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Home My WebLink About2015-01102 - mechanical CITY OF ORONO * z 0 1 5 - 0 1 1 0 2 * " 2750 KELLEY PARKWAY DATE ISSUED: 08/3U2015 � � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 517 FERNDALE RD N PIN : 36-118-23-14-0007 LEGAL DESC : LJNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 12,000.00 NOTE: 3 GAS FIREPLACES& 1 WOOD FIREPLACE APPLICANT MECHANICAL 150.00 STATE SURCHARGE MECH(VALUATION) 6.00 TWIN CITY FIREPLACE STONE CO INC TOTAL 156.00 6521 CECILIA CIR EDINA,MN 55439- Payment(s) (952)941-2685 CHECK 201746 156.00 Minnesota State License#:mech-MB682977 OWNER BURNET,RALPH&PEGGY 392 FERNDALE RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 related work which requires sepazate 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 consWction 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 confortnance with the State Building Code.This permit may be (1� revoked at any time for due cause. .,� 8G� � � �.� �-4 �� 3i � Applicant Permitee igna re Date Issued By Signature Date FOR CiTY USE(?h�i.Y , �O/�� city of orono D� `YO P.o.Box 66 D�e R�eived:��FermiE# 2l?� - � � 2750 Kelley Parkway Crystal Bay,MN 55323 App�o�est By: ,�Amamt S:�_ Phone(952)249-4600 Fax(952)249-4616 y� �.�� CITY OF ORONO-MECHANICAL PERMIT �Kf S H�� (pl�Commercial permits must be approved by the Building�cial 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 pertnit 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 PERNIIT CARD LS PQSTED ON THE JOB SITE. 3. Mechanical Desi�ns-Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperah.ues,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 flF PERMIT Check All That A I �Residential ❑Commercial(Approval Required) L New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ��' N o�� .c;�rv�o�a\e Owner: �S1'ZVL� S-�'AGiq �Yu��fXSOVI MailingAddress: City: Zip: Home Phone: Altemate Phone: Contractar Information: � Contractor: IW iY1 G'CL-1 �i Y�'[��aCL�c Contact Person: 'I�.o�.C�L.UIn 7.�t� '-[fnovV��Jt Vt S-I-p Vl� Go • Address: l�5 Zl GZ�'� (.,iG Ci r. State Bond#: 'N'�R lQ�d 2�i�-�- City: �c�,t►ri� Zip: SS 9 Expiration Date: l0 Phone: �S 2-q� �-2(s�8 S Alternate Phone: q 52-�-�-�-9-�2� `F�� - ❑ Insurance-Current: ��,� r�-J�ro� 1 � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES aS �n�� Gas Factory Fireplace X �J Brand Name: U/1d..0-}'(/l ��P Wood Buming Fireplace�1— ❑ Wood Stove Model No.: � 1 x2 F� � Q�(Ol�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Ea�haust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be apprnved by Fire Marshall if prnposing to abandon tank in ptac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or a,�pliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Swcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) �D I '�, '�d� x.0125$ � '✓� ��a —�(contract price) (minimum$50.00) 2. STATE SURCHARGE �� 2i OC�O x.0005 $ (Q , O� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -�---�- 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $__ �� , d�_ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 conect. Applicant's Signature: ��,p1��n Date: � 3 ,._�' 1% �� " DATE � TIME CITY OF ORONO CAL�ED IN �� INSPECTION NOTICE SCHEDULED ID PERMIT NO. �I �—D� I OZ COMPLETED ADDRESS ,�T� � �i'�'�-�_ i c �I N — r OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � S�1 � �I ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL '�QIS F� 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��G,�o � �/ i -t � �o �� i:1 � � 0 �. � 0 � W - � ,� . - Q � 2 W � w � J W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT VYORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEN POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h rs in advan 49-46�� OwnerfContractor on site: Ins�ctor. White Copyllnspector's File Canary CopylSfte Notice �"'�� •DATE TIME� CITY OF ORONO cnLLED IN � INSPECTION NOTICE SCHEDULED PERMR NO. �� COMPLETED ADDRESS � � � �'-e��-�. � N � OWNER TELEPHONE NO. U/5��Zl(��d�3 CONTRACTOR �� / � DESCRIPTION S �S tN ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE [] SEPTIC I ALL ? OWNERlCONTRACTOR TO MEET YiDU:_YES ' NO ti COMMENTS: 2 `rY�L I{�1 (� VP_ I � ��Gs �•% �•..s�� l - L[_ � o/. F,P. �.�, C,c�/1c�..�= o� ��t��;o-- �4 i� - �` �/Gvlt� .�J " ��4�E�'1/'63 ` �� O � � , �, p - p� �K �oo�,,. - v�h t .i.�..��e.,. T " I�j t ?�� SD��i�' oa►t �/ �G ' / d< ,,., �/'D psl ve,��. f-�i..,� .c�t ro',., ��`•E•�a.�C`s � 2 � �.G. /r � - G�ca�a.�c<s - o!C - ✓c.�E. •�� - QL� � G ' • ' - j r ��{ firGtJS Q/GR LJ� /�r�i/✓!S Iv1kt� t��i�'✓►. a I,t rt 7�5�s��e� W� ❑W'ORKSATISFACTOFlIFPROCEED ❑PRWECTCOMPLEfE W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY `��ORRECT WORK,CALL FOR REtNSPECTION TEMPORARY ��EFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN � INSPECTOR WILL RETURN ❑�TOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: _�a/S�� Inspector: ( �/'/�-' � White Copypnspector's Ffle Cenary CopylSke Not�e � 1 , � DATE TIME �" CITY OF ORONO CALLED IN � INSPECTIO OTICE SCHEDULED PERMfT NO. COMPLETED ADDRESS �I. � ��2h1�!�4C�_ ,� OWNER �'�y TELEPHONE NQ.7�-��(�� CONTRACTOR �� a�� 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNERlCONTFiACTOR TO MEET Y�W:_YES�NO y COMMENTS: 01�.�__ �� o /'o r/�d G �S.pcU �r � F �. � � � 0 W 1� � CA" ��T�C / tc�'�-.S ►✓eGC►�0�. Q � � W � J O W� O WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ❑CORRECT V1fORK�PROCEED �ISSUE CERTIFICATE OF OCCUPANCY C��RRECT WORK,CALL FOR REINSPECTION TEMPORARY B ORE C01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR NfFLL RETURN ❑ OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l ror the next inspection 24 hours in advance. (952) 249-4600 OMrnerlContraator Qn site: Inspcctor: �r i �-- � WhiM Copyllnspactor's File Cenary CopylSite Notics ✓ � /� `� DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �S� � PERMIT NO.�Z�� -v��Z- connPrEl�o ADDRESS � � � 6�� n� ' OWNER TELEPHbNE�O. �n I Z�L�`Z� I� CONTRACTOR � �� DESCRIPTION " ��P fa� tL ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC IN ALL 2 OWNERICONTRACTOR TO MEET YOU:�IES�NO � COMMENTS: �� `I�.P�.�� C�C�{'l�� . a -�lY,��,,o, � � � t �, o �t�=l jr�C � o �va�� bw.. �.�;� !=.P- 6�, o��s�_�a�� - �. �- C v� � � D.ro v r✓J�_n � rc r�•a� 4 c r ° - ✓c•�b�Ks -�,� 6� ex��c.� .�` ��f�F... r W c�t��.c DyC�/� S C d ✓ ` Q �--��rrols.cG -p�GGtQiL ��vSL�od flc�c•��.�'��t� �j '� �i MC K,t •�� /rt�j�+ c/ ��•�a� t�J'�C c�s. ..r e..s� f rs..�. tot �._f�ct4r�.. s� �,_� naG� -fs s��r �2i, � t/(.y !o c�c�o.1, ' 4�'� ex�J4K f,o.1 of Wfi�rt�i ,�` � . � � �G o i�l�� /�'JS �� jj�Zti.�4C��✓'�S s��s W ❑WO KSATI FACTORY:PROCEED ❑ ROJECT OMPLEfE � �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ��O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS_ ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. '�^' � White Copyllnspector's File Canary CopylSite Notice