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Home My WebLink About2016-01427 - mechanical • • CITY OF ORONO I l 11111111111111 1111111 11111 II 1 * 20 1 6 - 0 1 427 * 2750 KELLEY PARKWAY DATE ISSUED: 11/16/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1175 MOONEY LAKE DR PIN : 25-118-23-41-0017 LEGAL DESC : MOONEY LAKE PRESERVE : LOT 8 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 50,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (2)CARRIER NATURAL GAS FURANCES (1)TRINITY NATURAL GAS FURNACE (2)CARRIER 3 TON A/C UNITS (1)KITCHEN EXHAUST (5)BATH EXHAUST GASLINE FOR 3 FIREPLACES,DRYER,BBQ AND RANGE APPLICANT MECHANICAL 625.00 STATE SURCHARGE MECH(VALUATION) 25.00 TREATED AIR COMPANY MAIL-IN FEE 2.00 9954 166TH COURT BECKER,MN 55308- TOTAL 652.00 (763)262-0707 Payment(s) Minnesota State License#:HVAC-MB003789 CREDIT CARD 3100 652.00 OWNER ADELMAN,TIMOTHY 4545 TRILLIUM DRIVE MEDINA,MN 55340- 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 '1 -'�Al /i / AO/ /' ApplicanaPermitee Signature Date Issued B I ignature Date �\ R 't1'Y USEONLY �r City or Orono —Q i W OBor 66Date Reii Permt Oil2750 Kcllcy Parkway1Crystal Bay,MN 55323 Approved By: Amount,II Phone(952)249-4600 Fax(952)249-4616 4,:2 CITY OF ORONO—MECHANICAL PERMIT (All Commercial perm its 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 Designs—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. TYPE OF PERMIT (Check All That Apply) [Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] 'New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: MC Mi. ,1e1 L Ire. Owner: Lc.,e Le' C..), A vk- Mailing Address: City: C°Pt,:tNt . Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: i fg-,,17, ruff tel.") Contact Person: �Ii/1t, £°y-,+m+-, Address: (-7,74.4 //ebb. c+5E State Bond#: ,9$ 00.77sri City: 4'c/I, Zip 6 Expiration Date: C7//U / Zoig Phone: -7(-3•-,?0•0--kn Alternate Phone: Insurance—Current: l,.d ZEE6-Z9Z-E9L eVIN d17£:1,0 91. 01. A0N MECHANICAL SYSTEMS BEING INSTALLED Note: Ail Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Cc it Cc—rt,-;.- /r4,1. Model: S171-1/Ga Fuel: /•447 NAT NA'� Flue Size: Z --- 7 Input BTUs: ea. V i+t.? 0,2aU r/? uUv Output BTUs: 'S jr Z.)0 S'2 2c) %O4// ca) CFM: /2.00 I2.0k3 N4 COOLING SYSTEMS Quantity: I Make: Cwt/-1/ GA.", Model: 2'`I Nl JL i'a!'ri3i3 . Tons: 3 3 II.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION.e / No. Kitchen Exhaust ! duct recirculating LG t3 cfm No. S Bath Exhaust(must have duct outside) V cfm 0 No. Other Fans: Locations cfrn FUEL STORAGE (Mast be approved by Fire Marshall rfproposing 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:, F i_ 7 �rlu�..�' S T'l 6.6 2 l'd ZEE6-Z9Z-E9L e)l!W d017 l0 9l 0l ON PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00) 9) (may x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ . 0—CD • * 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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. Applicant's Signature: 'FLL (10/fiityl Date: I I /0 16, 3 Z'd Z££6-Z9Z-£9L e)h!W dtp£:LO 9L Ol AoN L ' Ic_ —_e___i9-- DATE _// TIME CITY OF ORONO CALLED IN l/'/h/ INSPECTION NOTICE '/ SCHEDULED //-/F/-b 3 : 470 PERMIT NO.(O/0-d/7")7 CO,APLETED ADDRESS // 77 2fid/')P /4 c t � OWNER TELEPHONE NO.-7(c; 3 - -10.,) 'v7o7 CONTRACTORS -thd CiAA-- -, - a- DESCRIPTION I -'4/(, -/Arr 7(2- c L ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING v2 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2• OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS:CC _ Q. ct 17 k-..-e."/JL..., , .., u. ct 0 fS S . -_s - D i_ .* ..,1---A .P1o2 c-- it. .....,..,t-b- D r......__, lai Ct tici K SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING _ PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractoron 3:� �� Inspector: White CopyAnspector's FIN Canary Copy/She Notice - I �: \ DATE TIME CITY OF ORONO CALLED IN INSPECTION NQTICE ,• 1 u -1 SCHEDULED -"97 4? /! , _) • �,' PERMIT NO. c L it, _('" ' COMPLETED ADDRESS ) / 1 c ) i 1 ) C C-L'-'( J L je. J_)i`- - OWNER TELEPHONE NO. '/77 - . 7 ".") -/ /(/ CONTRACTORR/ /— -'`' 1 / //— C . DESCRIPTIONin 0 / ') f---).fi_ W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL C Z ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT QW ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 S TIC INSTALL 2 IN • OMERICONTRACTOR TO MEET YOU: YES_NO • COMMENTS: cca.ou c e, L r aL Cy 4 1 't�A (-6, dI� s �--„ ,. vv 47 G / eilc 3/ 1-` ea, > 4--p �eeo W r. ,-...,_,,...4---e, vie,”1 ..kc.‘4,1-7,0,.., � �- ', fp 1, r W - *it s- �i ale- c /j a , �- Li0 PI et ok__ W 0 WORK SATISFACTORY`.PROCEED LI PROJECT COMPLETE N1 CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.3 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN El 13 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours In advance. (952) 249-4600 OwnenContractor on site: Inspector: i:>b 6 L 1 White Copy/Inspector's File Canary Copy/Slte Notice