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Home My WebLink About2014-01350 - mechanical CITY OF ORONO * 2 0 1 4 - 0 1 3 5 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1U19/2014 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1250 LYMAN AVE PiN : 35-118-23-34-0015 LEGAL DESC : LYMAN WOODS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 6,000.00 NOTE: AIR EXCHANGER APPLICANT MECHANICAL 75.00 STATE SURCHARGE MECH (VALUATION) 3.00 KLEVE&JC MECHANtCAL LLC MAIL-IN FEE 2.00 12907 PIONEER TR TOTAL 80.00 EDEN PRAIRIE,MN 55347- Payment(s) CREDIT CARD 7744 80.00 OWNER DWORSKY, WILLIAM& BETH 1250 LYMAN 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 Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for aAdiCioh�1 or reiated 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.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. /`� t G(� �� __ ��E_ C�7'yl c.c.h �l � l� ( Applicant Permitee Signature Date Issued By Signature Date From:KLEVE HEATING AND AC INC 952 941 7240 11/1812014 11 :36 #369 P.002/004 l FOR CITY USE ONLY �O^T O BWt 66 On0 Date Reeeived: Pamit# O 2750 Kelley Parkway Cty�hl Bey,MN 55323 Appt�oved By: Amoimt j: Phone(432)249-4600 Fa�c(952)249�616 y��'�K sHo�-�'�,� CITY OF ORONO—MECHANICAL PE1tMIT (All CoeL__�M-�permi4 nmut be approved by the Build'mg OAicisl or Impector and/os F'ne Marshdl) G�,n�nFo�TTox 1. You may apply for mechanical pecmits by mail ot in person at the City offices. Applica�ions will be revi�vved aad a permit will be issued within two working daya. 2. Peamit cards will be sent by retum maii afta a rcviaw is completed. PERMITS ARE NOT VALID UNTII.,YOU RECEIVE A PERNIlT. WORK MUST NOT BEGII�i UNTIL TEE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�s—Complete calculations,deteils end spocificatians are required far each heabag,vartilation,hwmdiftcation-dehumidificadon,and sir conditioning installation inclading htat loss/heat gain calculation,design temperatures,aryipment ratinge and identification as to type,manufacturer and model. Data shalt bc presente�on fmm providad. 4. Whe.n any new construction or remodeling is involved,s separate building ppmit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Buiiding Code requit+cmeats. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 floar notice required) 7. House Hcating Test Record must be aubmitted befa�e fmai. TYPE OF PERMIT Ch�ck Alt TSat A i �Residential ❑Commercial(Approval Requaed) ❑New ❑Additionai ❑Repairs A Rcplace Job Site/Owner Information: Site Address: _�Z 5 0 L4 N1 jj'1� �I'l/E N V� Owner:��l�.l ECt'� �o R�S�.� Mailing Address: �.S�D City: ��0 NO Z�p; �c�� Home Phone: Altemate Phone: ��—�0�� t�D� Contractor Information: � ��k Contractor: �l�'UE � TC��,L'}�kwICI�'�,Contact Person: � Address: IZq�171an1{-E�. �liJ1-IL StateBond#: ��p��,� City: C D�►V Q�R�I� Zip:�4lExpiration Date: 1 Phone: �s a'�J��- y�.l� Alternate Phone: ❑ Insurance—Current: �) 1�1 A'iZ�1 A'�. � (�ILvt6 From:KLEVE HEATING AND AC INC 952 941 7240 11/18/2014 11 :36 #369 P.003/004 � � ' ::3��CI�►i�IICA[:'SY�TEMS 3EING II�1ST'ALI�1 - :�.,�. •..�-. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEO � ? ❑Yes *No HEA STEMS � �� `� tiry: I Make: E N Model: �{O,�I+�1E NG Fuel: ti A'�l� Flue Siu: Input B1Us: Output BTUs: CFM: COOI,II�IG SYSTEMS Qaantity: Make: Modtl: Tons: H.Powcr FIREP�� ❑ Gas Faciory Fireplace Brand Name: ❑ Wood Buming Fireplace . ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Maeonry VENTiI.AT[ON p xo. Kitchen Bxhaust dua recirettlsting cfm No. Bath F,xhaust(muat have duct outside) _ dm No. Othar Fans: Location: cfm � ORAGE (Mwst be qpproved by Firr M a #f P�Po�+B to aba�oe taisJE ie ❑ Installation ❑ Removat Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 From:KLEVE HEATING AND AC INC 952 941 7240 11l18l2014 11 :37 #369 P.0041004 t . ;- _:.._.v:; ., .;: :: .� , bFF-200 -, ❑ Yes,this soction appliea Thc replacemeY►t of a Residentia that metts all three of the following requirements: 1. Does not require modification to electrical or gae servicc. 2. Has a total cost of 5500.00 or less;�ccludin$the cost of the fixture or appliaaco:aad 3. Is improved,installed�replaced by t6e homeowner or licensed contracwr. Skip next section,if this applies; Coet of Permit S 15.00 State Sw�charge S 5.00 Mail-In Fee(If Applicable) S 2.00 Total Permit Fee S � :�s:-�. �E C�AL�C[JLI'�� — 0 -:�. Yf above does not apply;follow guidelines b�low: I. CONTRAGT PRICE *is 1.25%of amh�act price with a(Minimum Fee of SS0.00) � � x.0125$ `J (c�act priae) (m+.mam sso.ie) 2. STATE SURCAARGE � ---^� x.0005 $ (�r�) 3. POSTAGE&HANDLING(Onty on Mail-In Applications) S 2.00 �- 4. TOTAL PERMIT FEE(Add Lines l-3 Above) S � ■ • CONTRAGT PRICE or JOB COST means the actual or eatimated dollar amount charged for the pemutted work including materials,labor,profit,end other fixed costs. It is the amount to bc charg� to the customer for the work done. If any material,equipment,labar or installations are fiunished by the owner,tcnant or asiy other party,the reasonable merket valne of such ite�ns must be added to the �timated cost or contract price for parmit 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 si�ed copy of the actual contract. . s , . _ :,,,, ,, . - CA�. i, �.�' 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 regulatiotts of the State of Minnesota, and certifies that all statements made on this appIication are complete, true and correct. Applicant's Signa ' Date: � 3 '�� C � TE TIME CITY OF ORONO �� CALLED IN � � S INSPECTION NOTICE �+EDULED �� PERMIT NO. � �3"t�bMPLETED ADDRESS � S� OWNER �1� T PHONE NO`��ID�J�,'3I� CONTRACTOR � DESCRIPTION �� - �� W ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO- ITE ❑ SEPTIC INSTALL ❑ FOUNDATIO /REMOVAL � YYNERICO RACTOR TO MEET YOU:�YES_NO J.�� COMMENTS: T� � W a � � / O �. � O � W � Q � 2 W . � W � � J d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ 1 UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /��`. Call for the next inspection 24 hours i advance. 2 9-4600 OwnerlContractor on site: Inspector. - White Copyllnspector's File Canary CopyfSite Notice