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Home My WebLink About2011-01490 - mechanical t � CITY OF ORONO PERMIT NO.: 2011-01490 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 11/30/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 11/30/2011 ADDRESS : 480 RUSSELL AVE PIN : 02-117-23-31-0003 LEGAL DESC : AUDITOR'S SUBD.NO. 307 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,141.00 NOTE: (1)BRYANT HEATING SYSTEM MODEL-340 NATURAL GAS 40,000 INPUT BTU'S 36,800 OUTPUT BTU'S APPLICANT MECHANICAL 50.00 STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.57 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 612-8242656 TOTAL 53.57 OWNER CARPENTER,NICKY&JOSEPHINE 480 RUSSEL AVE WAYZATA,MN 55391-0659 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 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 the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The appiicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for d e cause. �1�� / �/� �o� �� Applicant Permite �gnature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �' City of Orono FOR CITY LTSE OI3LY /��O�a P.O.Bo�G6 . �� Date Receiced: p !��yt,, �� 2750 Kelley Parkway �� ; ��>�-'''- a� Crystal Bay,MN 55323 Approced By: .��ount$: , �'��A�+��,o�, (952)249-4600 � CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Off"icial or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical perniits 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 rehun mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desims—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and ident�cation as to type,manufacturer and model. Data shall be presented on fonn 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check Al1 That A lv �Residential �Commercial(Approval Required) ❑Ne�� ❑Additional ❑Repau•s �eplace Job Site/O�vner Inforniation: Site Addre : SS�.C�1, / �i v�-�c � •��7'�� Owner. s �GI��(/y��Gfa.iling Address: CCZ�✓yi..�� 0��—v0 ` c�ri: z�p: SS3� ) Home Phone:��Z �'7��rnate Phone: Contractor Information: Contrac�r�dar � ing Contact Person: 130 Plymouth Avenue North Address: Minneapolis, MN 55411-3445 Sta.te Bond#: 1 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 .f • Y"� t .��.�. .�� .. � - �5 . - ��. ��'�� .�� t ��.`., . ' e '�,.�� .,�;�� .lrv. 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: Q Fuel: � ��S Flue Size: Input BTUs: Q r �� Output BTUs: � O CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIltEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace a Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm � No. Bath Eachaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) � Installation a Removal Fuel Oil: gallons ❑ Underground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 ,. .. , r � ry�� . . . � �17 L7 r �'{z� � f �c�'/ i : � r` 3.��,,� '� ,p*��,�'`� 3-,'�,�, �r �', >�" -� a � X � ��T♦ � v.R & ( 1 ,..3<� .Y�.� �� .�n��,,.��i.A�x.�� <`C`$�h�a,J .F.�.�� 4 . ❑ Yes,this section applies The replacement of a Residential fixture or annliance 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 fi�cture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�section,if this applies; Cost of Pennit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �,� �"�'H^ � _ - k'` �� '�",e+�'.w�gYf - .,.v .,d.s,. -: _ , �_ __:.- _ . _ _ __y _ F ,�, . . . �.. ..,� —g �3: ,y- F" . � .'. s-�e - .. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$5(1.00) � x.0125$�/'� �'w (contract pnce (minimum$50.00) '�� 2. STATE SURCHARGE **Add the State Bld Code Div. Surcharge(Minimum Fee of$.50) ��l X.0�5 $ �� s� (contract price) (minimum S .50) 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 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 fizmished by the owner,tenant or any other party,the reasonabie 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 STATE SURCHARGE is.0005 of the Buiiding Departrnent at(952)249-4600 for the price. �� _ _ � �+ `�: ,�� r �� - ,�r �;;. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the or ' of the City and the regulations of the State of Minnesota, and ce ' at all sta ts e on this applicarion are complete, true and correct. � Applicant's Signature. _ Date: 1 � Z � �� -�� , ' . . . 3 'J � = ATE TIME (/ V CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED l � / ��— PERMIT NO. �` OMPLETED ADDRESS � OWNER TELEP NE NO. ` CONTRACTOR � �: DESCRIPTION � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J�� I ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNEHICON ACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED I�ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVEFING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice