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Home My WebLink About2011-00241 - mechanical ; CITY OF ORONO PERMIT NO.: 2011-00241 ; • " 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 04/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1305 SIXTH AVE N PIN : 26-118-23-34-0004 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 70,000.00 NOTE: (5)HEATING SYSTEMS (5)COOLING SYSTEMS (1)KITCHEN EXHAUST (6)BATH EXHAUST GASLINES FORNEW FURNACES APPLICANT MECHANICAL 875.00 CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 35.00 7402 WASHINGTON AVE EDEN PRAIRIE,MN 55344 MAIL-IN FEE 2.00 (612)941-1044 TOTAL 912.00 Minnesota State License#: OOTR93 OWNER DAYTON,MARY 1305 SIXTH AVE N 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 does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing 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 a plicant is responsible for assuring all required inspections aze requ ed i conformance with the State Building Code.This permit may be rev d y time or due ause. / / ! � plicant Permitee S' a e Date I s d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �i (`7�'J`�—/��i� • � EOR CITY USE ONLY r-=�===��>. City of Orono ��'�'�`, P.O.Box 66 Date Received: Permit# �'` 2750 Kelle Parkwa ��, , y Y � ^,,.: f ,yr;� APProved By: Amount$: ,� ��l' �.:;' Crystal Bay,MN�5323 �?. ��, a�� (952)249-4600 \t��', CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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 foim 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 Check All That A 1 �Residential �Commercial(Approval Required) ❑New �Additional ❑Repairs Replace T Job Site/Owner Information: . _� �-�- Site Ad�lress: j GS �.� t�'�`�/v M Own�v>>M " �G, -'"� Mailing Address: ,' � City: �y��ill1� ZiP� �5��7� Home Phone: Alternate Phone: Contractor Information: � - - Contact Person: `�� N `�/-��ct°-�� Contractor:�l�✓) �i'� �� E--'�`t✓lCi Address: �7��;�-� ��re��'l"`— State Bond#: City: �de� /'G�� Z�p:�L� Expiration Date: Phone: `��"q� � 'IG�� Alternate Phone: � Insurance-Current: 1 � MECHANICt�L SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: � � t � /��r►�✓ �T - —�� Make: ��, Model: �$MU� "`�'�M)J/� �� 'I C> !� Fuel: �� n�rx,#—�jl�,Lj �(.JlX,�`�t.�j- ruA-1"�4!-� a� �L a ��P��__ �y� �c� 3�` PU� Flue Size: Input BTUs: d G�Q �G �� G`�D Output BTUs: �� 0 CFM: COOLING SYSTEMS Quantity: � � � ( � /�il/l�l{�/✓� � r�ilNl r�✓ C�a f r 1 Ni✓� �/��'�� Make: /=V�fUU f�� / �t+��Q_�_� Model: ��1 A"liL'�� o�zr'I�tl.liC¢jR i��{G�G(1��'cv � n � , �� 3 �y:� Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: � Wood Burning Fireplace � Wood Stove Model No.: � Wood Stove With Flue VENTILATION � _�duct recirculating ��cfm No. _� Kitchen Exhaust �_cfm � � No. __1�___ Bath Exhaust(must have duct outside) cfm ' [� No. Other Fans: Locations FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p/ace.) � Installation a Removal FuelOil: g allons ❑ Underground B Inside �Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: ��^"'^�'^� ��'Y'''�— 2 9a ti ��w �v r�r.�.�v�, , � PERNIIT FEE CALCULATIOI�1(S) BASED��F -20�2 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or avpliance 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ p��L�IT FEB CALCULATION S -JOBS OVER$500:(}f} If above does not apply;follow guidelines below: ]. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��70 G� X.oizs $ �"7�� (co ract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) -7� G�l� X.000s $ �`� (con act price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l � � ■ * 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. ��Ck�ANTCAL PERIVIIT APPLICATTON AGREEMEI�T 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. 9 � Applicant's Signature: Date: ��' ��"� � Resefi Form';'�' . ✓ �� E TIME � C�" � �'�r1 /� 1 CITY OF ORONO CALLED IN �� INSPECTION N TICE 'I SCHEDULED PERMIT NO. - ��7�COMPLETED ADDRESS t ��c��C`�{-'In �rlT� . � • OWNER TELEPHONE N . 5 a'��-�� CONTRACTOR �O �t Y�a, >; DESCRIPTION /rr 1�-�=1� 1 1�`-" � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 ❑ SEPT FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: � W a J O � � O � W � Q � 2 W � W � � � d � �Iq�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIREO.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ' P�S White Copyllnspector's Ffle Canary CopylSite Notice DA TIME � N CALL D IN —� CITY OF ORO O � INSPECTION OTICE SCHEDULED �3�— PERMIT NO. -�� COMPLETED ADDRESS �-s d�'�7[-�� /v OWNER TELEPHONE NO. ��Z �� CONTRACTOR � � DESCRIPTION ,i"'CP� �r 7`�Sf ��(G�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 c��, COMMENTS: � a � rr J ` O ` � �� _ / � O � W � Q � (� ' r � (� a W ^^ � �.� �^ W � —� � l�C� a cJ C o W ❑WORKSATISFACTORY:PROCEED ❑ ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ��CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V �FOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContracto on site: Inspector. � n � � White Copyllnspector's File Canary CopylSite Notice �r � S-� TE TIME � CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED /g�� PERMIT NO. � � � -��`�� coMP� TEo �'' a ADDRESS � 3� f7/L- � OWNER TEL P ON NO. °��G �� - �� CONTRACTOR �-��-� �: DESCRIPTION L�- �� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW .�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContrac �i lsite: Inspector. - � `' White Copyllnspector's File Canary CopylSite Notice `� '� G TIME " CITY OF ORONO CALLED IN o/ �� INSPECTION NOTICE SCHEDULED � PERMIT N0.�1I'-'DD��I COMPLETED ADDRESS I✓d� ��_`� OWNER , TEL PHONE NO.��y�� CONTRACTOR �'`�- �� : DESCRIPTION L� � v� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � a � �'O �--� � �-" ! � � O t` ti � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sitg: Inspector. �r`� � White Copylinspector's File Canary CopylSite Notice ATE TIME V CITY OF ORONO CALLED IN / � INSPECTION N TICE ��1 ^� SCHEDULED / / •`�f� PERMIT NO. ��'�/�o��j COMPLETED ADDRESS �3CD�5 ��L'Y-f 1iL �/�. OWNER � TELEPHONE NO.��a��1�`�O�7" CONTRACTOR >; DESCRIPTION ��wl �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED Cl I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED O INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on te: Inspector. (�:� ��, � White Copyllnspector's File Canary CopylSite Notice