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Home My WebLink About2017-01607 - heating systems CITY OF ORONO I* 21 OI it 111- I i 6 17 I* 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 781 BOULDER DR PIN : 33-118-23-11-0008 LEGAL DESC : STONEBAY : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW GARAGE HEATER (1)MODINE HD60 APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 CITY VIEW PLUMBING&HEATING MAIL-IN FEE 2.00 1880-B WAYZATA BLVD W P.O.BOX 150 TOTAL 53.00 LONG LAKE,MN 55356 Payment(s) (952)473-8793 CHECK 37469 53.00 Minnesota State License#:plbg-MB005208 OWNER GAVIN,MIDAVID&JUDY 781 BOULDER DR LONG LAKE,MN 55356- 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 r ,, / 17 pplicant Permitee Signature Date Iss /6 By Signature Date FOR CITY USE ONLY O�T City of Orono "iLW Date Received: a 7 7'ermit#a p( p'72750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:Phone(952)249-4600 Fax(952)249-4616 et fi CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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) gElCoQ Residential mmercial(Approval Required) [Backflow Device: El AVB El PVB] El New n Additionalkti' ❑Repairs • ❑Replace Job Site/Owner[Ul Information:� Site Address: ` 30U1 `e 1/ 'Pit 111I 6 Owner: V4 U i✓ CkV l a Mailing Address: 9- 51 gOit((�1( Dry) City: L v i G�U-t Zip: 5 53 Home Phone: 09. II ID - V' CJI i Alternate Phone: Contractor Information: -./ V Contractor: Cth( ti& f7liviL' 9 Contact Person: £ leUe, rvI UI,J Address: 1 V! B (kSi Wus661 r, $.1' State Bond#: n l✓ elo. 5 ) lx6 City: Lc" La-Ke Zip.6S5Expiration Date: V/A g Phone: 15) - 47'3- V' ''?_3 Alternate Phone: ei.. Insurance—Current: Cj 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes kNo HEATING SYSTEMS Quantity: Make: /nOlk,de/ Model: F 6-0 Fuel: f�a - 6,6 4" Flue Size: ,, �/c�//��j� Input BTUs: 60f(%O Output BTUs: lib/00-0 CFM: 990 COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) _ cfm ❑ No. Other Fans: Locations cfm 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 CALGULATIONg 7. 1. CONTRACT PRICE *is 1.2 %of contract price with a(Minimum Fee of$50.00) g-Oet) x.0125 $ 5O (contract price) (minimum$50.00) 2. STATE SURCHARGE i . 90.00 x.0005 $ 1 , 0 6 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 63 c. 00 ■ * 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 thi application are complete,true and correct. A5------ 1 7 t? Applicant's Signature: Date: 9/1 3 k/ � DATE TIME CITY OF ORONO CALLED IN INSPECTION N CE SCHEDULED /M .// / CA2re PERMIT NO. 'p COMP ETTE�D ADDRESS D i &Z�� AW-) OWNER6( PHONE NO. g�F73 17/ CONTRACTOR (.- V l fit& i DESCRIPTION 6airkk Wl. �W ❑ FOOTING ❑ DE ii/7/0.4INAL 0 SEPTIC FINAL 14.. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE ❑ MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMINGMECHANICAL FINAL 0 RATED WALLS Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO cl COMMENTS: Lu irUvl10 e-, L.45 ///re, R-v- 7i eSt - J — 7 O N. v'e t wl� — vp c~/ 7 O/C. oO W cc Q zG y i( -4a / re,.,,sioeEeio", W Z W cc O WU ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED LI STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ✓ Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Con meter on site: Inspector. /4, White Copy/Inspector's File Canary Copy/Site Notice SP:t— c/ DATE / TIME 1 CITY OF ORONO CALLED IN /--1 INSPECTION-NOTjCE .),_Or SCHEDULED / � t•--"! PERMIT N 1 ioM/P'L�rED ,I ADDRESS �A C,l�/n V c OWNER � , ELE NE Nog g73-- TW CONTRACTOR y � . DESCRIPTION �� Q ��I�e4t/ r 914;a • ❑ FOOTING I� DEMV FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL ❑ TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE 0 SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 54 5 L,')--)a c / /o i d 30'ST' a -0'NG1 C 0 CC W CC CC WWORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O 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 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice