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Home My WebLink About2015-01458 - mechanical ' CITY OF ORONO * Z 0 1 5 - 0 1 4 5 8 * • 2750 KELLEY PARKWAY DATE ISSUED: 1U12/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2175 KENWOOD WAY PIN : 17-117-23-41-0035 LEGAL DESC : N/A : LOT MB BLOCK MB PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUAT[ON : $ 5,100.00 NOTE: REPLACE HEATING SYSTEM(BRYANT) APPLICANT MECHAN(CAL 63.75 STATE SURCHARGE MECH(VALUATION) 2.55 PRONTO HEATING&AC MAIL-IN FEE 2.00 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- TOTAL 68.30 (952)835-7777 Payment(s) CHECK 11180 68.30 OWNER OWEN&JILL HUSHES, CLIFFORD 2175 KENWOOD WAY 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 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 no[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 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� � �� L � � , `I _ � 1-�,� i ? i� �.�7�. � � �� /`-.�-E! `SL � � � �- � — / ; i �., � / / Applicant Permitee Signature Date Issued By Signature Date FOR CITY USE ONLY City of Orono � .-, ' �'' 1 � i �� O�O P.O.Box 66 Date Received: �—-�� ' Pemut#---�'``� v �� 2750 Kelley Pazkway r� -� �� ; Crystal Bay,MN 55323 Appmved By: �'� Amount$: �� Phone(952)249-4600 Fax(952)249-4616 2`��.,,�F o��.�� CITY OF ORONO—MECHANICAL PERMIT S H (All Commerc�al pemuts must be approved by the Btuldmg O�cial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernvt cards will be sent by retum 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 Desi r�is—Complete calcularions,details and specifications are required for each heating,ventilarion,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to tY1ae,manufacturer and mode;. Data shall be presented on for.n provide�. 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: 2 �� k e►-►w boc� w�..y Owner: C��o��'l �w�,� Mailing Address: Z�1 S ke�w�^�c� (,J�.� ciry: ��D�o Z;p: 553�1 Home Phone: �5 Z� 2 3� � � �5�O Alternate Phone: Contractor Information: Contractor: -�,3�1'� ��'� a•�d� �� Contact Person: � �o,� Address: 15 g� W�S�i �� vCSState Bond#: _��,Ob��Z� City: �� '�i��;� Zip: /�'�� Expiration Date: b��l� Phone: `�Z�3 S-�l 7 � Alternate Phone: ❑ Insurance—Current: 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑Yes �(No HEATING SYSTEMS Q��ty: I Make: �r Av�� Model: ��/1�� Fuel: (��7 Flue Size: Input BTUs: ��Q�� Output BTUs: _`g�� CFM: COOLING SYSTEMS Qnantity. 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 Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locarions cfm F[JEL STORAGE (Must be approvcd by Fire Marshall ifproposing to abandon tank in plac�) ❑ 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 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;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 1.25%of contract price with a(Minimum Fee of$50.00) �t�� X.0125$ 63,15 (contract price) (minimum S50.00) 2. STATE SURCHARGE 5�� x.0005 $ 2'�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� • * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other pazty, 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: // 2-/�S^ 3 �a f DATE TIME CITY OF ORONO CALLED IN �j'� INSPECTION NOTICE SCHEDULED PERMIT NO. 2D I ��"[��y SS� COMPLETED ADDRESS � 7 � � OWNER , ELEPHONE N . r7 l � � CONTRACTOR ��% ��-� � DESCRIPTION �� ,� � vl_� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING CHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WO BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ��I�E ❑ �PTIC INSTALL OWNERICdNT CTOR TO MEET YOU:�YES_NO v�i MENTS: � W � 2 � O � � O � W � Q � 2 W � w � j a W ❑WORK SATISFACTORY:PROCEED P JECT COMPLETE � ❑CORRECT WORK 8 PROCEED I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advan 9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopyiSite Notice