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Home My WebLink About2015-00357 - mechanical ' � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 3 5 7 * DATE ISSUED: 03/30/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3675 NORTH SHORE DR PIN : 08-117-23-34-0052 LEGAL DESC : CRYSTAL BEACH : LOT 004 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,900.00 NOT'E: (1)MITSUBISHI A/C iJNIT- 1-1/2 TON APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.95 CENTER POINT ENERGY MINNEGASCO NIAIL-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 53.95 COON RAPIDS,MN 55433 Payment(s) (763)757-6202 CHECK 19277 53.95 Minnesota State License#:mech-003503 OWNER PLACHECKI ET AL,FRANK&MELISSA 3675 NORTH SHORE DR WAYZATA,MN 55391- AGREEMEIVT AND SWORN STATEMENT The work for which this pertnit is issued shall be perfoRned 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 permiu. All provisions of Iaws 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. 'Che 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. � /�/ � Applicant Permitee Signature Date Issued Signature Date � - F�CITY USE ONLY City of Orono � 5� � �� P.O.Box 66 Date Re i�• ` Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: 53�� Phone(952)249-4600�r(4�2�49��16�6 ,:, a „ �� ; , �.��,s��.� C��OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENER.AL 1NFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal}. Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted befare fmal. TYPE OF PERMIT (Check All That A 1 � Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: .3�—I S No��5��C �2 Owner: �1�oirYla..S �-�S�S Mailing Address: '�� No��f^5�+��-�e- city: b�or�-4� zip: s 53a 1 Home Phone: etS�' �'�� ' 4�3$ Alternate Phone: Contractar Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BL NW ' State Bond#: MB003503 SUITE B City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/201�+� Phone: 763-785-5404 Alternate Phone: � Old Republic Insurance Co. IriSUT'ariCe—Cu2T8rit: _ N/orkers Compensation&Employers Liability 1 Policy#WLR CA7875717 Policy Period Ol/01/2015 to 01/01/2016 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: ( Make: m� S�S�'l� Model: rn�� N�1 Tons: ( �'Z H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. Bath Eachaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� 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 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATLTE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical ar gas service. 2. Has a total 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 $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��• �� x.0125$ 5� • �� (contract price) (minimum$50.00) 2. STATE SURCHARGE 3Roo. °o X.000s $ � .qs (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J`�J �_I S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labar,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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City far issuance of a Mechanical Permit, agrees to do all wark 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 L�� DATE TIME� �� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED l, PERMITNO. ��i5'r��OMPLEfED ADDRESS � ` � �r� � OWNER TELEPHONE NO. �� 33��`��O CONTRACTOR �� • � DESCRIPTION � / �Ch �� I C� � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ? ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ HARD COVER REMOVAL MO SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL OWN NTRACTOR TO MEET YOU: YES_NO ��., COMMENTS: cc ' . a /1L�G ' �hf t%.�r!/ ' e/GL�r�c�G �K4G - 3-3"/S � J O �. � LUUrK l_'o.�.�/1/�e�c -.� c��o•'s C�� - 0 � W � Q � � d�?l�•� �n t G � W � j d � ❑WORKSATISFACTORY:PROCEED �ZE$QJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. a11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlC ntractor on site: �D r✓� ns tor. White Copyllnspector's File Canary Copy/Site Notice