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HomeMy WebLinkAbout2010-01095 - mechanical � • CITY OF ORONO PERMIT NO.: Zoiaoio9s 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 1U08/2010 952 249-4600 FAX: 952 249-46,,16 ADDRESS : 2855 SOMERSET LA PIN : 04-117-23-24-0020 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 003 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION ; $ 8,000.00 NOTE: 1 BRYANT HEATING SYSTEM 1 BRYANT AC APPLICANT MECHANICAL 100.00 KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 13075 PIONEER TRAIL EDEN PRAIRIE,MN 55347-6 MAIL-IN FEE 2.00 (952)941-4211 MISC FEE 0.00 TOTAL 107.00 OWNER KERNAN,EDWARD J 2855 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 does not grant permission for additional or related work which requires sepazate permiu. 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 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 ca s►�e. ���Q °'tti, / / / / Applicant Permitee Signature Date Issue By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , FOR CITY USE ONLY � O¢p�O City of Orono P.O.Box 66 Date Rxeived: Permit# 2750 Kelley Parkway � � . � Crystal Bay,MN 55323 Approved By: Amount$: L_ ` Phone(952)249-4600 Fax(952)249-4616 ��a�so� 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 pernuts by mail or in person at.the City offices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pemut 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 Desiens—Complete calcularions,details and specifications are required for each heating,ventilation,humidificarion-dehumidification,and air conditioning installarion including heat loss/heat gain calcularion, 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 sepazate building pernut 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 Hearing Test Record must be submitted before final. T3�PE OE PERMIT Check All That A 1. • � � �esidential ❑Commercial(Approval Required) � ❑ New ❑Additional ❑Repairs �iReplace Job Site/Owner Information: Site Address: �,�� Owner:S��': 1�e�,Y? ��ailing Address: �- � — City: Zip: Home Phone: Alternate Phone: Contractor Information: COritr3CtOT: Kleve Companies, Inc. Contact Person: Ashley Address: 13075 Pioneer Trail State BOnd#: MN40111 City: Ec1en Prairie Zip; 55347 Expiration Date: s/26/11 Phone: 952-941-4211 Alternate Phone: ❑ Insurance-Current: 1 :� � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �10 HEATING SYSTEMS Quantity: � Make: Model: �����V�,lplJ1� Fuel: Flue Size: Input BTUs: �� Output BTUs: � CFM: COOLING SYSTEMS Quantity: I Make: Model: !� Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace , � B'rand 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) cfm ❑ No. Other Fans: Locations cfm FLJEL 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 � ❑ Yes,this section applies The replacement of a Residential fixture or apnliance 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 Pernrit $ 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$50.00) .C� G� . x.0125$ . contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) _ � x.0005 $ � contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � v7•� ■ * CONTRACT PRICE or JOB COST means the aetual or estimated dollar amount charged for the pernritted 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 pernut 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. 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, an cem s that all sta me de o this application are complete, true and correct. Applicant's � ature: Date: J � 3 s� t I DATFjl TIME ✓ CITY OF ORONO CALLED IN ���� INSPECTION NOTICE SCHEOULED �_�__�u �� PERMIT N0. a20/D— O/09S COMPLETED ADDRESS a�.�s L,/1,J OWNER '���-^-�fELEPHONE NO. ¢52�73 ooz� CONTRACTOR �. � DESCRIPTION ���'��� � '4� � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � J O >. � O � W � Q � 2 W � W � � d � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice