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Home My WebLink About2012-00057 - mech r CITY OF OR NO PERMIT NO.: 2012-00057 � 2750 KELLEY PAR WAY ORONO, MN 55 56- �ATE [SSUEn: OU26/2012 952 249-4600 FAX: 9 2 249-4616 ADDRESS : 4105 BAYSIDE RD PIN : 06-117-23-14-0023 LEGAL DESC : BAYSIDE RIDGE : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION NOTE: RELOCATE ONE SUPPLY AND RETURN- 1 BATH EXHAUST APPLICANT MECHANI AL(<$500) 15.00 PATTON HEATING&AIR CONDITIONING STATE SU CHARGE MECH(<$500) 5.00 589 SWAN LAKE LANE NW CEDAR, MN 55011- MAIL-IN F E 2.00 (763)444-8567 MISC FEE 0.00 TOTAL 22.00 PAID ITH CC# 7868 OWNER BURKE,NICK& SUE 4105 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT V he work for which this permit is issued shall be performed according to the approved plans and specitications,appGcable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring aIl required inspections are requested in conformance with the State Building Code.This permit may be I revoked at any ime for due c`ause. / / / / Applicant ermitee Signature Date Issued B ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED OVE. Jan 26 12 02:57'p Patton Heating 763-444-8925 p.2 EOR CITY USE ONLY I �;=�`�`�•� City of Orono I ;;,/O� �0�� P'O.Box 66 Date Recei��ed: Permit# ` ;i -�_,. . ,� 27�0 Ke}ley Parkway �� uy'�: `�;r Crysial Bay,MN 5>>Z3 Approred]3y: Ameunt$: ��oy��j� Phone(9�2)249-i600 F2x(952)249-4616 �. �� C1TY OF ORONO—1VIECHA ICAL�PERMIT (All Cammercial permiA muse bc approvzd by thc I3uildine U �ciaE or Inspector andrbr P'ue A�arshall) GENERAL INFORMATTON ]. You may apply for mechanical permits by mail or in erson aE the City offices. Applications wil) be reviewed and a�ermit will be issued within two w rking days. 2. Parmit cards��ill be sent by return mai]afrer a review is completed. PERvI]TS ARE NOT VALID Li�1TTL Y OU RECE(VE A PERMIT. VI'OR 'MtiST NOT BECI\ UNTIL THE PER171T CARD IS POSTED ON THE 30B SITE 3. Mechanical Desians-Complete calculations,details nd specifications are required for each hea[ing,venti]ation,humidificakion-dehumidification,and air conditioning installation including heac loss�'heat gain calculation,design tempera[ures,e uipment ratinQs and identification as to type,mat�ufacturer and model. Data shall be present on form provided. =�. Wlien any ne�v construction or remodeling is invol.ve ,a separate huilding permit must be obtained. 5. All work must be done in accordance wiih the Unifo h7echanical Codz�State Buiiding Code requirements. _ 6. All work must be inspected{rough-in and final)_ Ca11(952}�49-�600. (�48 hour no�iice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERM T (Check A I1 That A f �} (�Residendal ❑Commercial (Approval Required) ❑New ❑Additional ❑Rep irs ❑ Replace Jab Site l Owner Inforrriation: S ite Address: �:L�c� �C Owner:��'►�-�i��'�� Mailin Address: ,?fG(,�� Cit�: Zip: Home Phone: Altem e Phone: Cantractor Infocmation: Contractor; �6��-��1.. �� Contact Pecson: �ti'�-��'� � .Address: ��.�I,��-�1��' State B nd#: �L �� C� City: ��.� Zi��t r Expirati n Date: �-�. = ��-- Phone: ,��`��'gsli�'� Alterna e Phone: �«_2��7� � ❑ Insuran e—Current: 1 . � k��. � . , � . �. . ' .� .I. , � � � Jan 2612 02:57p Patton Heating 763-444-8925 p.3 v1ECHA1�'ICAI. SYSTENIS BE NG [7\STALLED vote: All Gc�thennal Systems �vill now require a Site P an & Re��iei�� by our Building Oflicial. IS THIS GEOTHERMAL:' ❑ Yes ��io NEATING SYS?EMS Y.� QU311L1 �� 'W eJ �b� � �� Iake: A4ode1: Fuel; Flue Size: lnput BTUs: . Output BTL�s: CFNI: COOLII\G SYSTE�IS Quantin�: Maice: Madel: Tons: H.Power �'1REPLACES ❑ Gas Factory Fireplace B d'••laine: ❑ Wood Burnin�Fireplace ❑ Woed Sto��e �.9 el ve.: ❑ Wue?d Stove with Flue i Masonry �'ENTiLATiOn � Vo. Kitchen Exhaust duc recirculating ciin T�o. �_ Bath Exhaust(must have duct o sidz) ''� U cfm ❑ ?�o. Other Fans: Locations cfm FUEL STORf1GE (.�t�ust be a�proved hy Fire��la.rshall if prop inb tu abandon tank in place.� ❑ installation ❑ Removal Fuel Oi1: galJons ❑ -nderground ❑ Inside ❑Outside LP Gas: gaflons Other: CAS T.l\'E O\Ll' ❑ OuYdoor Griil ❑ Other i List What& here; . 2 , � Jan 2612 02:5�7p Patton Heating 763-444-8925 p.4 PERVIIT FEE CALCU ATION(S) BASED OFF - 2002 STA E STATUE � Yes,this section applies The replacement of a Residential fixture or a�piiance�hat me s all three of the followin�requirements: 1. Does not require modification to eiectrical or g service. 2. Has a cotal cost of$500.00 or less;excludin�th cost of[he fixhue or appliance: anc! 3. Is impraved,installed or replaced by the homeo ner or licensed coniractor. S�Cip next section,if this applies; Cost of ermit $ 15.Ob State 5 charoe $ �AO Mail-In ee(if Applicable) $ -f':f1�— �i�l Pi�� Total P rmit Fee $ 2Q,O_� � PERMIT FEE C_ALCULATIOI�f S JOBS OVER$�Oa.00" if above does i�ot apply;fallow guidelines belc�w: 1. CONTRACT PRiCE *is ].25%of contracC p ce with a(Minimum Fee of$50.00) x .0725$ (wntracC pric (minimum$5(1-00) 2. STATE SLRCRARGE x .0005 S (contracc pric ) 3. POSTAGE&HANDLI7\G((3nly on Mail-ln:�pp ications) $ ?.00 4. TOTAL PEKIt11T FEE(Acid Lines 1-3 Abave) S • " CONTR_ACT PR10E or JOB COST means the artual or estimated dollar amount charged for the permitted work including materials, labor.profit, and oth r fixed costs. it is the amount[o be char�ed ta thz customer for thz work done. If any materia[, eQui ment, labor or installations are furnished by the owner, tenant or any other party,zhe reasonable ma et 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 a�nount of the job cost, tl�e City may request ihe subrnis ion of a signed copy of the actual contract. MECHAVICAL PERMIT APPLIC ION AGREEMENT The undersigned hereb�� applies to the Ciiy fvr issuance f a V3echanical Permit,agrees tv do all work in strict accordance with the ordinances of the ity and the re�ulations of the State of Minnesota, and certifies that all statetnents made on is application are complete, true and correct. Applicant's Signature: ' Date: �' �� . Reset Form � � I� �� t.`J�ii �/`J� �e�-- TIME � CITY OF ORON D IN ' INSPECTION�N.,J,OTICE SCHEDULED � PERMIT NO.�1��a"_��`S�OMPLETED ADDRESS �� OWNER T PHONE NO. ��0�� -'��O CONTRACTOR � � �: DESCRIPTION ��G� 0 �`/'� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN /FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/W LANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER R MOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/R MOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � �iQ(ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OC UPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN I ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �95Z� Z49- 6�� OwnerlContractor on site: ! Inspector. White Copyllnspector's File Canary CopylSite Notice