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Home My WebLink About2013-00240 - mechanical f !� CITY OF ORONO * 2 0 1 3 - 0 P1 2 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4156 HIGHWOOD RD PIN : 07-117-23-44-0019 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 023 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,927.00 NOTE: (1)CARRIER FURNACE-MODEL#59SC2A080S17-NATURAL GAS-3"FLUE-80,000 INPUT BTU'S 73,600 OUTPUT BTU'S, 1600 CFM (1)CARRIER COOLING SYSTEM-3.5 TONS (1)KITCHEN EXHAUST-600 CFM (4)BATH EXHAUST-280 CFM GASLINE FROM METER TO FURNACE,COOKTOP,FIREPLACES AND DRYER � APPLICANT MECHANICAL 124.09 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 4.96 2200 HIGHWAY 13 BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 (952)767-1000 TOTAL 131.05 OWNER MUSGJERD, SCOTT&MELISSA 4156 HIGHWOOD RD MOLJND,MN 55364- 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 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 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoke,�at any time for due ause. / �� / � ��Q � % Ap icant Permitee ignature Date Issue y ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. U5E briTLY O/�� City of Orono �/Q . �► `Y P.O.Box 66 I?stC R �etmit# ` �� _ �� O 2750 Kelley Parkway ' �` � Crystal Bay,MN 55323 Apptoved By: Ambtmt S:�T/ Phone(952)249-4600 Fax(952)249-4616 S� � �'�kESHo�`�'G CITY OF ORONO—MECHANICAL PERMIT �CEIVED (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Maz GE1�RA�,tNFt�RMATION '� � �,U i; 1. You may apply for mechanical permits by mail or in person at the City offices. Applicati��pF ORONO 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 PERMTI'. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculati�n,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 final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. 'Y''�'"�'.��'�� "�� ' ' . �Residential ❑Commercial(Approval Required) 7� �New ❑Additional ❑Repairs ❑Replace f0�`SttC/�W]18Y�tlf�l�"!1&�IOri:> Site Address: `1 ' Owner: Mailing Address: c��: ��C� z�p: .�S 3� Home Phone: Alternate Phone: Contractor Ittfot�tion: , � �Contractor: �� Contact Person: ��1 Address: �� l�j State Bond#: -I� -l� , C%a� ,/� , �-� � � City: �ul�/ [ ' I ZipE��>��xpiration Date: (.� I � S � Phone:`�� 0 ,�� Alternate Phone: �^ ��'( � ❑ Insurance—Current: 1 Note: All Geothermal Systems will now re uire a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �10 HEATING SYSTEMS Quantity: ' Make: ` �1 r�� Model: ��J� � �� Fuel: 1V � �� Flue Size: Input BTLTs: � �� Output BTUs: �� CFM: f� D� COOLING SYSTEMS Quantity: ! Make: 1,�.�r�l�t Model: Tons: 3 ti S 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 �O� cfm � No. � Bath Exhaust(must ha�e 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 �M ��. ^�p �-�a(� Other: -to coc>k� GAS LINE ONLY � �'D G1��-5 ❑ Outdoor Grill � Other/List What&Where: � � 2 ❑ 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-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) a� X.0�25$ �a�l. o� (contract price) (minimum$50.00) 2. STATE SURCHARGE �G� �� x.0005 $ � �� `(� l (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �� s� � ■ * 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. 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. A licant's Si ature: / � Date: � � PP � 3 � 2 lDAT� TIME � �� I:ITY OF ORONO o7O( J � CALLED IN ��J ��'� � INSPECTION NOTIC�� SCHEDULED ' � `� ��`� � '�, PERMIT NO. « COMPLETED ADDRESS ��o �t� IC4�-�-t�� OWNER TELEPHONE NO. �`�� 7�� CONTRACTOR U��Z r ��`1 �� v- �: DESCRIPTION � �-�� ''�� . ��d�� -t S � � � ❑ FOOTING � PLUMBI FINAL Q EXCAV/GRADING/FILLING Q ❑ POURED WALL ��4ECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o ��C� l '� �'r �e � �� .. � � � v c � W � Q � `�7 t t� �3-� t �r" T� T s�C� z � �-� .�� U,�i e�� d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4�L RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s�: Inspector. I� White Copylinspector's File Canary CopylSite Notice � � ��iX/� TIME ✓ CITY OF ORONO CALLED IN �� a� 30 INSPECTION�O�IC.� � SCHEDULED 5 � PERMIT NO. � 2 COMPLE D ADDRESS L - ' OWNER TEL P ONE N - � �5 CONTRACTOR � �; DESCRIPTION !�\ `'`�'` �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL , � OWNERICONTRACTOR TO MEET YOU:_YES_NO ' � COMMENTS: a W C O . � . U " � � � O � W � Q � Z W � W � j d W� L�RK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � _ � �� ' ATE TIME � CITY OF ORONO CALLED IN g'P3 I 3 INSPECTIONNOTICE ��j� SCHEDULED � � PERMIT NO.��d_�/ CO PLETED ADDRESS �` OWNER � TELEPHONE NO. ��7��-��7 CONTRACTOR >`; DESCRIPTION � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o . � �.c� S fi� (3�, �. 0 � ��n. s��-J,�S ��c�ce 1�� W �nJ l�CG�SS Jr'I!t � �„ '4-t�F� � Q � z W � W � J d W� ❑WORKSATISFACTORY:PROCEED �OJECT COMPIEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (95Z� 249-4600 OwnerlContractor on site- Inspector. �. � � White Copyllnspector's File Canary CopylSite Notiee