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Home My WebLink About2015-00637 - mechanical . � CITY OF ORONO * 2 0 1 5 - 0 0 6 3 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/20/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1590 LONG LAKE BLVD PIN : 26-118-23-33-0026 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 012 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,000.00 NOTE: 1 CENTRAL AC UNIT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 TOTAL COMFORT MAIL-IN FEE 2.00 4000 WINNETKA AVE N SUITE 10 TOTAL 53.50 NEW HOPE, MN 55427- Payment(s) �� CHECK 2228 53.50 OWNER FLAHERTY,GLEN 1590 LONG LAKE BLVD 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 Ciry 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 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 l80 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. % , �1� :- �" `�-L v�ti l�.�� S / '�,(, � l�(•° �_... �. ��(; � / S Applicant Permitee Signature Date Issued By Signature Date � FOR CITY USE ONLY �O A rO City of Orono <�r P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y � F`�KfSHO��G CITY OF ORONO—MECHANICAL PERMIT (Ail 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 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 ,�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: ' �I � �' �(J�. Owner:�`�-��I�2�� Mailing Address: ��D � �a I�c S�- City: l,l I��Vl0 Zip: ��S. rn� ��j�{ �� Home Phone: � 5� " � - Alternate Phone: � - �, l C l� 0 3 I S(�t-� ) Contractor Information: Contractor:�� l.-U�Y�� Contact Person: 1 I S,}c.(00 Address: �� State Bond#: ��j `� ,�� Ciry: �� IV Zip��xpiration Date: Phone: Alternate Phone: ( �o��7CS."�Cl�� ❑ Insurance—Current: 1 , Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No J\ HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: 1� `�'�-`-� Model: �� J�" � Tons: � O 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 E�aust(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 ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludine 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 $ 5.00 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 below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50 ) � �� x.0125 $ �O� �� {contract price) minimum$5 .00) 2. STATE SURCHARGE c-� � �� ( )�� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �J � � �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated doilar 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, labar 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 pA� TIME CtTY OF ORONO CALLED IN INSPECTION OTIC� 8CHmuLED PERMR NO. b.i�"�6 3Z coM�r� _� ApppEgg /590 � � pMINEp TELEPHONE NO. CONTRACTOR !�3��L ("Q�•c�v�'� � DESCRIPTION /'� G /"��o�c�s�d.s� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL a ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVK3RADING/FILLIN(i �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL ❑ TREE REMOVAL Z, � qqppN g�qg ❑ MECHANICAL HI ❑ SITE INSPECTION � ❑ FRAMNVG ❑MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNERIFIREPLACE ❑COMPLAINT � � F�� ❑WATER HOOK-UP LLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWHEMOVAL r ❑DEMO-SffE ❑ SEPTIC INSTALL ? dINNBYCONTwACfOR TO MEET 1FlOU:._YE�_MO � coMM� � Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � � W � Q � W W aC , W O WORK SATISFACTORY:PROCEED ❑PfiOJECT COMPLEfE � ❑O�CT W�OiMC 8 PROCEED C]ISSUE CERTIFIC/1TE OF OOCUPANCY Q� ❑(pq��yylppK,G►LL FOR REINSPECTION '��►� V BEFOqE CdYERINO PERMANENT O CpqqECT�pdSAFE ppNplTlpN WITHIN ��. O pHpTO TAKEN INSPECTOR WILL RETURN ❑CfiAT10N ISSUED ❑STOP OF�ER POSTED.CJ1LL INSPECTOR p�}�Sp6CTqN pEpUIqED.C/1LL TO ARR/►N(iE ACCESS_ �N��„��,�t�u no�h�►�os. (952) 249-4600 �� _ � � WMt.�•P�.Fl» ��•"°"a