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Home My WebLink About2014-00568 - mechanical CITY OF ORONO * 2 0 1 4 - 0 0 5 6 8 * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2014 ' " ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2595 LYDIARD CIR PIN : 20-117-23-11-0004 LEGAL DESC : APPLE HILL : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 10,000.00 NOTE: (2)RHEEM FURNACF,AND A/C APPLICANT MECHANICAL 125.00 STATE SURCHARGE MECH(VALUATION) 5.00 BENDTSEN MECHANICAL INC 8775 FAIRHILL LANE TOTAL 130.00 MONTICELLO, MN 55362- Payment(s) Minnesota State License#: mech-3054 CREDIT CARD 5443 130.00 OWNER LEUPKE, JOHN 2595 LYDIARD EXCELSIOR, MN 553�I- 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 U�e work described and does not grant pennission 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 specitied herein.1'his permit will expire and become null and void if construction authorized is not commeneed within 180 days of the date of issuance,or if construction is suspended for a period oY 180 days at any[ime af[er work has commenced. I�he applicant is responsible for assuring all required inspec[ions are requested in confbrmance with the State Quilding Code.This permit may be revoked at any time for due cause. � (,�,_�.- /� i ✓ pli� nt Permite t ature Date Issue y Signature Date f FOR C1TY USE ONLY � �� City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � � y � � ` �.�KFSHo��,�' CITY OF ORONO —MECHANICAL PERMIT (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 BEGIN 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 loss/heat gain calculation, design temperatures, equipment ratirigs 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 ply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ,�Replace Job Site / Owner Information: Site Address: � �; �S �-.�c�r��,--�I C'��,� Owner:�`��` Mailing Address: City: �'z'�` Zip: Home Phone: � �5 " ��'� ��C�5 Alternate Phone: Contractor Information: l�e�d ts�-.-, Contractor: �--(ee.Lr�.-c�� v� t Contact Person: ��`"`�` Address: �l�� c��-��' State Bond #: �� c'`' � City: �`�� Zip: �� Expiration Date: s_/�— �""j � Phone: bL"Z-��5 S � �� Alternate Phone: ❑ Insurance—Current: 1 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will now require a Site Plan & Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: � ��--(, Model: ��.� �`�=� Fuel: tv�C� �� Flue Size: �� C Input BTUs: �O .Of�v Output BTUs: � 7 v�'`� CFM: �l�-"�' COOLING SYSTEMS Quantity: � Make: �1.t��-��'� Model: Tons: �� `J 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 cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tmik 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;excluding 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 �uidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) `=-�� '� c'� x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far 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. 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: �ti� Date: �' -�— ��/7" 3 �� DA E A.�E � CITY OF ORONO CALLED IN �� v�- INSPECTION� ICE.fl,�� SCHEDULED 2 �.;3 n PERM(T NO. �� `Y COMPLEfED ADDRESS 2�Q 5 � OWNE ^ �-e- TELEPHONE NO. ��5�5 3�i 33 CONTRACTOR �^ I�YaQ�.'�Ca- � DESCRIPTION �� .�-- � ❑ FOOTING �❑ PLU�ABING FIN,AL ❑ EXCAV/GRADING/FILUNG y ❑ POURED WALL ��I�wca-a—� O LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEH/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFlOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL p FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YpU:_YES_NO � COMMENTS: i � � J O � O � W � Q � W � W � J d W� WORK SATISFACTORY:PROCEED ❑PHOJ ECT COM PLETE W RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEiiMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i adva��ty�1) 249-460� OwneHContractor on site: Inspector: White Copyllnspector's File Canary CopylSfte Notice DATE TIME CITY OF ORONO CA�LED IN INSPECTION NOT E SCHEDULED � PERMtT NO.?-Ol "O��o B COMPLETED � I % ADDRESS Z-J�g� G•Yd/a� G IrG(,Pi OWNER SJO�I.vt, �n50 n TELEPHONE NO. CONTRACTOR � DESCRIPTION �v��G'� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING i �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION /❑ V�OOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTNACTOR TO MEET YiOU:_YES_NO � COMMENTS: � W a o e�. i� eQ�e� c�s — �1�G � � ° 4s - �i i h,f� �eX�s-�� /�� -�y,�6 W // Q �,�i;s�¢!��✓` � z W � W � J d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra on site: Inspector: White Copyllnspector's File Gnary CopylSite Notice J�� DAJ TIME ✓ CITY OF ORONO CALLED IN C-/� INSrECT10N NOTI� SCHEDULED o9�0� PERMIT NO.o7o/ �`s� COMPLEfED -�-/ ADDRESS dSgS ��a-`C� �L� OWNER 4J��- T LEPHONE NO.��z �s-�j 3-�j� CONTRACTOR ��'C �� >; DESCRIPTION � ��"�'�- �� ❑ FOOTING I ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �❑_/�ECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING �S�MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION l❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J � O � � O J � W � Q � 2 W � w � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � EFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 952) � OwnerlContractor on site: Inspector. White Copyllnspector's Ffle anary CopylSite otice ✓ DATE TIME CITY OF ORONO CALLED IN =J�� INSPECTION NOTICE SCHEDULED � PERMIT NO��4��6g COMPLETED � ADDRESS oZ�9� Ll.n�i�r� C/�C.�� OWNER TELEPHONE NO. CONTRACTOR ��K-SrsA �IP��(. Q n.�.�- � DESCRIPTION ��' ��G � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING �'.dAECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP O PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICOMRACT�R TO MEET Y�OU:_YES_NO H COMMENTS: W n � � p� �U/��tCtf ' �KrS��'K �/Kc%S' —' � � 7il'[ /t Q -1 /'t2� i i!. � �' .` I�C.?L e a_S -Fo r �a s - d l� � �� W . Q � ��oai,oc bor�j,1� -�or s�s��9'j� /�pr�f _ 2 � P�o��e �Jp�.�r4L�� j4L�l �f•f•s� ��' 4 Ll �i�� j �� 4`� Kt 7�'t�c�..cS l�. CoID�,� �e.fq.r! .S 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��/��CGRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY �CORRECT WfORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ' ion 24 hours in advaru:e. (g52) 249-4600 ator on site: JD�'� ��.? a�t Inspector: 'w White Copyllnspector's File Canary CopylSMe Noties