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Home My WebLink About2014-00067 - mechanical ' CITY OF ORONO * 2 0 1 4 - 0 0 0 6 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: OU22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 475 OXFORD RD PIN : OS-117-23-41-0010 LEGAL DESC : STIELOWS ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,000.00 NOTE: 1 HEAT N GLO GAS FP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE TOTAL 53.50 ROSEVILLE,MN 55113 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2003337 53.50 OWNER CKO VACATION PROPERTIES 575 OXFORD ROAD MEDINA, MN 55340- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 gran[permission for additional or related work which requires sepazate 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. t �..� / / Applicant Permitee Signature Date Issued By nature Date � FOR CITY LJSE ONLY � ��, City of Orono �'�, P.O.Box 66 DaYe Received: Permit# f�� Q>>I, 2750 Kelley Parkway t� 1,� �: �li Crystal Bay,MN 55323 Approved By: Amount$: a '��'E c�l Phone(952)249-4600 Fax(952)249-4616 `t��o�,1� .. CITY OF ORONO–MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Mazshall) GENERAL INFORMATION L You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT � � Check All That A 1 ) �� Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Jab Site/Owner Information: Site Address: L��J � " � � s Owner:�� /74r�-� Mailing Address: Zp 73 �L! Zf��,�,��G �,�'O City: yf�;_ ,�,�.�iC� Zip: � h��y G� � Home Phone: ��\2 -`t�,�" 'C� 17 � Alternate Phone: Contractor Informatinn: �i AF2TN & HOME TE HN L S dba FIRESIDE HEARTH & HOME ��, Contractor: Contact Person: u� 2700 FAIRVIEW AVENUE N �— Address: ROSEVILLE, MN 55113 State Bond#: `' ��% 6� 651.633.2561 City: Zip: Expiration Date: �—l ��`� Phone: Alternate Phone: ❑ Insurance–Current: 1 • MECHANIG�L ��TEI�S$��NG INSTALLEI) .E,,.,.,' 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 STUs: _ __ __ Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES Gas Factory Fireplace Brand Name: �"T'/'U�t( ❑ Wood Burning Fireplace n ❑ Wood Stove Model No.: ,�5 �/� —G ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 , �� ERMIT FEE CALCUI,ATION�S) � �� BASED QFF - 2002 STATE�STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 Fee $ PERMIT FEE CALCi.JLATIClN S)-JOBS C}VER$504.00 If above does not apply; follow guidelines below: 1. CONTRACT PR[CE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3 �D��v X.o��s $ �'��d (contract price) (minimum$50.00) 2. STATE SURCHARGE ��OU (,�O x.0005 $ I, �� (wntract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5 �*� � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the per►nitted work including materials, labor,profit, and other fixed costs. lt 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 uf a signed copy of the actual contract. MECHANIGAL PERMIT A;PPLICATION 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 this application are complete, true and correct. � ApplicanYs Signature: L%(.�c.�'i �a'1'i�'�~� Date: �'—l �� Y Reset Form 3 �� ' DATE TIME � CITY OF ORONO CALLED IN l/-�7 --��- INSPECTION NOTIC SCHEDULED - - -��L— PERMIT NO. < - !v7 co LETED ADDRESS y� D�� OWNER • �� TE EPHONE NO. CONTRAr_TnR /�//l/�C.� � `�' � DESCRIPTION � � 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � �EINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10N/HEMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: W a r✓ � /Mtt�.. �idrrf� /N� � � � � O ). � � l�]�1� Lh�.d�.a7�� — W � Q � 2 �r.,.c<�' -�%�,� W � W � � � W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaD f ext inspection 24 hours in advance. (g52) 249-4600 Owne ontractor on si - _. Inspector: White Copyllnspector's File Cenary CopylSite Notke