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Home My WebLink About2009 - 00190 - mechanical CITY OF ORONO PERMIT NO.: 2009-00190 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/30/2009 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 80 WEAR LA S PIN : 04-117-23-21-0018 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,800.00 NOTE: (1)HEATING SYSTEM-MAKE-ARMSTRONG,MODEL-G 1093BUO90D 16C,NATURAL GAS-2"FLUE 84,000 OUTPUT BTU'S,90,000 INPUT BTU'S 1500 CFM AND(1)COOLING SYSTEM APPLICANT MECHANICAL 50.00 DRAKE MECHANICAL STATE SURCHARGE MECH(VALUATION) 1.40 15034 DRAKE STREET NW ANDOVER,MN 55304 TOTAL 51.40 0 OWNER DESANTIS,GARY&CHERYL 80 WEAR LA 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 ca e. lei -0/6/ ill,1 , 7 pplicant Perm'ee S:gnature Date Is e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY U��` City of Orono //� Gy q_ O4 N. PO.Box 66 Date Received: / Permit 2750 Kelley Parkway 4. l��r Crystal Bay,MN 55323 Approved By: Amount$: /. r i c (952)249-4600 03 s 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) ,,Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs lace Job Site/Owner Information: Site Address: g0 to Qtr L-A- S . Owner: y Oe_c Oe-cAp Y '( Mailing Address: S-A-Mb City: J F 0 k O Zip: ----5-.3dL 3 Home Phone:(to(al_) 70,2.0-41/&7" Alternate Phone: Contractor Information: Contractor: \ 'M i t 1 1i 4L9C.ontact Person: /3r179* __ 24/0.50MJ Address: /S037 dr4,eC Sz"' State Bond#: 5 - -/93 ? 7(,.. City: /) ✓.t R_ Zip:c53 xpiration Date: (c2 —3, 0 —D'3 Phone: ( i ) 3�5.)0 ---- Alternate Phone: (76t3)7 3Y lel 8y ❑ Insurance-Current: (,C5 1 . J� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: Make: AttYlia_005 Model: 6,1 O 31 -W'1O1)((. Fuel: J It • Flue Size: q Input BTUs: 10 0 0 0 Output BTUs: 4q,0OO CFM: l SOO COOLING SYSTEMS Quantity: Make: Model: 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.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: • w . P ate. „ , #! '* ,x a `�' 1` ❑ 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 $ .50 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 with a(Minimum Fee of$50.00) 4((�0 x.0125$ 5-0 C50 contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ / . (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S / . f� ■ * 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 P AIT teik-BOW 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: -Adi.te: 3 TIME CITY OF ORONO CALLED IN INSPECTION NOTI E n SCHEDULED -": E PERMIT NOn9 DO/90 COMPLETED ADDRESS re3 r!LJZC. LIQ/ -5 OWNER CONTR. 404 e. /CcAJ TELEPHONE NO. 6ia 3a5 DESCRIPTION paw RoAcAce LL. 111 FOOTING [I MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION • LI FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP LLJ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL ▪ OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W Q.. cc 0 ec O W CC W W CC O WQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (A..) vA Cs White Copy/Inspector's File Canary Copy/Site Notice