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HomeMy WebLinkAbout2011-01405 - mechanical CITY OF ORONO PERMIT NO.: 2011-01405 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 1035 TONKAWA RD PIN 08-117-23-24-0004 LEGAL DESC CARLWOOD LOT 003 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 30,000.00 NOTE: 2 HEATING SYSTEMS,2 COOLING SYSTEMS, 1 GAS FACTORY FIREPLACE,9 VENTILATION,GAS LINE APPLICANT MECHANICAL 375.00 BARNETT,MARY ANN STATE SURCHARGE MECH(VALUATION) 15.00 1035 TONKAWA RD TOTAL 390.00 LONG LAKE,MN 55356- OWNER BARNETT,MARY ANN 1035 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 ll required inspections are requested in conformance wit6he Stat wilding Code.This permit may be revo i e for due rvr 1 l 'l l C �02��- e—� t� Ce i7 IJ-2 — 7— / Applicant ermi r Date / Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F �t 'ISI Y3� N7 Y City of Orono P.O.Box 66 Date'Recets�ed 'erintt# 2750 Kelley Parkway ; Crystal Bay,MN 55323 Approxxd By Am®unt$ _ y Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) -77 GE1CMJUV TFORM TrI AT77777 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 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. 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. 711 V? ((Kesidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs / replace �o Site l Omer rr Site Address: TDt-JKAtAA /1-0,40 Owner:yyl .Ti4WE ,8,414/61-7- Mailing Address: 1035 7�A-1/44&,✓A Ufa% City: OOZ on/o m nl Zip: Home Phone: Alternate Phone: 2 /' -7 -7 c E �Cci�actori=lorri;Iat�©n:r Contractor: °i✓,IE"f- Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ®�Qo HEATING SYSTEMS Quantity: r Make: Yo 1<r- '(P9Co�d Model: 414- yPgC 1001&M//9(- Fuel: N-Fitit XA L A I,4-,"IA L Flue Size: 9 1 1 P✓L 2 /'V C Input BTUs: (p O 100K- Output dl<Output BTUs: aSq $ g K / g le- CFM: CCFM: /a ato /(000- COOLING (a0aCOOLING SYSTEMS Quantity: Make: }�6I�K Y p�GIL Model: CEHV Xg1I C Ctrl oafgl l L Tons: I/ H.Power 3 FIREPLACES Gas Factory Fireplace Brand Name: #fAT N (n LO ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ODv .L L r -z Rs- $ ❑ Wood Stove with Flue/Masonry (11 TY . 3 D=-M"ih ,Lacer^ VENTILATION vE Z LowL� LE No. j Kitchen Exhaust ✓ r duct recirculating 30 O cfm No. g Bath Exhaust(must have duct outside) I?o-l3 o cfm(elcPu+c�'n5.a^ 1 ❑ No. Other Fans: Locations cfm 1 eca1-40 FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside Iv LP Gas: gallons Other: GAS LINE ONLY � EPtA�6 2. (�rn=f 1, pe 86 F FPI,ACt 2. �«v.r"6 �04vK Outdoor Grill [f� Other/List What&Where: Fztze5&LAc-' J, -0wrIA tE v04> ) PtA&Z- Fu EC. IZAnMCoE (X -%r 2 FI('ill/�t 1P), LOtvrw Lfv� C y;,t6NAA1ZtAC ❑ Yes,this section applies 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;excluding 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract �price �wiitth a(Minimum Fee of$50.00) ;{)GVW - x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 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. 1✓ 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 maile� on this application are complete, true and correct. Applicant's Signature: c - Date: 3 C5 DAT TIME CITY OF ORONO CALLED IN INSPECTIONTMT- � SCHEDULED _/_(Z 32 PERMIT NO. COMPLETED ADDRESS OWNER TELEPHONE NO - CONTRACTOR DESCRIPTION 4�J,4 4EFOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ElINSULATION ElWOOD BURNER/FIREPLACE El 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc LU cc 0 cc 0 U_ W QC Q z W z W cc ❑WORK SATISFACTORY:PROCEED C&OJECTCOMPLETE oc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 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. White Copy/Inspector's File Canary Copy/Site Notice