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Home My WebLink About2012-01118 - new gas furnance . � CITY OF ORONO * 2 0 1 2 - 0 1 1 1 B * 2750 KELLEY PARKWAY DATE ISSUED: 1 UO2/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1340 REST POINT CIR PIN : 07-117-23-31-0021 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,100.00 NOTE: NEW FURNACE (1)TRANE-NATURAL GAS-2"FLUE APPLICANT MECHANICAL 51.25 UNITED HEATING&AC STATE SURCHARGE MECH(VALUATION) 2.05 1295 HACKAMOE ROAD TOTAL 53.30 HAMEL,MN 55340- OWNER KUTZ,JACK E 1340 REST POINT CIR MOUND, MN 55364- 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 does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing thi�type of work shall be compied with whether or not specified herein.This p rmit 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 respo sible for assuring all required inspections aze requested in conform e with the State Building Code.This pe 't may be revoked at any time for ue cau . / / / / /Z> Z.i /Z- Applicant Permitee ig ature Date Issue y Signature Date EPA E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � j r �_ F� Y'CJSE�1�'Y - �,¢�� City of Orono ° �� ;�� r� Q P.O.Box 66 T)ate T�ee�l�e�d: � �' �crm��#��+��'�� (J 2750 Kelley Parkway � � �� Crystal Bay,MN 55323 Approved By � Amoun�5�.,�_ � Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector andlor Fire Marshall) GEI�TERY4L Il�ORI�I�TI l. 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 worldng 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 Desi�ns—Complete calcularions,details and specifications are required for each heating,ventilation,humidificarion-dehumidification,and air condirioning installation including heat loss/heat gain calcularion,design temperatures,equipment ratings and idenrification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construcrion 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. _ �'Y:1�E��F`�'E"�IIT'.,: Chec$k,��'"'1`�� . `1 =�: �Residential ❑Commercial(Approval Required) ❑ New ❑Addirional ❑Repairs Replace .;�#�3�`�'w1��;/�WIl�I'`311�4T1'�1��!�11:- Site Address: �`� y0 �� ` 'i 1� G� F�`l�-c r Owner: �� "�`'�� '� f' Mailing Address: l� `� � �"'��G � h�4 City: B �'�/�'' �' Zip: Home Phone: �S � y�� 3 r�J Alternate Phone: =`Go�c�or;Tnformation: ` `� r �e.-/4/�,/�-�i Contractor: ��!�� '�'`� '�� Contact Person: �`�` Address: /-2�s� L71!�ZZ''�i'?�t �State Bond#: ,lyli3 C�(3 .S 3 Y s� L S� Y° �7— � Y/� City: Zip:' Expiration Date: � Phone: � /� ' l° 7v -�� Alternate Phone: �G-� S �l� `4�`� 5 � ❑ Insurance urren ' ��-`--^-� �-�'-"`'`� s 1 � � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: l.% Make: �'�-n-� Model: "�LG �/�v �'3�� Fuel: �1�Q- 1` �� c Flue Size: Input BTUs: O' O o Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: 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 Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FLTEL STORAGE (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 LINE ONLY Outdoor Grill ❑ Other/List What&Where: N�^~' �'�''` � � I"'r�'� 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 modificarion 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 Perxnit $ 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$50.00) �/� � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 aze fumished 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 correct. ./ ( ( -� --� 2- Applicant's Signature: Date: 3 � —� � DATE TIME �/ CITY OF ORONO CALLED IN 1 l�Z�'��-- INSPECTIONI�OTICE (y SCHEDULEO II� (.-I'�-� lo�.00 PERMIT NO. �L�� "L��I � O COMPLETED ' A��RESS � .3�-l� P�� C� OWNER , LEPHONE CONTRACTOR l � � DESCRIPTION � ❑ FOOTING ❑ P UM ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ M ANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a 0 � I � ,. � • � � O � � � c.� �N�Pt-e�+ (2 C1 ' �� ' :¢�,,.�— Q � � 1 C� ( �' (� � � c� . „u� Q �S -rz � (� � .� � �o A �P � .� i� c� � W�RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W- ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (�52) 249-460� OwnedContractor on site: Inspector. � , �f ` . � White Copylinspecto�s File Canary CopylSit�e Notice