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Home My WebLink About2016-00776 - mechanical CITY OF ORONO II 21.11111 Is 1111'II 11' 1111 II • 0 - 00776 * 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 925 OLD LONG LAKE RD PIN : 35-118-23-41-0029 LEGAL DESC : N/A : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,745.00 APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.87 STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- TOTAL 53.87 612-824-2656 Payment(s) CHECK 51583 53.87 OWNER ANDERSON,KARIN 925 OLD LONG LAKE RD WAYZATA,MN 55391- 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 a' p. ov / / /(0 Applicant Permitee Signature Date Issued By Signature Date FOR CITY USE ONLY City of sono ¢Q�Q\\ P.O.Box i6 3 ate Received:IA, b Permit= al/�LD,� D�yti \ 2750 Kell- Parkway art stl Crystal Bay,•� 55323 Approved BY: I 0Amount S: 5�. E� uhr (952)249-4600 _ 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) Residential 01 Commercial(Approval Required) 0 New 0 Additional ❑Repairs Replace Job Site/Owner Information: Site Address: _ � /c9 (sfr-rn List4e- /e Owner:kgs Ser5ern Mailing Address: Sa we—, City: c---a')0 Zip: Home Phone: "J S2- (-(7 7-i q mate Phone: Contractor Information: Contracgtgridard4igaticues,Airzzoditioning Contact Person: 130 Plymouth Avenue North Address: Minneapolis, MN 55411-3445 State Bond#: 612.824-2656 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ICAL . SB MS BEING STALLS ' b .. .rAW07,7-1 Note: All Geothermal Systems will now re e a Site Plan&Review by our Building Official. IS THIS GEOTHERMA ? ❑Y o HEATING SYSTEMS Quantity: 1 Make: 4 'M Model: 2Y7- kV - " - Fuel: r' rYC Flue Size: � i w Input BTUs: Output BTUs: MK CFM: 2-00 COOLING SYS S Quantity: Make: Model: Z5)ct Tons: 3 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace 8 Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cftn ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.) Installation ❑ Removal Fuel Oil: gallons 0 Underground ❑Inside ®Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 • r ` ":: : tt .. ® 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee e• Fee ,n $ , � :' t Q :7,1-1;*JR� kY 9s 6,_7:- ' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contractctprice with a(Minimum Fee of$50.00) 37 ` S x.0125$ 93.P4t) (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add th State Bld Code Div. Surcharge(Minimum $.50) 5-7 iS x.0005 $ /, 1-1 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5— -R- 7 ■ * 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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 statem is on this application are complete, true and correct. t.,kApplicant's Signa �� ().- '(1 X„, 3 i . -1- 5e---(-- DATE ' TIME\/ CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED 11c9 f0 PERMIT NO. ?c/ 0077b COMPLETED ADDRESS 9 ZS c- 1 ci L c i�9 Lice ,ed OWNER 14 ore 4ne4`1ELEPHONE NO. -'1 ,;10. CONTRACTOR ,S CL.v-1clo:X/1c') --tca-fii, DESCRIPTION 1I to 1 i.? /CJ W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v NAL 0 WATER HOOK-UP 0 FOLLOW-UP 2 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL --.I ❑ DEMO SITE OZTIC INSTALL 2 OWN OONTRACTOR TO MEET YOU:YES—NO '/ 2 COMMENTS: Q5�' mil 7 3 `-/ 927` 4,tt) �- R. ti If (( �' -f yci.<., J O cc "f/G refi - 0 W C /kt elG4& reciontree Wm. Q 14.1tii CC "P./vw: ' •Frrt4, W ❑WORK SATISFACTORY:PROCEEDRROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN 1:1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: , _ Inspector. ;,� i w 7U White Copyllnspector's File Canary CopylSite Notice