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Home My WebLink About2008 - 00245 - mechanical •� CITY OF ORONO PERMIT NO.: 2008-00245 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/23/2008 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1003 WILDHURST TR PIN : 07-117-23-21-0016 LEGAL DESC : MOUNT HOME PARK : LOT 000 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,161.00 APPLICANT MECHANICAL 77.01 UPLAND HEATING&COOLING,INC. STATE SURCHARGE MECH(VALUATION) 3.08 308 SW 15TH ST FOREST LAKE,MN 55025- MAIL-IN FEE 1.51 (651)982-2626 TOTAL 81.60 OWNER MORGART,HARRIET 1003 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 revoked at any time f r due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ♦ . !� f C_ /0,0 City of Orono RECEIVE FORCI U ONLY 0 P.O.Box 66 ate Received. "t t 1r Permit# 2750 Kelley Parkway �' Crystal Bay,MN 55323 SEP ? 2UQ Approved By: Amount$: \��'_y �tr_�- / (952)249-4600 U \` / C17YpDF CITY OF ORONO—IOIE4240KICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fare Marshall) LGENERAL 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 l.y return mail after a review is completed. PERM'":S 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,equired for each heating,ventilation,humidification-dehumidification,and air conditioning i:tstailation including heat loss/heat gain calculation,design temperatures,equipment ratings and i entification 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; ermit 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 Rec;t:fired; ❑ New [' Additional ❑ Repairs IX Replace Job Site/Owner Information: 1 - I 1-1 - 9I- (7 ("4 ((- Site Address: 0 - C_ - Owner: I116,fr 1 d fl41rSoit114011Art Mailing Address: _LOD3 (Act / r7eu '/ City: Orb Y1 0 Zip: S S 3(4 Home Phone: qs�- vl-id',' a,).7UAlternate Phone: Contractor Information: L lo-4l-kwlinJ+ 11149 L Contractor: A _ Contact Person: ,1 ("' Address: LJ t S +: State Bond #: 1Z LI ScSTV 1J City: Til!i_A / t Zi.:_ Expiration Date: F Doc 9 GS p S S-Q�S- Phone: GS IA b Alternate Phone: — --� ❑ Insurance–Current: 6%)-' i t��su 1 CCXC03ci90 ;t"�.SThLLE1) HEATING SYSTEMS Quantity: y I _ - Make: k(Aili y1 Model: (- q0 7,3 Fuel: Flue Size: AC15-tA M Input BTUs: 70000 Output BTUs: ( 13poo CFM: _PLX)41 COOLING SYSTEMS Quantity: I Make: VAA1111 - Model: &S� 363) Tons: 3' i C H. Power _ ✓��G�_ _ _ FIREPLACES El Gas Factory Fireplace ❑ Wood Burning Fireplace El Wood Stove El Wood Stove With Flue Brand Name: Model No.: VENTILATION El No. Kitchen Exhaust duct recircu;:iting cfm El No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) El Installation ❑ Removal Fuel Oil: gallons El Underground El Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY tit:t El Outdoor Grill K, Other/List What&Where: C 0/Z 2 S. ❑ 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 contra:tor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ 173,471474;- ° ° 1 ' 4. ; e�'i a 0:,Sv i. If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$335.00) e0, 16( `00 x.0125$_ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the StateiBldgiiCode Div. Surcharge(Minimum Fe of$.50) of 1(L_OO x .0005 $ 3108 (contract price) (minimum$ 50) 3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 1..5-fr I �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ f'i� �� ;r,,' p •GO ■ * 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. 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: "0 �Lb „ ft- 3 Al a•AT/ TIME `CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED 9zrb PERMIT NO. COMPLETED ADDRESS //D 3 /10 64_9164_91 1 c4 kixi J-�qt'- �r OWNER AMA-4a1' a-CrCONTR. A iei►. Ai.-r TELEPHONE NO. 952— DESCRIPTION W`G' Air l e u ❑ FOOTING ❑ MECHANICAL RI 0 EXCAV/GRADING/FILLING C ❑ FRAMING 0 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Cl) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION • ❑ FINAL ❑ SEWER HOOK-UP 0 PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Lti ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W rr cc 0 Q C 0K. -of &i S C cJ,e- ,-+ z W cc XI WORK SATISFACTORY:PROCEED 1 PROJECTCOMPLETE 14.1 ►'CC ❑\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 ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: (f_g 1Inspector. � White Copy/Inspector's File Canary Copy/Site Notice