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Home My WebLink About2013-00109 (Mechanical) � ` CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 3 - 0 0 1 0 9 * DATE ISSUED: 02/19/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 REPRINTED ON 2/19/2013 ADDRESS : 2380 ABINGDON WAY PIN : 03-117-23-23-0016 LEGAL DESC : ABINGDON GLEN : LOT O10 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,389.00 NOTE: (1)MODINE HEATING SYSTEM-HDS75-NATiJRAL GAS-4"FLUE-75,000 INPUT BTU'S,6Q000 OUTPUT BTU'S AND 1,160 CFM GASLINE FOR HEATER APPLICANT MECHANICAL 50.00 MASSMANN,GEOTHERMAL&MECH STATE SURCHARGE MECH(VALUATION) L69 27944 96TH STREET TOTAL 51.69 ZIMMERMAN,MN 55398 (763)416-5066 OWNER MONICO, SCOTT&ELIZABETH 2380 ABINGDON WAY LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perforrned according to the approved plans and specifications,applicable City approvals,and the State Bui(ding 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 1 SO 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 confo ce w' the State Building Code.This permit may be revoked at cause. z , , i /3 �� `� � � Applican ermitee Signature Date I By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. # � • FOR�'],TY SE ONLY City of Orono ��f O4�� P.O.Box 66 Date Receiv��.��' •�P�nait# ��`� ,. il 2750 Kelley Parkway .;:-'.;:�:_--`�' '.._ � t7".�, �: Crystal Bay,MN 55323 APProved$3�C.:';<�,'��_�tclunt$° �� ,� �`.,,},o`�' Phone(952)249-4600 Fax(952)249-4616 �t��o46,, 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 Desiens—Complete calcul�tions,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperattues,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 A 1 �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: o�� ,,4bi d\�� A Owner: Mailing Address: ��v��_ City: ��S�..A Zip: SS ��-{( Home Phone: Alternate Phone: Contractar Information: Contractor: /`G/�.�.�'H�� ontact Person: �.�D►� �QS51/'-i o�.�„� Address: �7�� v� S�'/� � State Bond#: ��1� ,�� City: ��'6°�-�' � � Zip:S��xpiration Date: /.S a�/ Phone: ��3—'��`7"03� Cv Alternate Phone: ��n 3-�F�� -'S°7 Lv`� Insurance—Current: 1 MECHArTICAL SYSTEMS EEING INSTALLED Note:All Geothermal Systems will no require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes No HEATING SYSTEMS Quantity: / Make: ��Q UT�� Model: � J � Fuel: � �// Flue Size: Input BTLJs: �Od� Output BT'Us: C,Y�/�� CFM: / j COOLING SYSTEMS Quantity: � l�j@�- Make: Model: Tons: H.Power FIREPLACES � ❑ G�actory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. � Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel gallons ❑ Underground ❑Inside ❑Outside LP G . gallons Other: GAS LINE ONLY ❑ Outdoor Grill �f Other/List What&Where:��Jlrv�¢ 2 . Y . � PERMIT FEE CALCULATION(S) 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;excludine 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 $ 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$50.00) � ,�g�J, �c� X.o12s$ �, �� (contract price) (minimum$50.00) 2. STATE SURCHARGE � �t � x.0005 $� L�� (contract pnce) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �'P � 1 ■ * CON'I'RACT 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 parly,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 conect. ApplicanYs Signature: Date: � 3 _Reset o - ----J 3 �� DATE TIME V CITY OF OR O CALLED IN a' 3 INSPECTION NOTICE SCHEDULED a=p�� /�J: PERMIT NO.o�L3 " fXJ� COMPLETED ADDRESS � ^ OWNER TELE ONE NO. ` CONTRACTOR � DESCRIPTION �� R-l' � ❑ FOOTING O PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI / ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FIfdAL Q ❑ TREE REMOVAL Z ❑ 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 ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_PIO y COMMENTS: � a � � �� 0 � n � � W � Q � Z W � W � � � �1 9F�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next ins�ctio 24 hours' v ce. (g52) 249-4600 O�nmer/Contractor on site. Inspector. White Copyllnsp�tor's File Canary Copy/Site Notice