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Home My WebLink About2016-00859 - mechanical � ' CITY OF ORONO * 2 0 1 6 — 0 PJ 8 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1200 PHILLIPS DR PIN : 27-118-23-32-0009 LEGAL DESC : PHILLIPS WOODLAND TERRACE : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,210.00 NOTE: REPLACE A/C APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.60 NORTHERN HEATING&AIR COND INC. MpIL-IN FEE 2.00 9431 ALPINE DR RAMSEY,MN 55303 TOTAL 53.60 (763)323-7597 Payment(s) CHECK 24331 53.60 OWNER DAU,EDWARD&MICHELLE 1200 PHILLIPS DR LONG LAKE,MN 55356- 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 dces 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."fhis 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 are requested i►i conformance with the State Building Code.This permit may be revoked at any time for due cause. � ! r �`� � /`� / / Applicant Permitee Signature Date Iss d B gnature Date z i � FOR CITY USE ONLY d City of Orono O� �� P•O.Box 66 Date Received: Permit# � � ��{Z 2750 Kelley Parkway �� j Crystal Bay,MN 55323 Approved By: Amount$: ?�o� Phone(952)249-4600 Fax(952)249-4616 � CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building O�cial or Inspector 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. PERNIITS ARE NOT VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi r�►s—Complete calculations,details and specifications are required for each . hearing,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 PERMIT f ' Check All That A 1 ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job:Site/Owner Information: ' Site Address: 1��7 ��1� �,�l P� S �.�Y��-�- Owner:��W(l��Q �,b� Mailing Address: f�(j�1��'ti ��S ��'• � City: o i(�lc� Z1p: `�'S� 5 n Home Phone: �SZ— �73� ��3 Alternate Phone: Contractor Information: � N�herhs o�. �" � "�� Contractor: }I a�i C�cl �✓ Contact Person: �/�/�lq►'� Address: R�3) �Din.L 1a'• State Bond#: �"�R(�U� � City: �S Zip:55�3 Expiration Date: a�I�JI I� Phone: ?(o?t 3Z3-��`�7 Alternate Phone: �03'�1 Z�7 � �� ❑ Insurance-Current: Q�`b�, /��,�- ��al/��P 1 , a Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTCJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: 1 Make: A. Model: �Z 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 cfin ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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 $ 15.00 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) ��V �2 �� Z��.C�..� x.0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE 221D c7 x.0005 $ � _ �.Q� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��- �v ■ * 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 conect. Applicant's Signature: � Date: � 1 Z� ! �� 3 �� CITY OF ORONO CALLED IN ��TE /� TIME INSPECTION TIC HEDULED �' -/ (o , � PERMIT NO. � �`� MPLETED ' ADDRESS �`�r'� - OWNER � �'�ELEPH NE NO. �'Z�'��S�-�SU� � CONTRACTOR � DESCRIPTION � ` � `� ( ► 4~j ❑ 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE PTIC INSTALL 2 �IN�FNCONTFiACTOR TO MEET YOU: YES_NO c�.� COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours' advance. 9 Q� Owner/Contractor on site: Inspector: White Copyllnspector's Ffle Canary CopylSite Notice