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Home My WebLink About2016-01204 - mechanical CITY OF ORONO * 2 0 1 6 - 0 1 2 0 4 * w 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2016 , ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 14,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW:2 HEATING SYSTEMS(LUXAIRE&LARS), 1 COOLING(LUTAIRE),3 BATH EXHAUSTS, 1 GAS LINE FOR FURNACE&BOILER APPLICANT MECHANICAL 185.00 STATE SURCHARGE MECH(VALUATION) 7.40 CRAIG'S HEATING&A/C TOTAL 192.40 2196 285TH AVENLTE Payment(s) ISANTI,MN 55040- CREDIT CARD 6642 192.40 (763)286-3570 Minnesota State License#:BUIL-MB004495 OWNER RUCINSKI,MICHEAL&HOLLY 3188 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 dces 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 aRer work has commenced. The applicant is responsibie 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. n� ��C/ � ��17-l6 �� -c,e--T'�Z� �Z7� / Applicant Permitee Signature Date Issued SyB ►�'gnature Date FOR CITY U E ONLY ?'' City of Orono ,'.'�p. g-O�O P.O.Box 66 Date Received: �_ Pennit# �,� f (� �� 2750 Kelley Parkway � Crystai Bay,MN 55323 Approved By: Amount$: j� Phone(952)249-4600 Fax(952)249-4616 �a • ��/ y��q �.�'� CITY OF ORONO—MECHANICAL PE x�sHo� RMIT (All Commercial pertnits must be approved 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 IS 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 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 fmal). Call(952)249-4600. (2448 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) [Backflow Device: ❑AVB ❑PVB] �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: � �� `�'� S�t��'t/�r Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: C�� t �t t�t/1�� a.��rl�u Contact Person: �'c�''`G N1�S��' Address: � ��6 vZ�'S�'��''�� State Bond#: /►'� a do � �l4 f City: �sk"�� Zip:�''�� Expiration Date: �� - �S �� 3�'�-8 6�3T?a �6 7 -u�l �"7�6�' � Phone: Alternate Phone: ❑ Insurance—Current: 1 4' . .. ., f . . .. . '.' . , �. .. , �,� . ,�� ,. '. . : �.; f �, Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. • IS THIS GEOTHERMAL? �yes .�`No HEATING SYSTEMS J~ Quantity; 1 ' Make: Ijl.'�i i/'e. �� f Model: ��`�S C7�d / 7'l�-��G N�c/✓30 /'L�'— Fuel: R /� � t f- Flue Size: Z �� InputBTUs: �D�d"f' �/Q Q� Output BTUs: 7��c.> _ ?d � CFM: �f� )G COOLING SYSTEMS Quantity: � Make: G v y..�,yr Model: TC,j"p (��[ Tons: H.Power ��3 FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust � duct recirculating �� No. �— Bath Exhaust(must have duc outside �� No. � pther Fans: Locations cfm FUELSTORAGE ! (Must be approved by Fire Marshall if proposing to abandon tank in place.) � ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Under ound LP Gas: gallons � ❑Inside ❑Outside Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: u/'�t?�� z., � I /�o.'!Lt 2 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��"Ci�� x.0125$ (contract price) (mioiroum 550.00) 2. STATE SURCHARGE � �i �o`� x.0005 $ (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, 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 ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application aze complete,true and correct. ApplicanYs Signature:�� Date: `��/� 7�` � 3 �� , �.� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE� �r��.�� SCHEDULED /� '_ � C;.� ' - PERMfT NO. ��' � COMPLETED ADDRESS `�/ -� `� /��r'� ;�1��,/"c�' 1�%'- OWNER TELEPHON�O.�=3 1�� -��% CONTRACTOR �C� ��-S �'�'�� DESCRIPTION .'��" �'C,�--� �__ `' � �C � UC PCI� L��- �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � �� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL RI ��, ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAI J ❑ DEMO-SITE ❑/��TIC INSTALL 2 OMINERlCOKTRAC'TOR TO MEET YiW�/L.YES_NO � COMMENTS: `�^ � � c�Tl��S , i��y �- �t,�, � d,� ��h�.�,',�� /� � � �I,c,C f, I�J�}z`�T �Jci �J✓'C'f��'t�� l ��Sft�'— �O � �� lt�Yi�� f'� i e�Sc�C.,,CS �O W T °C /'"�4 �� ` _ <'vc�lC .� Q Z �Gc7/ EE: —: P, � . � – � ,� f� � �l v ��'� ,,�`� �� `a� ,r`�sc s � �-`r-c,� l � - ��-/�. � �j�( -�. C'�• ;,✓ r� � � �ORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W �O WRRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TAT10N ISSUED O iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in adva�e. (g52) 249-4600 OMmedContractor on site: Inspector: � WMte copyAnspactor's Flk C�nary CopylSit�NoUa ;�� C�p� � ^- ' �� /(� nJ�E CITY OF ORONO CALLED IN � / "� ( �� NSP�N n e SCHEDULED �� PERMIT NO. �'�� COMPLETED �uoA�.ss � � S l�1 i� oMnr� �� i��io, '�1(03-�8lc�'� . CONTRACTOR � DESCRIPTION � �� `Q�'�� y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV!(iRADIN�LLIN� Q 0 FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAI._/� Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTIC��) Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS�-�C�Cr1 � ❑ INSULATION � WOOD BURNER/FIREPLACE ❑COMPLAINT �Cr7 � 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL v ❑ DEMO-SITE S PTIC INSTALL Z dwNEIYCOffTRACTOR 7b MEET YOU: Y�_NO � COMMENTSc 4 � j� `,�� %�l G�- �. � � ^ � ✓ /�7�i�L � Q 0 �PK Ir��d� ` � W W � � J W O VMORKSATISFACTORY:PROCEED O PRWECf COMPLETE � ❑�ppqECT WpFN(a PqOCEED O ISSUE CER'TIFICATE OF OOCl1PY1NCY W / O//`��u��WOpK,CALL FOR REINSPECTION TEMPORARY V � CdNEFNN(3 PERMANBIT O(��'T�3/�FE OOND�TION YYITHIN �1�. ❑PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER PO�TED.CALL INSPECTOR ❑aTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCES3. c.M�n��no��,�►�,os. (952) 249-4600 on sit� �nspector; �J r•.- � WMt�Co�M�ap�Cl�+FIN C�mry Co�181N NOIIa /� �,� V � �./ - DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE c1 SCHEDULED -1TZ��f " PERMR NO. �C�H- �"L��/ COMPLEfED ADDRESS �� I �� I� - --c`��'1[: f'2� ,�� . OWNER TELEPHONE N0. �� CONTRACTOR � � ,��'' � DESCRIPTION � � �� l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOILOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ 'TIC INSTALL 2 OWNERICONTAACTOR TO MEET Y�O • ES_NO � COMMENTS: � � � �o r- ,� J -1.. � oS l�J� .� �� d,,n � s�l"�J _ �(� , '�1 .5.� n .v� �.2 J � ✓ ��'. i�-- OCJ� l� J �2 M Gr. T �, (t � `'J eS I � �l ` Cn s W OC � � Z W � w � � J /�� / �WORKSATISFACTOR�F.PROCEED ❑ PROJECTCOMPLEfE v W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfORK CALI FOR REINSPECTION TEMPORARY V BEFORE C04IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector.�n'*��L White CopyAnspector's Fila Canary CopylSits Notke �� DATE TIME ✓ CITY OF ORONO ��ALLED IN INSPECTION N ICE /�L��SCHEDULED �� PERMIT NO. � �� COMPLETED ,�� ADDRESS . 7 � �� I�I � - 1� �,r P L�Y� OWNER TELEPH NE NO. ��' :� y�� CONTRACTOR � � i ` �G `' DESCRIPTION ,I � L�C�� -�� I �� I � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 O'MINERICONTRACTOR TO MEEf Y'OU: YES,NO � � COMMENTS: -�'i__�__-��_--S �/f1� ,/IYIG�'Id " / 5 �o��Kc '_ � �fR v - b��.��1 o - �-�e .- � aK� '' c � � � �dvt yC dr�� HO� CO't Ke�E-�� W �� /I�B�G� ,� �fi� .��ir� ' � Q . 2 _(�3� �ti S�G /< ¢�� ssG`"c�f 4��'— �'/�. �-t�� ✓�� E��S^ �s-t.� � �es � d� � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE �ORRECT WORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedContractor on site• Inspector: � its CopyAnspecto�'s Ffle Canary CopylSite Notics