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Home My WebLink About2015-00228 - mechanical �, CITY OF ORONO * z 0 1 5 - 0 0 z 2 e * 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2015 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 3399 CRYSTAL BAY RD PIN : 17-117-23-44-0021 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 018 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,200.00 NOTE: 1 HEATING SYSTEM& 1/2TON COOLING SYSTEM. MAKE:DAIKIN APPLICANT MECHANICAL 140.00 STATE SURCHARGE MECH(VALUATION) 5.60 COUNTRYSIDE HEATING COOLING MAIL-IN FEE 2.00 1960 COUNTY ROAD 90 TOTAL 147.60 SUITE 200 MAPLE PLAIN,MN 55359 Payment(s) (763)479-1600 CREDIT CARD 0710 147.60 OWNER V MCKINNEY, STEVE SOBIENIAK/ 339 CRYSTAL BAY RD WAYZATA,MN 55391- 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 dces 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ` t�—� d-- /� I l �� Applicant Permitee Signature Date Issued By ignature Date From:COUNTRYSIDE HEATING & COOLING 763 479 2518 02/24/2015 12:29 #021 P.0011003 � ' F��e cu,eP .L'��q. `763 47k.Ibo� .T"'' p`�w.�v,,�— FOR CTTY USE pNLY �a A' City of Orono �(`� � � /� Z Z��J <y P-O.Box FCi Date iteceived: 4 �emut#� � w d Q 2750 Kelley ParkHzy ' Crystal Bay,MN 55323 Approved By: ' Amount S�� Phone(952)249-4600 Fa�(952)249-4616 �`��.,K ��.�� CITY OF ORONO—MECHANICAL PERMIT ESHD (All Commerciaf permits must be roved 6y fhe euildin Officiai or Ins app g pector anNor 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 retum mail after a review is completed. PERMITS ARE ri'07 VALID UNTIL YOU RECEIVE A PERMIT. R'ORK MUST NOT BEGIN UNTTL THE PERMIT CARD IS POSTED ON 1'HE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventiiation,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. TXPE OF PERIviIT Gheck All;Y'hat A I �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site`/OwnerInfornaatipp;`; Site Address: � 1� � 4�'� �� Q � �� 33�9 �% P.x�. � Owner: l�►'I�1�rM SOI:� Mailing Address: City: � �h� Zip: S�f Hame Phone: OI�7D�.bBc�� Altemate Phone: Contractor Infori�ation: Contractor: C,� 5i�tp R� ��lY1ri' ontact Person: �i�vtq I�V, ti bo 0 0 � 3 Address: {� 1 State Eond�: /��6�ob y City: �ai1 �,'�Gt � k Zip:,j��Expiration Date: �� i a0(� Phone: �63 •�7�'1� �6� Alternate Phone: �, lnsurance—Current: (/G,rf2o� �—i i e 6�bt,� ] From:COUNTRYSIDE HEATING & COOLING 763 479 2518 02l24l2015 12:30 #021 P.002/003 : ..... .. .. .. ... :. r�.��;��,'��t ��#�;:."��_,:..�.t.� ''`�''`��'�' ��ri; ,.._.... 3. �... .<:�..��r,. Note:All Geothermal Systems wil]now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATINC SYSTEMS Quantity: � Make: Q I Yl.!i7 Model: � M q n`S Sl`7 6�3 pQV � Fuel: � •� Flue Size: �� VG __ Input BTUs: Ql�� _ � Output BTUs: � �� _ _ CFM: 1 r�v DD, COOLING SYSTEMS Quantity: I Make: �� I�� '1 � Model: ��J�,s 1 r�0�� Tons: �`1 O f1� H.Power � ,� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buroing Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry � VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORA.GE (Must be approved by Fire Marsha/1 ijpraposing eo abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other; GAS L1NE ONLX ❑ OUtdoor Grill ❑ Other/List What&Where: 2 From:COUNTRYSIDE HEATING & COOLING 763 479 2518 02l24l2015 12:30 #021 P.003/003 , , , k„, a'"`a �� ur .� s«.r , . ir r ^s�, s ��"d e x Y a` ,�s' '. _. .. ., � �� v�n Y" v ,`��;`�m��+��`��+�>°��2'�� s�,r �a�� ,' .� '��i `��s�� '� *�,n�^ .. 3^'S P�"^�y�. ' t„-� rc '� a . sr�x � ��''�' :�i s�"'� ��. � '��t p : ... ...�:i ,,.....,, ,..,..� �7T„�.'... �...,. ,.. .,r.,r- .. .. _ ....; _ ..�...,.�..�..... -�.wn. .�.,,..r..i°, �i'"�"'„4-'�i.. '�.�,.K,. ��`� ❑ Yes,this section applies The replacement of a Residential fixture or apnliance 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;e�luding 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,pp Total Permit Fee $ ; � � �,� �,. �-+'�,�, : ...�} .� ,;:° �.... .§Q�:: .�:'<.� ...... . ,..� �..,... � � '� �.�� 1� ...� �� k � � ��. If above does not apply;follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �(�� x.Ol 25$ �`7� (contract price) (minimam�SS0.00) 2. STATEStJRCHARCE r ,zQO x.0005 $ �_ (p (contract price) ' 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ —2:U6--' 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �L��_ �j� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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. lf any material,equipment, labor or installations are fumished by the owner,teaant 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 actuai contract. ,; �.r � - �- �7 �.'+ �.,uy� .�f .. �� "s "'� ��14.?�.. �� ,.�r°.. r,ux�t�, �n�'' y.., c , ..,. .n,a.�'i".. . . ... .�...�V .. ..�. ........ > '.. ..,.-� .... �� F 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. ..,-`� . �% : .�J a ApplicanYs Signature: '��,,�'G �'.�' Date: o( 'e��-�� 3 �J � � � TE TIME � � CITY OF ORONO CALLED IN --�- INSPECTIO T C� �y�� 9CHEDULED �1-�" PERMIT NO. �� `� COMPLETED ADDRESS -�`�� OWNER TEL HONE NO.��3 �1� �� CONTRACT�R ��{��1.�4L�G � DESCRIPTION � oQ �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHAN CAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENT5: a� � j O � a� O � � � X� Q � 2 � W � � � W O WORK SATISFACTORIF.PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL REfUFN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 in adv . 9 2) 249-460� OwnerlContractor on site: Inspector: White Copyllnspecto�'s File Canary CopylSite Notiee