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Home My WebLink About2010-00208 - mechanical r L CITY OF ORONO PERMIT NO.: 2010-00208 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssvEn: 04/09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2105 SUGARWOOD DR PIN : 34-118-23-21-0017 LEGAL DESC : SUGAR WOODS : LOT 003 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 56,000.00 NOTE: 3 HEATING SYSTEMS,2 COOLING SYSTEMS,VENTILATION&GAS LINES APPLICANT MECHANICAL 700.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 28.00 18550 COLJNTY ROAD 81 MAPLE GROVE, MN 55369- TOTAL 728.00 (763)428-3677 OWNER SMITH, THOMAS& VIRGINIA 2105 SUGARWOOD DR 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 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with lhe State Building Code.This permit may be /��'� revoked at any time for due cause. �� ✓'� � ��'�C.�.v� � �-�� Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � . ' FOR CITX USE ONLY C' O,�p�O City of Orono r ,�0 Z�a P.O.Box 66 Date Received: Permit# � �,,,� 2750 Kelley Parkway O(� y�� . ,�r-. Crystal Bay,MN 55323 Approved By`. Amount$: :�� "��o� (952)249-4600 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 permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil be issued within rivo working days. 2. Pernut 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 PEP.�vIIT 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 perniit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requu-ements. 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 : ' (Cheek All That A ly) �Residential ❑ Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: �/D�S' �i.��RUOd �r�i d€ Owner: lD,-,-, � .i✓N�' ��,�-/ Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information; Contractor: HEAT�NG!�COOLING TWO INC. Contact Person: /j'i'��2k S/�'IS 18550 County Rd. 81 Address: Ma le Grove, MN 55369-9231 State Bond#: (763) 4 $�77 City: Zip: Expiration Date: Phone: Alternate Phone: ��3��'r� s4��cQ�/f J [� Insurance—Current: 1 . , _ . _ ��_ �,• � _ � p p° _ ..� : . . . . 'd' [�' S:� - �� . . . � ' :. HEATING SYSTEMS Quanc;Ty: / / / Make: Ja � Gi � ,�, _� Model: 3SS�'9�/ .3.�3�� /f� Fuel: �f�� f' f�79'f F�ue s�e: � a " r� a a��"�l�G 3"�r�- , Input BTUs: �alJ .O�t> �O 4t70 l/D,l�� Output BTUs: .� F�� 7�.�� `�po� CFN1: _ i o v ' l�OG7 �� COOLING SYSTEMS : :Quanhry: - � /'' / Make: � � �.+ , - `Mode1.:- , 8 7'. �� Tons: o� H.Power , > . . FIREPLACES : — �e diD�ae� �+1�' .��7.5�"a//�o GT/ PS� PJ��G� 0 Gas Factory Fireplace � Waod Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue � Brand Name: Model No.: VENTILATION ;� No. �_ Kitchen Exhaust�duct recirculating �o o v cfm � No. �_ Bath Exhaust(must have duct outside) sol ��.cfrn No. Other Fans: Locations �� FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) � = ❑ Installation 0 Removal . Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside � LP Gas:, gallons Other: GAS LINE ONLY ' C3l fi/a��a�G` ,� Outdoor Grill � Oflier/List What&Where:� �� G�n Bl�� 2 �' � . � . �: �t� ' L : -' 3 f � b . i , "�'� i z-� .t�� . �l,r� a�� „�}Ct..A a _ „x a?s y.3 ❑ Yes,this section applies The replacement of a Residenrial fixture or appliance that meets all three of fhe following requirements: L Does not require modificarion 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 orlicensed conhactor. � Skip next secrion,if this applies; Cost of Pernrit $ 15.00 State Surcharge $. :50 Mail-In Fee(If Applicable) $ : 1.50 Total Permit Fee $ �'�`�`� � _ �E� �` ��:� � �� .�$:�° ' F :� .�'0, �' :� � , , � „ ,...: �, �. , ,. _ . . . . :. , � If above does not apply;.�'ollow guidelines below: , 1. CONTRA�T`PRICE '"is 1:25%of contract price with a(Minimum Fee of$35.00) _ � , , _ , .S"6„�o x.0125$ ` �e+C7'=-�'G� : ' . (contract:price) , , (minimum$35.00) , - < 2. STATE:S.URCHARGE **Add the State Bldg Code Div.Surcharge;(Mirtimum�ee of$.50) S�i.DY�O x_0005 $ _ v�$.f.� : (contract price) (minimum$ .50) : 3. POSTAGE&HANDLING(Only on Mail-In Applications) `.' ` $ 1.50 ' - 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ ��• a� : ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the ' pernutted 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 aze 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 pemut 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.OQOS of the Building Depaihnent at(952)249=4600 for the price. , {. , „� . h,�. ..a ' _ � � ; �� ;Y�3� . ._ �' � . . � ":. � ' �� . . �{ . .4. � v ..... .,.. .. � . ' - . «. . .._�. :. .. ..... ,. ..;.,. . ' ' � 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: 'S� d /G7 : � . \ 3 - . �/ DATE TIME CITY OF ORONO CALLED IN -�� INSPECTION NOTICE SCHEDULED � - �- D PERMIT NO. ��D "DO�D� COMPLETED ADDRESS a�Os �'� � [�t� OWNER TELEPHONE NO.� ��z' �3 CONTRACTOR � ��7 >: DESCRIPTION �� /�-� �/ � ❑ FOOTING ❑ PLUMBING FINAL �Cl�-� EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � K SHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL� � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP �B� ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � � �� 0 � � (�C�-�� . Q � � z --- W � � W � � d W C3 WORKSATISFACTORY:PROCEED C7 PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 �RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor�site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice � � DA TIME 1/ CITY OF ORONO CALLED IN d INSPECTION NOTICE SCHEDULED Ea'O� PERMIT NO��' OD�O� COMPLETED ADDRESS �0-� OWNER ELEPHONE NO.�� CONTRACTOR � � � � �G �: DESCRIPTION ` � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W a � S d PS.�- �4 � f � s t 0 � ��v �r � s o fC 0 � W � Q � Z W � W � j GW�GORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTfON REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ) � C White Copyll�spector's File Canary CopylSite Notice � � <� `�' 9�E TIME CITY OF ORONO CALLED IN b�✓/v INSPECTION N TICE ,,�c�6 DULED ��,�� !D:O� PERMIT NO. d/O��07(/c6FnP TED N � ADDRESS � � ' OWNER TEL HON O. ��+ ��7 CONTRACTOR 1�' � DESCRIPTION r �`- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 y COMMENTS: W � ^ � r(/��J e 1 � � O >. � O � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETt1RN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next"nspection 24 hours in advance. (g52) 249-4f)00 OwnerlContra r Inspector. White Copyllnspector's File Canary CopylSite Notice � � � l — DATE TIME ✓ CITY OF ORONO CALLED IN � � � INSPECTION NOTICE SCHEDULED / � PERMIT NO.O?D/O—DDa�D�COMPL � ADDRESS hcD OWNER TEL NE NO. � ��?�� CONTRACTOR >; DESCRIPTION �� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-U��P ❑ 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 � COMMENTS: � W a � J � ��1 n r�,T,�,��1.+-�'�-- -� �t L;� O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 , OwnerlContractor on sit�: Inspector. '�'� White Copyllnspector's File Canary Copy/Site Notice