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Home My WebLink About2012-01015 - mechanical CITY OF ORONO * 2012 - 0101 * 2750 KELLEY PARKWAY DATE ISSUED: 10/15/201 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 1180 TONKAWA RD PIN 08-117-23-13-0006 LEGAL DESC AUDITOR'S SUBD.NO.217 LOT 009 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 3,300.00 NOTE: 1 TRANE NAT GAS FURNACE 1 AIR CLEANER APPLICANT MECHANICAL 50.00 RAY N.WELTER HEATING CO STATE SURCHARGE MECH(VALUATION) 1.65 4637 CHICAGO AVE MINNEAPOLIS,MN 55407- MAIL-IN FEE 5.35 (612)825-6867 TOTAL 57.00 OWNER J D BYRD,DAVID TEMPLEMAN& 1180 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 time for due cause. Applicant Permitee Signature Date Issue y gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AEOVE. FOR CITY USE ONLY ` O�O�O City of Orono P.O.Box 66 Date Received: Permit# y 2750 Kelley Parkway a � �n t Crystal Bay,MN 55323 Approved By: Amount$: �� " �l v Phone(952)249-4600 Fax(952)249-4616 �gg0$$ CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 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. TYPE OF PERMIT (Check All That Apply) D(Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs Replace Job Site/Owner Information: / Site Address: /I OU 7dAJA0 13 Owner: Mailing Address: ��vYI L--- City: City: U12D1UV Zip:S:53S� Home Phone: �`�` J7�` f�' Alternate Phone: Contractor Information: Contractor: ,/��,,L� 446OContact I�`I(s1- Person: 9 � Address: 1�1 {d1,�+ State Bond City: 10Zip: 5SgOl Expiration Date: "a I - 1 Phone: Alternate Phone: Insurance-Current: LS 1 MECHANICAL SYSTEMS BEING,INSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [g-Ko HEATING SYSTEMS Quantity: Make: A)c Model: J)Jb Fuel: I_ Flue Size: &u S j J )& Input BTUs: p�/ Output BTUs: /(�j!/!T" CFM: _ , ►�(r�L ASbDO /��, COOLING SYSTPCOOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas ctory Fireplace Brand Name: ❑ Wood ' g Fireplace ❑ Wood Sto Model No.: ❑ Wood Stove 'th Flue/Masonry VENTILATION ❑ No. Kitchen aust duct recirculating cfm ❑ No. Bath Exha t(must have duct outside) cfm ❑ No. Other Fans: cations cfm FUEL STORAGE (Must be approved by Fire M shall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Whe 2 PERMIT SEE CAWUI,ATIOIaT(S) BASEDOFF;,�.2002,NATE STATUE ❑ 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 $ PERM rFEE.CALGLLAT0I�7(S ' JOBS OVER$St30,00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3 360.✓ x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) ao x.0005 $ 5 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 57'Ala ■ * 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 times the Contract Price or a minimum of$5.00. �.MECI3A�T�.AL PE` !II'I'A"f'P�.i�ATIC)�fi AGREEMENT. " 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. Applicant's Signature: Date: 3 DATE TI q p CITY OF ORONO CALLED IN '� INSPECTION NO ICESCHEDULED PERMIT NO. D1O/J COMPLETED ADDRESS C ��- OWNER V TELEPHONE NO.(DI �_579" o CONTRACTO a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL � El 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc W a 41 Foo Cc CC f�'A r c C _e c4 W i Z _ d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Uj W J�-CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ 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