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Home My WebLink About2014-01270 - mechanical � CITY OF ORONO * z � 1 4 - 0 1 2 7 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 3115 NORTH SHORE DR PIN : 09-117-23-32-0013 LEGAL DESC : REG. LAND SURVEY NO. 0269 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION : $ 15,900.00 NOTE: (1)CARRIER FURANCE AND A/C APPLICANT MECHANICAL 198.75 STATE SURCHARGE MECH(VALUATION) 7.95 RESIDENTIAL HEATING&AIR, INC. MAIL-IN FEE 2.00 1815 EAST 41ST STREET SUITE A MINNEAPOLIS, MN 55407- TOTAL 208.70 (612)724-1899 Payment(s) CHECK 25611 208.70 OWNER CONNELLY,THOMAS 3115 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 after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /D Z 1 /o � 29� i 5< Applicant Permitee Sign re Date Issu By Signature Date i epl� � '! City of Orono �� , ,� '�"" '� �'� � � 7� t �� P.O.Box 66 � ��x%�� 2750 Kelley Paricway � �' �' � � Crystal Bay,MN 55323 �'+��«.'� ��"� i� Phone(952)249-4600 Fax(952)249-4616 ..s'�.^F . y� � , . , �' CITY OF ORONO—MECHANICAL PERMIT �RkES H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAI., R1�' " � ,�.:��y, 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 UNTII,YOU RECEIVE A PERMTI'. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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. � . , . � ' :�� `" .i .,. �:h°`°d �� \ � a . .. . � a �.�"'��;LY'. t � "�'�. ' �ry� e - �. -.;. �� .� .s,',� ` � � : �x: "` ::.� . ,� �. i:W -..,.AR�. {N" �; ., �� .. •.: � q�.�A�_� Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs [�eplace Job Site/ < I�f � ',r� .: , Site Address: �I 1 5 �d�� S�a«- 6 J c- .�c Owner 1 ��-�•c... S �or.r,�> > � Mailing Address: �11�j �Vn��s�no�c- �c'�v� City: � c a � �, Zip: SS 3 9 � Home Phone: �ti�- ',I Z.S -y 5 0� Alternate Phone: Contr�ctor Inf`crrmati€�*��" � Contractor: �s•c��F•�..� N�}'^� Contact Person: �n,.� k d 1 n�' Address: �S�5 �. �115` 5` ' �' '��h State Bond#: �("� 3 Oo 3 6 Z.� City: Mp [ S Zip:SS�la T Expiration Date: q - 1Z- 2016 Phone: �" t 2..—� Z-K-� �S�l� Alternate Phone: ❑ Insurance—Current: i'c S 1 � �"��'; Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes [ 10 HEATING SYSTEMS Quantity: i . Make: �c��c i<< Model: 5qfh�.1�lJ�t00�21 _ , __ Fuel: 1�1 a.f' ('j�.S _ _ Flue Size: Input BT'CTs: f O C�, O� O O _ • Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: ��. � r<<.r Model: 2�1 A P'A{��L Tons: '3. S 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: I.ocations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , 2 , 4 fi�.^� `�.�`'� ti � � .� 4.*'�N"��*Ey��. ❑ Yes,this section applies The replacement of a Residential fixture or anvliance 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;excludinQ 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 $ , ;,. .& y .�. ,.� If above does not apply; foliow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) IS, q�n x.oizs$ tag " �5 (conhact price) (minimum$50.00) 2. STATE SURCHARGE 15 r a o a X.000s $ -� -�S (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��R ' �O ■ * 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. �y� � T'he undersigned hereby applie to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance wit he ordinances of City and the regulations of the State of Minnesota, and certifes that ;al statements a o this application are complete, true and correct. Applicant's Signature: � .Z.1— � �'( 3 �� DATE TI CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED PERMIT NO. � COMPLETED ADDRESS �L� � N • S I/1 O{2 �I� � OWNER T EPHONE NO. CONTRACTOR �LZ+�--�t'1/P� L�f'YI�� ,Ei' � DESCRIPTION �v��f�� L ly ❑ 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 ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC IN LL Z OWNERICONTRACTOR TO MEET YOU:_YES�O c�., COMMENTS: � W � � � O ). � O � W � 'Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w 0 O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hou in advance. (g52) 49-46�0 OwnerlContractor on site: Inspector. White Copyilnspector's File Canary CopylSite Notice