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Home My WebLink About2014-00404 - mechanical CITYOFORONO * 20 14 - PJ0404 * , 2750 KF.LLEY PARKWAY DATE ISSUED: OS/06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 825 FOREST ARMS LA PIN : 07-117-23-12-0011 LEGAL DESC : FOREST ARMS : LOT 003 BLOCK 002 PERMIT TYPE ; MECEIANICAL(> $500) PROPERTY TYNE : RESIDENTIAL CONSTRUCTION TYPF. : MECHANICAI,- MULTIPLE�: VALUATION : $ 3,580.00 N01�1?: AIR I�:XCIIANGER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 1.79 PRONTO 1IL'ATING& AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRnIRIE, MN 55346- TOTAL 53.'79 (952) 835-7777 Payment(s) C� CHECK 8853 53.79 OWNER FREUND, MICHEAL&ANN 825 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATF.MENT 1'he�+�ork lor which this permit is issued shall be performcd accordin,to [he approved plans and specitications,applicable City approvals,and the State B��ilding Code. �I'his permit is for only the work described and does not grant permission for additional or rclated work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied��ith whether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commenced within l80 days of tlie date of issuance,or if construction is suspended for a period uf 180 days at any time after work has commenccd. The applicant is responsible for assuring all required inspec[ions are requested in conformance with thc State L3uilding Code.'�his permit ma��be revoked at a�ry time for due cause. � ��V�`'"'_— `" / / Applicant Permitee Signature Date Issucd T3y Si ature Datc FOR CITY USE ONLY � �OA T City of Orono �y P.O.Box 66 Date Rcccivcd: Pcrmit# O �� 2750 Kelley Parkway ' Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 �. a � y� ; i �qKESHo,�'`j� CITY OF ORONO-MECHANICAL 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 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 installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identifi�ation 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(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 ) �Residential ❑Commercial(Approval Required) �Q New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: f't, , Site Address: ` �� c__ �. �,.� �, s �� ; v 4,. �� , �-i s�--.... Owner: �� , � v � � ,�, �-� Mailing Address: � � �L� � , � � City: � �� ,. c_� Zip: �� .�' L- Home Phone: ((� �a l r(`�� 1 � `9('��r 1--- Alternate Phone: Contractor Information: Contractor: � �c�� 1-� r �� 1'�� • Contact Person: �,�.J��, �� c c� �. �,,,�� ____ �._� Address: `�; "-�� , ��,c��"� ��i�� %� �`—State Bond#: 1..4 Q(;(>� g��..`�'� City: � �lr �� Y�-- Zip:��,�l�l Expiration Date: Phone: ` +`��- � � `.� �11-71 Alternate Phone: � � ` {�� Insurance-Current: !' l 1 r�s �i��s�'}� � � 1 MECHATIICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No _HEATING�`S�'�Itfi3-- �� ✓ l X � L,�, � �� - ,— Quantity: � Make: T� ��1 e ��.;c. �� -.__— ModeL �� (,) � Fuel: Flue Size: Input BTlis: Output BTUs: CFM: COOLING SYSTEMS Quantiry: 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 Mai•shall 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; excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by tbe homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ ]5.00 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) .-�5 � ` � � � C� X.oias� , , � (contract price) (minimum$50.00) 2. STATE SURCHARGE 1�t �,- �t J (�J x.0005 $__ t • � �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 z,_ � � `� 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 amc�uni of the job cost, tne Ciry 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 correct. ! Applicant's Signature: �' ��" Date: � � �� 3 ✓ DATE TIME CITY OF ORONO CALLED IN 1NSPECTION NOTICE SCHEDULED PERMIT NO. �ry•�� COMPLEfED �l' '� ADDRESS g av` Farssz G/tiIGS Ln • OWNER TELEPHONE NO. CONTRACTOR �ro�a � �r- �/C �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL RD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /� a ��rw�.� �sel�e� t4�•��l� '� �// �a r �c' o �sNEL l�1Se�cl`�.�- �. � o � d� ka� _ W � Q � � /� � 2 /�S�- Ga l� G�L�. b� �/b� � ��es�dc � ct �i�/, � /KS,oeCti�o�, /,a�t�i�w <��s.s d� � � �! G ��s�[ J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR �SRECTION FEQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in adva ce. (952) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice