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Home My WebLink About2010-01112 (michanical - multiple) CITY OF ORONO PERMIT NO.: 2010-01112 2750 KELLEY PARKWAY ORONO, MN 55356- nATE ISSUEn: 1 U15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3382 BAYSIDE RD ��,�� PIN : OS-117-23-14-OQ3��L� LEGAL DESC : BAYSIDE ADDN TO LAKE M[NNETONK : LOT 009 BLOCK 005 PERMIT TYPE : MECHAN[CAL(> $500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : MECHAN(CAL- MULTIPLE VALUATION : $ 35,200.00 NOTE: GEO THERMAL (2)BRYANT HEATING SYSTEMS: (1)MODEL#355BAV608Q NA7'URAL GAS,3"PVC FLUE,80,000 INPUT BTU'S, 7�,000 OUTPUT BTU'S, 1600 CFM (1)MODEL 355BAV60,NA"TURAL GAS,2"PVC FLUE,60,000 INPUT BTU'S, 55,500 OUTPUT BTU'S, 1200 CFM (1)MODIT�IE-MODEL HD60,NATURAL GAS,4"B-VENT,60,000 INPUT BTU'S,42,000 OUTPUT BTU'S (2)BRYANT COOLING SYSTGMS:(1)MODEL SOYD5038NCD301,3 TONS-(1)MOUEL SOYER036NNC311 (5)BATH GXHAUST-80 CFM KITCHEN DUCT-600 CFM,GASLINES FOR(2)FURNACE,(1)UNIT F-IEATER,(2)FIREPLACES, (1)COOKTOP,(I)DRYER AND(1)[3BQ APPLICANT MECHANICAL 440.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 17.60 18550 COUNTY ROAD 81 TOTAL 457.60 MAPLE GROVE, MN 55369- (763)428-3677 OWNER HUTHWAITE, MICHAEL& MARILYN 7715 AINSWORTH DR GERMANTOWN, TN 38138- AGREEMENT AND SWORN STATEMENT fhe 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 far only the work described and does not�rant permission for additional or related work which requires separate pemlits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specilicd 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[ime alter work has commenced. The applicant is responsible for assuring all required inspeclions are requested in conYormance with the Statc[3uilding Code.Tl�is pennit may be revoked t any time for due cause. ��'i��CGf'� /�l /.-��"l� /"�'� Z- //l /�� Applicant Pennitee Sig'nature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i � FO CITY liSE ONLY � O,�p�O City of Orono � /�n / ,r� P.O.Box 66 �I V �, Date Received/�� 0 Pei�mit# ��/"d /� �,' 27�0 Kelley Parkway a {',�' � Crystal Bay,MN 55323 Approved By:p�� Amount� �7i 11 >�— ��`��iA�'�M;}��o` (952)249-4600 � �� '��esoa 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 pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within rivo working days. 2. Pernut 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 PERNIIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desiens—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 consriuction or remodeling is involved,a separate build'uig permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requu�ements. 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 Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: �Z. ,$�J � ��. Owner:��Gj 1��/ ��G Mailing Address: City: 0�4 n� O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: H Contact Person: O INC. 18550 County Rd. 81 Address: Maple Grove, MN�sa.9231 State Bond#: (763) 428-3677 Cit �w•heatco am Y� °�i�'1. Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � .. ` ' ' " `" '.MECHANICAL SYSTEMS BEli�1G 1NSTALLED � HEATING SYSTEMS � Quantity: � / � Make: �_�— /" ��dJ/N� Model: ,3J �/ �� (d� ,(� T� o Fuel: /�/� '� /��''� Flue Size: �/ {/�i �. � �t�� y ✓� Input BTUs: Q �a� �Q� O e o 6(a� � o 0 Output BTUs: ��'�'p t� ,� O a . B m O cF�: ��'a �Z�o COOLING SYSTEMS Quantity: / � Make: �� Model: ��Q��/`�G!/�� i/�ffJ Nli�l Tons: � � H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION � � No. Kitchen Exhaust_�duct recirculating (%BO cfm No. T Bath Exhaust(must have duct outside) 80 cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation 0 Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONI,Y ❑ Outdoor Grill ❑ Other/List What&Where: � ✓/�� UA�/ �7� Z'�� e- �� , �- �y�� - �Q 2 � � � � • ' PERMIT`FEE GALCULATION(S) : BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: l. 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 ar licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ � PERIVIIT 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$35.00) �� x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ ■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 fiunished 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. MECHANIGAL 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, txue and correct. Applicant's Signature: C Date: _�G' `Q '' �� 3 ' ° � / DATE � TIME CITY F ORONO CALLED IN � � INSPECTION NOTICE �I�HEDULED —��C� PERMIT NO. D'� COMPLETED ADDRESS ��o OWNER EPHO NO. - -� CONTRACTOR " �; DESCRIPTION L l l�`- C�� ❑ FOOTING ❑ PLU B G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME NICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � �, � O ' � �' J Q , ` . p� � z � ' � W � � d W OR TISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED != ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � d.! E �I TIME ( / ITY F R NO CALLEDIN �� V C � 0 � � INSPECTION OT CE SCHEDULED �� PERMIT NO. ' �� ' I � COMPLETED ADDRESS �� S�� OWNER TELEPHON NO` � � -3� `�7� CONTRACTOR ` G�p f" � „ --7—� � DESCRIPTION �j �(� � ��Q C_�� i I��'�:'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEP IC�INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SE I FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: � YES_NO � COMMENTS: � W � o �`1r� �A� C'��-�- � '� � �7z" �T �� a � 0 � Q w; t ��,�S �� >�-%!� i � z W � W � � d ��tlUORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE �l❑ OC RRECT WORK&PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� n Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice