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Home My WebLink About2008-00255 - mechanical . , s CITY OF ORONO PERMIT NO.: 2oos-oo2ss 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/25/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2109 SUGARWOOD DR PIIv : 34-118-23-21-0015 LEGAL DESC : SUGAR WOODS : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 16,000.00 NOTE: INSTALL(1)BRYANT-MODEL#355CAV06012-NATURAL GAS FURNACE- 120,000 INPUT BTU'S ALSO INSTALL(1)BRYANT-MODEL#286ANA048-4-TON AIR CONDITIONER APPLICANT 1�IECHANICAL 200.00 COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 8.00 6511 HWY 12 TOTAL 208.00 MAPLE PLAIN,MN 55359 (763)479-1600 OWNER AHLERS,DAVID&DIANE 2109 SUGARWOOD DR LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding to the approved plans and specifications,applicable Ciry 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 sepazate permi[s. 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 requ ' conforrrtance with the State Building Code.This permit may be re ked any time for due cause. io2�'i o S -� l � Applicant Pe e Signature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , ��;�53��S � � CS�i � 1 FOR CITY USE ONLY �/p � City of Orono � � P.O.Box 66 Date Received: Permit# �"—.� �7 2750 Kelley Parkway �,a �`'x• r)� Crystal Bay,MN 55323 Approved By: Amount$: `'st��oe`o�%r� (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 1NFORMATION 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 PERM[T. 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 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 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 l ) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional �Repairs 0 Replace Job Site/Owner Information: Site Address: 2109 Sugarwood Dr Owner: David Ahlers Mailing Address: C� : Orono Z� 55356 h' P� Home Phone: �952)476-7368 Alternate Phone: (612)916-7368 Contractor Information: Contractor: Countryside Contact Person: Maggie Janke Address: 6511 Highway 12 State Bond#: Maple Plain 55359 City: Zip: Expiration Date: Phone: (763)479-1600 Alternate Phone: ❑ Insurance—Current: 1 � 4 � L Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS Quantity: � Make: Bryant Model: 355CAV0601� Fuel: Nat Gas Flue Size: Input BTLJs: 120,000 Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: B�'Yant Model: 286ANA048 Tons: 4-ton H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue 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) � Installation ❑ Removal Fuel Oil: gallons � Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , . . ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 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$35.0(1) 16,000.00 x.0125$ 200.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50) 16,000.00 x.0005 $ 8•00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 208.00 ■ * 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. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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. ApplicanYs Si at Date: 6 �v` V� 3 `E-� � ��i-- D TE TIME � CITY OF ORONO CALLED IN IO D� INSPECTION RT SCHEDULED ` �� PERMIT NO U � S5 COMPLETED ADDRESS GCt4��J OWNER CONTR. TELEPHONE NO. ��O�J—�-7�L ��D � , � DESCRIPTION �� CC LQ ,� Li�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING `�AAECHANICAL FINAL ❑ LAKESHORE/WERANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPL4INT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HAFO COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a j O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORE C�/ERING PERMANENT ❑COHRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContracto on site: r/ inspector. White Copy/lnspector's File Canary Copy/Site Notice