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Home My WebLink About2016-00890 - mechanical - ' � CITY OF ORONO * 2 0 1 6 - 0 0 8 9 PJ * 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 255 LANDMARK DR PIN : OS-117-23-23-0037 LEGAL DESC : BAYSIDE LANDING 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,600.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (t)TRANE FURNACE-120,000 INPUT BTU'S AND 115,200 OUTPUT BTU'S APPLICANT MECHANICAL 57.50 STATE SURCHARGE MECH(VALUATION) 2.30 RAY N.WELTER HEATING CO MAIL-IN FEE 2.00 4637 CHICAGO AVE MINNEAPOLIS,MN 55407- TOTAL 61.80 (612)825-6867 Payment(s) Minnesota State License#:mech-003163 CHECK 030789 61.80 OWNER CASEY,MARK&KARENA 255 LANDMARK DR LONG LAKE,MN 5535Cr 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 dces not grant permission for additional or related work which requires sepazate 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 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.1'his permit may be revoked at any time for due cause. � -� �Srr� 7 ��i/�o Applicant Permitee Signature Date Issued By ' ature Date � • , � FOR CI USE ONLY �p�, City of Orono �/ P.O.Box 66 Date Received: �7 ermit# �� `i� � 2750 Kelley Parkway IVED a = � Crystal Bay,MN 55323 Approved By: Amount$: 6��04"'�0�0` Phone(952)249-4600 Fax(952)249-4616 ��0�� $ CITY OF ORONO-MECHANICAL PERMIT � (Ali Commerciai permiu must be approved by the BuildinL Official or lnspector and/or Fire Marsha�) CITY OF ORONO GENER.AL INFORMATION � , 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGII�Ul\'TIL THE PERMIT CARD IS POSTED ON TAE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilarion, humidification-dehumidification,and air condirioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be nresented on form provided. 4. When any new construction or remodelin�is involved, a separate building pemut must be obtained. 5. All work must be done in accordance with the liniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(9�2)249-4600. (24-48 hour notice required) 7. House Hearing Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1y) Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs 0'place Job Site/Owner Information: Site Address: �� l��h1�1�1. 1vYlll,�� Owner: ��'` �� Mailing Address: ��l✓�� City: �rld IJC? Lip: �� Home Phone: (��D�� ,�� 57.� Alternate Phone: !��a- 7 y/— �7'o�Us Contractor`Info ation: i Contractor: �" � Ll ��- '�•�+ Contact Person: K L21 Address: `Yd 3�/ �1'�lc°�'1'C�J Sd� State Bond#: �I� b�3 /G,3 City: ��i� Zip 5`�7 Expiration Date: g`O�� { Phone: G� '��ga�s`��'7 Alternate Phone: ❑ Insurance— Current: �� 1 ,� , , .; :..•.:� �.; -;�--,, • Note: All Geothermal Systems will now require a ite Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes o HEATING SYSTEMS Q��: 1 Make: � � Model: S9 V J (� u Fuel: w Flue Size: 3 _ �Put B•rus: ��D� G'7�'Z7 __ _ . ou�uc B�rus: 1 �, �D4 . CFM: � COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace . ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry V -N'TILATION � ' . . . _ __ _ -- ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath 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: 2 . , 4 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential fiature or aw�liance that meets all three of the follou-ing requirements: l. Does not require inodification to electrical or gas sei-��ice. ?. Has a total cost of$500.00 or less; excludine the cost of the fiattire or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Slcip next section, if this applies; Cost of Permit $ 15.00 State Surcharee � .50 Mail-In Fee (If Applicable) � 2.00 Total Permit Fee � PERMIT FEE CALCULATION(S) —JOBS OVER $500.00 If above does not apply; follow guidelines Uelow: 1. CONTRACT PRiCE * is 1.25%of contract price with a(A�Iinimum Fee of$50.00) �/� /1 � �I �lJ (J�v' x .0125 � ��` (contract price) (minimum��0.00) ?. STATE SURCAARGE *'� Add tlle State Bldg Code Div. Surcharge(i��iiniinum Fee of�.50) �/�l�6� � X .000s � �,3U (contract price) (minimum S .�0) 3. POSTAGE� HANDLING(Only on Mail-In Applications; S 2.00 4. TOTAL PERI�IIT FEE (Add Lines I-3 Above) � ! �� ■ * CO\TTRACT PRICE or JOB COST means the actual or estimated dollar amowit charQed for the pennitted work including materials, laUor, profit, and other fixed costs. It is the amount to Ue charged to the customer for the work done. If any material, equipment, labor or installations are funlished by tl�e o��ner, tenant or any other party, the reasonable market value of such items must be added to tl�e estimated cost or contract price for pern7it fee purposes. In the event that there is a dispute on tl�e amount of the job cost, the City may request the submission of a signed copy of the actua] contract. ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersiQned hereby applies to the City for issuance of a Mechanical Pernlit, agrees to do all worlc 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 con-ect. , /,�-,.�� j��`'�� Applicant s Signariu-e: Date: / 3 �� ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE �l' SCHEDULED �q_ � PERMIT NO v � COMPLETED ADDRESS ��_ ��M�'�-� OWNER �*'� � ��-4 TELEPHONE NO.��""�� CONTRACTOR ��-e--Q-� ��+ � � DESCRIPTIONl�� tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FI ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO/ v�i COMMENTS: � W a 2 J O � � O � W � Q � 2 W � w � j W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORHECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN � ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Call for the next inspection 24 hours in adva 9-46�� OwnerlContractor on site: Inspector. 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