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Home My WebLink About2016-01565 - mechanical CITY OF ORONO * Z 0 1 6 - 0 1 5 6 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3575 CHRISTINE DR PIN : OS-117-23-12-0018 LEGAL DESC : BETZ ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 18,522.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE: 1 HEATING SYSTEM(BRYANT)AND 2 COOLING SYSTEMS(BRYANT) APPLICANT MECHANICAL 231.53 STATE SURCHARGE MECH(VALUATION) 926 COMFORT MATTERS HEATING&COOLING MAIL-IN FEE 2.00 11238 RIVER ROAD NE HANOVER, MN 55341- TOTAL 242.79 (763)208-6471 Payment(s) CREDIT CARD 3152 242.79 OWNER HAASE, WILLIAM 3575 CHRISTINE DR MAPLE PLAIN, MN 55359- 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 governing this type of work shail be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 1 SO days of the date of issuance,or if construction is suspended for a period of l80 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. � �' � � � l`� � �_' � --E 1 � �� L �� ,�L � �� ' i � � �'� �I � :` � �� / / � �' Applicant Permitee Signature Date Issued By Signature Date � � , FOR Ci Y U E ONLY /�� O`\�� City of Orono �� /J �� j�- ��1� P.O.Box 66 Datc Reccivcd: Permit# (/� / \L 2750 Kcllcy Parkway t7�� `�� 1 Crystal Bay,MN 55323 Approved By: Amount$: J� � t Phone(952)249-4600 Fax(952)249-4616 ` ,„ I \S'� :;/ \�v� e`'i� CITY OF ORONO—MECHANICAL PERMIT � ke s��o�i \�_��-' (All Commcrcial permits must bc approved by thc Buildiog Ofhcial or Inspcctor and/or Firc 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 pennit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D UNTIL YOU RF,CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PF,RMIT CARD IS POSTED ON THF,JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,bumidification-dehumiditication,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 separatc building permit must be obtaincd. 5. All work must be done in accordance with the Uniforni 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. I iouse f�eating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ,,�]Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB] ' ❑ New ❑Additional ❑ Repairs �Replace Job Si�e/Owner Information: �� ;-� Site Address: -�'j�� .�"\r�il�ttl-�_..1 �=--��"�y-�� Owner: l,U�l t ��('�• Mailing Address: `_�[.tl'1�, City: �"1�.� �>t(1 Zip: �r,.�� Home Phone: Alternate Phone: Contractar Information: Contractor: �>>Y�zir�{` ��4`�f� Contact Person: �C�� ,— Address: ��-3� t�-N'� � �`�'S�tate Bond#: ��'�� f-� �City: � '�i`�'�'✓�� Zip:��xpiration Date: ��— � Phone: �" � � ' � � Alternate Phone: � �... ❑ Insurance—Current: ��C��A��;� 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now rec�uire a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �-No ( HEATING SYSTEMS � \.�._..__.____-- _--_. .._._ _�— Quantity: Make: � p� 1' Model: C 2 �•� �� / � Fuel: Flue Size: Input BTUs: Output BTUs: CFM: _-----� ��— COOLING SYSTEMS ` � _,_. ` _. .___ / Quantity: Make: �� ' " /�'.� ✓��`)l� �'U l � � �� ` � 0 1 " ��LJ 7� � � �7'� Model: /�?.�A/v��Z y�N'B� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Batt�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: _C�� °�� PERMTT PEE CALCULATIONS �� 1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$50.00) 1��.5.�� X.oizs $ �31_ �� (contract price) (minimum$50. ) 2. STATE SURCHARGE y� ,y ( �, �`C�� `�"c,2 x.0005 $ � l � ?` (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PEi2MIT FEE(Add Lines i-3 Above) $ �O ■ * 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 PERM�T 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 �� ade on this application are complete,true and correct. � � Applicant's Signature: � , ' ! �'` Date: ( � 3