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Home My WebLink About2009 - 00213 - mechanical CITY OF ORONO PERMIT NO.: 2009-00213 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 05/07/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 85 WEAR LA N PIN : 33-118-23-34-0005 LEGAL DESC : ROLLING MEADOWS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 5,400.00 NOTE: 1 CARRIER GAS FURNACE APPLICANT MECHANICAL 67.50 ROWS MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 2.70 12010 OLD BRICK YARD ROAD SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-8585 TOTAL 72.20 OWNER SIEVERT,MICHEAL&GAYLE 85 WEAR LA N 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 Issued By nature 'ow..V Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A AVE. FOR CITY USE ONLY '" A City of Orono ��-11r0\: t'.0.Box 6(6 Date Received: Permit k 2750 Kelley Parkway t'# E` Crystal Bay,MN 55323 Approved By: —_ Amount$: (952)249-46011 CITY OF ORONO— MECHANICAL PERMIT (All Commercial permits must lie approved by the Building Official or Inspector andior Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will he 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 he 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 I-heating Test Record must he submitted before final. TYPE OF PERMIT (Check All That Apply) ,[Residential ❑Commercial(Approval Required) New ❑Additional ❑ Repairs [7tceplace Job Site/Owner Information: Site Address: 85 Wear Lane N Owner: Michael & Gayle Sievert Mailing Address: 85 Wear Lane N Orono 55356 City: Zip: Home Phone: (952)473-4433 Alternate Phone: Contractor Information: Contractor: Ron's Mechanical Inc Contact Person: Linda Address: 12010 Old Brick Yard Road State Bond #: RLT. 5 6;I 1(4il City: Shakopee Zip: 55379 Expiration Date: g) 131 OC\ Phone: (952)445-8585 Alternate Phone: Insurance—Current: Lie _tAnd1`Arlot7l'lAC 1 ' MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes lE No HEATING SYSTEMS Quantity: 1 Make: bxn.Qx Model: SSI \DO Fuel: Nb Flue Size: Input BTUs: !DO 00 Output BTUs: 1°1 ?1 v 1 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace 8 Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) elm ❑ No. Other Fans: Locations elm 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 Cirill 0 Other/List What&Where: 7 PERMIT FEE CALCULATIONS) BASED OFF- 2002 STATE STATUE 0 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 S .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE " is 1.25%of contract price with a(Minimum Fee of$500]0) 4.0-C1x .0125 $ Lel •'SD (contract price) (minimum S>1J flO) 2. STATE SURCHARGE .' Add the State Bldg Code Div. Surcharge (Minimum Fee of`f;.50) x .0005 $ Q•90 (contract price) (minimum S S(I) 3. POSTAGE& HANDLING(Only on Mail-In Applications) S 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1..r :--30 • 'r 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. • xy The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION 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. C Applicant's Signature: �J [)ate: `-'5-5' I Reset Form 3 Str 61( DATE TIME CITY OF ORONO CALLED IN INSPECTIONOTI E nJ� ��// SCHEDULED PERMIT NO.G�'�/D r7� ) COMPLETED 85 J ADDRESS O 5 aeic ' �"• OWNER A/CoGa / JLQL' ttCONTR. TELEPHONE NO. 952 5173 civ35 �pylp DESCRIPTION2�� LL. 0 FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ TREE REMOVAL ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS 1, 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q 0 DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI 0 SFINAL 0 HARD COVER REMOVAL J ❑ BING FINAL 0 FOUNDATION/REMOVAL ��►�NTRACTORTOMEET (• NO o COMMENTS: CC w CC O CC O w CC w IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE 0 CORRECT WORK&PROCEED SSUE❑\ICERTIFICATE OF OCCUPANCY OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. Lti 6- 1JJ'J'S White Copy/Inspector's File Canary Copy/Site Notice