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Home My WebLink About2015-00495 - mechanical ` ' CITY OF ORONO * 2 0 1 5 - 0 0 4 9 S * 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 PINE VIEW DR PIN : 28-118-23-42-0010 LEGAL DESC : PINE VIEW : LOT 4 BLOCK 1 PERMIT TYPE : 1WIECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CQNSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : � 17,000.00 NOTE: (1)LENNOX FURNACE (1)LENNOX A/C IJNIT (1)KITCHEN EXHAUST (4)BATH EXHAUST APPLICANT MECHANICAL 212.50 STATE SURCHARGE MECH(VALUATION) 8.50 MASSMANN,GEOTHERMAL&MECH TOTAL 221.00 27944 96TH STREET Payment(s) ZIMMERMAN,MN 55398 CHECK 4291 221.00 (763)416-5066 Minnesota State License#:mech-MB003981 OWNER WIGGINS,JASON&AMANDA 410 N 2ND ST UNIT 449 MINNEAPOLIS,MN 55401- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perFormed according to the approved plans and specificatiops,applicable City approvals,and the State Building Code. This permit iS for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of thC date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due caus�. � , a , �5 Applicant ermitee ignatura Date Issue y Signature Date FO C[TY USE ONLY ;-= City of Orono � �j i' � ��V P.O.E3ox 66 Date Received' � :.J Permit��t.J ��E � 2750 Kelley Parkway ff�� 1 Crvstal Bay,MN 55323 Approved By Amount$ a�i v v Phone(952)249-4600 Fax(952)249-4616 ARR 2 �. '� ' F � � �,� E� CITY OF ORONO—MECHANICAL PERMIT f�I�O�OR f�� (All Commercial permits must be approved by the Building Ofticial or lnspector and/or Fire Marshall) � GENERAL 1NFORMATION 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 atter a review is completed. PF,RMITS ARE NOT VALID UN"I�[L YOU RECENE A PERMI"I'. WORK MUST NOT BEGIN UN7'IL THN; PERNIIT CARD 1S POSTED ON THE JOB SITE. 3. Mechanical Dcsi�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 snall be presented on form provicted. 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. (2�3-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A l Residential ❑ Commercial (Approval Required) ,�New ❑ Additional ❑Repairs ❑Replace Job Site /Owner Information: Site Address: ��1 1��..�'� ��l V� Owner: ��i�� JG��S ��d er ss:-�� L�� City: ��'F�--�`�'�� "Lip: ��il�� I ' ' ` �� "�� Home Phone��`T� ` Alternate Phone: Contractor Information: Contractor:�"��V I�� '��n ac � erson:`�u'L`�V�� "��1��,�� I Address:�� c�U`'" ��+�t�ate�ond#: 1" 1 r...��i��-�� I City: ��"Y��ip�.,Ul�xpirationDate: ��' �� Phone: �� ' `'` Alternate Phone: nt Insurance—Current: �,, 1 i ex�' f i ��r s�.��V�,��,� 4 E'�j33i'�e�:� � ��(t, x a ..}( �. ,t't Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes J�No HEATING SYSTEMS Quantity: / Make: 1C Model: �,,, �� IO�C�� FueL Q �tr Flue Size: Input BTi1s: � ,� �i� Output BTUs: I�2,�� CFM: OD COOLING SYSTEMS Quantity: � Make: L.RM-1'l0 SC Model: —�'d-�� Tons: / H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION �� cfm No. � Kitchen E�aust�duct�recirculating � No. �{ Bath Exhaust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be npproved by Fire Marshnll if proposing to rtbandon tnnk in pince.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE OI�iLY ❑ , Outdoor Grill ❑ Other/List What&Where: , 2 . E, ��;`=PERMI'�Ffifi��AL��ILATION(S� � � 'a ;.�F ° ':� � ��:� z; � ,� � -�� - � �� — f� ,� ��, �a_�� ` :�° ��'�.� ❑ 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 Swcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S d �. FRMIT F � � ,' ° •i � �� If above does not apply;follow guidelines below: 1. COIV�TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��Q',0. 08 x.0125$��,Sd � (contract price) (minimum$50.00) 2. STAiTE SURCHARGE !�� x.0005 $ g, �'i' (conUact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ ��,d� ■ * CONTRA�T 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 thC job cost, the City may request the submission of a signed copy of the actual contract. �'// y' : ., ,. iS k'. S �•�.:'"' �� .��,� � f�l $" � �y 6 2 �t . 6 .�+M'l..�'' i�ya-`qgx,M' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict a�ccordance 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. n Applicant's Signatu . Date: 3 � / � DATE TIME CITY OF ORONO CALLED IN -1� INSPECTION NOT�E SCHEDULED PERMIT NO: '� � COMPLETED ADDRESS I I �}��'; �j�� 1��/ �'-�011 tv�l OWNER TELEPHONE NO. � � -� 7�/k CONTRACTOR (��S-_-�]�'� • � 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 ��CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SE IC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: ES_NO c�.� COMMENTS: �— � W a � J O � O � W � Q � - 2 W � W � � J d W ❑WORK ISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. -46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice