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Home My WebLink About2011 - 01455 CITY OF ORONO PERMIT NO.: 2011-01455 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/21/2011 * (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1045 WILDHURST TR PIN : 07-117-23-24-0030 LEGAL DESC : TONKAVIEW GARDENS : LOT 057 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: NEW MAIN GAS LINE FROM LP TO NATURAL GAS APPLICANT MECHANICAL 50.00 UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 0.25 5115 INDUSTRIAL STREET MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 (763)479-6325 MISC FEE 0.00 TOTAL 52.25 OWNER MCKENNEY,MICHEAL 1045 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 for due cause. Applicant Permitee Signature Date Issue :y S , ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A4 E. FOR CITY USE ONLY O� �G City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway .Z<• Crystal Bay,MN 55323 Approved By: Amount$: i 1EiPhone(952)249-4600 Fax(952)249-4616 rgdO 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) El Residential ['Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 1045 Wildhurst Trail, Mound, MN 55364 Owner: Eileen Roberts Mailing Address: 1045 Wildhurst Trail City: Mound 55364 Zip: Home Phone: (763) 218-7283 Alternate Phone: Contractor Information: UMR Geothermal, Inc. Chad Alsaker Contractor: Contact Person: Address: 5115 Industrial Street State Bond#: 929398775 City: Maple Plain Zip•55359 Expiration Date: 09/17/12 Phone: (763) 479-6325 Alternate Phone: n Insurance—Current: 1 MECHANICAL SYS 1'EMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes allo HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: _ Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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 if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY Oai p , ❑ Outdoor Grill 14 Other/List What& Where: 'f'A — cQ L \ f\-c14-10-1 # 2 PERMIT FEE CALCULATIONS BASED OFF -2002 STATE ST.: ,u � ,L, ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ r t /or PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 500.00x.0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SCRCH:kRGE 500.00 0.25 x.000s $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.25 ■ * 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 o a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of th ity and the regulations of the State of Minnesota, and certifies that all tatemen ati on this lication are complete, true and correct. Applicant's Signature: Date: /l —at(,— // 41" . ; 3 liMINNESOTA DEPARTMENT OF Ilk Mechanical Bond Certificate LABOR & INDUSTRY Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St.Paul,MN 55155 Website: www.ili.mnaov E-mail: DLI.License(ristate.mn.us Telephone: 651.284-5896 This is to certify that the certificate holder is in compliance with Minnesota Statutes§326B.197 for the period 09/17/2011 through 09/17/2012 and may engage in mechanical contracting in all areas of the state of Minnesota. UMR GEOTHERMAL INC Certificate ID: MB 3275 5115 INDUSTRIAL ST MAPLE PLAIN, MN 55359 Bond ID: 929398775 Effective Date: 9/17/2011 WESTERN SURETY CO Expiration Date: 09/17/2012 SAT' TIME \./CITY OF RO _----.. CALLED IN l I INSPECTION NOTICE 0/rS5 SCHEDULED / __hWi /- - PERMIT NO. 2O//- CO^n ET D ADDRESS /01-/--5 wiI/ w ii 71,td.f7 OWNER TELEPHONE NO. •--� ---r-7W/ / CONTRACTOR P _ / / �; DESCRIPTION0Ae:( 1 • 0 FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I, 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL 1:1SEPTI INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SET FINAL 0 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO o COMMENTS: a ({..Ayk,¢cwar p/O (AN Cl `, 0 kJ,r+v rA 1 o /1/_- n. n An e_-i- cf.' Te S Q cc 0W N� A -4—cr t— t -11-Pet` ct c 12 W Z W CC LuCI WORK SATISFACTORY:PROCEED �CpROJECTCOMPLETE W ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site:Li—" �l�y%�l�-� Inspector. White Copy/Inspector's File Canary Copy/Site Notice