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Home My WebLink About2016-01484 (Mechanical- heating) � CITY OF ORONO * 2 0 1 6 - 0 1 4 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U28/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2480 CASCO PO[NT RD PIN : 20-117-23-21-0037 LEGAL DESC : TILLSONS VILLA CARMAN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 35,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW HEATING SYSTEM(BOILER)(LOCHINVAR KNIGHT) APPLICANT MECHANICAL 447.50 STATE SURCHARGE MECH(VALUATION) 17.90 HOSS PLUMBING LLC TOTAL 465.40 3405 ERIK AVE SW WAVERLY, MN 55390- Payment(s) (612)290-1368 CREDIT CARD 7157 465.40 Minnesota State License#: plbg-PC668034 OWNER RUDOLPH, STEPHEN& SUSAN 2480 CASCO PT RD 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 permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuil 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 confo with the ate Building Code.This permit may be � revoked at a r due caus � � ( � �� .�'~l iJ� �i ; ��C�T'�U l( � z-� /,6 �Appl�cant Permite ignatu Date Issued By Signatur Date t . FOR CITY USE ONLY City of Orono ( � � �� P.O.Box 66 Datc Received: �� z� �ermit# �-��l�� -�� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: � Amount$:�� Phone(952)249-4600 Fax(952)249-4616 � � y � F � !qk£SH��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OfYicial 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 wil] 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 Desi�—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 fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That A 1 ) �C]Residential ❑Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] �New �Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��U C��CD �D;h -{ ��if�� Owner:,SLrSAti/ ��(��l t'N Mailing Address: City: Zip: Hotne Phone: Alternate Phone: Contractor Information: Contractor: �l1'.Ss �lGt r�16 r f�5 /'/C Contact Person: //�/l�-s L��'�iL� Address: �`7Q-S C�! k �VQ.SGV State Bond #: �13�j��G� City: ��C�� Zip:��3S� Expiration Date: � "� �7��8 Phone: `�� o�`1G' ` �� 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: 1 Make: LC�G{1��?P/� � !�/j��j� �r�� z Model: l��N 1 �Q� Fuel: /�/f1�'{'u 1�A( Gl 14 5 � Flue Size: 3� Input BTUs: ��`�,0�10 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 Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi��e Marshull if proposing to ubandon 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 1.2 ° of contract price with a(Minimum Fee of$50.00) � -3� ��' � x .0125 $ (contracl pricc) (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 wark in strict accordance witl� the ordinances of Ie City and tl�e regulations of tlie State of Minnesota,and certifies that all,s �nents made his application are complete,true and correct. / Applicant's Signature: �� Date: ��°�� 3 ��/ DATE TIME � v CITY OF ORONO CALLEO IN INSPECTION_ TiCEOtf f�f SCHEDULED � 1 �.?� PERMRN �' ��A�r" COMPLETED ADDRESS ��C� �Q.CC� �`� ONVNER TELEPHONE NO. ��2 "2-� 3 CONTRACTOR � - O � �� DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL PTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z awN�ucoKrnncron ro M�r wu:_rEs_No � COMMENTS: 4 S� j — 0 � � _l P'� --� � o�-J � � W� � � r Q �i � W W � � J � K SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W (bRRECT WORK d PROCEED ❑ISSUE CERTiFlCATE OF OCCUPANCY OO ❑CORqECT WOHI(,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERIN� PERMANENT ❑CURRECT UNSAFE OONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. cen ro�u��za no�,�m ea,►a�ce. (952 j 249-4600 owr�IContra�°"$it� Inspector: �b Whits CuPYnnspector's Fik C�nary CoPYISib NoNce �,� � � .�' �, �� nMe CITY OF ORONO CALLED IN ' ' IN8PECTION N0T1C �►+Enu�Eo _�l D—I 7 /D•. o� PERMR NO. � � "I co ErEo ADDRESS � � � OMINER T PHONE NO. �� 3!°� CONTRACTOR a 5� I S � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EJ(CAVKiRADIN(iIFIWN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL � RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � � FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP _ � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�NBYCONTRACPOR TO MEET rOU:_lfe8_NO � COMMENT�: � ///L• �Cs�i� ' i�/� �L�o v � ��'� � � - ,n . 0 ',�i�.�l.•r� - �`� � �s� �tol�r,rc ' � � /� � (�/. ,1�4�� - Ln �� /��i� ��.-k � W � "' f .c.: ��c't � l l�D ortfx ...� ? d/L -Z� Cor�c.i sf��v vti��'tr�C� •r•� � �ltt � J W O WdiK 3ATISFACTORY:PROCEED ❑PROJ�:f COMPLETE ��O�CT WORIC 8 PROCEED ❑ISSUE CER'TIFlCATE OF OCaUPMNC� � ❑OORRECT WORI(.G1LL FOR REINSPECTION TBiPORANY �� PERMAN9rT ❑()pFIfiECTUPIgAFEpONdT10NWITHIN Ha1RS• O PHOTOTAKEN INSPECT'OR 1MLL RETUi�I ❑STOP ORDER PO�TF.D.CAI.L INSPECTOR �CITA710N ISSUED O INSPECTION REOUtRED.CALL TO ARFtANf3E ACCESS. c,M br u,.next inspectlon u nours in sd�►anoe. (952) 249-4600 on si�x w��.�.�u. c.n.ry covr�n.Noaa �. f � D � ✓ � n nMe CITY OF ORONO cnLLED IN — - INBPECTION �/ E HEouLED - L S -/7 �� PERMIT NO. `� �� M ED aooAEss d C�� r��- � OMINER PHONE NO.�'Z'��!3� CONRiACT�R S � DESCRIPTION � - � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q 0 POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(i/FILLINO O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TAEE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ S�TE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O�NdYCONiRACTOR TO MEET YOIh._YES_NO � COMMENT� � ?%� - �ov� �� o-r�r��i�>S ��,ri,y/u _ � r'dd �Y'n�v /lQ✓T ). � �O W OC Q � W � � j � WORK 3AT18FACTORY:PFIOCEED D PROJECT COMPLETE w OORRECT WOfiK a PROCEED �ISSUE CEFYTiFlGATE OF OCCIJPIANC� o ❑OORRE�CT W�OHK,CALL FOR F�INSPECTION TEMPORARY �j BEFORECOVERINO PERMANBdT p COF�CT UNSAFE OONW T10N WITHIN H�1�• ❑p►{pTO TAKEN INSPEC'fOR YVILL RETl1RN ❑BTOP ORDER P08TED.CALL INSPECTOR �dTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANOE ACCESS. caN 1or uie next�specaon 24 nours in advsnoe. (952) 249-4600 OMmerlContrector on site: ��spector; �. .r�� WMt�CoPYAntpectors FlN C�Mry�op�lSla NoGa