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Home My WebLink About2012-01041 - mechanical �� . CITY OF ORONO * 2 0 1 2 - 0 1 0 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2012 ORONO, MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,400.00 APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.20 4342 B SHADY OAK RD HOPKINS,MN 55343 MAIL-IN FEE , 0.00 (952)933-1868 MISC FEE 0.00 TOTAL 51.20 OWNER Orono Woodlands 2100 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 sepazate 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 wi[hin 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 are requested in conformance with the State Building Code.This permit may be rev�any t' e for due cause. � l � fU �/7 //Z Applicant Permitee Signature Date Is ued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. � FOR CITY USE ONLY O¢p�O CityofOrono i� �L C� y/ � P.O.Box 66 Date Received: jt �� Permit# JJ� 1"l- .� �� 2750 Kelley Pa�lcway � � i""• x Crystal Bay,MN 55323 Appmved By: Amount$: ��' Z� °"��%�o` 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 and/or Fire Ma�hall) 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. 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 Desiais—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 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 Job Site/Owner Information: s�te aaaress: 2100 6TH AVE N Owner:ORONO WOODLANDS Mailing Address: SAME c1Ty: ORONO 55356 Zip: Home Phone: �952� 473-0852 Alternate Phone: Contractor Information: PRACTICAL SYSTEMS J OAN N Contractor: Contact Person: 4342B SHADY OAK RD M B003510 Address: State Bond#: clry: H O P K I N S Zlp;55343 Expiration Date: O9�� 7��4 Phone: (952� 933-1868 Alternate Phone: ❑ Insurance—C�urent: �/1�� 3 1 , :� Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS �hty: 1 M�e: CARRI ER Model: 58DLA070-1-12 Fue�: NATU RAL Flue Size: �put BTus: 70,000 o�►�uc szvs: 56,000 CFM: COOLING SYSTEMS Qaantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FITEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Crrill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,400.00 X.o12s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2�4��.�� .�� x.0005 $ (cootract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $51 .00 ■ * 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 mazket 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 conect. Applicant's Signatur . Date: �O/�5/�2 � � Reset Form 3 � DATE TIME �/ CITY OF ORONO CALLED IN INSPECTION NOTICE '/ SCHEDULED /D- - Z � PERMIT NO D "D�O'�` � COMPLETED ADDRESS D� O (v ' OWNER ��TELEPHONE NO. QSZ 8�7 7�`r.3 CONTRACTOR �h h e � � DESCRIPTION �uh��-� � ❑ 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 ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ BING RI ❑ FOUNDATION/REMOVAL � NE NTRACTOR TO ET YOU: ES NO y MMENTS: � W a � J O � � O � W � Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �TF�JECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECANDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. r� White Copyllnspector's File Canary Copy/Site Notice