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Home My WebLink About2015-01531 - mechanical w , CITY OF ORONO * Z 0 1 5 — 0 1 5 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 FOX ST PIN : 02-117-23-31-0009 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 013 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,575.00 NOTE: RGPLACE HEATING SYSTEM(CARRIER) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.79 RESIDENT[AL HEAT[NG&AIR, [NC. MAIL-IN FEE 2.00 1815 EAST 41ST STREET SUITE A M[NNEAPOLIS,MN 55407- TOTAL 53.79 (612)724-1899 Payment(s) Minnesota State License#: mech-003627 CHECK 26823 53.79 OWNER BARRON,ER[C 1380 FOX ST WAYZATA, MN 55391- AGREEMEIYT 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 Sta[e Building Code. This permit is for only the work described and does no[grant permission 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 cons[ruction 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. i �' ,'�.,t �`:�' �� 'i,�� /) /��c�.-�� C' �� '/L z / `� //`� Applicant Permite Signature Date [ssued By Signa ure Date _ FOR CITY USE ONLY , C�� O^rO City of Orono ,/„ �� ' � � ��/ P.O.f3ox 66 Date Received: �� Permit# C�� 2750 Kelley Parkway ,� � � ' � Crystal Bay,MN 55323 Approved By: �i _ Amount$:_�_ ( � � � Phonc(952)249-4600 I�ax(952)249-4616 � tiF � ��trsf{o��`' CITY OF ORONO— MECHANICAL PERMIT � ' (All Commercial permits must he approved hy the C3uilding OI ficial or Inspector and/or I�ire 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 VAL1D UNTIL YOU RF,CEIVE 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 ±;pe,manufacturer and model. Data shall he presented on f�rm 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 �nust 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: �'_� �S u �� -,� :S'� �t��' - Owner: �<< < �c,rr� n Mailing Address: 1 '� $ �% �0 7c. S i CItV' �J f CJ rlC� 7]Y; SS ��f L }iome Phone: � t':,3- � ��~ 3 Z.D�j Alternate Phone: Contractor Information: Contractor: �e5.�„�,�,., 1 ��,,j.�,5 Contact Person: �n r-,� 1�- Address: 1�� C_ `r� s 5; S`��1t�tate Bond #: M �'�[`� �i E� 2� City: M��•��T l�s Zip:S�yo� �xpiration Date: � - ( Z- 1� Phone: F I L- ZZ`� - �g `l5 Alternate Phone: ❑ Insurance—Current: �� 1 MECHANICAL SYSTEMS BEiNG INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: _ 1 Make: C_c�c f� �r ModeL• ,S$ Sj/� (fj��-1�{ Fuel: � � Flue Size: Input BTUs: outpu� BTus: �� y�a � CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: I�. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VEIVTII�ATION ❑ No. Kitchen Exhaust duct recirculating __ _cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Far�s: Locations cfm FUEL STORACE (Must be approved hl� Fire Marshall if proposing to abandon tank in plaee.) ❑ 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 a�pliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies, Cost of Permit $ I5.00 State Surcharge $ I.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 � tf above does not apply; follow guidelinec below: 1. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$50.00) � 3515 L� X .oizs $ 50 � (contract pricc) (minimum$$0.00) 2. STATE SURCHARGE uJ 3 S7 5 x .0005 $ I � �$ � (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �3 �$ ■ * 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. 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 al tatements made o this application are coinplete, true and correct. i A licant's Si nature: L- � � Date: � — \ ' �r � v` i 3 �� V � <,% '"' DATE TIME CI F ORONO CALLED IN � INSPECTION NOTICE �� S3/ SCHEDULED �� PERMIT NO_�D�S �' COMPLETED ADDRESS � � ��U �L`? 1C S f OWNER TELEPHONE N �� '� �� CONTRACTOR � ��---�z'�-�--f-. � DESCRIPTION / / ��- � "��fQ'/ � ❑ FOOTING ❑ DEMO-FINAL�`J�� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI �� ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FIN��-��/}'�� TREE REMOVAL Z ❑ RADON SLAB u � � ❑ MECHANICAL I ❑ SITE INSPECTION Q ❑ FRAMWG �[v1ECHANICAL 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 � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /' ,(� - - f�[�,, 3U 3-�/�'"�o�(� a Gvc.e� �f c�. . � J O �' (,��/r/��eC e ✓��1 ' � -- ��- � r S7=i� �S �i e W Q C�X tSfir�lS n�c�i�i/� � �✓�'F� Uc.t�- � � 2 � �Df G< <bwc��ete �( o-�v�.cf.�s �l� � �6l�G►1s L` ?/v/t le� � W ❑WORKSATISFACTORY:PROCEED ��JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. - C II for the next inspection 24 hours in advance. (g52) 249-46�� Ow ctor on site: � �`� � Inspector. v--- White Copyllnspector's File Canary CopylSite Notice