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Home My WebLink About2015-00369 - mechanical ' ' CITY OF ORONO * 2 0 1 5 - 0 0 3 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3399 CRYS'�AL 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 : $ 9,975.00 NOTE: (1)DAIKIN FURANCE-NATURAL GAS- 1,600 CFM (1)DAIKIN A/C iJNIT-3 TON APPLICANT MECHANICAL 124.69 STATE SURCHARGE MECH(VALUATION) 4.99 COUNTRYSIDE HEATING COOLING MAIL-IN FEE 2.00 1960 COUNTY ROAD 90 SUITE 200 TOTAL 131.68 MAPLE PLAIN,MN 55359 Payment(s) (763)479-1600 CREDIT CARD 0710 131.68 Minnesota State License#:mech-MB680636 OWNER V MCKINNEY,STEVE SOBIENIAK/ 3399 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 sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.'Chis permit will expire and become null and void if construction authorized is not commenced within(80 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. \ / � / Applicant Permitee Signature Date sue Signature Date , Fr�m:COUNTRYSIDE HEATING & COOLING 763 479 2518 03l31l2015 14:35 #035 P.001/003 �-�� G �c,�r►�.,.t ��n.a�,� c�� 16�.k79: �bv� U CI USE NLY ��G� �O A T City of Orono ' �� }D/JC' � r VO P.O.Box 66 Date Rece' e� Permit#cad 2750 Kelley Parkway Crystel Bay,MN 55323 A.pproved By: Amount S: • Phone(952)249-46Q0 Fax(952)249-4616 y� � �"'K�SHo�```� CITY OF ORONO—MECHANICAL PERMIT (All Convnercial pemiits must be approved by the Building Official or lnspectnr and/or fiire Marshail) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications wiJl 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 conditioninb installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modet. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a sepazate 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PB$,MIT Check A11 That A 1 �Residentia] ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace dob Site/:Ow�er Ir�ormation:`' Site Address: �3y� �S�S� �� Owner.�F c'�d'"�h 9� � ��1 Mailing Address: ��j� �� 1Cd c��y: 1�cc'�� z�p: �.553 q / —�� Home Phone: Alternate Phone: Contractor Information: Contractor: _ S�� .�_+�Cl� ContactPerson: ,1�`��1�Ct {-2f��t�i V Address: G �6� � ►�+ �� '� State Bond#: � � �.,�C U��C� City: ��CP �Cc'�t �Zip�;��.J��Expiration Date: ��C� ��c Phone: ��3,ryZ�- ��^�D Alternate Phone: �] Insurance—Current:�V�� ..�e�TjQG�ccP-�l S 1 �� Fr�m:COUNTRYSIDE HEATING & COOLING 763 479 2518 03/31l2015 14:36 #035 P.0021003 � �'� L 2 .� . -�J Fu�,��.�„�.�, a�� . �� .�._-'' ..N. .,..:..... ., ..,. �...... � �� ,.....,... �� . ............... d�<r �' ��'h��'��: �.J.Y$. h:..,�s Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS f Quantiry: � Make: � G� 1 �� Model: l� � ��O �� Fuel: • �" Flue Size: �II__�_._ Input BTUs: LSo �� Output BTUs: �6 00� CFM: �C7 COOLING SYSTEMS Quantity: � Make: �(��-� � Model: J}� �(O�C— Tons: � T�� H.Power �• � FIREPLACES ❑ Gas Factory Fireplace Brand Name: _ ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Fiue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(myst have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be appraved by Fire Marshol!ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑lnside ❑Outside LP Gas: gallons Other: GAS LIPIE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , , Frqm:COUNTRYSIDE HEATING & COOLING 763 479 2518 03l31/2015 14:36 #035 P.003/003 .. �.ti F r ��"s ." b�_�.0 : � 4 �,�.'�� '�,� { tF ^'' 3 :� '��... �tr��r�iT^'<<' ��. �`�. 9 a-�` ��? r `�; .P��t"6$-ns��, . .s,x �`5� .a y�3 1 k �. ��d'�.#"� r t ti �� y��"��z � .�,..�:.,:a ... ._..}..,i. e� . :�. __..y,.�....#�`„�� „t� �� ,��"'j" r� r ,« ° _ _ �t. ;?. i �,v ,r.� ❑ Yes,this section applies T'he replacement of a Residentia]fixture or appliance that meets all three of the following requirements; 1. Does not require modification to electricai or gas service. 2. Has a totai cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. ls 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 $ . � ,,.,.,..�.'�J��:...,��, .�. _..,��i'��c�f��.,:3y�`.�a�.��!IY�{.�S.Y.�G��d�h.ti�'.A+fi3:y.�� lf above does not appiy;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee ot$50.00) —`(�7� x.0125$ ��`70 �� (contract price) (minimnm$50.00) 2. STATE SURCHARGE �.g cl�f 7� a.000s $ �- (conVact price) ` 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �oC.% • 6 7 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and okher 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 itams must be added to the estimated cost or coniract price for permit fee purposes. ln 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. „. . .. .{�':'.,.. '��'.�..s.. .�'�'�_. . . ..'` ' .. �.�:�'�.��'_.�.►,�.a_�}��^� ��; ��`,�..'.: 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 Ciry 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: -L r/�� Date: J �/ �� 3 � � �� AT TIME � CITY OF ORONO a��eo iN � � INSPECTION NOT f� SCHEDULED / � PERMR NO. �V v COMPLETED ADDRESS OWNER LEP ONE � �"�� CONTRACTOR � DESCRIPTION v'�' �- � W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL Ri ❑ SITE INSPECTION Q ❑ FRAMING p�TiAE2HANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS: /'�� " A� �ro�� ti< a J O , /� � ��Uv�b t v��//c..�F �G�4..a q�i/� To� U.L. �7�w�s � � G I�tr.�L I'4�t.wC �ts�f� •}�/ �'Q�/�ti s W ' � � Q � G�Ll ✓ /'G�•�,�li�•�, W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN �NSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED �SPECTION REQUIRED.CALL TO ARRANGE ACCESS. (/ Ca�l for the next inspection 24 hours in advance. (952) 249-4600 Owne orrtraator on si • � �s�/f Inspector: �-- White Copyflnspector's File Canary CopylSite Notics — C/� CITY OF ORONO ��CALLED IN `-/ � � �Q T' INSPECTION �� /y�/l7�CHEDULED �—� �S %•� PERMIT N . ��" COMPLEfED ADDRESS �� OWNER - T HONE N07 CONTRACTO �; DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMWG �MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . - 4 � �94 s /�rt.� �Kv ss �tS��wc j � . • - C'a�J�ts ,p /i�f/!4�/�f y O � ¢�( l.Jd�� C"cs�,o/�`�. 0 � W � .f�Q''�� i,�-cs G�.0 Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �R6dECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal t inspection 24 hours in advance. (952� 249-46�0 Ow rlContractor on site: L L Inspector. �r^' White Copyllnspector's File Canary CopylSite Notice