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Home My WebLink About2017-00012 - mechanical , - CITY OF ORONO * z 0 1 7 - 0 0 0 1 z * , • 2750 KELLEY PARKWAY DATE ISSUED: OU09/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2765 FOX ST PIiY : 04-117-23-43-0002 LEGAL DESC : AUDITOR'S SUBD.NO. 229 : LOT 025 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,770.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE: HEATMG SYSTEM(BRYANT) APPLICANT MECHANICAL 59.63 STATE SURCHARGE MECH(VALUATION) 2.38 STANDARD HEATING&AIR COND[TIONING MAIL-IN FEE 2.01 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 55411- TOTAL 64.02 612-824-2656 Payment(s) CHECK 52982 64.01 CHECK 52982 OA 1 OWNER ROUX,YVES 2765 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The��ork 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 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requesred in conformance with the State Building Code.This permit may be revoked at any time for due cause. ! ` t ' , • I � /' p - —= �. � `��1�� ,r� �� t. _L�. l �`..��.. � ., \ � ��`-� �, � � �' �• � �� Applicant Permitee Sig mre Date Issued By Signature Date FOR CITI IJSE OM,1' � ��`� Cit��of Orono ��y�� ,��( �/� )_ • O¢ `�'O\,. P.c).F3o�GS ()ate Recei�ed: I Perniit= l�'I/� '- — � �� 2750 Kelley Pazkway � i . a �2'' x +�;' Crystal Bay,MN 55323 �pprm ed Rt': Amount�:� ��i '� ' o`�" (952)249-4600 .,,`�+i�oQ"i; CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial pertnits must be approved by the Building OfTicial or Inspector and/or Fire Marshall) GENERAL INFORMATION \ 1. You may apply for mechanical permits by mail or in person at the City offices. Applicatio ill � � be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. P�RMITS ARE N ► VALID iJN"I'IL YOU RECEIVE A PEF2MIT. WORK MUST NOT BEGIN UNTIL T PERMTT 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 shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the Unifornl MecY�anical Code/State Build'mg Code requuements. 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 fmal. TYPE OF PERMIT Checl: All That A l��) �Residential �Commercial(Approval Required) ❑Ne�� ❑Additional ❑Repairs eplace Job Site/O��ner Information: Site Address: �� b� � X � Owner: �� Mailing Address: S � c�Ty: �r�e-s-, �� z�p: S S � � � Home Phone: %S� �-�! � � ��ternate Phone: Contractor Information: Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 81�� City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 ' MECHANICAL SYSTEMS BEING INSTALLED ~f.v�� . . Note: All Geothermal Systems will now require a Site Plan& Review by our Builduig Official. IS THIS GEOTHERMAL? ❑Yes,�No ., � HEATING SYSTEMS Quantity: � Make: Model: Fuel: G�.� Flue Size: Input BTUs: �� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burnuig Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchcn E�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) efm ❑ Na Other Fans: Locations cfm FUEL STOR,AGE (Nlust be approi�ed by Fire Marshall ifproposing to abandon tank in place.) � Installation � Removal Fuel Oil: gallon5 ❑ iJnderground a Inside a Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What X�Where: 2 , '_ � . . PERMIT FEE CAI.CULATION(S) BASED OFF -2l}(}2 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requuements: I. 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 $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fec $ �� PERMIT FEE CALC[TLATIOI`�1{S)_-JOBS OVER `fi�00.Ofl � � � � If above does not apply;foIlow�uidelines belo�r: 1. CONTRACT PRICE 'is 1.25%of co tract price with a(Minimum Fee of$50.00) � � x.0125$ � � � (contract price) (minimum�50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � G `/ x.0005 $ � � (contract price) (minimum S .50) 3. POSTAGE&I IANDLING(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 pemiitted 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 funiished 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. ■ **The STATE SURCHARGE is.0005 of the Building Departrnent at(952)249-4600 for the price. MEGHANICAL PERMI'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 statemen n this application are complete, true and correct. Applicant's Signature: ll�te: � � Reset Form 3 � / � � � DATE TIM C OF ORONO cnLLED IN � INBPECTION NOTICE 9SCHEDULED � PERMR NO. ��" ��'�MPLETED ' `�� ADDRESS �-� (P S ��k S-I-� , O'WNER TELEPHONE NO.��a'��3Z CONTRACTOR - � �f ° � DESCRIPTION 1�-�h a-�- �l 1�� 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 � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �fINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W�T❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ S TIC INSTALL Z OWNERICOK�RACTOR TO MEEi�;�YEB_NO � COMMENT'� � ur �e ��l. - , � '��c�S�e��S fidc, � _�i�e �5 ti,:(� �u i9� G�✓'�� !/�sLLi�#' - OO � Q �!l`A��la�ran. c�cs ,Df o v�tKd �a r l�le e�Q � , 2 �Or �6 M,� �Gt�le h. R��`' — h O G cs�5 ao�a � �l.�wt�us�if3rl, 4.i yle ��ed .�r G�� . � ; fi(�r� �OJ'Vl ��i�'i t � 6 /L� wc.�Ce.Q W ❑WORK SATISFACTORY:PROCEED �� ECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OOCUPANCY 0 ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN O STOP OROER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REAUIRED.CALL TO ARRAN(iE ACCESS. caN ror the next inspection 2a nours�sch►snoe. (952) 249-4600 ow�,erlContractor on site: in�t«: w � WMt�CoPYMsP�ct�s FlN Gnary CopylSib Notks 4- DATE TIM CITl OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C PERMIT NO. � '� C'�' COMPLETED ADDRESS J7 S t OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING VQj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v AL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SrTIC INSTALL Z OWNERICONTRACTOR TO MEETL YES_NO C, COMMENTS: W (�u r VlwGe ryel. o - �oc�S�rK��s lids, QC 0 W cc 14L,Ili�lQ�ran, c.�lcs ,O/-Off did Far lily e�Q Q �e- 2 �ywtS usfic�rt rs,i y(e cc f�(�rl� G°owr l�L�c -4 6 WJ �r ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE cc ❑CORRECT WORK 6 PROCEED El ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED •STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 ownerlContractor on site: Inspector. A" White Copylinspector's File Canary CopylSite Notice