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Home My WebLink About2011-00346 - mechanical CITY OF ORONO PERMIT NO.: 2011-00346 ' 2750 KELLEY PARKWAY ` t ORONO, MN 55356— DATE ISSUED: OS/16/2011 c � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1125 SPRING HILL RD PIN : 26-118-23-43-0004 LEGAL DESC : UNPLATTBD 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,100.00 NOTE: 1 MITSUBISHI E/E GARAGE HEATER 1 yi e ? APPLICANT MECHANICAL 50.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 1.55 18550 COUNTY ROAD 81 TOTAL 51.55 MAPLE GROVE,MN 55369— (763)428-3677 OWNER �IPER,ADDISON&CINDY 1125 SPRING HILL RD WAYZATA,MN 55391 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 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 I80 days of the dat ance,or if construction is suspended for a period of 180 days at y time a work has commenced. The applicant is responsible for assuring II requi d inspections are `requested in confo with the State i Code.This permit may be revoked at ' e due cause. A � � / / __.�1 rmi ee Signature e Issued By Si ture ; ; SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED A O Q � . � • �,�p�� City of Orono � �� P.O.Box 66 Ha,#e�k�Ia� �� ` �'��k '� 2750 Kelley Parkway ` g : � � �� Crystal Bay,MN 55323 ��cl��u ; �� A�iunt$ _ ' Phone(952)249-4600 Fax(952)249-4616 � CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) '.�'' -,��'.,�',�„�, .„.' ��fa��„�,�'�� ?;, { 3 ki `�.6 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemut 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 Desi¢ns—Complete calculations,details and specifications are required for each heating,ventilation,humidificarion-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 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 Heating Test Record must be submitted before fmal. ;� �' � � �� r ��` �� '� �. � � �� . �€ �� '4 �� '� '�,'��V M*" `x�' �..�5�� "�; � `� � �� . N �� ,.� ,� � '. 13k .�; %l� .��fa # � da�� ..r . .. „ .K+<,-' ' + ` _ � �': . .� . a �. . . ,� . . � � ,�i, t�. y i. ,'. '��,. _: Residenrial ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ,��`��I Q't��r`�r�i��t�ax�3 ` , �� "�3 � r .. � �z e.a:�� . � � Site Address: Z� �`�1 // Owner: � /! /c �% Mailing Address: �� City: �� Zip: Home Phone: Alternate Phone: C��i'actc��c�x�natic��. A`; ;;��. Contractor: Contact Person: Address ` ��Q a`�OLINQ TWp INQ�tate Bond#: ,�'�;� °,=�85��ty`Rd:81 ,;�� Maple arove, MN 65369-9231 City: ��,,� �� 63 428,'�T7 Expiration Date: ;,+�';:;;`; WINW. 9StC0012.CQfT) Phone: Alternate Phone: ❑ Insurance—Current: 1 � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: �/ ci � � Model: �� , Fuel: Flue Size: Input BTLTs: Output BTUs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recircularing cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal . ; ' __ � ��: -• , �r�i:. Fuel Oil: gallons �� Undergi�iund�f�Ins}�e ❑Outside LP Gas: gallons , .i .r°.` . ,;:::.. Other: ' �•�? ! , GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , .� � • ❑ Yes,this secrion 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 Pernut $ 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$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract pri e) (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 esrimated dollar amount charged for the pemutted 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 esrimated 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, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: ��t� �� 3 D TIME v CITY OF ORON� CALLED IN �� INSPECTION OTICE -/ SCHEDULED � PERMIT NO. —�d3`�"� OMPLETED ADDRESS l � S � I�L ` G�G �� OWNER TELE O N .�� s�� CONTRACTOR � " Gt�� DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETl1RN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. _ White Copyllnspecto�'s File Canary CopylSite NoNce