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Home My WebLink About2011 - 00461 - mechanical • CITY OF ORONO PERMIT NO.: 2011-00461 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/14/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 999 WILDHURST TR PIN : 07-117-23-21-0005 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,900.00 NOTE: FURNACE AND A/C REPLACEMENT (1)RUDD-MODEL RGPM 09 EZAJS-90,000 INPUT (1)RUDD A/C-MODEL-CA 42044 VAPM 036JA7 APPLICANT MECHANICAL 50.00 CARSON PLUMBING INC. STATE SURCHARGE MECH(VALUATION) 1.95 3095 162ND LANE NW TOTAL 51.95 ANDOVER, MN 55304 (763)427-7680 OWNER GRAY,MIKE 999 WILDHURST TR • MOUND,MN 55364 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 oked at y time for ue64/t, /,( Applicant Permitee Signature Date v v✓/ // Issued :ti Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO1TY 1SE ONLY City of Orono Date Receiver//Permit k V`/2/7• V QpfOv r0P O Boy 66 2750 Kelley Parkway 9> I' Crystal Bay,MN 55323 Approved By: Amount S' 57g. %' 5 1 1 a d Phone(952)2494600 Fax(9)2)249-4616 CITY OF ORONO—MECHANICAL, PERMIT (All Commerdal permits must be approved by the Building Official or lnspec or 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 he inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating'lest Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) tj Residential 0 Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs [Replace Job Site/Owner Infortnation: Site Address: q(3q //0fL, / I Sr T2/`I/Li Owner:/4/X6 �i,2�Jl/l Mailing Address: ') 1 J/ J/--/2S/ 7 City: 4/1/0 Zip: Home Phone: (/-1 ' � � '4"'6 Alternate Phone: Contractor Information: Contractor: x-564 116v,0.4/4 Pi/CI-Contact Person: 1) /1/0�f ,�4LS0KJ Address: L-3 76i A J t iv 1-4-) State Bond #: 5'8 lc 7 City: /3ND4Zip:C-5344Zip Expiration Date; Phone: 7i 1/)-7 7 6-JCS Alternate Phone: 0 Insurance—Current: 1 MECH ICAL SYSTEMS BEING• INSTALLED I Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes Cgl No HEATING SYSTEMS Quantity: Make: Model: 1`1\ C!`� Z 4TS Fuel: Flue Size: Input BTUs: :0, 6 Output BTUs- CFM. COOLING SYSTEMS Quantity: Make: Model: CIA L/aGtLJ 'UiaW\ O36 ✓4--1 Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No,: ❑ Wood Stove with Flue i Masonry VENTILATION O No. _ Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) elm O No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by fire Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underuound ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other!List What&Where: 2 • PERMIT FEE CALCULATION(S) BASED OFF-2002 STA 1'E 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 S 15.00 State Surcharge S 5.00 Mail-In Fee(If Applicable) S 2.00 Total Permit Fee $ PERMIT FEE-CALCULAT ON(S)-JOBS OVER If above does not apply:follow guidelines below: I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) .Sc oO b1 x .0125$ (contract pnc (minimum$50.00) 2 STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-1n Applications) S.............................. 2,00 ................... 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 5 1 , 9-5 ■ * 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. 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. lik..._.0171-0 Applicant's Signature: Date: (O — t y- 1 °CARA+, Reset Its. 3 / Z,-F= 2 I/ 7/S/// 7 DATE TIME CITY OF ORONO CALLED IN //S/// _ INSPECTION NOTICE SCHEDULED /(�� Z - PERMIT NO. 9-0/1 —CC-Li 9 COMPLETED It ,// Il ADDRESS cf Ci / c,/ OWNERTELEPHONE NO. 7 _ 7 7 ��'� CONTRACTOR L �F'<�(`�1p(4/-?1h) DESCRIPTION / (��i- ) I7ia ( ( /1171('(- F4 to ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ' ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEP FINAL 1=1FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc Lu Q. cc 0 0 W cc W W CC d• ,,// .&WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT 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 ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspe ion 24 hours in advance. (952) 249-4600 Owner/Contractor - Inspector. / t White Copy/Inspector's File Canary Copy/Site Notice