The URL can be used to link to this page

Home My WebLink About2011-01014 - gas furnance . CITY OF ORONO PERMIT NO.: 2011-01014 . 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2700 SIXTH AVE N PIN : 28-118-23-42-0002 LEGAL DESC : FAZENDIN FOREST : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 5,100.00 NOT�: 1 BRYANT NAT.GAS FURNACE 1 BRYANT 2.5 TON AC APP ICANT MECHANICAL 63.75 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 2.55 7588 WASHINGTON AVE 5 EDEN PRAIRIE,MN 55346- MAIL-IN FEE 2.00 (952)835-7777 MISC FEE 0.00 ! TOTAL 68.30 O NER LEIN,JOHN H PO BOX 177 LONG LAKE,MN 55356-0177 AGREEMENT AND SWORN STATEMENT The work for which this permit is is�ued shall be performed according to the approved plans and specificatio»s,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 sepazate permits. All provisions of laws and brdinances goveming this type of work shall be compied with whether or ndt 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 9tate Building Code.This permit may be revoked at any tim``�cause. / / / / Applicant Permitee Signature Date Issued By S nature Date SEPAI�ATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . ��8•30 FOR CITY USE ONLY �,� �O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Pukway � Crystal Bay,MN 55323 Approved By: Amount$: ` o� Phone(952)249-4600 Fax(952)249�616 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GEN RAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-08 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �,Re3idential ❑Commercial(Approval Required) ❑NeW ❑Additional ❑Repairs �]Replace Job Sit /Owner Information: Site A�dress: 2��v C�`'�"'t� � b Owner; J��'� �`e--�-� Mailing Address: 2��v C-�� b City: i �w�p Zip: SS 3S� Home�hone: 22J�'2`�L ��3 � Alternate Phone: Contra tor Information: Contra�tor: l'b+� �D t Contact Person: ��1� J� wl C� Address: �S�$ w��'� n S State Bond#: � � S�S� 3 City: �� Zipd�� Expiration Date: `1 2�O 1 t- Phone:' �SZ'�3S'71�1 Alternate Phone: ❑ Insurance-Current: �Q0�4.v�,�-c� 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THLS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: I Make: ��'1�"T Model: 3��' l►�v D l b�� Fuel: �-�- �S Flue Size: :� y Input BTUs: /�i��b Output BTUs: �2' �U� CFM: COOLING SYSTEMS Quantity; , Make: l�� Model: I � 13,\N��3D Tons: 2• s H.Powe�! FIREPL CES � Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTIL�ATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL S'�ORAGE (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 LI1�E ONLY Q Outdoor Griil ❑ 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;excludine the cost of the fixture or appliance:and '3. Is improved,instailed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 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$50.00) � SIDo• ov X.oi2s$ �3-15 (contract price) (minimum$50.00) 2. STATE SURCHARGE � '�j�00- O� x.0005 $ 2-• SS (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 3 c� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ' � ■ * CbNTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 estitmated 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. I The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work iti 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: !�(/o �G`� Date: � � �� 3 J� DATLE TIME CITY OF ORONO CALLED IN �Q—J INSPECTION NOTIC/ E �CHEDULED �D-/U-// /D_' 4� PERMIT NO.��! �—O��/ L COMPLETED ADDRESS 0.�7OD �5��1'7�l_1�� V • OWNER TELEPHONE NO. 9SZ �3S 7�7� CONTRACTOR >; DESCRIPTION r l�� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL � MECHANICALRI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � W� ❑WORK SATISFACTORY:PROCEED r PROJECT COMPLETE W ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. � ,, White Copyllnspector's File Canary Copy/Site Notice