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Home My WebLink About2017-00858 - cooling system S 'm iiiiiiiiiiiiiiiiiiiiiolitillillillillilI CITY OF ORONO * 2017 - 008S8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS : 4753 NORTH SHORE DR PIN : 07-117-23-32-0020 LEGAL DESC : BERGQUIST&WICKLUNDS PARK LOT 004 BLOCK 006 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 5,400.00 NOTE: 1 AMANA COOLING SYSTEM APPLICANT MECHANICAL 67.50 BLUE OX HEATING&AIR STATE SURCHARGE MECH(VALUATION) 2.70 5720 INTERNATIONAL PKWY MAIL-IN FEE 2.00 NEW HOPE,MN 55428- TOTAL 72.20 (612)238-9709 Payment(s) Minnesota State License#:mech-MB671957 CHECK 12483 72.20 OWNER CORNELISSEN,THOMAS 4753 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 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. L�Sv 71AL11 /7 Applicant Permitee Signature Date Issued By4lignature Date � 30 /1a FOR CITY USE ONLY 11 �l City of Orono RECE D C �O`YO P.O.Box 66 Date Received: Permit# 2750 Kel Park" Crystal Blay,MN 55WL 2 4 201 Appovea By: Amount$: Phone(952)249-4600 Fax(952)249-4616 C17Y OF ORONO tsHoQEG 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 A 1 Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑`New ❑Additional ❑Repairs [ ]Replace Job Site/Owner Information: Site Address: 75 N GNc-tin S Owner:( I WIS r�1l�l�Q,l t �� Mailing Address: City: Zip: Home Phone: U!( (/ o 1� Alternate Phone: Contractor Information: Contractor: Contact Person: S- Address: t 7 U) l kjftA,�04tafoB nd I#. G -71 q S City: WgAg Zip: 547E-xpiration Date: Phone: Ul '� �D 0 Alternate Phone: ❑ Insurance-Current:' -r `CJ1W I n s 1 t 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: Model: 1" 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 U 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 CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5400 x.0125$_0 . S(7 (contract price) (minimum$50.00) 2. STATE SURCHARGE 5400 x.0005 $ C? '00`O (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ D,LD-0— CONTRACT D- JCONTRACT 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 per 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 state is made on this application are complete,true and correct. (4 Applicant's Signature: Date: f I-7 k-1103 5ti" V DATE TIME CITY OF ORONO CALLED IN W-15-11 INSPECTION NOTICE SCHEDULED Tf-Z9-Ll PERMIT NO. Ull- 04858' COMPLETED ADDRESS 415 3 NO(W SEE( OWNER TELEPHONE NO. atq" "-4f'3 ICQl" C fheA o 2 DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 4 ❑ 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 ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL v [3 DEMO-SITE [3 SEPTIC INSTALL a OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 4 G 60p rAg*'ggll �t O vr W Q W _ Uj ❑WORK SATMFACTORY:PROCEED >t ECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑NATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Can for the next Impecwm 24 hours in a&arim (952) 249-4600 OwnedContrector on site: Inspector. �� Widte CoprMapecWt FIIe Chary CM18lte Nafte