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Home My WebLink About2017-00551 - mechanical CITY OF ORONO * 2 0 1 7 - 0 0 5 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1000 OLD CRYSTAL BAY RD S PIN : 09-117-23-11-0009 LEGAL DESC : FRENCH LAKE OF ORONO 2ND ADDN : LOT 002 BLOCK 001 PERM[T TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECTION. REPLACEFURNACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 TEAM MECHANICAL INC. MAIL-IN FEE 2.00 3508 SNELLING AVENUE S MINNEAPOLIS,MN 55406- TOTAL 52.75 (612)729-5646 Payment(s) Minnesota State License#:mech-MB003782 CHECK 20828 52.75 OWNER FULLERTON, MARNA 1000 OLD CRYSTAL BAY RD S 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[he 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 l80 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 �� 17 Applicant Permitee Signature Date Issued By ' ature Date � ,°� �TYUS�°�Y ECEIVED / City of Orono t�/r' g-O�Q P.O.Box 66 Date Recea;�,�, J �Permif# s/ 2750 Kelley Parkway y n Crystal Bay,MN 55323 Appmved By: Amouttt S; ,'�� A I � ,� �U�� Phone(952)249-4600 Fax(952)249-4616 � � ��' ° CITY OF ORONO—MECHANICAL PERMIT CITY OF OR01N0 r��Es�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL I.NFC1RMATION' 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 Desiens—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 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 1 1 Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVBJ ❑New ❑Additional ❑Repairs �Replace Jc�b Site!Ovvn+�r I�nforrnation: C��y✓��n�j Site Address: /�r�� /%%C"'� (�r,rs>�7��C��% ��, T— Owner:,�/,Ctr"/�a yu/�v�ir1� Mailing Address: ,�,� City: C-"'r'��l U Zip: ��'�/ Home Phone: �'/°�'`f��'-� /��=� Alternate Phone: C+�ntractor Inforrnation: � Contractor: /.��t?1 ��<<1a✓�.�� Contact Person: ��,��rl..�� Address: 3��;5� �7�'//r��r �=� State Bond#: /�/s'�2'>.�7�`�-- City: � �� . cr v/� Zip:�G� Expiration Date: 3�j�,; Phone: �.;•�,�•��`f'�6`i�? Alternate Phone: �S] Insurance—Current: �r�,(�,,�rct 1 ,- , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �'1� HEATING SYSTEMS Quantity: J Make: ��,�•/ h,�t ModeL• G��Ctt /,�C3 � Fuel: /,��Ci Flue Size: 5 Input BTUs: /;�1,C�t;� Output BTUs: /��, �/� 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/Masonry VENTILATION ❑ 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 ❑ Outdoar Grill ❑ Other/List What&Where: 2 ,� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �:> c�l O�Z��' '" x.0125 $ �C! (contract price) (minimum$50.00) 2. STATESURCHARGE � x.0005 $ �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 h a 7�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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. � .;�� '�c Applicant's Signature: � � Date: ��/� 3 . ! Ei, si---- DAT TIME CITY OF ORONO CALLED IN s ! INSPECTION NOTICEOSS SCHEDULED ,b S /7 /D:0e PERMIT NO I�oMPyT ADDRESS �O b I / / / 1 ,,,,,et,/S OWNER T LEONE 0.° - (5- 4 u ' CONTRACTORJewo it �'I aY� )3e-it, i DESCRIPTION 6) l LL-( A W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2• OWNERICONTRACTOR TO MEET YOU:_YES_NO c• COMMENTS: W eo• fGtr re/O /4ce#4,, lcsei o � s e,�� te�5 �m6�� 4.�-t e ix ` e---x(s>✓ • 745 /f-ie o - 7P'2 I /QC- — 0C.- W CC Q z G�r k 1® sM 11, W W • ®a.....-c 4-- ,,fes/ j W ❑WORK SATISFACTORY:PROCEED , ROJECT COMPLETE CCW CI CORRECT WORK&PROCEED _-CI ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: ///1Pt CUe c Inspector. /r,-/ 'Id- White Copy/Inspector's File Canary Copy/Site Notice