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Home My WebLink About2011-00351 - mechanical CITY OF ORONO PERMIT NO.: 2011-00351 ^ 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE IssUEn: OS/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2920 SOMERSET LA PIN : 04-117-23-21-0012 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 005 BLOCK 003 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 4,455.00 NOTE: 1 CA3ZRIGR�"fON AC APPLICANT MECHANICAL 55.69 FLARE HEATING&AIR COND STATE SURCHARGE MECH (VALUATION) 2.23 9309 PLYMOUTH AVE N SUITE 104 MAIL-IN FEE 2.00 GOLDEN VALLEY, MN 55427 MISC FEE 0.00 (763)542-1166 TOTAL 59.92 OWNER FIRST, LANCE& MEREDITH 2920 SOMERSET LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permil is issued shall be perfonned according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type oPwork 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 4 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. �/�V� �~ � � - / / Applica�it Permitee Signature Date Issued [�y Sig re ate - SEPARATE PERMITS REQUIRED FOR WOF:K OTHER T AN DESCRIBED ABOV , i � ` � [�5-�� '` FOR CITY USE ONLY �� City of Orono O O,, P.U.Box 66 Date Received: Permit# 2750 Kelley Parl:way � 3�� Crystal Bay,MN 55323 Approved By: Amount$: �� o�' Phone(952)249-4600 Fax(952)249-461�i bn�o��;,. CITY OF ORONO-111ECHANICAL PERMIT (All Commercial permits musC be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by�nail or in person at the City offices. Applications will be reviewed and a permit will be issued wilhin two working days. 2. Permit cards will be sent by return mail afta;r a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERM:T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE J OB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating ventilation,humidification-dehum dification,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. iVhen any new construction or remodeling is involved,a serarate building pernnit must be obtained. - -- - 5. All work n,ust 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: Site Address: 2�Zv f�t'n�z,�l��.`T ��S`c. Owner: 1�tZ4.D�`C H �C� �"�1 Mailing Address: �Z9Zc� ��S1,�Sc..j �..t.! , City: C�tz.��,�o Zip: �J�lp Home Phone: ��Z` ��t�l�-�3�3 Alternate Phone: Contractor Information: Contractor: ��.rac�� (��c,��t n;b t A�C, Contact Person: 5�J�. I H��-So�., Address: �3J3 ��.�►�v��N �`�N State Bond#: �"1 N Z5 L<,,3 City: (��i�c.�t V��-1-r�y Zip:Sv�2� Expiration Date: � `��- � � Phone: ��3-'S�{Z-� t�ls1lu Alternate Phone: ❑ Insurance-Current: �jY.�L.l%i L`��`„ 1 . � � ,. , �� ,., ��.. � r ..� -°' � � 'a,'��;�u,l `�'' ^� ��< o�.'. �,�,. -� �.r..�a� ;,,. - �',. . '' > - ; ,,... ;�. .: _. � 4�a Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: ' Make: C.ARRIQ,�, Ntodel: Z'-�1 AC-LIoC,o Tons: �J H.Power — FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin 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 , � , � . , � "��,� � �x ��;�� ' z 7�;� � , , , �� .. � /!x, .N', ,�� -y� ,, �, � • A . -a . r , �:.��. r, . �� .�� Z�� `��: �s ,�:,... . ,,,..�.. .i.� , .,,s �. _ . • . , . . � ,.. „ . ,.y.,..-�.:- � ....n ..:',. ... . ..�':. ...�� ❑ 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 Surchazge $ 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$50.00) �y �Fj `1� x.0125$ rJ� • � 1 (contract price) (minimum 550.00) 2. STATE SURCHARGE X.000s $ �Z.Z 3 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c�9 .�Z- ■ * 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. � � , ., �,., � � , �,�.,,.�: 3 �,,.._ �„�< �, 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. Applicant's Signature: Date: �j�1Z- � � E. .. ��.<....._�,3�/ Y � 3 '� ) �"� DATfe_ TIME � CITY OF ORONO CALLED IN _ `P � INSPECTION NOTICE SCHEDULED PERMIT NO.�d �� -s� COMPLETED ADDRESS a ao OWNER �IP/�L C�i�Li �//�� TELEPHONE NO.�� 7"7�0 �03 7� CONTRACTOR �."�� DESCRIPTION /"1 C I" I nQ.,� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL fil ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J BING RI EPTIC FI ❑ FOUNDATIOWREMOVAL � OWNE ONTRACTOR TO YOU:�YES NO v�, COMMENTS: � W C O ��,�5� /r� � J G-��C.J � �� l-�/, C� �st � S� Pc�.�P c s — c�.,, � o ��+�se e,c ces-s ° �v I S 2 •�1�c� � /'A �f� a�l � �l�o�. � D t�Q � Q � z W � W � � � ❑WORKSATISFACTORY:PROCEED l.�PROJECTCOMPLEfE W �'(CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice