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Home My WebLink About2008-00366 - mechanical � CITY OF ORONO PERMIT NO.: 2008-00366 . 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 1U06/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 795 BRIDGEWATER DR PIN : 33-118-23-12-0020 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 009 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULT[PLE VALUATION : $ 13,500.00 NOTE: 1 CARRIER GAS FURNACE 1 CARRIER AIR CONDITIONER 1 KITCHEN EXHAUST 1 DRYER VENT 2 GAS LINES FOR FIREPLACES APPLICANT MECHANICAL 168.75 FLARE HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 6.75 9303 PLYMOUTH AVE N-#104 GOLDEN VALLEY, MN 55427 MAIL-IN FEE 1.50 (763)542-1166 TOTAL 177.00 OWNER O.T. Development,LLC LLC,O.T. DEVELOPMENT, 2670 KELLEY PKWY ORONO, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Buiiding Code. This permit is for only the work described and does not grant permission 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 bewme 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��''vL�-( �l. l l ��n�o l i Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. 0��- 1 �3 � t-��. o� FOR CI7'Y USE ONLY 04��0 City of Orono P.O.[3os 66 Date Received: Pennit# � 2750 Kelle_y Parkw��y .� � ' Crystal 13ay.MN ii32; Approved B�: Amount$: 9� � > � .¢o` � (9j2)249-4600 <"x�,ex�v� CITY OF ORONO— MECHANICAL PERMIT (All Coinmercial pennits must be approved by the 13uilding Ofticial or Inspector nnd/or Pire Marshall) GENERAL INFORMATION I. 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. ?. Permit 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 rec�uired for each heati�lg,ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain czlculation,design te�nperatures,equipment ratings and identi.fication 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 permit must be obtained. �. 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 final. TYPE OF PERM[T (Check All That A I ) [�Residential ❑Commercial(Approval Required) [�Ne�� ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: ��{S �Y��e�� 1v� Owner: Mailing Address: ��JfYI.�. City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �O�e �QC�1�'x Contact Person: Address: ��Y'�1iDJC,'Cr1��,,}C. State Bond #: City: (-� c �� Zipr^ 'Z"� Expiration Date: Phone: �Ib3-�� '�� Alternate Phone: ❑ [nsurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED IIEATING SYSTEN1S Quantity: Make: �2�L.\��. N1odeL 'r'�� uel: �G��Y�CI� Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS QU111YIty': � Make: �12�',2..�C�.�-- �1odel: ��t��.��`}�`2. Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: V ENTI LATION � No. � Kitchen Exhaust duct recirculating �_cfm ❑ No. Bath Exhaust(must have duct outside) cfin Q� No. �_ Other Fans: Locations �r�Qy'�/�r�}- cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuei Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill [� Other/List What&Where: Z ��p1��S 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies '1'he replacement of a Residential tixture or appliance that meets all three of the following requirements: 1. Does not require moditication 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, i��stalled or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Pennit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee S PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 �� If above does not apply; follow guidelines below: I. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$35.00) t3,50� X .o��s $ ��8.� S (contract price) pninimum$35.00) ?. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(111inimu�n I�ce of�.5(I) 13. 50o X .000s � l.P ��l 5 (contract pricc) (minimum$ SO) 3. POSTAGE&HANDLING(O��ly on Mail-In Applicatioi�s) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� • Q� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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, labar ar installations are furnished by the owner, tenant or any other party, the reasonable inarket 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 Departinent at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applic:s 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, true and correct � Applicant's Signature: � Date: � ' �� Reset Form 3 � � r' � ATE Q� TIME CITY OF ORONO CALLED IN �1�[��O INSPECTION NOTICE SCHEDULED ��L,�� _„�� PERMIT NO. -��.3�P� COMPLETED ADDRESS 7�S �/'S'�cv GcJ4�-�. OWNER CONTR. TELEPHONE NO.��— 7�03 S�� "-�l �� w � DESCRIPTION �.L - - - GL�/�� ❑ FOOTING �?otECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �.��2.�1.20 � W a � J . .-� O _ � ~ �,1 � 1�1. i ` •.��, S f... 0 � W � Q � z W � W � � d � W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �jpHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor n site: � Inspector. /�� i i � . ,� White Copyllnspector's File Canary Copy/Site Notice