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Home My WebLink About2009 - 00437 - mechanical CITY OF ORONO PERMIT NO.: 2009-00437 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/27/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 155 WEAR LA N PIN : 33-118-23-34-0013 LEGAL DESC : ROLLING MEADOWS 3RD ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,200.00 NOTE: 1 BRYANT NAT.GAS HEATING SYSTEM 1 BRYANT 3 TON COOLING SYSTEM APPLICANT MECHANICAL 90.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 3.60 18550 COUNTY ROAD 81 MAPLE GROVE,MN 55369- TOTAL 93.60 (763)428-3677 OWNER WINSTON&C WERSAL,JOHN 155 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 ed at any time f r due•< ...(Aplicant Permi 'gn ture Date Issued By S. ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO a • gr, • O.g,0 City of Orono FOR CITY ONLY `� P.O.Box 66 Date Received ' ' Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 a°" (952)249-4600 Approved By: ' Amount;$ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 'GENERAL INFORMATION L 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 Replace J01? Site/-Owner Information I Site Address: > i& L Owner k) f '0401\IMailing Address: Z.41/11 ' City: Zip: Home Phone: S'D `i-0 c.5. "/ Alternate Phone: Contractor Information: I Contractor: HEATING&COOLING Ttact lC'Person: 18550 County Rd Address: Maple Grave, MN 55369-9231 (763)428-367 tate Bond#: HEATING&COOUNG TWO INC: City: 18550 County Rd. 81 Zip: Expiration Date: Maple Grove(763)MN428-3677 55369-9231 Phone: Alternate Phone: I I Insurance—Current: 1 HEATING SYSTEMS Quantity: / Make: : Model 09 Fuel: U K- Flue Size 1 '( _ 3 l� Input BTUs /00. Output BTUs: CFM: _ c,�-1 0 COOLING SYSTEMS ' Quantity: Make: 7-1111k' i 1141/1 Model: 1E# Tons: , H.Power FIREPLACES ❑ Gas Factory Fireplace 9 Wood Burning Fireplace 9 Wood Stove 9 Wood Stove With Flue Brand Name: Model No.: VENTILATION [I] No. Kitchen Exhaust duct recirculating cfm 9 No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) 9 Installation ❑ Removal Fuel Oil: gallons LP Gas: 9 Underground 9 Inside ❑ Outside, gallons Other: GAS LINE ONLY ❑ Outdoor Grill 9 Other/List What&Where: 2 0. 4. F4 q* ��fg,.,�{a 1Z �etSr't w 'rc"S"`7a c,;z . r :* r 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' licable If Applicable)PP ) $ 1.50-' 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$35.00) a00 x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of S.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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: • **The STATE SURCHARGE is.0005 of the Building Depait.iuent at(952) 249-4600 for the price. ��REEIvt;EMs, hoz `Vo:64.1 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 made on this application are complete, true and correct. Applicant's Signature: 1ii�1_�� ...-...411111116N, Date: 3 c JSAT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE / '7 SCHEDULED 09 4- OD PERMIT NO.cc�90g''DOC��/ COMPLETED ADDRESS /S3 (4AGUL OWNER CONTR. _Tim TELEPHONE NO. �`(� lti` �/ _3 get) DESCRIPTIONry i / / • .44{ALX u ❑ FOOTING ❑ HANICAL RI ❑ EXCAV/GRADING/FILLING st ❑ FRAMING -a-MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP IL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL- _1 �y� 1=IFOUNDATION/REMOVAL • OWNERIG -Q dTJRACTOR IEET YOU:Y YES_NO yo COMMENTS: W Q. CC O a CC O W W CC d W ❑WORK SATISFACTORY:PROCEED 'ROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 111 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 o site. _ Inspector. White Copy/Inspector's File Canary Copy/Site Notice