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Home My WebLink About2016-01195 - mechanical ' ` CITY OF ORONO 2750 KELLEY PARKWAY * 2 fd 1 6 — fd 1 1 9 5 * DATE ISSUED: 09/26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 525 FERNDALE RD N PIN : 36-118-23-14-0005 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,500.00 NOTE: (1)BRYnN"I'COOL[NG SYSTEMS 2.5 TONS APPLICANT MECHANICAL 50.00 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 1.75 7415 CAHILL RD MAIL-IN FEE 2.00 EDINA, MN 55439- TOTAL 53.75 (952) 835-7777 Payment(s) Minnesota State License#: mech-MB004828 CHECK 12464 53.75 OWNER OGLAND,JAMES& MARGARET 525 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT 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 pennission for additional or related work which requires separate pennits. 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 construction 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. � ( � ��/ � Applicant Permitee Signature Date Issued B ignature Date � � � � RECEI D FOR TY USE ONLY ��O City of Orono ` O P.O.Box 66 Date Permit# �� 2750 Kelley Parkway SEP i Crystal Bay,MN 55323 � �� proved By: Amount$: ��/ � Phone(952)249-4600 Fax(952)249-4616 zF ; C�1Y OF ORONO �qKFSHC��' CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be appro��ed by the Building Official or lospector and/or Fire Marshall) GENERAL INFORMATION L 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 warking 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidifica±ion-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 forro 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) [Backflow Device: Q AVB ❑PVB] ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: �� . � . Owner: V a�S �(/�` M Mailing Address: �f� �� . �. c�r�: b�OviO z�p: ��j�j�i 1 Home Phone: ��,_, ��.Q- �,Q� � �' Alternate Phone: Contractor Information: r Contractor: �� Contact Person: �(�,-Q� Address: � � �1 C.�1-� (� � State Eond#: �.(h(1'�L� �fi� City: � V�, Zip:��xpiration Date: ��' ��"� � Phone: ��/f��-�� '� 11� Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING iNSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 2 �� 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 Marshall 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 CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) "�)" l Ul� 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) $ - J'/" �'" / ■ * 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 pariy, 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. �' �Q � �I Applicant's Signature: �li(�C,C Date: �vl � l� 3 � � � �� \� DAT TIME Y CITY OF ORONO CALLED IN /l � �� INSPE CTION �E_ b//�`SCHEDULED 1/—i �—!� 1D PERMIT NO. `-�COMPLETED� � ADDRESS OWNER TE HONE NO��"' �� CONTRACTOR � DESCRIPTION �- L~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _��❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL -SITE S TIC INSTALL OWNERlCO OR TO MEET Y'OU: ES_NO y C MENTS: a� W � � YvG/�L ��i�l � — � '-7 ° - ,r1�<,J e ��'�r«� ��'_b!?!12 _t Q ��Qdr�� !e-�rcc-r�G �%�SD�c�� .�--- 2 e�w� •� �r ✓l�la�9 W � W aC � W ❑WORKSATISFACTORY:PFiOCEED ,�RWECTCOMPLEfE ��ilBECT W'ORK 3 PROCEED ��❑ IS�SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR NfILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: � ite Copyllnspector'a Flle C�nary CopyfSfb Hotks