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Home My WebLink About2016-01038 - mechanical 1 CITY OF ORONO 11 * 20 1 6 - 0 1 038 * 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 540 OLD CRYSTAL BAY RD S PIN : 04-117-23-42-0023 LEGAL DESC : WHITE OAK OVERLOOK : LOT 001 BLOCK 001 PERMIT TYPE : MECHANIC PROPERTY TYPE : RESIDENTI CONSTRUCTION TYPE : MECHANIC -MULTIPLE VALUATION : $ 2,200.00 NOTE: ALL TESTING REPORTS SHALL BE ON TE AT FINAL INSPECTION. INSTALL SUPPLIES/RETURNS-WATER LOSS (1)DRYER VENT GASLINE TO DRYER I APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.10 PERFECTION HEATING&AIR MAIL-IN FEE 2.00 1770 GERVAIS AVE MAPLEWOOD,MN 55109 TOTAL 53.10 (651)777-7620 Payment(s) Minnesota State License#:mech-MB003122 1 CHECK 3741 53.10 OWNER I ROGOSHESKE,GEORGE FUNK&JUDY 540 OLD CRYSTAL BAY RD S 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 req ires separate permits. All provisions of laws and ordinances governing thi type of work shall be compied with whether or not specified herein.This rmit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if cop truction is suspended for a period of 180 days at any time after work h commenced. The applicant is responsible for ass ring all required inspecti ns are requested in conformance with the tate Building Code.This permit may be revoked at any time for due cause. / Applicant Permitee Signature Date Issued v.ignature Date ,1E Y I City of Orono �1��i��! �u $, ��0 P.O.Box 66 KCCit�VED Bate>Zba% i'�'1'.' -,', Psr tl#:" Q 2750 Kelley Parkway ?(,:;41:', , " Crystal Bay,MN , 't 2 82,016 Approve B ; " Amount$ F°i Phone(952)249- c b 4 F ( 5249-4616 y *�l lr, G`' Q�- �Kes x �S C� g1Q8KHNO—MECHANICAL PERMIT (All Comutercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 1. 121 apply You mafor mechanical permits bymail or inperson at the p 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 calcu ation,design temperatures,equipment ratings and identification as to type,manufacturer and rhodel. 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 inspec-ed(rough-in and final). Call(952)249-4600. (2448 hour notice regiired) 7. House Heating Test Record must be submitted before final. i TYPE OF PEI1MIT ;. 1 . ' .(Chedk AII,Tna »AtiPlY) =Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB 0 PVB] V❑New ❑Additional Repairs ❑Replace J,0,4 " e f'�o,V ler'Infgr na pn: £;' Site Address: S(4 Q C:'t Q C i^ C c\ CUL RSC. � . Owner: (c )cJ o ,J r)8`.,Q1� Mailing Address: .L,�..p City: Zip: Home Phone: Alternate Phone: Contract :Information: Contractor: 2,r • _ - ,(14.1 Contact Person: ac'/VP v, f',�u� 7i-e_ Address: 17 " (% r v(' . `� State Bond#: ATI 0 0' t t2, I)\ City: )14,,y r , -'IF Zip: , ieci Expiration Date: Fi ( •j'/` ,0 1 Phone: - - Alternate Phone: Insurance—Current: At o,rL i J . i • Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? Yes 0 No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: I _, 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!lue/Masonry VENTILATION k7j;(NU SkQol ,e.51 0.24.,krn.a a - c.�%ct-��- LOS ❑ No. Kit hen Exhaust duct recirculating cfm ❑ No. B Exhaust(must have duct outside) cfm [2 No. — Oth r Fans: Locations pryr 1)etv5A- cfm FUEL STORAGE (Must be appro ed by Fire Marshall if proposing to abandon tank in place.) ❑ Installation Removal Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Other/List What&Where: CiC1 c , �,.Q c„ e r . 2 i 1. CONTRACT PRIdE *is 1.25%of contract price with a(Minimum Fee of$50.00) gi ,aC V x.0125$ 50 (contract price) (minimum$50.00) 2. STATE SURCGE 1 10 9, 9.45- x.0005 $ 1 HAlt (contract price) 3. POSTAGE&HAND ING(Only on Mail-In Applications) $ 2.00_ 4. TOTAL PERMIT FF E(Add Lines 1-3 Above) $ S T. ( --f U ■ * CONTRACT PRICE or J COST means the actual or estimated dollar amount charged for the permitted'work including mat rials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work d ne. If any material,equipment,labor or installations are furnished by the owner, tenant or any other p , the reasonable market value of such items must be added to the estimated cost or contract pri for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City m y request the submission of a signed copy of the actual contract. 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 . :ments made on this : .• 'cation are complete,true and correct. Applicant's Signa /`. ...mink Date: 3-7,A-S [e • 3 DATE TIM CITY OF ORONO CALLED IN INSPECTION�N TICEhz SCHEDULED 1�//4..PERMIT NO. `w/ d/�lfJ ✓ COMPLED ADDRESS , v! sTE /' -/ OWNER ELEPH• . • w.5/'777 74076e� �,., CONTRACTOR `- - O DESCRIPTION f il_fJ V a— dxt___- IElFOOTING DEMO-FINAL SEPTIC FINAL IA.lc ❑ POURED WALL PLUMBING RI ElEXCAV/GRADING/FILLING O 0 FOUNDATION WATERPROOF PLUMBING FINAL 13 TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING MECHANICAL FINAL ❑ RATED WALLS I, ❑ INSULATION WOOD BURNER/FIREPLACE 0 COMPLAINT v ❑ FINAL WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY SEWER HOOK-UP ElFOUNDATIONIREMOVAL -C ,, ❑ DEMO-SITE SEPTIC INSTALL g OWNd ICONTRACfOR TO MEET YOU:_YES_NO g COMMENTS: I 4 /'Z cA fir /n 90 rear /DOB' pfAld CS"'ft• -- /?-&-,-11./r/1-1/.7-4,907 0 M kIa i L✓-o.-/c -7106-74&.-"1/7‘Lu � 0741OL109/71Z 71Z•,G3 d BW it Z Ms• WORK SATISFACTORY.PROCEED 0 PROJECT COMPLETE gt W CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION • TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITIkIN HOURS O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tort the next Inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector: fie.,tA. G• WINtm Copy/Inspector's Fle Canary Copy/Slb Node* DATE TIME V CITY OF ORONO CALLED IN INSPECTIONOTIC CCo 0)0,3g )O,3 g SCHEDULED /IfiI' PERMIT NO. b COMPLETED ADDRESS 3-LI 0 0 I C( C.-a/S I b 7 S OWNER no ` TELEP�HO NO. 3i 7c-35`74 CONTRACTOR ?-C I TL C7/0(1 fl-e ct 1 ez DESCRIPTION S' �a ` v / L0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 11) C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB MECHANICAL' 0 SITE INSPECTION Q 0 FRAMING MECHANICAL 0 RATED WALLS 1, ❑ INSULATION WOOD BURNER/F REPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP IQ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 E TIC INSTALL '4C OWNER/CONTRACTOR MEET YOU: YES_NO co COMMENTS: J /� Q - /.°'2 -__._. 4'l///�G.li/ T"N✓1 G!----/ A o/C,c 9 O-pd cc C U,-age.,- 0 W OC Q W W Es 24 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFEDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL ETURN ❑CITATION ISSUED ❑STOP ORDER POSTED. LL INSPECTOR O INSPECTION REOUIR .CALL TO ARRANGE ACCESS. Can for the next inspection 24 hours in advance. (952) 249-4600 scontractor on site: G' 01' _.----- Inspector. r'74-`r.6 White Copy 'tweeter's File Canary Copy/Site Notice