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Home My WebLink About2013-00972 - mechanical , CITY OF ORONO * Z 0 1 3 - P1 0 9 7 Z * . 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1570 FOX ST PIN : 02-117-23-32-0007 LEGAL DESC : MACMILLAN ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 19,750.00 NO"I'E: 1 WEIL MCLAIN LGB11 NATURAL GAS 16" FLUE 1,300,000 HEATING SYSTEM APPLICANT MECHANICAL 246.88 CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 9.88 1880 WAYZATA BLVD W P.O. BOX 150 TOTAL 256.76 LONG LAKE, MN 55356 (952)473-8793 OWNER KURTH, JAYNE D& RANDY C 1570 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Quilding Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing[his 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 180 days of the date of issuancc,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 reque n conformance with t State Building Code.This permi[may be rev�d a any time for cau e I l �1 � � 1� � �� A icant Permitee ignature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. ` FOR CITY USE ONLY �. _,� p�� rty o rono �4�`�'� P.O.Boa 66 Date Received: Permit# ��;,_ Q , 2750 Kelley Parkway �� ;�j�.'�'r �1� Crystal Bay,MN 55323 Approved By: Amount$: \� �'��%��o`,;�/� Phone(952)249-4600 Fa�(952)249-4616 ��p� CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits 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. PERM[TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S[TE. 3. Mechanical Desiens—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 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 I ,�C Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: � � � Site Address: �`� j�.� �� J�� Owner: �`��1✓��V �`�� ` Mailing Address: 0� ��!) �o-.�� .>t ��ty: ��r��. -� z�p: s�3� l Home Phone: Alternate Phone: �� J�� I J��` Contractor Information: ��" � I p �,,,,�; �Il�-P ��^ '� '�`� ,_) Contractor:��,/� � e.•� 1 �� Contact Person: L��,�; �� 1 , � - - Address: ��dJ g WQS� �v�1i! �dl �U�U� State Bond #: �gOO��Ug City: �'�� L�� Zip:5�3�b Expiration Date: 7 � �� ''! � -'�. � / Phone: �S � �� /� J Alternate Phone: ��/� ��`v�='�' ❑ Insurance—Current: � i�:�_�� 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothcrmal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: ' Make: �?1I I'f<,I��`� Model: �� Fuel: �Q T �a 'J Flue Size: I� '� Input BTUs: �i3�d��Q� Output BTUs: CFM: 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be npproved bp Fire Marshal/if proposing to abnndon 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;excludina 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 $ 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 p�c�ith a(Minimum Fee of$50.00) �� ✓�� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 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 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 correct. G ' _ � Applicant's Signature: Date: / ��/ �� Reset Form 3 � ��ATE TIME CITY OF ORONO CALLED IN � ��D INSPECTION NOTICE SCHEDULED PERMIT NO�O/3-DD 9� 2— COMPLETED ADDRESS �570 �C�C Sf OWNER TELEPHONE NO.gSL �7.3 C�79-� CONTRACTOR (�ll�`P�� >; DESCRIPTION �� /�r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � w e o v?�S�C� dl� " � Z � �( ,�r' '' l � � 0 � W � Q � z W � W � � d W� RK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑ RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice