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Home My WebLink About2015-01285 - mechanical n ` CITY OF ORONO * 2 0 1 5 - 0 1 Z 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 60 MYRTLEWOOD RD PIN : 36-118-23-33-0020 LEGAL DESC : REG. LAND SURVEY NO. 0446 : LOT 000 BLOCK 000 PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,000.00 NOTE: REWORK MISC.DUCTWORK FOR REMODEL BATH EXHAUST-50 CFM APPLICANT MECHANICAL 50.00 S R HEATING LLC STATE SURCHARGE MECH(VALUATION) 0.50 8045 CALDER AVE S.E. TOTAL 50.50 DELANO,MN 55328- Payment(s) (612)281-2350 CHECK 6605 50.50 Minnesota State License#: HVAGMB005096 OWNER HARTMAN, TODD&AMY 60 MYRTLEWOOD RD 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 City 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 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 construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all requiced inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � / , `.`GL S'c-� �� / g /� Applicant Permitee Signature Date Issue Signature Date `}. . S � , �y ' �� ` City of Orono � f�. ' � �� P.O.Box 66 Da�R�aeivci: P�it� � ��V � O 2750 Kelley Parkway Crystal Bay,MN 55323 A�ac►�cl IIq: A�e�t$: J�i Phone(952)249-4600 Fax(952)249-4616 �� l'�kESH04�'G CITY OF ORONO—MECHANICAL PERMIT (All Coromercial permits must be approved by the Building Official or Inspector aad/or Fire Marshall) GE�+�E1�I,I�O�IATI�T 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. � 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. T'YPE O�P��T C'��k All"I'1� ,�Residential ❑Commercial(Approval Required) ❑ New ❑Addirional ❑Repairs ❑Replace Job S��e/Ov��r Ir�or�a:9�n: Site Address: CD� �Yd'�� `' Owner: �`d�=�-�v''�� Mailing Address: City: ��'Cnr`e� Zip: Home Phone: Alternate Phone: Contt�or Ir�ff��o�• ` � ��* . � Contractor: CC�i� G-�s-- Contact Person: �- � �� Address: O�� =� ��S�tate Bond#: �.��rJ�9�D City: �� Zip:t�Z�Expiration Date: � � Z O![o Phone: ��'�� 'a3� Altemate Phone: ❑ Insurance—Current: � � 1 .. i + • : �"� C�-S"Y�'T�s$�'�.°I�,�t I��'�'�LL`�; � � . Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �No / HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Bwning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Eachaust duct recirculating cfin � No. Bath Exhaust(must have duct outside) �cfin ❑ No. Other Fans: Locations ��► FUEL STORAGE (Must be approved by Fire Marshall�f proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: � �� f� �t-e-!S c< c'�c�-c�v�� i� �e.w� �5��(� � r � � � . � �� .� - �f� '�� '°" . � Y �,4 � � '� �� ' y� �:� ° � � v � � �,. _ � ��r �� ,� A � � . "� ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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 $ 1.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $ .b"� ,� � � � : �t �„.- .4'� If above does not apply;follow guidelines below: 1. CONT'RACT PRICE *is 1.25%of contract price with a(Mfnimum Fee of$50.00) oe� Q�Q � x.0125$ (c ntract price) (minlmum S50.00) 2. STATE SURCHARGE x.0005 $ (��P*►�) 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 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 ordin s of the City and the regulations of the State of Minnesota, and certifies that all s temen s made on this application are complete, true and correct. r- r Applicant's Signature: Date: ��'�S ��S 3 �i — DATE TIM CITY OF ORONO CALLEDIN �O'�-lS r�—� INSPECTION N TICE SCHEDULED /�-/ -3 l5 ��7�� / PERMIT NO. -�" ��Z�SCOMPLEfED ADDRESS � �� OWNER TELEPHONE NO. �l'��1-�� CONTRACTOR � � � DESCRIPTION �� JC` `�'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: o� /� � /� , a L.��''a C�-� Y�,.N,od•fQ L � s�/1�I!�c�_� � O `� `� ' a _jj�i� -��ws � !/C s�.f'iCD p�- '' ►-��` .��w s��— � 0 � W D � Q Z �.L� - �en�t.ocQal - Sr,��/r�7� ��eL�cc�•cs - L� W ' • � � ��i( �.� �lw� 7L5 E�,X�St� bc.a.'�'�c v � J ��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: � Inspector. ! - - - White Copyllnspector's File Canary CopylSite Notice