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Home My WebLink About2015-01076 - mechanical Cl'1'Y OF ORONO * 2 0 1 5 - 0 1 0 7 6 * r 7 2'750 KELLEY PARKWAY DATE ISSUED: 08/24/2015 � 0120N0,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2499 KELLY AV� PIN : 20-117-23-12-0052 LEGAL DESC : KELLY COVE : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYST�MS VALUATION : $ 9,100.00 NOTE: 1 HEATING SYSTEM(BRYANT)& 1 COOLING SYS'CEM(BRYANT) APPLICANT MECHANICAL 113.75 STATE SURCHARGE MECH(VALUATION) 4.55 DUCTWORKS HEATING AND AIR MAIL-IN FEE 2.00 6108 OLSON MEMORIAL HWY GOLDEN VALLEY,MN 55422- TOTAL 120.30 (763)521-0070 Payment(s) Minnesota State License#:mech-MB003589 CHECK 001053 12030 OWNER PLEWKA&ROBIN DODSON,MARK 2499 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accorciing u� the approved plans and specifications,applicable City approvals,and U,e State Building Code. This pertnit is for only the work described and doc, not grant permission for additional or related work which requires separ,.�e permits. All provisions of laws and ordinances governing this type of w<�rk shall be compied with whether or not specified herein.This permit wili 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 after work has commenccd. 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. �, � ; � ,,� � � . . I � c.t.i Le�-�I ��G�-�- �-e-��l� � i��f i � S A p plicant Permrtee Signature Date Issued By Signatur Date FQR CI'�`i�YtSE fl1YLY ` � � /�� City of Orono � � �� `Y/"� P.O.Box 66 Dafe�ce�v�: ��P�i�i4#�� Z3� v 2750 Kelley Parkway �'�� e.:�:. Crystal Bay,MN 55323 1�ppttiv�$y: __�Amer�L$-,�'�".. Phone(952)249-4600 Fa�c(952)249-4616 'S,� +`C'` �'qk�S��,�,�c.t' CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERI�L�'�iF4KIv#A.TT£)N 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 RECEIVE 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 rype,manufacriirer 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. ,.. .. . .. .. �� ';Ch�ck�il'��A �, , , ... �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace �Ct�'),�1'��"�'WIx�T;��Tri3c`��U�1: Site Address: a`�9q !��`��y /�vE, Owner: /YI A�K PL E�JK� Mailing Address: � LL vE City: ��o"'b Zip: 553 3 / Home Phone: Alternate Phone: ��a) 3g6--� 9aa C+�ntractar I��r�c�ati��: ; Contractor: �e7'wu2lCS Contact Person: ]�on�nia Address: �(o S DLSo�/ m��p�i A(. State Bond#: �l� oa 35$9 µ�Y City: loo�DF N L�Ey Zip:SSya� Expiration Date: 9//L I/ 6 Phone: 763-Sal �QO�° AlternatePhone: 7`3- 5aa-(,5a7 (�A�� Insurance-Current: pTTAeN£1� 1 . � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Of�cial. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: Z I�rJ7� Mode►: q a6 rA vao bo V� � FueL NR?. �i AS Flue Size: d �, Input BTUs: (�0� o 0 0 Output BTUs: s$� Obd CFM: 9/G^ !�vt o COOLING SYSTEMS Quantity: � Make: QQyA�T' � ModeL /�6 8/�A o 3� Tons: o� 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) cfm ❑ No. Other Fans: Locations cfm FLTEL 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: 2 � Yes,this section applies The replacement of a Residential�xture or a�pliance 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;excludin�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 $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125°/a of contract price with a(Minimum Fee of$50.00) ,� Q/ou. ao X.oi2s � I 13.'15 (contract price) (minimum$50.00) 2. STATE SURCHARGE �' 9/00.oo X.000s $ y. s s (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �ad� �� ■ * 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. Applicant's Signature: Date: ��/9 1.101� 3 �-ib �- O DA TIM CITY OF ORONO cnLLED IN 4 INSPECTION OTI SCHEWLED � PERMIT N '� D� P eo ADDRESS OWNER � EL PHONE NO. - 7�g�� CONTRACTO � � � DESCRIPTION N e �y ❑ FOOTING ❑ DEMO-FINAL � Q ❑ POURED WALL ❑ ING RI � ❑ EXCAV/GRADING/FILLING "j ❑ FOUNDATION WATERPROOF P MBING FINAL ❑TREE REMOVAL 2 ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLA E ❑ COMPLAINT � ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERICOKTRACTOR TO MEET YWJ:_YES_NO � COMMENTS: 4 Z 5- 0 � 0�7� � 0 � 0 � W aC -- Qy F� W W aC , W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑OORRECT W'ORK 3 PROCEED ❑1 UE CERTIFlCATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdHERING PERMANENT ❑(�RRECT UNSAFE CONDITION WITHIN H��• p pHOTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL iNSPECTOR �pTATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectia�24 hours advance. (95 -4600 OwnedCartractor on site: Inspecta: Whib CcPYAnapecta's FlN Gnary CoPY/Sib Notice