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Home My WebLink About2014-00801 - mechanical � CITY OF ORONO * z 0 1 4 - 0 B B 0 1 * • 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2014 ORONO,MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS : 440 NORTH ARM DR PIN : 06-117-23-31-0003 LEGAL DESC : VICTORIA ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,600.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 BRYANT 3 TON AC APPLICANT MECHANICAL 157.50 UPTOWN HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 6.30 3110 WASHINGTON AVE.N. MAIL-IN FEE 2.00 MINNEAPOLIS, MN 55411- TOTAL 165.80 (612)827-4674 Payment(s) CHECK 34821 165.80 OWNER STERNAU,RENE 440 NORTH ARM DR MOUND,MN 55364- 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 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. /wl tiv`"�` l l Applicant Permitee Signature Date Issued By i ature � Date • FOR CITY USE Q1YLY ' /''�O A lO City of Orono ' / �y P.O.Bos 66 Date Received: Petmit# 2750 Kelley Park�vay Crystal Bay,MN 55323 Approved By; Amount$: � Phone(952)249-4600 Fax(952)249-4616 .� .a � � F Cqx�s��' CITY OF ORONO—MECHANICAL PERMIT ,_„ (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) G�NERAI�INFORMATION I. 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. PERM[TS ARE NOT VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG[N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specitications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodelin�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 t7nal. TYPE OF PERMIT ' Check All That A l ,�Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace 'Job Site/Owner Inforrnatian: ' Site Address: �`� � N C��'��A�11'1 tJ� 1 Y°L Owner:�1'bGe- ��"Yk�� Mailing Address: yy� �Oc'-�1, A�m � c�ry: ono z�p: .�536"y Home Phone: ��a"'�7��3�� Alternate Phone: Cantractor Information: Contractor: �jJT�W�'1 Pl1 C Contact Person: 4 Address: 31�� t5��'1 U��State Bond#: ��'�� City: M�1� Zip� Expiration Date: III/�OIS Phone: ��a'7�7�Sv�Q Alternate Phone: � Insurance—Current: �rO�� 1 . �Y �� ; 4 k a t� � '��,��u3, g '�' k , }. W,� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THtS GEOTHERMAL? ❑Yes �No HEATINC SYSTEMS Quantity: ' Make: /'� Model: ��7�i� Fuel: 5 Flue Size: Input BTUs: ' Output BTUs: j�'�-�� CFM: COOLING SYSTEMS Quantity: I Make: �('y�yi -� 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsha/!ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ lnside ❑Outside LP Gas: gallons Other. GAS LINE ONLY ❑ Ou[door Grill ❑ Other/List What&Where: 2 > ,[�� a 2��.4..��Lv��i �� . _ : ��;��%�� „��._ ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a[otal 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 next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ' PE�tV1�T�'�,E��.�;:�`G�'�..A"I"�C)1� S -�:��.��ER,��t�f��,,,�> . # If above does not apply;follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �a Jo x.o�25$ � s�� 5o (contract price) (minimum 550.00) 2. STATE SURCHARGE �" 3 1�i�� x.0005 $ b ' (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ / �� "O I * CONTRACT PRtCE 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 estima[ed cost or contract price for permit fee purposes. [n 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. , ;j ��' �;�., .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 correct. � � �/ /L, Applicant's Signature: � Date: �`� /�i 3 � `� D TE TIME • � CITY OF ORONO CALLED IN —'� � INSPECTION OTIC �/�/�po 3CHEDULED � � PERMIT NO �'�'n I OMPL EO ADDRESS OWNER TE EPH NO.�°�—$�7—�g� CONTRACTOR � DESCRIPTION � V � G � � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � �FINAL ❑ SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO y COMMENTS: Q �/.s/t�l.aC� ('�n�a.c,�.•�•cY— O "' P iCt�l,K�� ,� �tKG � 1 � � . � ' OICcL'��1� V CrL_7i1�t� ° -_d[�[',a. 5rs.-e. �k,M�Ec� v�,,.-t ,5 �,,c�;, . /a`` � it �4lt �Y✓O!/�- /!la T a — � � Z �� C fc l o..�.a.c� � �� ` � e � W °` ---_ �Jo r �.l'.� /�t� — � - � � ��aE�ACTORIF PROCEED `�RAJECT COMPLETE Q D�RRECjVC&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 QEFORE�CALL FOR REtNSPECTION TEMPORARY V ��RRECTUN`�� PERMANENT 1N�E� WDITIONWITHIN HOURS. ❑pHOTOTAKEN _ �STQP ORp�R�URN ❑CITATION ISSUED D,NSpEC f10N R L INSPECTOR �_TO ARRANGE ACCESS. r,811 t0�th� ctoc o�ction 2a hours in advance. 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