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Home My WebLink About2010-01018 - mechanical CITY OF ORONO PERMIT NO.: 2oiaoiois 2750 KELLEY PARKWAY w _ ., ORONO,MN 55356- DATE ISSUEn: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2108 SUGARWOOD DR PIN : 34-118-23-21-0024 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,400.00 NOTE: 1 HOT DAWG HD-45 NAT.GAS GARAGE HEATER APPLICANT MECHANICAL 50.00 PLUMBING WEST,INC. STATE SURCHARGE MECH(VALUATION) 5.00 23248 WALDEN AVENUE TOTAL 55.00 HUTCHINSON,MN 55350 (320)587-0300 PAID WITH CC# 6276 OWNER RICKS,MICHEAL&JACQUELINE 2108 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 after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the uilding Code.This permit may be revoked at any time for e cau e. -- .�S`�r'� / / / / Applicant Permitee Signature . Date Issued y Si ure SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCWBED ABO E. FOR CIT1'LJSE ONLY 0,��0 City of Orono P.O.Box 66 Date Received: Permit# � , • 2750 Kelley Parkway .� Y. R Crystal Bay,MN 55323 Approved By: Amount$: �'e `'' ' - o` Phone(952)249-4600 Fa3c(952)249-4616 4 �t�xod CITY OF ORONO-MECHANICAL PERMIT (All Commercial permiis 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 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,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identiftcation 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 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 ftnal. TYPE OF PERMIT (Check All That A 1 ) ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: _�� C'�r��O� �I�i � �-- Owner:�l (:/C� Mailing Address: S�YYtsZ� City: C�r6�'l O Zip: ,5��r� Home Phone: ��sa ' y7.� ' (�OG'� Alternate Phone: lO`�- '��o� � �.� � 7 Contractor Information: �--�(u,-�llo i ,"`� , Contractor: [,��CS � �L Conta.ct Person: `��'� V L�Cc�GZ �,�`� �3� � Address: I/lJ�t��i� I�"�'� State Bond#: � ��O a l � � s'S-3 0 City: �"l.L I n.5b(L Zip:� Expiration Date: 7 �_�0 �a !J// C�1 I Phone: 3.�� -"�7` �S�� Al�e Phone: (�/� ' �-US' - ^�'�5 y ❑ Insurance-Current: ��-� n n r(( �(.��f,i�t� 1 MEC �CAL SYSTEi�+iS�3�TCa��S'T�ILLEI� ' ' Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: � Make: ��_W Model: � 1� U 7 Fuel: ��T S Flue Size: Input BT[Js: Output BTUs: �S� �V CFM: COOLING SYSTEMS Quantiry: Make: Model: Tons: H.Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Buming 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 FUEL STORAGE (Must be approved by Fire Marshall if propasing to nbandon tank tn plac�) � Installation � Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 .+ . , � ��'��T'�'��'#`�;'�'� � Yes,this section applies The replacement of a Reside,ntial fixture or anuliance that meets all three of the following requirements: 1. s not require modification to electrical or gas service. 2. Has a tal cost of$500.00 or less;�xcluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip neact secrion,if this applies; Cost of Permit $ 15.00 State Swchazge $ 5•00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PER11�'I`�''F�.GAI.C[Tt.t�`I�!t�I1 $ �-Jf 3BS+�V�R��t�Q.{14f If above dces not apply;follow guidelines below: i. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �L�UIJ GG X.oi2s$ �' (�om�c r�> c�n�n;�,�,sso.00> 2. STATE SURCHARGE •*Add the State Bldg Code Div.Surchatge(Miaimem Fee of SS.Ae) x.0�5 $ (contraa Price) (minimum S 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 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 fwnished by the owner,tenant or any other pazty,the reasonable market value of suct►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 cont�ct. ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. 14IECHAI+II+C�L>P'ERMIT APFL�C1�'1"��i.Ac.GREET�' 'The undersigned hereby applies to the City for issuance of a Mechanical Pernut,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that ail statements made on this application are complete, true and correct. Applicant's Signature: Date: V �S G Rase�t fam 3 � � TE TIME ✓ CI ORO O CALLED IN � � '� INSPECTION N ICE SCHEDULED ` �2:D� PERMIT NO. �4—D�GY$COMP ETED �_ ADDRESS � �{ �� OWNER TE P NE O�� ^ �� CONTRACTO � >: DESCRIPTION�_.�' l��-�-�'/ - ` �� - � ll� ❑ FOOTING ❑ PLUMBING 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P I ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � O NERICONTRACTORTO EfYOU�YES_NO � .� � CO ENTS: � W � � � • • - � o �_'i �_:.} /l�- l� � � t \f� � C�v�� / �--% � , �� - � ��<<;r� :'��' � �`�i11 ?c-�� '�% o � � �,�- . � , r �^ i ^� �. � ! -�-,, r " ) LJ Q ,r~ �" C � �� .-j-. �i �� i � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED Cl�'�ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE 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.CALLTO ARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: ` � ^ � ' . ..._. r"' � .. Inspector. ' � � White Copyllnspector's File Canary CopylSite Notice