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Home My WebLink About2014-00095 - mechanical ' '' CITY OF ORONO * 2 0 1 4 - 0 0 0 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: Ol/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 1447 PARK DR PIN : 07-117-23-42-0021 LEGAL DESC : SAGA HILL REVISED : LOT 008 BLOCK O15 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: (1)LUXAIRE FURNACE (1)LUXAIRE A/C GASLINE FOR FIREPLACE AND RANGE APPLICANT MECHANICAL 100.00 STATE SURCHARGE MECH(VALUATION) 4.00 BEN SCHERER PLUMBING&HVAC INC. TOTAL 104.00 4520 85TH STREET SE Payment(s) DELANO,MN 55328- (763)972-8137 CHECK 7412 104.00 OWNER PALM,MARK&PAMELA 1447 PARK DR MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding to the approved plans and specifications,applicable Ciry 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 sepazate 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. <i�� -3c��/ / i3t�l/ Applicant Permitee Signature Date Issued Signature Date . ' ' R CIT L?SE ONLY City of Orono � � p � /��— �-�N P.O.Box 66 Date Receiv d� Permit# � l QQ7 � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: l� � � Phone(952)249-4600 F�(952)249-4616 S'F C,` J CITY OF ORONO -MECHANICAL PERMIT `qKES H�� (nll Commercial permits must be approved by thc Building Official or lnspector 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 Desi�ns—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 wark 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 Ap ly) (�Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional �Repairs ❑ Replace Job Site/Owner Information: Site Address: �y y l �-+ �� F`��' � r` '�� Owner: f�� '-',� Mailing Address: City: Zip: Home Phone: Alternate Phone: ��- - �� U��" Contractor Information: Contractor: `J-�%� ��-h�J�r I7��f" ContactPerson: '..t��1 ,- ►-�- Address: �5� � � SN�S State Bond #: /'Yl/3 G o,jCe�� City: �,`'�``� Zip: E��'�fv Expiration Date: 1 b '" / Z " ��✓,� Phone: �-'� � '�`� � �� Alternate Phone: , ❑ Insurance-Current: �7#.S 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [� No HEATWG SYSTEMS Quantity: ( Make: v• �"'��2 _ Model: �,�h'7 �� r�'c� I�U� Fuel: i �Cr��`� Flue Size: _� � Input BTUs: a t�,Lnv Output BTUs: �U!�6 �' CFM: 9 2�t� COOLING SYSTEMS Quantity: � Make: L.� zC�A i(_� Model: ►J t-- � Tons: 3 H. Power F�REPLACES ❑ 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 E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marslial!if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � �'�c��J��..cc� � ��,,�h ❑ Outdoor Grill [�] Other/List What& Where: ,{� V' 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CO1vTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) C�.i 8�(,^c"C�. .�-- x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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 wark done. lf 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. MECHANICAL PERMIT APPLICATION 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. �—� Applicant's Signature: Date: � '' �� '� � 3 DATE TIME . CITY OF ORONO CALLED IN '— INSPECTION NOTICE � SCHEDULED PERMIT NO.a��"G�b�1S COMPLETED � �� ADDRESS /'�1�� i/�C Q�- OWNER TELEPHONE NO. CONTRACTOR C3••1 ��/j�'Cr ��:. f1'��► a DESCRIPTION � W ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS � Q ❑ FRAMING �MECHANICAL FINAL ❑ 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: , �! �rft-` /'3�" ��l a /�� f " 3�� J o �L'� �C�l V�YICt.�-L'_ �a�.. ` /� � � t � ` v�t�2�c�'l�' � �e l� W � ^ Q � � �� G�—�r� ��c,D/-�tG� -, � ��'�•� ��%� J � ❑WORKSATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � /� �� White Copyllnspector's File Canary CopyfSite Notice � �_� DATE TIME � CITY OF ORONO CALLED IN �'�-� INSPECTION NOTICE�OyIo SCHEDULED �- 3�� l�f :t9t� PERMIT NO.a � � � COMPLETED ADDRESS �`�� -�-�YI 1/`�� OWNER TELE HON N��3,3- 7�S1�'9 CONTRACTOR �n ��re�' �N � �.e,� � DESCRIPTION ��`Y Jb � � � ❑ FOOTING �❑�LUMBING FINAL EXCAV/GRADING/FIWNG � ❑ POURED WALL �!,�ECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v O D MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ EMO-FINAL O SEPTIC INSTALL � HARD COVER REMOVAL v PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OW ERIC�MEET YiDU:�YES_NO «� COMMENTS: � a j 0 � � �O � � Q � W � W � � J O W 4VORKSATISFACTORY:PROCEED �PROJECTCOMPLETE w ❑ RRECT W'ORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in ance. (952) 249-4600 OwnerlCorrtractor on site: � Inspector: �� White Copyllnspecto�'a Fils ary CopylSite Notfee