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
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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:
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� ❑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