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Home My WebLink About2017-00261 - mechanical � CITY OF ORONO * z 0 1 7 - 0 0 2 s 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/2U20U ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2995 DEER RUN TR PIN : 04-117-23-23-0030 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : MECHANICAL-MULT[PLE VALUATION : $ 9,000.00 NOTE: ALL TEST[NG REPORTS SHALL BE ON SITE AT FINAL[NSPECT[ON. (1)GAS FIREPLACE-TOWN&COUNTRY (1)WOOD FIREPLACE-INNOVATNE HEARTH GASLINE BEING DONE BY OTHERS APPL[CANT MECHANICAL 112.50 STATE SURCHARGE MECH(VALUATION) 4.50 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE JORDAN, MN 55352 TOTAL 119.00 (952)495-2927 Payment(s) Minnesota State License#:mech-MB005786 CHECK 24694 119.00 OWNER LEISCHOW,KELLY 2995 DEER RLJN TR LONG LAKE,MN 55356- 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 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. 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. � � �p ��j � l �Ll � 7 Applicant Permitee Signature Date Issued By gnature Date a �� RECEIV F x c� usF o.LY City of Orono �p�.7` �/ �� P.O.Box 66 A(� (� �" Date Rec � � Pennit# � � 2750 Kelley Parkway �H" � �" �'' �' Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax��,�„2}39.4b1�� >. 1 Y V I' � `� �.�' CITY OF ORONO-MECHANICAL PERMIT �'�k�sHo� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 BECIN 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 lossii�aat gaiu cal�ulati�n,des;gn ten7peratures,equiNment 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. TYPE OF PERMIT Check All That A l �]Residential ❑Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] �.� New ❑ Additional ❑ Repairs ❑Replace Job Site /Owner Information: Site Address: �� I� 1(� 1�f/1 1� r' J Owner:��1U (� If� . �Yl�, . Mailing Address: � � ��T �.�C��f �� City: Zip: `�S� � Home Phone: Alternate Phone: �(� --�V `-`�� '��— Contractor Information: Contractor:� � (��' Contact Person: �� Address: l State Bond #: // l��U�7 70 CP .._-- C;ty: -�Or Zi�s�7�-�;�irat:;.11� Datz: I � Phone: �'d��a= �� Alternate Phone: Insurance-Current: � I� � Ib � �� 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTCTs: Output BT'Us: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ` � 'Gas Factory Fireplace � Br e: Wood Burning Fireplace i� Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry �� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ 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 ✓��/.�„ � �(� ' �'S �_,i �.c.. �� ( ❑ Outdoor Grill ❑ Oth r/List What&Where: 2 �. . , �, 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �Q�_ x.0125 $ � � ( on ract price) (minimum$50.00) 2. STATE SURCHARGE Ooo � x.0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $___��__�. w ■ * 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: � � 3 DATE TIME CfTY OF ORONO cnLLED IN INSPECTION NOTIC SCHEDULED PERMR N@� 2� COMPLETED ADDRESS 2 a'a5 �-2� �u-�1 O'1NNER TE PHQNE NO. r2 �� 7�� CONTRACTOR '�� f�'�'�' ��a `��'�g�� DESCRIPTION �� y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING � MECHANICALFINAL� ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCOKTRACTOR TO MEET YCU:_YES_NO � COMMENTS: � �/�i�`tZ� , G �EXs/B�G'P� ' ��. o "' /'!o� f�i�^4 ��p o f �l��s� /..�i �-.(� � ��n� G ° " /�D 9•os J.•c`P � f,� • W � � Q Z I(►�gst c��C. — � � � , �i n�5�t i�s�`a�� s� ��s — � �WOIiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE ��O CORRECT YYOFiK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 �(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECdVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Caq for the next inspection 24 hours in advance. (952) 249-4600 OMn�CoMractor on site: Inspeetor: � � White Copyflnspsctor's File Gnary CopylSit�NoN�x DATE TIME ' CITY OF ORONO CALLED IN iNSPECTION N�fOTICE _ -�-��,o�l,/ SCHEDULED _�� PERMITNO. o`b�7 ��}�X COMPLEfED b /J �� ADORESS o� �f�75 �P c✓ /P a� Tra� OWNER TELEPH NE NO.�Sa'��7�f�/ CONTRACTOR Il4 r � � DESCRIPTION F��c LP �� 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: � � k�4 bu•��.� �,�� 4:G�' �:��/� - � C��qrlccs- oC o � � - �/�r� .�< � GK - �',�' �-�jr�c ra�-I'� o _ ��►�l �"i/�KG Q � �°d-r��l�.�E ro�, 4k� �/Q✓��p � ri•!�Sfi �' C6 vt �cfi�� '�` eJ'��reb.i 2 � — �r /�•1� fra/ ��r�� x 5�'6 — � rG✓r lrK�e c-=- �'c — W ❑WOFiKSATISFACTOR`F.PFI�CE � �✓ �O PROJECTCOMPLETE ��CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CONERING �RMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��- ❑p�{pT0 TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspeetor: � ��"'" # Yyhlte CopyAnspector's Flle Cenary CopyfSfM Notice DATE TIME \/' CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO. I-2-0021,pl COMPLETED ADDRESS a 99'S 7a J OWNER TELEPHONE NO. CONTRACTORE. 'n DESCRIPTION ty 0 FOOTING 0 DEMO FINAL 0 SEPTIC FINAL 3 ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL • ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT • 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP • ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL . ❑ DEMO-SITE 0 SEPTIC INSTALL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO cl COMMENTS: CL CC Q W cc IM ❑WORK SATISFACTORY:PROCEED 7PRedECT COMPLETE W ❑CORRECT WORKS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN CI CI STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne pection 24 hours in advance. (952) 249-4600 OwnerlContractor on e: Inspector. White Copy/inspector's File Canary Copy/She Notice