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Home My WebLink About2014-00226 - mechanical t � CITY OF ORONO * Z 0 1 4 — 0 fd 2 2 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2014 ORONO, MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,000.00 NOTE: REPLACE(1)PAYNE FURNACE-NATURAL GAS RELOCATION OF DUCTWORK FOR BASEMENT REMODEL APPLICANT MECHANICAL 50.00 MATRIX HOME IMPROV STATE SURCHARGE MECH(VALUATION) 2.00 10550 COLJNTY RD 81-SUITE 102 TOTAL 52.00 MAPLE GROVE,MN 55369- Payment(s) (763)478-8610 CHECK 2514 52.00 Minnesota State License#: mech-MB003671 OWNER O'KEEFE,JUSTIN&NICOLE 1453 PARK DRIVE MOiJND,MN 55364- 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuil and void if conswction 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 ti for due cause. / � � �. � ?.p �� ,�p�lic Permitee Signature ate Is d By Signature Date T/ , ♦ � FO CIT US ONLY City of Orono �/� �-O� P.O.Box 66 Date Receiv Permit#� ��1`� 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By' Amount$:�� Phone(952)249-4600 Fax(952)249-4616 a � � ` `� �,�' CITY OF ORONO—MECHANICAL PERMIT � ��K6S H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) �I 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 Desiens—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 PER1vIIT (Check All That A 1 Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information:: Site Address: _��7 3 ��',v� �)t/� Owner: /�� Mailing Address: City: //,�1'YZD Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � � Contact Person: ��COf� Address: Z� �� c�v State Bond#: �/� l-d 3��7� � City: 'l/�S Zip: �3�1 Expiration Date: �:� � Phone: 7�� "�7�.��3�S Alternate Phone: G�e�- 7�/� �gJ 5� ❑ Insurance—Current: 1 � � �, � ��`,�T'�.�"�.�.�+K°".�i.�3�;�.`�' R - ��K7��111.Y��n rp i�.. .'� ��,"°..L��,�,wv�`; q��1 Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes 0'� HEATING SYSTEMS Quantity: ` Make: Model: ��j1 cS�S D g� Fuel: ��((.l./ Flue Size: �`� VC� Input BTUs: Output BTUs: J Q� CFM: /�DO COOLING SYSTEMS � f'L�,(C,�%��v`— � � � �GU�n/i(C '� �a�� Quantity: ��/2 —\ Make: Model: Tons: H. Power FIREPLACES ❑ 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) cfin ❑ No. Other Fans: Locations cfm 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 . : . ` ��' �°�`�k��a =`#{��,�'}�r�'"„+�v a` � �� k ' � � �'�`'`��A�C`�''�y"5,��"�"��"�.s c� t �n�� ,� �� '�� ' � � �5' ,� �� s r^ �`'� �;'� s��cz � � ��`ti4�`�"'t �`7 ��:`�-'�� `�� ..� � '� ,�� . !�a"�� -t�'��'�F`��;�,� h'' '�� a � � '�r. �� " ; y . t� �i�� .w.�'S� . .N�.'S.o�a�'70.'a� 7..�:�. n. .�..,. . ,. .... . _ . , .. �e„ , . -� � ° � • ..,, .��. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the foilowing 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 $ ,v � �_� �c:, . t�*." .� � sv f �a 2k �� .�� '+e'�.Sx�'�'�':.: ,4"�a ��'S�r �r�{�'ik'��n,�p:� ��. � �� b �� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��00•0� x.0125$ (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 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. � , ,a�; �� : (rtK �s;, � x��i,!, t`r, �.. �;��, �. �m �.kx�_x ��,.��''�'�ri e�,§'.��. 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 B�� =�'-`�" DATE TIME J CITY OF ORONO CALLED IN - -/ INSPECTION T C � SCHEDULED - — �D'.3D PERMIT N '� Z �COMP ED ADDRESS ,��3 �fC�� OWNER TELEPHONE NO.��.� �yr-�'y.s�< CONTRACTOR � � DESCRIPTION �� ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YiOU:_YES_NO . � COMMENTS: �ry�v v�n.£�•�� x� , v �rcS�c l a O�C►�t t an I/QrC�tJ�C �f�,�tfi.� i�tS•E/_ j O '� FG/"►e2GC � T/N ts�i CG K�'L�G�t� C`O�-�J . 4 i r � �vC Y�t/e ► _ W � Q � �.l�. .r/�,� �Iil C ' 4�i �� /�u�.�s�� .s��SG �ie� 2 _ � 1� e�� l�1'— / 5.lre� scl•P.i _j d•�.t .,,,, %s+'' � r°dD/1� ��tG � J O W ❑WORKSATISFACTOHY:PROCEED O PROJECTCOMPLETE � �CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK��R REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ' pection 24 hours in advance. (952) 249-46�� ctor on site: P�•'��. �J �o k� Co�.�� 3'{�L, Inspector: � � � White Copyllnapector's Ffle Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��'��6 COMPLEfED /o o�'�f� ADDRESS�ff�3 GL1�K t7r• OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI O LAKESHORE/WETLANDS V3 ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLIOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTflACTOR TO MEET Y�OU:_YES_NO y COMMENTS: W � �'� ,.�.�.�c �'�.�Go w;t� .�,:� 6/�� 0 0�.�,�.L ��o�y- �i�v e � � -sr�� ,�, �. � � �-�.,.. 0 W � Q � W � W � J � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO 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 advance. (952) 249-46�� ahwnerlContractor on site: Inspector: /�' � White Copyllnspector's File Canary CopylSite Notice