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Home My WebLink About2015-00830 - replace furance CITY OF ORONO * z 0 1 5 - 0 0 8 3 0 * S 275� KELLEY PARKWAY DATE ISSUED: 06/29/2015 '` ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4064 NORTH SHORE DR PIIV : 07-117-23-44-0085 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,221.00 NOTE: REPLACE FURANCE-(1)BRYANT-NATURAL GAS-2"FLUE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.11 JANET M OBRIGEWITSCH, DAN H PHIPPS& 4064 NORTH SHORE DR TOTAL 51.11 MOUND, MN 55364- Payment(s) CHECK 304 51.11 OWNER JANET M OBRIGEWITSCH, DAN H PHIPPS& 4064 NORTH SHORE DR MOUND, MN 55364- 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 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conform�uee'wit1�the Sta[e Building Code.This permit may be revoked at any tim�for due cau�e. ? �' � -� � i�--�Zi l� Ap t Permitee Sign ture Date Is u y Signature Date r ' FOR Y USE ONLY O City of Oro�o �p Gj �- q ' �- �O P.O.Box 66 Date Rece' . i � Permit# �� O � 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$' ��• �/ Phone(952)249-4600 Fax(952)249-4616 � a, y ` F t"xESHo��'� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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 RECENE 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 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: �� (r, L1 ,�-� � N L � 7 Owner: IJ � Mailing Address: ��4 w� C_. City: � �sb 1.�; Zip: �s � � y Home Phone: �1 Z -��5 � Z�� Alternate Phone: — Contractor Information: Contractor: - �v%� � L L i L Contact Person: C �'�� Cj q .� ��-�L. T Address: � �Z Z.�3 ��LL�f �-�, �tate Bond#: City: �j�-(LivS U; Zip: S S �3 7Expiration Date: Phone: �(S�- ��{� SZt:Y) Alternate Phone: ❑ Insurance- Current: 1 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: U � ModeL• C� SyC� ��5� �''7 Fuel: G� Flue Size: r�- Input BTUs: Output BTUs: '�� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. /` Kitchen E�chaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) �� ❑ 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 CALCULA�ION(S} BASED�FF'- 2002 STATE S�',�TUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;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 $ PERNIIT F�E�ALCULATION(S)—JOBS aDVER$SQO:Oa If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � 72Z1 x.0125$ (conuact price) (minimum$50.00) 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) $ ■ * 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 wark 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. MECH�II�TICAL PERMIT AI'PLICATI+(?N AGR.�E�VIENT 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 state e ts made on this application are complete, true and correct. ✓ � � ri1.� Applicant's Signature: Date: � 3 C"' •, -1i /�'� DATE TIME�� CITY OF ORONO CALLED IN U INSPECTION NOTICE SCHEDULED /% 1-`� � PERMIT NO. ��'�"�� connP�e-rEo ADDRESS �-�C�Lc��- �c�-�-� ��`�'c� ��i� OWNER TELEPHONE NO. C / CONTRACTOR \� �O�x1�-� -- Cs'\�� rI �' 3 -- � � � X � DESCRIPTION N`��-��-�1`-�'-�`f -" ��'��l ��-� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION OOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ S�PTIC INSTALL 2 OWNERICONTHACTOR TO MEET YOU:�YES_NO w--1 /\ � COMMENTS: W a � J O �. � O � W � Q � 2 W � W � � J O W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � O CORRECT WORK 8 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 9-46QQ OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSit Notice