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Home My WebLink About2013-01148 - mechanical CITY OF ORONO * Z 0 1 3 - 0 1 1 4 � 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2013 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3414 LIVINGSTON AVE PIN : 17-117-23-43-0023 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,901.00 NOTE: 1 BRYANT NAT GAS FURNACE APPLICANT MECHANICAL 50.00 STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.95 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 612-824-2656 TOTAL 53.95 OWNER BORG,CARL&CAREN 3414 LIVINGSTON AVE 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 sepazate 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 revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. __ � FOR C'ITl'LTSE ONLY ''�' Cit��o Oronc� -�� `� P.O.Bos � � � Date Recei��ed: Yennit" "��;,,,_, �+', 2750 Kelley rkway ` - a j�� • ` �.� Crystal Bay, 3 _�ppro��ed Bq: .�nount$: :�' �°}t�rc��u�� (952)249-4600 4 ��o��Y/ CITY OF ORONO—MECHANICAL PERMIT (All Commercial pecmits 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. Perniit 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 PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and au conditioning installation including heat loss/heat gain calculation,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 Unifonn Mechanical Code/State Building Code requuements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE O�PERMIT Check All That A 1�-�) �Resideutial �Commercial(Approval Required) ✓ � ❑Ne�� ❑Additional ❑Repaus ,, �Replace Job Site/O�vner Information: Site Address: �vl'� � Owner: !` Mailing Address: ��i'r�`�/ City: �-/ r'B'�� Zip: ..1.�� Home Phone:7 Jy L�y�'� ��"Altbrnate Phone: Contractor'Information: Contrac�r�dar ' i�g Contact Person: 130 Plymouth Avenue North Address: Minnea olis,MN 55411-3445 State Bond#: 81 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 . , ' MECHANI�AL S�STEMS BEIN�'r iNSTALLED � � Note: All Geothernial Systems will now require a Site Plan& Review by our Building Official. t IS THIS GEOTHERMAL? ❑Yes [�No ,.� HEATING SYSTEMS Quantity: / Make: Model: 3r FueL � Flue Size: Input BTUs: �j�O� Output BTUs: 7� � � _ CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTII.ATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm Q No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abandon tank in plac�) � Installation a Removal Fuel Oil: gallons ❑ Underground a Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Uther/List What 8r Where: 2 . . ` PER:I�1I�'FEE'et�i.�[I�:�TI�N�S) f ` �'ti�� E��: ��X;��'��f�.')...� •� , � Yes,this section applies The replacement of a Residential fixture or anpliance 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;excludine the cost of the fixture or appliance:and 3. Is itnproved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Totat Permit Fee $ PERM�T�E��i�� N S)..�. � ��.��$�#�0.(30 _ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ �0'� (contract price) (m�00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) v X.��$ $ r r L / (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ . � ■ * CONTRACT PRICE or JOB COST means the actual or estunated dollar amount charged for the pennitted 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 fumished by the owner,tenant or any other parly,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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. �.�- - ,w '�Y- -'rt f 1r ! k '" � '` ry'P 3, q°'t'��..k, '�rl''"^-*� .l.`` 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 statemen e on this applicarion are complete, true and conect. Applicant's Signatur . Date: I�/�'�' l� ��5�'��+�i'�1 , �. ; . .._-- . • .: 3 �� .� DATE TIME " �1' CITY OF ORONO CALLED IN �I, �9�'� - � INSPECTION NOTICE � scHEou�eo � i ' � "`" � PERMIT NO. ��'(� -L<<�� COMPLETED - ADDRESS I Y� � '�c�- OWNER ��C��r( ��C�'i�� TELEPHO� E NO. C��7U*� ��7 CONTRACTOR �` cI �1 � � DESCRIPTION d l`i 1�C��- ''L� � 1��--� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DE O-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL N RI ❑ SE I FINAL ❑ FOUNDATION/REMOVAL Q OWNE RACTOR TO MEET YOU: YES_NO � COMMENTS: � � W a � J O �. � O � W � Q � 2 W � W 2 J d W� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE w ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector_ �o� �. White Copyllnspector's File Canary CopylSfte Notice