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Home My WebLink About20103-00163 - plumbing CITY OF ORONO * 2013 - 00163 * DA 2750 KELLEY PARKWAY DATE ISSUED: 03/11/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 160 OLD CRYSTAL BAY RD N PIN 33-118-23-43-0006 LEGAL DESC PETERMAN ADDN LOT 001 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: NEW CARRIER HEATING SYSTEM MODEL.59TP5Al00EZ1-20 VALUATION OF PLUMBING 1800 APPLICANT PLUMBING FIXTURE FEE 50.00 RIVER CITY SHEET METAL INC. STATE SURCHARGE PLBG(VALUATION) 0.90 8290 MAIN ST.NE SUITE 39 MAIL-IN FEE 2.00 FRIDLEY,MN 55432 TOTAL 52.90 (612)754-2199 OWNER COE,LEANN J 160 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 3 A�2 ow� Appli t Permitee Signatu Date Y 3111113 Iss B Signature Date SEPARATE PERMITS REQUIRED FO WORK OTHER THAN DESCRIBED ABOVE. FOR C Y USE;ONLY O City of Orono �6�3 P.O.Box 66 Date Received/ Permit 4 fay �0 '- 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By Amount.$: 5 1�P� SQrt,� Gf' (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION' 1. You may apply for plumbing 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. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE.OF`PERMIT" (Cheek AII-That Apply) %Residential ❑Commercial(Approval Required) ❑��New ❑Additional ❑Repairs XReplace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site./Owner Information: Site Address: La) 01C1- Owner: o Mailing Address: City: Zip: O� _ Home Phone: - 89/Alternate Phone: Contractor Information:' Contractor: It�w&ontactLL- L Person: Address:O a 7 ) mo l� Sf, State Bond#: City: L V Zip: _a Expiration Date: Phone: 7(0 3 - 7SY - a r g Alternate Phone: Insurance-Current: 1 i MECHANICAL,SYSTEMS EING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? 71 Yes ❑ No HEATING SYSTEMS Quantity: I Make: 96.7% Carrier Model: 59TP5A100EZ1-20 Fuel: Flue Size: Input BTUs: Output BTUs: CFM: 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 uct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by lire Marshall�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 STATESTATUE 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 or gas service. 2. Has a total cost of$500.00 or less;excluding 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 Fee77-7-1 $ .._. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract pi{ice with a(Minimum Fee of$50.00) 50.00 x.0125$ 50.00 (contract pri e) (minimum$50.00) 2. STATE SURCHARGE 1,800.00 0.90 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.90 ■ '� 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. The undersigned hereby applies to the Ci for issuance of a Mechanical Permit, agrees to do all g Y PP City 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: Date: 03/07/13 ;RL'SI: DAT TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.A91y"-1!2 12 /`/� 3COMPLETED ADDRESS O D/� C�24��/ ACII 0-7- OWNER � � TELEPHONE NO. � ��d 6l 7e CONTRACTOR > DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ti- El POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q El FRAMING El MECHANICAL FINAL E] TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL PL BING RI TIC F AL ❑ FOUNDATION/REMOVAL OWNER ONTRACTOR TO ME OU: YES_NO COMMENTS: w Q_ cc J O O W Q Z W W ES j d W ❑WORK SATISFACTORY:PROCEED /J�iOJECTCOMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in ad ance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2 120 - 104163 COMPLETED- ADDRESS OWNER TELEPHONE NO. CONTRACTOR 401 ✓e C,�L S,��o PZ� ib'/e 4fz. Jam; >' DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF LUMBING 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 ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL ;2t OWNERICONTRACTOR TO MEET YOU:_YES_NO Zo COMMENTS: C n j Fuv ✓X,ce rte!• roc o Pee- e- e v MA A— LQ cc LW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CrW ❑CORRECT WORK&PROCEED !/i_ ISSUE CERTIFICATE OF OCCUPANCY O11CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN jj,gSqTOP ORDER POSTED.CALL INSPECTOR 4W IL SG CITATION ISSUED V'SPECTION REQUIRED.CALL TO ARRANGE ACCESS.or the next inspection 24 9ours in advance. (952) 249-4600 Owner! tractor on site:_4<2 lea icoc Inspector. White Copy/inspector's File Canary Copy/Site Notice