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Home My WebLink About2011-00695 - mechanical CITY OF ORONO PERMIT NO.: 2011-00695 • 2750 KELLEY PARKWAY ` ORONO,MN 55356- DATE ISSUED: 07/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2805 SOMERSET LA PIN : 04-117-23-21-0014 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 004 BLOCK 004 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 5,245.00 NOTE: 1 LENNOX 5 TON AC XC14-060 APPLICANT MECHANICAL 65.56 SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 2.62 1408 NORTHLAND DR-SUITE 310 MENDOTA HEIGHTS,MN 5511& MAIL-IN FEE 4.38 (952)881-9000 MISC FEE 0.00 TOTAL 72.56 OWNER JAHN,MARK&MICHELLE 2805 SOMERSET LA 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 dces 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 applicant 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 due cause. / / / / Applicant Permitee Signature Date Issu By nature a e SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED A � ti � FOR CITY USE ONLY � (I 04-��` City of Orono P.O.Box 66 Date Received: Permit# �c, `�� 2750 Kelley Parkway � ��'� Crystal Bay,MN 55323 Approved By: Amount$: ;;t��,�l��o�� Phone(952)249-4600 Fax(952)249-4616 ��vt�0�'�� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)��/�i��.�� CJ 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 Y011 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 �eplace T Job Site/Owner Information: Site Address: ��y i 1�:�,J �C�"�'�{'i� �� Owner:l Y ►(�.t �� }U-�{1� Mailing Address: c��',� _jG`YYt.Q��e�- �ti. c�ty: z�p: ��`��o Home Phone: ,� � � � Alternate Phone: �� -��` Contractor Information: COI1tC1CtOC: SEDGVMCK MEATING�p�R e Sute 310NINCOIlt1Ct Pel'SOri: µendot8 Heigh s, 55120 (952)881-9000 Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 . ` . MECHANICAL SYSTEMS BEING INSTALLED Note: All Geotherrnal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �JNo (., HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: p��h�� Model: ��1—� Tons: �7(J/' ► H. Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfm FUEL 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: 2 . � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets ail 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER $500.00 [f above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �� n� X .ot2s $��"J�� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) ,� �y/ J �-; o��' � x .0005 $ �•a (contract price) (minimum$5.00) 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 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 times the Contract Price or a minimum of$5.00. 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 correct. l , / � �Applicant's Signature: ate: � ' O ��v Reset Form 3 CC'_�i`� ' C,�I � TIME � CITY NO CALLEDIN � "� / INSPECTION N I E �,/t ULED � PERMIT NO._cC��U"/��LETED ADDRESS �.S �� e/}% �2-d1.�� OWNER TEL PHONE �3 �g� CONTRACTOR � G2%QG�L �� : DESCRIPTION �/� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W C � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED /�PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ SI 3UE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice