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Home My WebLink About2009-00444 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00444 � f 2750 KELLEY PARKWAY I ORONO,MN 55356- DATE ISSUED: 07/28/2009 � 952 249-4600 FAX: 952 249-4616 ADD �SS : 3050 SUSSEX RD PIN : 04-117-23-32-0010 LEG Ii D C : FOX BEND : LOT 004 BLOCK 001 PER �T PE : MECHANICAL(>$500) PRO �R TYPE : RESIDENTIAL CO S'�R TION TYPE : COOLING SYSTEMS VA �AT N : $ 5,000.00 NOT :; 1 NNOX 3.5 TON AC i APPLICANT MECHANICAL 62.50 G IZ- AN PLUMBING&HEAT 2 OQ HI HWAY 13 STATE SURCHARGE MECH(VALUATION) 2.50 B I�i ILLE,MN 55337 MAIL-IN FEE 2.00 ( �)7 -1000 TOTAL 67.00 OWNER F i�JSS HARLES&LINDA 3 5�0 S SEX RD �iG AKE,MN 55356 � REEMENT AND SWORN STATEMENT wo for which this permit is issued shall be performed according to app ved plans and specifications,applicable City approvals,and the te B Iding Code. This permit is for only the work described and does n gr permission for additional or related work which requires sepazate pe�mi . All provisions of laws and ordinances goveming this type of work stuall b ompied with whether or not specified herein.l'his permit will e�pire d become null and void if construction authorized is not �c mm ced within 180 days of the date of issuance,or if construction is spe d for a period of 180 days at any time after work has commenced. e a icant is responsible for assuring all required inspections are r8que d in conformance with the State Building Code.This permit may be r�vok at any time for due cause. ` �r / / / / I ppl t Permitee Signature Date Issued Si ature Date Y SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. t ' FOR CITY USE ONLY ��1` City of Orono O4 `�'O P.O.Box 66 Date Received: Permit# �},�._; 2750 Kelley Parkway , ��' Crystal Bay,MN 55323 Approved By: Amount$: ,L��:�,}�� (952)249-4600 `4rAo� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fue 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE ' PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each � heating,ventilation,humidification-dehumidification,and air conditioning installation including � heat]oss/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 wark 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. I TYPE OF PERMIT Check All That A 1 � � , �Residential �Commercial(Approval Required) �� ❑New ❑Additional ❑ Repairs �Replace � Job Site/Owner Information: � Site Address: ��'l� ��1�5�?C- �� ' Owner:��I ((,U 'e� ��(,��JS Mailing Address: :�U� 11��X- � ! ; ��Ty: �ro�c� Z�p: 5��:3�� , Home Phone: ��'.��" �� Alternate Phone: Contractor Information: , Contractor: '' � Contact Person: � 1 l �� Address: oc�4,�, � �� I � State Bond#: C��a� � �� ; � City: Zi�J� Expiration Date: � I � � Phone: �-��• �� Alternate Phone: [v]� Insurance—Current: i 1 I f � _ w S � MECHANICAL SYSTEMS BEING INSTALLED � � 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: C � Tons: ' 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) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) I � Installation � Removal Fuel OiL• gallons ❑ Underground � Inside � Outside LP Gas: gallons Other: , GAS L1NE ONLY ' ❑ Outdoor Grill � Other/List What&Where: i 2 I I , . , ��`� o i ��rc c�1. ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � ' ❑ Yes,this section applies I 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ I PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ' ,��-�%�l — x .0125 $ y � 1 (contract price) ( inimum$50.00) I 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � -��r ,�� -- x .000s $ a �50 � ontract pnce) (minimum$ .50) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 I 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 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 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. MECHANICAL PE � �P �CATION�►.GREEMENT � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all �' wark 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 coinplete, true and ', correct. ' � � i � Applicanf s Signature: Date: �p�� Reset Form � � 3 � II �-_ � ��-� ,/ rj, D TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED �— PERMIT NO d � � OMPLETED ADDRE �� S�- OWNE ,��J L-I�SS CONTR TELEPHONE NO. 9sa ` ��o�-l � DESCRIPTION ��--� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �.CEECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BUFiNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � J O a � O � W � Q . � Z W � W � � d ,�/ � ❑WORKSATISFACTORY:PROCEED l�ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE C�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedConUactor on site: Inspector. l . 1 !��(C ,IS ,� White CopyMspector's File Canary CopylSite Notice