DESCRIPTION C��C-��' ��Z�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING /��hqECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION �� WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a - .3 YlG(� /��C Gca.�S ' o �- � n�� '�, K�.c� - � � ° �P�dv<Je. /�s;��c�o.�. Ga�� —c �KS/�c��.. W �— • _ Q ��5 �� f �.4< <t•i '��f�5 � �� 2 � P!o�uo �, $�t ocJ ��P �s2 �b�rc�yE..K � a • r ln��ks � �,;,, . �� .. �-io .�. q.•�� - � `� !� �� l G r 't3�i c'iL�ek. �-- � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑�ORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑S�OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C/�1�AISPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspectiog.��eurs in advance. (g52) 249-4600 OwnerfConVactoron site: � v� Inspector.� ��"' White Copyflnspector's File Canary CopylSite Notice