The URL can be used to link to this page

Home My WebLink About2014-00323 - mechanical 1 .� � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 4 - PJ 0 3 2 3 * DATE ISSUED: 04/16/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2620 FOX ST PIN : 04-117-23-42-0010 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCI< 000 PF.RMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 200.00 NOTE: RI:LOCn�I�ING(1)Rt�:"I�URN VENT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.10 JAFFRAY, MR. & MRS. TOTAL SO.lO 2620 FOX ST WAYZATA, MN 55391- Payment(s) CHECK 6075 50.10 OWNER JAFFRAY, MR. & MRS. 2620 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for tifiich this permit is issued shall be perfonncd according to the Tpprovcd plans and specifications,applicablc City approvals,and the State Building Code. 'I�his permit is for only the work described and does not grant pennission 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 construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended tbr a period of 180 days at any time afrer H�ork has commenced. l�he applicant is responsible for assuring all required inspections are requested in conformance��ith thc State Ruilding Code.This permit may bc revoked at any time tbr due cause. � ,g J - I�., ��-1 � � Applicant Per 'tee Signature Date Issue I3y Signature Date � r � ♦ OR TY LiSE ONLY City of Orono / ,/ �O�O P.O.Box 66 Date Rece �`� Permit#�� T ' 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: ��• Phone(952)249-4600 Fax(952)249-4616 a �. J � 1 � � y��'�kESHo��`' CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved b��the Building Official or lnspector and/or Fire Marshall) � RMATION � � GENERALINFO � 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 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 far each heating, venti]ation,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 accordanee with the Uniform Mechanicai 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 Apply) �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: a�" � �� R�� r,� , 7/�;� ,� ,��. ` �`�' Owner: V� ��'�`'"1 ��'�'I Mailing Address: ��d �C`'� City: W� �-�1 Zip; �,��`� � Home Phone: ��Z- �� -�� Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 � r � � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geotllermal 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: lnput BTUs: 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 cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by F�re Marsha[!ijproposing 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: _ �� C�� I re�-� �� 2 V�n-� • 1 . PERMIT FEE CALCULATION(S) I 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; excluding 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-ln 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 price with a(Minimum Fee of�50.00) � �� ` U� x .0125 $ (contract price) (minimum$�0.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines l-3 Above) $ ■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged far the permitted work inciuding materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material, equipment, labor or instailatious 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 si�ned copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agees 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. , ��'� �� :� � - �� i� Applicant s Signaturc: � Datc: , � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�,t'�-��3�-3 COMPLETED / -��"/.5 ADDRESS ��-?a��' ��t -S�' + OWNER �� "� �/�> � �F�TELEPHONE NO. CONTRACTOR a DESCRIPTION ��h,/��-"'� �E'��C�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANOS y O ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. '�BlLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL �❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �%+rN�� Ol�P ✓ �cs,l e�� !/ �o✓ K � (^ O1 r �s1� U �/o= �. � ,�1 � /r!? /rl,5y�t�C�/D•-!s l`C'C U rc�r�� Q /�c n�t� �5 ��' �"c�/� - !;/�t UC-C�!✓i r� � � ��S fi.K� 2 • � /��%/�r l�.��//��..fi'ts �E-c�E7r � lb�� .��(�a - ��- 6 �9d J W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILI REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. • --� White Copyllnspector's File Canary CopylSfte Notice �� `t ,/ .s� �� DATE TIME Y CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED --�� PERMIT NO. "_7��`.I 4--DU�JZ� COMPLETED ADDRESS �� Z� �� S� OWNER �-J��TELEPHONE NO.��a-< <�7'�l`�i CONTRACTOR � DESCRIPTION ��'�`'1 ►" ( l�1 C1 I �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANIC ❑ SITE INSPECTION Q ❑ FRAMING INAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAI 2 OWNERIC9NTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � :�� 1i ��C"7 rL� W a o �^e�w�n r�lac��,eQ �6r ��,o•,� � r�w�� :.r L,G. — 0 � W r K !�� Q l,J� G?��.� � z W � W � J � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PEFiMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. 11 forthe next inspection 24 hours in advance. (952) 249-4600 Owned tractor on site: ��1( y � � Inspector. ( � / � -� White Copylinspector's File Canary CopyfSite Notice