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Home My WebLink About2015-00435 - mechanical , � - CITY OF ORONO * 2 0 1 5 - 0 0 4 3 S * 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3135 NORTH SHORE DR PIN : 09-117-23-32-0018 LEGAL DESC : REG.LAND SURVEY NO. 1113 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 8,000.00 NOTE: HEAT N GLO FIREPLACE APPLICANT MECHANICAL 100.00 STATE SURCHARGE MECH(VALUATION) 4.00 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 106.00 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CHECK 00020053 106.00 OWNER MARX,KELLY&MELODEE 3135 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consuuction 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. ��,{/) Q,� ( 6�.�-- � E�i►'�.�-� �,- �(� /� � Applicant Permitee Signature Date Issued By Signature Date , > > � FOR CITY U ONLY 'y�(/ O Ci of Orono .(,� /J/� ,r � � � P.O.Box 66 Date Received: �� ►J Permit# v V' O 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: �Amount S:�� Phone(952)249-4600 Faac(952)249-4616 y� : �J''�. ��'�ES HO��G CITY OF ORONO—MECHANICAL PERMIT � Z�b 5 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marst�l� �f 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB STTE. 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 shall be presented on form provided. 4. When any new constrttction or remodeling is involved,a sepazate building permit must be . obtained. 5. Ail work must be done in accordance with the Uniform Mechanical Code/State Buiiding 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 Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �j� 5 N�y-�l, .S�►o!'c �l'- Owner: /Yl�fodt�� d- I�Ce ��.. ✓Nc��C Mailing Address: .��3 S /1��,r� ��, S��,�,� b� City: �Pc�n � Zip: ��'!' � Home Phone: ~ - I�' Altemate Phone: �.s.2- �l�/-�D 3 7 S%� Contractor Information: HEARTH & HOME TECHNOLOGIES Contractor: Contact Person: dba FIRESIDE HEARTH &HOME ic Address: State Bond#: 2700 FAIRVIEW AVENUE N � —�69E��Lf�4Pi-55113 651.633.2561 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � ti � , MECHAIVICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems witl now require a Site Plan&Review by our Building Official. I5 THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BT[Is: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES Gas Factory Fireplace p2, Brand Name: �z'ti} n��D (`� � �z't�f1�� '� Wood Buming Fireplace ❑ Wood Stove Model No.: m� Z Z a 'r .j. �'��'ls�. o?y ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin F[TEL STORAGE (Mt�st be approved by Fire MarshaU ijproposing 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 ,. r ,• PERMIT FEE CALCULATION(S) BASED OFF—2002 STATE STATUE ❑ 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;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeovmer or licensed contractor. Skip next section,if this applies; Cost of Pertnit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —J+OBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) O �U73, c'� x.0125$ /V� .L� (contract price) (minimum 550.00) 2. STATE SURCHARGE �j'G'l1(�• c,"� x.0005 $ ��V"L� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ r ��'�� ■ * 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 mazket 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. MECHANICAL PERMIT APPLICATIC)N AGRE�'sMENT T'he 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. ._.� Applicant's Signature: Date: � �.3 / 3 r- � �� t� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE I SCHEDULED � PERMRNO.ad�S - oo�-k-3S COMPLETED ADDRESS 3135 (�or� Sho2SL_�Z._.- OWNER TELEPHONE NO. CONTRACTOR 1 V t�O�r�n`� �om�J � DESCRIPTION�� -`RQ- ��la ��.� ��eS�S W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OYYNERICONTRACTOR T MEET YOU:_YES_NO � � � � CQ�IAMENTS: o� C�L�' .� W � J _ � \ _ (�3~ - � � � � 0 A � 0 — W � Q � 2 � W � j O W� ❑WORK SATISFACTORY:PROCEED ❑ PRW ECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR YVFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. CaU torthe next insPectron 2a hou • . (952) 249-4600 OwnerlContractor on site: Inspector: White CapyAnspector's File Cenary CopylSite Notke