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Home My WebLink About2016-01196 - mechanical CITY OF ORONO * z 0 1 6 - 0 1 1 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 145 CYGNET PL PIN : 04-117-23-22-0012 LEGAL DESC : SWAN LAKE ADDN : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,500.00 NOTE: (1)DAIKAN COOL[NG SYSTEM 3-TON APPLICANT MECHAN[CAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 APPLIANCE CONNECTIONS, INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379- TOTAL 53.00 (952)445-4803 Payment(s) Minnesota State License#: mech-MB004165 CHECK 8786 53.00 OW�IER BADER, LOUIS&NYLA 145 CYGNET PL LONG LAKE,MN 55356- AGREEME1vT 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 related�aork which requires separate permits. All provisions of laws and ordinances governing Ihis 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 l80 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 S[ate Building Code.This permit may be revoked at any time Yor due cause. l� • � �l� /J�/ Applicant Permitee Signature Date Issued ignature Date RECEIVED SEP Z � L�� FOR CITY USE ONLY /'1/ ,¢��\ City of Oronp �/ �� /` 7 f�� /�O �� P.O.Box 66 Date Received: I�``��-_rmit# �r. i a,•.;- 2750 Keliey Parkway pqN �;� 1�'�` �.�i Crystal Bay,MN 55323��N��h�i�7� Approved By: Amount$:� '�\��.yo�j�� Phone(952)249-4600 Fax(952)249-4616 ��.% CITY OF ORONO—MECHANICAL PERMIT (All Commercial permiu 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. Applicarions will be reviewed and a permit will be issued within rivo working days. 2. Permit cards will be sent by retum 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 ISesians—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,equ:pment ratu:gs 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(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) �� ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: � Owner: Mailing Address: �J City: U�Y1(� Zin: Home Phone:��' Y`1`7' �� Alternate Phone: Contractor Information: � Contractor: �Contact Person: Q/ Address: ��C�n�� State Bond#: f- 1 � 1 V O � 1 � (!� S City: a952-445-�ipQ3 Expiration Date: / l �� Phone'.� Alternate Phone: ❑ Insurance—Current: . 1 . � . � •�I�t��,�{�nn�:;., -,a��il�qA bvl� sunf�i� �S� 6C£`�'.'. �� ,�+��#��t� n�c'n 'Vh� . . A MEC�ANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Officiai. IS THIS GEOTHERMAL? ❑Yes �No �' HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: lnput BTUs: Output BTUs: CFM: COOLING SYSTEMS Qaantity: � • Make: � � Model: � Tons: Y1 H.Power FIREPLACES . Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove , Model No.: Wood Stove With Flue VEI:''I'I3.ATION No. Kitchen E�aust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfin FUEL STORAGE (Must be app�oved by Fire Marsholl iJproposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground 0 Inside ❑Outside LP Gas: gallons Q.ther: GAS�1.INE ONLY � � Outdoor Gril] � Other/List What&Where: , 2 . � PERMIT FEE CALCULATION(S) BASED OFF -2002 STAT'E STATUE r � Yes,this section applies The replacement of a Residential fi�cture 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;excludina the cost of the fiature or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this�pplies; 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;foUow guidelines below: 1. CONTRACT PRICE *is 125°/a of contract price with a(Minimum Fee of$50.00) r 3�sb o °� X.0�25$ s"o °�- (aontract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) 3��'�o ° X.0005 $ • Qc� (contract price) ' (minimum S 5.. ,) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ ,`�J•0� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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. • **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MEC��ANICAL PERMIT APPLICATION AGR�ENIENT The undersigned hereby applies to the City for issuance of a Mechanical Perrnit, agrees to do all work in strict accordance with the ordinances of the City and the r�gulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. - .. � � Applicant's Signature: Date: � ( � ' Rese# Form . 3 . , � � �;�� ATE TIME CITY OF ORONO CALLED IN ��" ' INSPECTION OTICE SCHEDULED /C? `—��-/(0�� PERMIT NO " �' % ��1�7 C PLETED ADDRESS � '7�.�� '- Zu " ' -- lC � OWNER � � � T EPHO NO. �� °� �y��`��a�= CONTRACTOR �-� ��- �*" �� - ��a � DESCRIPTION �/�- tL ❑ FOOTIN('i ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �Q��NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .�J DE O-SITE ❑ S TIC INSTALL RACTOR TO MEET Y'OU:�YES_NO cc� COMMENTS: � � ,��G i'�Al4Ct,�e.�� - o - ri`e2c�r�c 4L r'�Ca n rlc c� — �. o� ° �Jp✓� �rrt/J/�c �- ��•�s d� W � Q � 2 W � W � j O W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE ' W ❑CORRECT WORK 3 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. - .� "^ �� White Copy/lnspector's File C�nary CoprlSfb Notks