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Home My WebLink About2011-00028 - mechanical � CITY OF ORONO PERMIT NO.: 2o�i-0002s � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: OU1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 465 SPRING HILL RD PIN : 25-118-23-34-0002 LEGAL DESC : LJNPLATTED 25 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 10,000.00 APPLICANT MECHANICAL 125.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 5.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 132.00 OWNER ZONA TRUSTEE,RICHARD A 55 ARBOR CT TONKA BAY, MN 55331- 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 onty the work described and does not grant permission for additional or related work which requires separate 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 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. �`�'y(.�. u'l. / / / / Applicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � FOR CITY USE ONLY City of Orono + � 04O�Oi., P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � r'�*• � C stal Ba ,MN 55323 Approved By: Amount S: ''; '�• `o` Phone(952)249-4600 Fa�c(952)249-4616 �k�o� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L 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 Designs—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 iJniform 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 i - Job Site/Owner Information: Site Address: � �lltS �5.��n�� 2d Owner: 1(�l� LI�.•,� -• Pa��ncfs MailingAddress: /ss3,�•I /''�� neL��k� gl�� C1Ty: DCGpL�qJGn Zip: SS3y l Home Phone: �1 Sa'�- y 71�- S9 9 9 Alternate Phone: Contractor Information: Contractor: Contact Person: - ;es,inc. �e dba Fireside Hearth & Home Address: State Bond#: �icense 2d512060 —��"vv--P� �airv��,u �ve. �?oseville, MN 55113 City: Zip: Expiration Date: �5��s33-2s�1 Phone: Alternate Phone: ❑ Insurance—Current: 1 � M • ME�.+�7ti1�It\✓tiL�tJ iR�57��T1�.f.e� 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 BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES . a�� Gas Factory Fireplace Brand Name: /�+��(s�a C••��(k-(o r" � � Wood Burning Fireplace ❑ Wood Stove Model No.: �5�� V �'� Y� ❑ Wood Stove with Flue/Masonry . 3�D� VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin F[TEL STORAGE (Mast be approved by Fire Marskall if proposiieg to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons . Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Okher/List What&Where: 2 , .� . • .: , , . . , a : , . . 1��'..� � � ,.� ' ��`��•.��`#��*�`�'�� ,, . ❑ Yes,this section applies The replacement of a Residential fixbue or agpliance that meets all�of the following requirements: 1. I�es 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 hom�wner or licensed contractor. Skip ne�section,if this applies; Cost of Permit $ �0'— State Surcharge $ �ff" Mail-In Fee(If Applicable) $ �— Total Permit Fee �� PE�IIT��,��i'T� � ::--�Q��!E��Si�i3,08. If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of conta�act price with a(Minimum Fee of$50.00) � ��1�/� x.0125$ � �o7s-� (contr�t price) (minimam 559.00) 2. STATE SURCHARGE *'`Add the State Bldg Code Div.Swchatge(Minimum Fee of 55.00) � /!�,vll� x.0005 $�g S W (contract price) (miAima�S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S� l3 a.� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 estimate� 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 STAT'E SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. .. :_� �� '� � . , �.,j� �'. �,' .', 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 cerrifies that all statements made on this application are complete, true and conect. ApplicanYs Signature: �== Date:�D l,� _ / R�'t i��. 3 � — \ D"�o`v DAT TIME � CITY OF ORONO °2O�/f � CALLED IN I ?v' - � INSPECTION OTICE SCHEDULED l 3: a� PERMIT NO. COMPLETED � � ADDRESS OWNER TELEPH O. r — g~� � CONTRACTOR >; DESCRIPTION v'�' � ll� ❑ FOOTING ❑ PLUM ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING FI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o i i/d ./l (�'?. � , C � �f�---, 0 � W � Q � 2 W � W � � GW �OVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali forthe next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site: ' Inspector. White Copy/inspector's File Canary CopylSite Notice J 1 cc I� CX DA TIME V CITY OF ORONO CAL ED IN INSPECTION NOTICE SCHEDULED �� PERMIT NO.a��l DDOZ� COMPLETED ADDRESS ��SDrlr1�1�c,lL � OWNER TELEPHONE NO. ��Z ��?T' CONTRACTOR Lr��l � DESCRIPTION � r� r"' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITlON WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTIONREQUiRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � �i � White Copyllnspector's File Canary CopylSite Notice