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Home My WebLink About2013 - 00500 - mechanical CITY OF ORONO II 11111111111111 JJJ20130 05 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2775 WHITE OAK CIR PIN : 04-117-23-42-0015 LEGAL DESC : REG. LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,951.00 NOTE: 1 BRYANT 3.5 TON AC APPLICANT MECHANICAL 50.00 STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 1.98 130 PLYMOUTH AVENUE N. MINNEAPOLIS,MN 55411- MAIL-IN FEE 2.00 612-824-2656 TOTAL 53.98 OWNER LARSON,JAMES&JACKIE 2775 WHITE OAK CIR 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 late SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED •a.;•VE. Ji0 . FOR CITY USE ONLY �' Cih of Or�. .O• .Bos ey y � Date Received: I ernrit 2750 Kelle P rkwax a: Crystal Bay, 55323approved Bv: .amount S: r<rtito`j� (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 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 J Commercial(Approval Required) ❑New EiAdditional ❑Repairs ❑Replace Job Site/Owner Information: L A Site Address: Owner: Y)� rSort Mailing Address: City: O rillo0 Zip: Home Phone: 4, a-to' (14' v i 1ternate Phone: Contractor Information: Contrac randar ning Contact Person: 130 Plymouth Avenue North Address: Minneapolis, MN 55411-3445 State Bond#: 612-624-2656 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 MECHANICAL SYSTEMS BEING INSTALLED T Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes Wo HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: , Make: /im Model: Tons: !4 H.Power 3 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 ifproposing to abandon tank in place.) • Installation 8 Removal Fuel Oil: gallons 0 Underground ❑Inside ®Outside LP Gas: gallons Other: GAS LINE ONLY D Outdoor Grill El Other/List What&Where: 2 • • i PERMIT FEE CALCULATIONS) BASED OFF -2002 STATE 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S PERMIT FEE CALCULATION(S)-_JOBSOVER$500,00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 395 x.0125 $ So _ `5— (�� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50 3 L S r 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) $ • * CONTRACT PRICE or JOB COST means the actual or estim. -d dollar amount charged for -- permitted work including materials,labor,profit,and other fixed costs. • .of•_• • • arged 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. CINIAL PERII'I'APPLICATION_AGREEMIT. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinanc s of the City and the regulations of the State of Minnesota, and certifies that all state is on this application are complete, true and correct. opr C ( Applicant's Signator Date. ' 1 /3 Reset Form 4111 6TEp{� TI CITY OF ORONO CALLED IN l V� • INSPECTION OTICESCHEDULED 't—fit 3 PERMIT NO. — CD COMPLETED - ADDRESS Z--i 5L c -' C—cc-.4e OWNER`T1- �� ^ TELEPHONE NOP' I CEq CONTRACTOR SJe''� 11 o-rd J DESCRIPTION l • 0 FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI p LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP p PROGRESS ❑ FINAL 0 SEWER HOOK-UP p COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO to COMMENTS: cc cc O cc 12 W W Lu ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED C]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 ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice