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Home My WebLink About2011-00152 (Mechanical) CITY OF ORONO PERMIT IVO.: 2011-00152 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 03/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1425 BAY RIDGE RD PlN : 10-117-23-34-OO17 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: INS'I'ALL GASLINL I�OR DRYGR-WORK DONF I�Y CONTRAC"[OR. CONTRACTOR DID NO'1'"I'AKE OU"f A PERMIT I�OR"[I�E WORK. APNLICANT MECHANICAL(<$500) 15.00 W[ENS, ROBERT&JULIE STATE SURCHARGE MECH (<$500) 5.00 1425 BAY RIDGE RD TOTAL 20.00 WAYZATA, MN 55391- OWNER WIENS, ROBERT&JULIE 1425 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Chc��ork for�vhich this permit is issued shall bc performed accordine to � the approved plans and s�ecificatiuns.applicable Ci�y approvals,and the State Buildinb Code. "I'his permit is for only�the�vork dcscribed and does not grant permission for additional or related work��hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speci�ied herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with dic State Building Code.This permit may bc rcvoked at any time for due cause. 1��N�� / �1 / �( � l � � // Appl � nt Permitcc Signature Date Iss � By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , FOR ITY SE ONLY � �,�` City of Orono ��J / �� 4 `YO P.O.Box 66 Date Received- � � Permit# O!/ ( � �. 2750 Kelley Parkway +7 \ ,��1'�; =�. F Crystal Bay,MN 55323 Approved By: Amount$: pGOj � K�;�r��n o� Phone(952)249-4600 Fax(952)249-4G16 �A t�(i $y . a�exo CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or�ire Marshall) GENERAL 1NFORMATION 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 MiJST'_VOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Con�plete 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 farm 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 Recard must be subnutted before final. TYPE OF PERMIT (Check All That Apply) �esidential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: l�Z�j i�� J (�—l c�C�,�_(�� Owner: os� I -.1U i_.1 E �1 i,�Vv SMailing Address: �'� '� � City: _ �N � � Zv��-t-� zip: �S�`�, I Ho1ne Phone: �`�2 � �7 3� ��'j 1(� Alternate Phone: � '-�Z-��-( � �-f� 0� Contractor Infornlation: �� J VlV1 :S ��.�� Contractor: Contact Person: Address: State Bond #: City: � � Zip: Expiration Date: �� Phone: Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING 1NSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No 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 Pans: Locations cfm FUEL STORAGE (Must be app��oved by Fire Mars/ia[l if proposin�to abaridon ta�ik ir:place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: . GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �ir^� ,�-� 2 �, PERIVIIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixtw�e or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or�as service. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next secrion, if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER S500.00 If above does not apply; follo��guidelines belo��: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) ��(�i� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ (contract price) (minimum$5.00) 3. POSTAGE &HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the permitted work includin�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 ar any other party, the reasonable market value of such items must be added to the estimated cost or contract price for pemut fee puiposes. In the event that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actual cont�-act. ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�nees 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: W �J Date: �� ( I l 1 l 3 -�'1� l\`��`Cl � �l DATE TIME ✓ CITY OF ORONO CALLED IN �` j / !� INSPECTION NOTI E k CHEDULED � � ' � , PERMIT NO. ��OMPLETED ADDRESS I �-I��`_� !�< : �� f- ��>� OWNER �' TELEPHONE NO.��S r�-�� -�I�C I CONTRACTOR "�� - � �� J'�(-_-.. r � � .��"� �/11��`� � y1 t� N�5v�f/1/ �; DESCRIPTION � � I�- � tLi ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL � ❑ PLUMBING RI ❑.SEPj,IC/ FINAL ❑ FOUNDATION/REMOVAL Q OWNER/C NTRACTOR TO MEET YO�•�L YES_NO � �--...__---.-__. � �� . � COMMENTS: �d - DOdq/- � �� W a � J O � �� I� -rz� "�o �.� 0 � W � Q � Z W � W � � GW�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ^� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. �J � White Copyllnspector's File Canary CopylSite Notice