The URL can be used to link to this page

Home My WebLink About2016-00980 - mechanical � ' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 9 8 0 * DATE [SSUED: 08/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2545 NORTH SHORE DR PIN : 09-117-23-41-0003 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 39,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (i)AMANA HEATING SYSTEM (l)NTI HEAT[NG SYSTEM (2)AMANA COOLING SYSTEMS APPLICANT MECHANICAL 487.50 STATE SURCHARGE MECH(VALUATION) 19.50 BLUE OX HEATING&AIR MAIL-IN FEE 2.00 5720 INTERNATIONAL PKWY NEW HOPE,MN 55428- TOTAL 509.00 (612)238-9709 Payment(s) Minnesota State License#:mech-MB671957 CHECK 11719 509.00 OWNER BERGQUIST&ABIGAIL VANORDEN,CARL 2545 NORTH SHORE DR 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 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conYormance with the State Building Code.This permit may be revoked at any time for due cause. / � / / Applicant Permi ee Signature Date Issued B ignature Date � �a �� c,� (,U � �� JOB �(��'I�.C�' PO t� �pS � FOR C[TY USE ONLY O City of Orono � �� P.O.Box 66 ��p�� Date Received: Permit# 2750 Kelley Pa � Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-�9Cp'3 F�(8��4616 � y ,, ni�u r� � F�7I��SH�R�G` ��l,�,QNO—MECHANICAL PERMIT (All Comme er s b��oved by the Building Official 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 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 1S POSTED ON THE JOB SITE 3. Mechanical Desiens—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 stiall he 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 0■ Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Ad�lress: _ �� G�`��_ �� J �j� 0 Owner: �(Jn•.� Y. C�Gi( � �QrC�I��S�MailingAddress: 5� _..___.--___.-_- � u City: � Zip: Home Phone: l'�� y'�3� b Alternate Phone: Contractor Information: Contractor: l� �� "�(Contact Person: J e n n�E,' WOOC� 5720 International Pkwy .- � Address: State Bond#: � �"�� New Hope MN �� City: Zip: Expiration Date: 612-238-9709 " Phone: Alternate Phone: � Insurance—Current: Ow��r's insurance l . ' � � PERMIT FEE CA�.CULATION{S) �� . �, �BASED ORF - 2002 STATE STATUE '� � � � . - ❑ Yes,this section appl� The replacement of a Residential fixt e or a liance that meets all three of the following requirements: 1. Does not require modification electrical or gas service. 2. Has a total cost of$500.00 or less; cludin the cost of the fixture or appliance: and 3. Is improved,installed ar replaced by the�omeowner or licensed contractor. �� Skip next section,if this applies; Cost of�rmit $ 15.00 State Surchai- $ 5.00 Mail-In Fee(If A icable) $ 2.00 Total Permit Fee $ PERMIT-FEE CALCULATIQN S -JOBS QVER $500.00 ]f above does not apply;follow guidelines below: l. CONTRACT PR10E * is l.25%of contract price with a(Minimum Fee of$50.00) �� ( � b � x.0125 $ �1 ��' .�� (contract price) (minimum$50.00) 2. STATE SURCHARGE c, � f � � � x.0005 $ ` ' ''J� (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, ]abor,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 �tems must he 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. ;� � z� � CHANICAL P"�RMIT APPLICAT�{�.-�AGREEM r �. ��:,: �� ;��: �' ��... .�... 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. q� ( � �� Applicant's Signature: Date: 3 . , `'" MECHANICAL SYSTEMS BEING 1NSTAL , . `, ,�, , ;.. . ,. : . . _::_.� Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes 0■ No HEATING SYSTEMS Quantity: ` Make: ((�h�f Model: I'"' v� �Y� Fuel: Flue Size: Input BTUs: � Q �` h��ddv oUtpUt BTUs: G� �ao �� nb CFM: COOLING SYSTEMS Quantity: Make: N�1�' I� Model: l, O Tons: � tTJn� � �� 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 Marshal[if proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2