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Home My WebLink About2017-00437 - mechanical � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 - PJ 0 4 3 7 * DATE ISSUED: OS/02/2017 ORONO,MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 3695 LYRIC AVE PIN : 17-117-23-34-0038 LEGAL DESC : NAVARRO : LOT 002 BLOCK 003 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPLACE(1)FURNACE(BRYANT) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 SHC MECHANICAL INC. TOTAL 50.75 4728 BEDFORD ROAD Payment(s) MOUND,MN 55364 CHECK 5824 50.75 Minnesota State License#:mech-MB661890 OWNER TURKOWSKY,ROBERT 3695 LYRIC AVE WAYZATA,MN 55391- AGREEMENT A1vD 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 dces not grant permission for additional or rela[ed 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 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. ��e �5, � ,/ 7 Applicant ermitee Signat Date Issued B ignature Date ✓ I USE ONLY � ' City of Orono �O�O P.O.Box 66 Date Receiv P�mit#�0�7 UZ) ,,3, 2750 Kelley Parkway �b Crystal Bay,MN 55323 Approved Byc Amount$: Phone(952)249-4600 Fax(952)249-4616 y�t9k ��.�~� CITY OF ORONO–MECHANICAL PERMIT E5H0 All Commercial ermits must be a roved b the Buildin Official or Ins � p pp y g p�tor and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desims—Complete calculations,details and specifications are required for each heating,venrilarion,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All'That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: []AVB ❑PVBJ ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �9� � yr;c , Owner: �o b ��o w s k�' Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ' Contractor: -�� J��-��G� �� Contact Person: ��ve Address: `��2$ �ed� R�! State Bond#: /V1� �G�9C� City: /'�o�^� Zip:SS 3��f Expiration Date: � ��`� Phone: ��Z �'63 `�'3`�'Z Alternate Phone: ❑ Insurance–Current: �(',� 1 �— y _, : . . . s� .�..- �. � �; � z �;_�� •`� , ...._ .,_ s.: ��,��'h�� .��. ;r.�. ^+;.� s y Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �,No HEATING SYSTEMS ��t�ty: f Make: �1'�yc�✓i-�' —� Model: Fuel: Flue Size: Input BTUs: 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 cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshal[if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Crrill ❑ Other/List What&Where: 2 r ' � x r _ �� `<� , ' ��.�i��.� ��; �s ;z �,� Ma =_, ,., _ . �. , .. -: -. .a'. . ..' . . , ..... .' .. i r.,.s..x � :�:r x 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �- �sG� x.0125 $ (conhact 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 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 pwposes. 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. rt�,� .,,,��, ,.F.��,< �,� .�a`. �," �.; 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 conect. � Applicant's Signature: , Date: �/ �/ �� 3 ��' �.�` . , DATE TIME J CITY OF ORONO CALLED IN 1NSPECTION NOTICE SCHEDULED �T' � PERMIT NO. =�� v�� COMPLETED ADDRESS J(t: �_� Le._U!��..:�'___� OWNER TELEPHONE NO. �'�� d-3 ��1 CONTRACTOR -=� � � ��! '� � DESCRIPTION �'C7� �/h�-` � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINa �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �IyECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ��❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ E IC INSTALL 2 OWNERI�OKTRACTOR TO MEET Y�U:%�XE$_NO � COMMENT� � ' �u�w• rFp�• . o ex��.�� ¢s �K� '' - r�t � �- � v�� - � c�s�i�•cr 4i Q � �O Q �/ � �'a N�D��z`� — � g � � j ,/J��-r a� ��e�•� � ❑W'ORK SATISFACTORY:PROCEED �JECT COMPLETE W ❑OORRECT YMORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUWINC� 0 ❑CORRECT WORIC,CALI FOR REINSPECTION TEMPOFiARY V BEFORE CdVERINQ PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS. CsM tor the next Mspectfon 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspactoc �-/� '�` Whib CopyAnspectar's FlN Canary CopyfSlb Notia