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Home My WebLink About2011-01309 (mech) CITY OF ORONO PERMIT NO.: 2011-01309 2750 KELLEY PARKWAY r � ORONO, MN 55356- �ATE ISSUEu: 10/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3510 BAYSIDE RD PIN : OS-117-23-13-0016 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 625.00 NOTE: 1 HEATING SYSTEM I GAS LINE TO POOL HEATER APPLICANT MECHANICAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUATION) 0.31 685 141ST LANE NW ANDOVER, MN 55304 TOTAL 50.31 (763)754-7119 OWNER LARSEN, GREGG & STEPHANIE 3510 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT nc�work for which this permit is issued shall be performed according to thc approved plans and specitica[ions,applicable City approvals,and the State Building Code. This permit is for only the work dcscribed and docs not grant pennission 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 specificd 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. "rhe applicant is responsible for assuring all required inspections are requested in confor nce rth[he State Buildi de.This permit may be revoked at any for e ca ' � � � � � .��' / / / / Appl' ant Permitee Signature � Date Issued By ' n ture ate _, SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRtBED AB E. . FOR CITY L'SE ONLY � � O¢��,0 City of Orono P.O.Box 66 Datc Reccivcd: Permit# �,��b 2750 Kelley Parkway � ' I a >�>��r. +. Crystal Bay,MN 55323 Approved By: Amount$: ��,�",'��i�.o`� Phone(952)249-4600 Fax(952)249-4616 � \i��a$� 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 far mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemrit will be issued within two 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 PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilarion,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 pernut 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 fmal. TYPE OF PERMIT (Check All That Apply) ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑ Addi�ional ❑ Repairs ❑Replace Job Site/ Owner Information: � ..�; C, Site Address: � � � './�� -'"-' � � Owner. '� � Mailing Address: City: ��"�'j �� Zip: Home Phone: Alternate Phone: ��V ��' ,�� Contractor Information: � � � �. � Contractor: (,�` ��Q�' �� ontact Person: �� -� � (/ � S� � � �G�� Address: �� State Bond#: City: �/^.�9cfr'G1�� Zip,��C%�xpiration Date: c.. Phone: �C� `�Cj �" � Alternate Phone: � d �� /� � /� ❑ Insurance—Current: 1 , � • � r. � k T�y .yE*�� ` � rp�'... t <.i.'�: . £.�`�L��:�FJ N V. �" ^�r 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: � '� u�� 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 cfin ❑ 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 � ❑ Outdoor Grill Other/List What&Where:��C' �"'�' ,� , � '� � � 2 ' � PERMIT FEE CALCULATION(S) � j _ BASED OFF — 2002 STATE STATLTE � ❑ Yes, this secrion applies The replacement of a Residential fixture or ap lip ance 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; excludin�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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ :� ��;�. ; � . � :P;ERMIT FEE CALCULATION(S) —JOBS OVER $500.00 ' If above does not apply; follo��guidelines below: 1. CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) �� `� xA125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT 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 furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost ar contract price for pernut 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 actuai contract. :� �`°��,.r.3 °��€'�+T�,�"�', "�� _�PL`IC> ��r�� ' E��a��';, ��a t The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ardinances 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: l/J� �/ 3 � ��DAT.E, t� TIWIE ✓ CITY OF ORONO CALLED IN G" / � INSPECTION,�IOTICE c} SCHEDULED � �11� PERMIT NO.��U�' " DI3D / COMPLETED ADDRESS 3 J �D � . /�-�- OWNER TELEPHONE NO.�� 1 S� � � �� CONTRACTOR «-S �N S��-�'`'° �: DESCRIPTION �� '`� 5� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP r ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o � f� �S � (��' -f"'�cS -�.'_ � � 0 � W � Q � Z W � W � � d W� W K SATISFACTORY:PROCEED �.PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 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� 249-46QQ OwnerlContractor on site: Inspector. , �S White Copylinspector's File Canary Copy/Site Notice