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Home My WebLink About2011-00133 - mechanical ,- CITY OF ORONO PERMIT NO.: 2011-00133 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 500 TONKAWA RD PIN 05-117-23-32-0003 LEGAL DESC REG. LAND SURVEY NO. 1305 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 2,940.00 NOTE: (2)KITCHEN EXHAUST DOWN DRAFT HOODS-500 CFMS GASLINES FOR(3)COOKTOPS IN KITCHEN APPLICANT MECHANICAL 50.00 ALTA HEATING&PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 5.00 19260 MUSHTOWN RD PRIOR LAKE,MN 55372 TOTAL 55.00 O PAID WITH CC# 1895 Minnesota State License#: 60886PM OWNER NELSON,MR.&MRS. 500 TONKAWA RD 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 are requested in conformance with the State Building Code.This permit may be revoked at any ti f r due cause. ?� Applicatit Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Feb 26 2011 11 : 31AM HP LASERJET FAX page 2 n&dzyr, sX ONLY I p City of Orouo P.O.Box 66 nate Received33 permit M D�//0 O O 2750 Kelley Park*q T Cryo Bay,MN 55323 Approved By: Amount S: JLf 4 96 Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All mwcial permits must be approved byte Building Oficial or inspector and/or Piro Marshall) GENERAL-D FORMAT10N 1. You apply for mechanical permits by mail or in person at the City offices. Applications will be revi ed and a pmniit will be issued within two working days. 2. Permit will be sent by return mail after a review is completed. PERMn S ARE NOT VALID YOU E�ECEIVE A PERMIT. WORK MUST NOT BE IN Inv's' THF,, --CARD is 1%=D ON THE JOB SrrL 3. —Complete calculations,details and specifications are required for each heating, entilation,huthidification-dehumidification,and air conditioning installation including heat I eat gain calculation,design temperatures,equipment ratings and identification as to type, ufacturer and model. Data shall be presented on forth provided. 4. benew const uddon or remodeling is involved,a separate building permit must be obtain 5. All w must be done}n accordance with the Uniform Mechanical Code/State Building Code req ' ts. 6. All wo must be inspected(rough-in and final). Call (952)249-4600. (2448 6 ur notice regoired) 7. House H sting Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) ®Residential ❑Commercial(Approval Required) ❑New ®AddiMional ❑Repairs ❑Replace Iob Siti.I..Owner Info rmati .n: Site Ad ss: 550 Tonkawa Road Owner: Mailing Address: 1 City: Zip: I Nome Phpne: Alternate Phone- formation:ontrc. Information: Alta Htg&Plg, Inc. dba Susan on r: , Contact Person: 19260 Mus*wn Rd 55186493 ddress• State Bond#: Prior Lake 55372 10/20/11 ity: Zip: Expiration Date: one: (952) 440-3779 Atternate Phone: 7/10/10-7/10/11 El Insurance—Current: 1 I t Feb 28 2011 11 : 31AM HP LASERJET FAX page 3 j Note: stems will now r All Geo ermal S Y equine a Site Plan&Review by our Building Official. IS TINS GEO RMALY ❑Yes ❑■ No I HEATING SYS EMS Quantity: Make: Ij Model: j Fuel: Flue Size: Input BTUs: 0Utput BTUs: FM: COOLING SYS Quantity: (Make: Model: Tons: I i Power PLACES J ❑ Oas Factory Firjeplace Brand Name: ❑ Wood Burning Fireplace ❑ ood Stove Model No.: ` ❑ Wood Stove with Flue/Masonry NTIELATION o. 2 Iii en Exhaust duct recirculating o. ath"aust(must have duct outside) c&n ❑ o. Fans: Locations of n n*e— L STC Mast bev' app:ro ed by Fke Marshall jproposing to abandon lank In place) . I ❑ stallation ❑ Removal 455 ue1 Oil: �_gallons ❑ Underground ❑Inside ❑Outside Gas: _ gallons Other: LINE ONLY. El3 cook tops in Idthen utdoor Grill Other/List What&Where: I 2 Feb 28 2011 11 : 31AM HP LASERJET FAX page 4 OEM= ❑ Yes,this section applicS The replacement of a Residentie.I fixture or aonliance that meets all three of the following requirements: 1 1. Does not require wtodification to electrical or gas service. 1 2. Has a total co of$500.00 or less;excludlin the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, fthis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PACE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,940.00 50.00 x.0125$ (CoQ per) (mieiomum 530.00) 2. STATE SURCHA,1�G>►� **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 2,840.00 x.0005 $5.00 (Cana""per) (srIimam S 3.00) 3. POIS71 AGE dt HANDLING(Only on Mail-In Applications) $_ 2.00 55 4. TOT PERMIT F*E(Add Lines 1-3 Above) $ '00 1 • * CONTRA PRICE or JPB COST means the actual or estimated dollar amount charged for the permitted including m*crials,labor,profit, and other fixed costs. It is the amount to be charged to the custom for the work done. If any material, equipment, labor or installations an furnished by the mateowner,ber}ant or any other party,the reasonable market value of such items must be added to the estid eo or contract price for permit fee purposes. In the event that there is a dispute on the amount of th job cost,the pity may request the submission of a signed copy of the actual contract. ■ **The STA SURCHARGE is .0005 times the Contract Price or a minimum of 55.00. i The undersigned hereby applios 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 Mirmesota, and certifies that ;all statements mad on this application are complete, true and 1 correct. Applicant's Signature: Date, 02/28/11 i' I i 3 AT CITY OF ORONO Sel- TIME CALLED IN � INSPECTION NQT,ICE SCHEDULED ✓� PERMIT NO. «�'//--0V/33 COMPLETED ADDRESS 5D OWNER TELEPFONE NO. CONTRACTOR DESCRIPTION �G✓ (�)J ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a o �hnwti "ts A �T A- 0 U_ W QC Q Z W z W d Lu NORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on ite: Inspector. 1 White Copy/Inspector's File Canary Copy/Site Notice