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Home My WebLink About2008 - 00127 - mechanical CITY OF ORONO PERMIT NO.: 2008-00127 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/12/2008 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2095 WEBBER HILLS RD PIN : 03-117-23-34-0023 LEGAL DESC : WEBBER HILLS : LOT 006 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,950.00 NOTE: 1 PAYNE HEATING SYSTEM-NAT GAS 1 PAYNE COOLING SYSTEM-1.5 TON APPLICANT MECHANICAL 61.88 PATTON HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 2.48 25809 VIRGO ST NE STACY,MN 55079- MAIL IN FEE 1.50 TOTAL 65.86 OWNER SWEEN,THOMAS&DEVIN 2095 WEBBER HILLS RD WAYZATA,MN 55391- 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! (571(41-'n g /)-i 61- Applicant Permitee Signature Date Issued B ignature / / Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI I D ABOVE. FOR CITY USE ONLY City of Orono ��1 P.O.Box 66 Date Received: Permit# k% . 2750 Kelley Parkway I �I > Crystal Bay,MN 55323 Approved By: Amount$: yL .yam (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 0 Commercial(Approval Required) 0 New ,Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: p)• q 11Je. • Owner: —tit(j1t'1J VO hOV1. Mailing Address: V City: Zip: Home Phone: Alternate Phone: Contractor Information: 4Contractor: � �• Contact Person: ShtJ1M, Address: %1309-•• State Bond#: ' t J 1 O�3O City: G1 0/9Zip:�/�J�lExpiration Date: I Phone: 1 �%'"1"(�I ' lT./0 Alternate Phone: (pL ai • ASA .1' g ❑ Insurance—Current: —�xe�, OK, 1 g MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS i\P 7 \'o ,;: 2.-S1 Quantity: �l� ' p Make: �,I-�,;-� ne, Model: ?(ia031Q040 Fuel: Nallt Flue Size: " pvb Input BTUs: 4-0 Output BTUs: tp • V CFM: 000 COOLING SYSTEMS AC,OC w •o /jQuantity: I \ Make: Model: TAI lq Tons: ' • H.Power FIREPLACES ❑ Gas Factory Fireplace O Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm g —No. Bath Exhaust(must have duct outside) —cfm ieetC.h O No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation 0 Removal Fuel Oil: gallons 0 Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill ❑ Other/List What&Where: 2 • PERMIT FEE CALCULATION(S) 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 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$35.00) 1+6 0 P dO x.0125$ (' m (contract rice m4 u $35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ d• 1415 (/ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (D "J ' g 1p • * 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 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. Applicant's Signature: Date: q:''1 ' 0G Reset Form 3 • MINfIC..01" DCPARTMENT()f LABOR& INDUSTRY LABOR&INDUSTRY Construction Codes and Licensing ' , Division Construction Codes and Licensing Division Commissioner of Labor and Industry Commissioner of Labor and Industry Ilas Received and Filed a S25,000 Surety Bond, Has Received and Filed a $25,000 Surety Bond, As Required by MS 326.992,for Work Regulated As Required by MS 326.992, for Work Regulated by the State Mechanical Code To: Aaron Patton Bond No: RLI 570230 by the State Mechanical Code Patton heating&Air MB ID:01465 Aaron Patton Conditioning To: Bond No: RLI 570230 Effective Date Patton Heating& Air Conditioning MB ID: 01465 V9/2008 Expi8ation Date 4/8/2009 25809 Virgo St.N.E. Stacy MN 55079 Effective Date Expiration Date 4/9/2008 4/8/2009 MBFormRC 7 TIME CITY OF ORONO CALLED IN / 9 �I,��r �'] INSPECTIO, // yO IC, y,,�i I SCHEDULED [ t L in I :x PERMIT N lin��1 [ COMPLETED ADDRESS , I I r' f. OWNER CONTR. I /r-1--) TELEPHONE NO. Lx c71-N ` p ' `t/g P/ DESCRIPTION / V��t1� tyj ❑ FOOTING ❑ 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 Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:/K YES NO o COMMENTS: cc W CC o çis (14r1 19-y r s- 3j 0CC W CC Q W W CC d LU LIWORK SATISFACTORY:PROCEED [A PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ 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 ins ction 24 hours in advance. (952) 249-4600 Owner/Contractor on site: )(/ç, Inspector. rrg s White Copyllnspector's File Canary Copy/Site Notice 5?-1- DATE TIME CI 1 - OF ORONO CALLED IN )(—IQ Or INSPECTION N TCg' SCHEDULED /1—z?-/ —O 9.. c) PERMIT NO. f--74-(!] i / X7COMPLETED ADDRESS cD 09 5A Ars. A ! . OWNER / /{h u JLQCONTR. TELEPHONE NO. L / - 3 • DESCRIPTIO /7"LL 1.4 ❑ FOOTING ID MECHANICAL RI ❑ EXCAV/GRADING/FILLING 4. Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 44 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO V) COMMENTS: cc W a CC O CC O U- W CC ti W W CC O • ❑WORK SATISFACTORY:PROCEED XPROJECTCOMPLETE CC IDCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 17 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. /3S' White Copy/Inspector's File Canary Copy/Site Notice