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Home My WebLink About2009-00748 - heating system CITY OF ORONO PERMIT NO.: 2009-00748 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 3670 TOGO RD PIN 17-117-23-31-0032 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 004 BLOCK 010 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,425.00 NOTE: 1 GOODMAN NAT.GAS HEATING SYSTEM APPLICANT MECHANICAL 50.00 DEPENDABLE INDOOR AIR QUAILITY STATE SURCHARGE MECH(VALUATION) 1.71 2619 COON RAPIDS BLVD COON RAPIDS,MN 55433 MAIL-IN FEE 2.00 (612)757-5040.,_ MISC FEE 0.00 TOTAL 53.71 OWNER PAID WITH CC# 4208 VINJE,LISA 3670 TOGO 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time �for r due cause. tz Applicant Permitee Signature Date Issued By SigUature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 2 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 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. Identification of and specifications for water heating equipment shall also be 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 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: —t_X` C.0 C-D Zi Owner's Name: 1. tea, C - Telephone Number: C 2 ,_ x--12- -7 Mailing Address: a_4, �_ J City: Zip: Contractor's Name: _ l vC �-i�Telephon Number: 3`75-7 Mailing Address: ', d3 City: a_.3,�,1 KOL�L'Yif): _4_3 3 SYSTEM DESCRIPTION HEATING SYSTEMS t Quantity: Make: GC A� Model: M 1405' -5 Fuel: /Z Flue Size: Input BTUs: Output BTUs: i oyb CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: _ H. Power 1 WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side rear min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee 35.00 2 x .0125 $ Z (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. 3 42S x .0005 $ ` or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (4(Q. y `Z * 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 installation 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 contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services 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 Minnesota State Building Code, and certifies that all statements ma on this application are complete, true and correct. Applicant's Signature: ate: Approved By: Date: y4_ C D�AT/E9TIME CITY OF ORONO CALLED IN I l/D`,`� / INSPECTION ROTIC SCHEDULED 1j PERMIT NO. gCOMPLETED ADDRESS o -T' TA OWNER n, CO R. [):fn TELEPHONE N0. DESCRIPTION ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: W Q. cc O O Cr O Lk W Cr Q Z W Z LU cc Z) Uj ❑WORK SATISFACTORY:PROCEED KROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION . TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ID CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. _� A J White Copylinspector's a CopyTite Notice