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Home My WebLink About2015-01601 - mechanical ' � CITY OF ORONO * z 0 1 5 — rd 1 6 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2195 FRENCH LAKE RD PIN : 10-117-23-21-0006 LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,000.00 NOTE: (2)MODINE GARAGE HEATERS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 2.00 KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 12907 PIONEER TR EDEN PRAIRIE,MN 55347- TOTAL 54.00 Minnesota State License#:mech-658861 Payment(s) CHECK 13102 54.00 OWNER DALTON, MICHAEL&JENNIFER 2195 FRENCH LAKE 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 Ciry approvals,and the State Buiiding 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 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 Ihe date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with Ihe State Building Code.This permit may be revoked at any time for due cause. � ✓�G'�C�t--�G(. � �`�[�� /d� l �Ol /� Applicant Permitee Signature Date Issued B ignature Date FOR CITY USE ONLY " City of Orono RECEI ��p P��Box 66 Date Received: Permit# 2750 Kelley Parkway ; Crystal Bay,MN 55323 Approved By: Amount$: i� , . . Phone(952)249-4600 Fax(952)249-4616 L)i._i� �'. .:. �, �...\ ' .., � � � � ` � �,�' CITY OF ORONO—MECHANICAL PERMIT ��`(OF OR S H v� (All Commercial permits 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. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 sh311 be presented on fornl 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) ❑New � Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: Z � °� � ��C N C�I Lffi k-� �1}� \� �' Owner: IlA1�-E nA'L� � Mailing Address: City: �Ij[a'1ZR'�� Zip: ,5�� Home Phone: 1p�a- d-�� — l��n Alternate Phone: Contractor Information: Contractor: ��Ev� � SC MECk,�ti�c�(-. Contact Person: ��Yh Address: �Z°I�1 �IuN�� {/hL State Bond#: /�118 (n�S�Q�� City: �O�tv QQX��,►� Zip:�1 Expiration Date: 1 ' 3 — ��o Phone: ��a �� l ��- �� Alternate Phone: ❑ Insurance—Current: u��ST E�,n� 1 U A'1�U N�'� 1 MECHAI�TICAL 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 — � � ��"E� VNK �(jl�'C�,�S Quantity: I Make: 0� � /�/�0 0�N�, Model: �� S Fuel: ►V �'C� � �`� Flue Size: Input BTiJs: 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 Eachaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin 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 ❑ Outdoar 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;excludine 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 $ 1.00 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 price with a(Minimum Fee of$50.00) "�0�� x .0125 $ J"'�0 (contract price) (minimum 550.00) 2. STATE SURCHARGE �p��_x.0005 $ �.,o� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �_1 �� ■ * 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. MECHA1vICAL 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. � Applicant's Si ature: Date: l2.'Z�— 1� 3 Minnesota Department oi Labor and Industry Licensing and CertiTication Services Construction Codes snd Licensing Division Phone: 651.284.5034 443 L�fayette Road N Email: DLI.License@state.mn.us Saint Paul, MN 55155 Website: www.dli.mn.gov/ccld.asp NOTICES NOT TRANSFERABLE KLEVE &JC MECHANICAL LLC CHANGE YOUR BUSINESS STRUCTURE 12907 PIONEER TRAIL SUBMIT A NEW APPLICATION FOR NEW ENTITY EDEN PRAIRIE, MN 55347 , RENEW OR REPLACE INSURANCE POLICY SUBMIT NEW CERTIFICATE OF INSURANCE NOTIFY THE DEPARI"MENT OF A CHANGE IN YOUR BUSINESS. Failure to do so, subjects you to administrative penalties of up to $10,000. 15-Day Notice Requirement=Forms available online at www.dli.mn.qov/CCLD/LicUpdate asp • Change in business'{�hysical address,mailing address, phone number, or email address • Change in control, owr�ers,officers,directors, membe�s, partners � - • Change in business'legal name and/or assumed name • Loss of or change in RESPONSIBLE INDIVIDUAL • Change in general liability insurance or workers'compensation insurance coverage Immediate Notice Requirement—Notification to DLI in writing • Judqment Debtor. A licensed contractor has 15 days to provide written notice of the finding that it:is found to be a judgment debtor based upon conduct reqLiring Iicensur�.- -_ =_- • Bankruptcv Petition Filed A iicensed contractor has 15 days to provide written notice that it filed a petition for bankruptcy. • Conviction Notice A licensed cont�actor has 10 days io provide written notice that it has been found guilty ot a felony, gross misdemeanor, misdemeanor or any comparable offense related to the license, including convictions of fraud, misrepresentation,misuse of funds, the�t, criminal sexual conduct, assault, burglary,conversion of funds, or theft of proceeds in this or any other state or any other United States jurisdiction. YOUR CERTIFICATE IS BELOW THE PERFORATIOtJ. SHOW CERTIFICATE WHEN OBTAINING PERMITS. ' �� MINNFSOTADFPAi2TMf.NTOF MECHANICAL CONTRACTOR-�BOND � LABOR & INDUSTRY Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayerie Road N St.Paul,MN 55155 Website: www.dli.mn.qov/ccld.asp Email: dli.licenseCa�state.mn us Phone: 651.284.5034 This is to certify that the certificate holder is registered as a MECHANICAL CONTRACTOR BOND in the state of Minnesota and is in compliance with Minnesota Statutes 326B.197,and has filed a$25,000 mechanical bond to perform gas,heating,ventilation,cooling, air conditioning, fnel buming,or refrigeration work in al]areas of the state during the registration period;provided the work performed complies with the State Mechanica] Code and the certificate holder maintains compliance w;th the required bond and workers'compensation laws. Registration : MECHANICAL CONTRACTOR BOND RegNumber : MB658861 KLEVE & JC MECHANICAL LLC i Effective Date : 07/03/20�a 12907 PIONEER TRAIL B Expiration Date : 07/03/2016 EDEN PRAIRIE, MN 55347 � T VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE IfJFO AT www.dli.mn.qov/ccldlLicVerifv asp (ENTER NUMBER). �/f('� ,=�"' DATE TIME CITY OF ORONO CALLEO IN -�/ � INSPECTION NOTICE /)//`� ,rSCHEDULED PERMIT NO.?��`"�/< �/�JL COMPLETED, ADDRESS �� .�.��-� C��L �� OWNER TELEPHONE O. �.� ��/�1,i� CONTRACTOR �i/P �� _ � DESCRIPTION / / /�'/r�? �j/i' �� a-h • 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLI��I O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL ✓ Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNERfCONTRACTOFi TO MEET YOU: YES_NO � � COMM'EIVTS: � W a � � O � � O � W � Q � Z W � W � J d W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance ) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice