The URL can be used to link to this page

Home My WebLink About2015-01096 - mechanical , . ? CITY OF ORONO * z 0 1 5 - 0 1 0 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4470 FOREST LAKE LANDING PIN : 07-117-23-24-0040 LEGAL DESC : REG. LAND SURVEY NO. 1472 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,683.00 NOTE: (1)BRYANT FURNACE AND(1)BRYANT A.0 APPLICANT MECHANICAL 83.54 STATE SURCHARGE MECH(VALUATION) 3.33 ANGELL AIRE INC. MAIL-IN FEE 2.00 12253 NICOLLET AVE BURNSVILLE, MN 55337 TOTAL 88.87 (952)746-5200 Payment(s) Minnesota State License#: mech-MB003386 CHECK 29179 88.87 OWNER PRAWER, STEVEN & SCOTT 4470 FOREST LAKE LANDING MOLTND, MN 55364- AGREEMENT AIYD SWORN STATEMENT The work for which[his 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. All provisions of Iaws and ordinances governing this type of work shall be compied wi[h 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[he 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 aze reques[ed in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. � � � � � ��/ �� Applicant Permitee Signature ' Date Issued B gnature Date ��/�� City of Orono RECEI�I'Ea F crr us�,:o��.v ��. ` Y�`� P.O.Box 66 ��17 �� i „�.. Date Receivcc. � �Pcm�it#� �� r" � �'� 2750 Kclley Parkway �^�� J Q ('rystal I3ay,MN 55323 tlpproved By: _ Amount$:�D� (/ � � �_ � Phone(952)249-4600 �� '�`'�'��-_, � � ` � ��.,h��;�� CITY OF ORONO- 1_VIECHAMCAL PERMIT _�. fAll(�ommcrcial��ennits must be approved by the[3uilding O�tici.il or Inspector andior I�ire Mar�hallj GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail afiter a review is completed. PERMTiS ARE NOT �AL1D UNTIL YOU RECENE A PERMIT. WORK MUSi NOT BEGIN UNTIL"I'HE. PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating, ventilation, humidification-dehumiditication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and tinal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating'I'est Record must be subinitted before final. TYPE OF PERMIT i (Check All That Apply) �Residential ❑ Commercial (Approval Required) ❑ New ❑Additional ❑Repairs �place �Job Site/Owner Information: Site Address: yy7� �lLes� L��- �''t`�n Owner: �J c`'� ' /2�fe2 Mailing Address: `1/70 ��es� �� -""'�'� Cit)�: � Y�""� a Zin: �'�" .3 6 j� Home Phone: / �Z Z�� " `/Z 9� Alternate Phone: �v/L� Z'�._.�� Contractor Infonnation: Contractor: // � i� �c . Contact Person: Address: �L z Sj N� �•il� � �- State Bond #: /LI�3 o a-�� 6 City: �`"�^n'�� _ Zip: S�'337 Expiration Date: 9 2 z i �v Phone: ��Z-7`��-- .$Z� o Alternate Phone: � Insucance-Current: -��_ 1 /��si y - ��zy/�� MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will uow require a Site Plan & Review by our E3uilding Official. IS THIS GEOTHERMAL? ❑ Yes�lo Ei�;.a��vc svs�rEnzs Quantity: �----- --------- -- — -- -- Make: � q��_ -� - --------- - -------- —-- -- Model: �ZG�/�y��O� Fuel: Flue Size: Input E3TUs: �o�,o�o — -- - --- ----- Output BTUs: S ,, � � _ CFM: COOLING SYSTEMS Quantity: ----/-- — -- -- Make: ��-ya..� i - - -- ------ -- -- - Model: ��✓✓� OL,p ----- - ----1_ --.._. --- _------ Tons: �Z H.Power FIRGPLACF.S ❑ Gas Factory Fire�lace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Niodel No.: ❑ Wood Stove with Flue/Masoniy VENTIIlATION ❑ No. Kitchen Exhaust __ duct _ recirculating __ cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved hy Fire Mars/zall if proposing to nbm�don tank in place.) ❑ Installation ❑ Removal P'uel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: _ gallons Other: GAS LINE ONL,Y ❑ Outdoor Grill ❑ Other/List What R ��'herc�: 2 PERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATUE � ❑ Yes.this section applies The replacement of a Residential 'xture or a�liance that ineets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$�00.00�r less, excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next seciion, if this applies, Cost of Pennit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � I�E��Ii i' T��E C;A�CULATiuN(S) —i(!ijS uV i,R $�0�.(i0 j If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) ��8�� .o i�s � � 3. S� (conh�act price) (minimum$50.00) 2. STATE SURCHARGE � 6 � 3— >: .000; �-----3—�-- (concractE,r�cej___.._ _ 3. POSTAGF,&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) �_ ��- � 7 ■ * 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 cl�arged to the customer for tlle 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 APPLIGATION AGREEMENT � "The undersigned hereby applies to the City far issuance of a Mechanical Pennit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certi�fies that all statements made on this application are complete, true and correct. Applicant's Signature: _ Date:��-��/ �� 3 1`� ✓ � . DAT � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED S �: Ob PERMIT NO. 0�01 S'�� "�I�COMPLETED ADDRESS ��7d s� OWNER � � ELEPHONE NO.� ��-' Ly� CONTRACTOR � DESCRIPTION ��'(�'�-G�CL� °r �/Ci tl� ❑ 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 ❑ 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 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: W a � l o .��c ti du�s �. � ° , S� l r'� f-v�'r/� - f�df� o� W � Q 2 C��i✓ � adS ��(Ol-e� W � W � J d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WFLL REf URN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContra r on site: Inspector. White CopyAnspector's File Canary CopylSfte Notice