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Home My WebLink About2011-00536 , CITY OF ORON PERMIT NO.: 2011-00536 2750 KELLEY PARKW Y ORONO, MN 55356- DATE ISSUED: 06/28/20ll 952 249-4600 FAX: 952 2 9-4616 ADDRESS : 4355 BAYSIDE RD PIN : 06-117-23-12-0007 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RES(DENTIAL CONSTRUCTION TYPE : GAS LINE ONLY i.i�l�rc. !�n ci iwrc�r� n r.rn rm ♦�r � D/ATE IME � CITY OF ORONO CALLED IN �—` � INSPECTION NOTI E C,,�SCHEDULED � � � PERMIT NO.ae� �'�S / COMPLETED i ADDRESS 55 ��" OWNER TELEPHONE NO. I Z ' � 95�5 CONTRACTOR �� / �� >; DESCRIPTION �� —�� llr ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ADIN /FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESH RE/W TLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE RE OVA Z ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE ❑ SITE INS ECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE S � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAWT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD CC�VER EMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAjION/ EMOVAL OOWNER/CONTRACTOR TO MEET YOU�YES_NO� �� 1 S.00 �., COMMENTS: C.�'"�— <<'�- �• f(<$500) 5.00 � TOTAL 20.00 w 0. � � O � � — O � W � Q � Z W � W � � � ,�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPL E W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICAT OF O CUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REOUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z4 -460� y, OwnerlContractor on site: � �� r/ ��/ �/ Date Inspector. .IBED ABOVE. , White Copyllnspector's File Canary CopylSite Nol ic� t . FOR CI Y U E ONLY ' ,�0�� City of Orono � �j� O ` O P.O.Box 66 i Date Receiv : �Permit# ��r ✓ �;;:.; . � 2750 Kelley Parkway i a �1� �`;z r'- ti � Crystal Bay,MN 55323 i Approved By: � Amount S�• � ��l��'ytil�o` phone(952)249-4600 Fax(952)249-4616 �`t�� 88H0$ CITY OF ORONO -MECH NICAL PERMIT (All Commercial permits must be approved by the Building fficial or Inspector and/or Fire Marshall) GENERAL 1NFORMATION � 1. You may apply for mechanical permits by mail ar in person at the City offices. Applicarions will be reviewed and a permit will be issued within two orking days. 2. Permit cards will be sent by return mail after a revie is completed. PERMITS ARE NOT VALID UIv`TIL YOU RECENE A PERMIT. WO K MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SIT . 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each beating, ventilarion, humidification-dehumidificatio and air conditioning installation including heat loss/heat gain calculation, design temperatures, quipment ratings and identification as to type,manufacturer and model. Data shall be present d on form provided. 4. When any new construction or remodeling is involve , a separate building permit must be obtained. 5. All work must be done in accordance with the U'�ifo Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final).�� Cal (952)249-4600. (24-48 hour notice required) � 7. House Heating Test Record must be submitted before final. TYPE OF PERM T � �� (Check All That A ly) � � �Residential ❑ Commercial (Approval Required) � ❑ New �Additional ❑ Rep irs ❑Replace Job Site / Owner Information: Site Address: �� ; -2 Owner: l�'r�� `��2 Mailing ddress: City: d�'C��(� Zip: Home Phone: Alternat Phone: Contractor Information: Contractor: ((Y►.�,n�s,,��e ��m�;n� Contact erson: .��;� �� n�C Address: �Isa� 1��(�� CiYL�.< StateBo d#: Iy�� J�� City: �i�v•e�c l�=-l�-e Zip5S3g� Expiratio Date: ( a � � ` - l � Phone: (s �'�-75�- l��a Alterriate hone: ❑ Insurance-Current: 1 I , � � � � �� MECHANICAL SYSTEMS BE1NG INSTALLED � �� A � 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 Quanrity: 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 cfrn ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved bp Fire Marslzall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuei Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoar Grill ❑ Other/List What R,Where: r c r'c �`ccC�2 2 PERMIT FEE CALC ATI�N(S) BASED OFF - 2002 ST TE STATUE �� Yes, this section applies The replacement of a Residential fixture or ap�liance that m ets all three of the following requirements: 1. Does not require modification to electrical or g s service. 2. Has a total cost of$500.00 or less; excludin�t e cost of the fixture or appliance: and 3. Is improved, installed or replaced by the home wner or licensed contractor. Skip next section,if this applies; Cost o Permit $ 15.00 State S rcharge $ 5.00 Mail-I Fee (If Applicable) $ 2.00 Total ermit Fee $ PERMIT-FEE CALCULATION(S) 70BS OVER�500.00 ' If above does not apply; follow guidelines belo��: 1. CONTRACT PRTCE *is 1.25%of contract p 'ce with a(Minimum Fee of$50.00) e�O x.0125 $ (contract pric (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price 3. POSTAGE&HANDLING(Only on Mail-In App 'cations) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual r estimated dollar amount charged for the permitted work including materials, labor, profit, and othe fixed costs. It is the amount to be charged to the customer for the work done. If any material, equip ent, labor or installations are furnished by the owner, tenant or any other party, the reasonable mark t value of such items must be added to the estimated cost or contract price for permit fee puiposes. In the event that there is a dispute on the amount of the job cost, the City may request the submiss� n of a signed copy of the actual contract. �I ��,.�: ` MECHANICAL PERMIT APPLICA ION AGREEMENT �� The undersigned hereby applies to the City for issuance o a Mechanical Permit, agrees to do all work in strict accordance with the ardinances of the Ci and the regulations of the State of Minnesota, and certifies that all statements made o� th s application are complete, true and correct. � Applicant's Signature� � Date: �� c��j ^ � � 3 i . / DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOT CE /��j SCHEDULED �� < PERMIT NOoZ4� ��D�+v `� COMPLETED ADDRESS .3SS � � OWNER TELEPHONE NO. `2 �l� S�Sr CONTRACTOR � �� Pl�'t'8 >; DESCRIPTION � �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIING/F LWG � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHOREMVET NDS y O � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMO�AL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECf fION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS; � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UI# _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COV�R RE OVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATI�N/RE OVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO il � � COMMENTS: '�"" � ' � a j O � � t __.�-- � O W � Q � W � � � � , d W �7 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPL�TE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICAtE OF CCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPC�RAR V BEFORECOVERING PERM.�NEN ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN ; INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUE� ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 2, 9-460� OwnerlContractor on site: � � � Inspector. / White Copylinspector's File Canary CopylSi�e Noti e � I