The URL can be used to link to this page

Home My WebLink About2013-00397 - mechanical -' • CITY OF ORONO * z 0 1 3 - 0 0 3 9 7 * 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 495 OXFORD RD PIN : OS-117-23-41-0011 LEGAL DESC : STIELOWS ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 15,000.00 NOTE: 2 HEAT N GLO GAS FP 2 HEAT N GLO WOOD FIREPLACES APPLICANT MECHANICAL 187.50 GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 7.50 100 ELDORADO DRIVE JORDAN,MN 55352 MAIL-IN FEE 2.00 (952)495-2927 TOTAL 197.00 OWNER SAMPLE,MIKE&ANNE 1449 BAY RIDGE 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. 7'his 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 goveming 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 aze requested in conformance with tHe State Building Code.This permit may be revoked at any time for due cause. `'lu�t.t.� �lt, l l l l Applicant Permitee Signature Date Issued By S' ature --- Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED A VE. ! '� . � �OR CIT�'USE�NLY �a�o City of Orono P.O.Box 66 1]a�e Received: I�rmit# 2750 Kelley Parkway ` ' Crystal Bay,MN 55323 A�pt'�ved By: ', .M�u�st$; Phone(952)249-4600 Fax(952)249-4616 �`�� .�'� CITY OF ORONO—MECHANICAL PERMIT �k�s�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) °GENERAL INF(�RMATIQN 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 DesiQns—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 C1F FE1�iT�' Check All'Th�t A '1 ' �] Residential ❑Commercial(Approval Required) �� New ❑Additional ❑Repairs ❑Replace JOb�ite 1 QWile�r Ia�`��i�.ti��: `. Site Address: Owner: J� �-� Mailin Address: �� v� r g City: �(II�QG�-I��D�,�,� Zip: �� Home Phone� ' `t� � �� Alternate Phone: `Can�ractvr Inf`orm�ti�n: ' P � �� Contractor: � 1 i �� ntact Person: / / l Address: j �(� Sta.te Bond#: �� 0 L-CJ City: �I��.— Z1P��35�xpiration Date: �" ��P � Phone: '`C� � �� Alternate Phone: Insurance—Current: �0 � � f 3 1 C � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Offcial. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: ' �� `-t/ Make: 6 _ ��S -�Vl,� Model: / �r [�S Tons: ��- '� � ��CJ � � H.Power v�l b��"\ ✓ ~' /�" ' FIREPLACES Z Gas Factory Fireplace Brand Name: M ►l--1—. C,(��''�!/ � Wood Burning Fireplace ��.3�� Wood Stove Model No.: ,,,f�,.,,n ❑ Wood Stove with Flue/Masonry ��h_(� _ �� (�� l/.{�/,�l U�.) VENTILATION (Y1p� -- �'TST—�-E-� � 1 ❑ No. Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ 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 , � � . ❑ 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;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 $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �' X.o�25$ /S7� s'O (c nVact price) (minimum$50.00) 2. STATE SURCHARGE '� /-��(�� (�J � � (J x.0005 $ � ' (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ` �"" ■ * 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 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. Applicant's Signature: Date: `� �/ � 3 � DA �T1�FE"- ✓ �CITY OF ORONO CALLED w �`��3 —�-'�-�� INSPECTION �TICE SCHEDULED �O f< <� -/ , "" PERMIT N0. ��3��1 cornP�ErEo ADDRESS �� '�C �-� • OWNER S�2 C.J��C{ �C- TELEPHONE NO. CONTRACTOR �c�c.��-^q �r-f'� �"�� ; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLINC, Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � /� GW '�A�TISFACTORY:PROCEED � PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTIOfJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Cail forthe next inspection 24 hours irt advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �. �� White Copyllnspector's File Canary CopylSite Notice