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Home My WebLink About2012-01268 (mechanical) 1 CITY OF ORONO * z 0 1 z - a 1 z 6 8 * ' 2750 KELLEY PARKWAY pATE ISSUED: 12/21/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4495 BAYSIDE RD PIN : 06-117-23-21-0004 LEGAL DESC : UNPLATTED 06 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,300.00 NO��I?: 2 I IF,AT N GLO X2SL750"CR-IPI-30000 B"CU APPLICANT MECHANICAL 53.75 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUAT[ON) 2.15 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 57.90 Minnesota State License#: 20512060 OWNER Katherine Taylor Homes, Inc. AGREEMENT AND SWORIV STATEMENT The�vork ti�r which this permit is issucd shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or rclated 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 permi[will cxpire 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 afrer 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 causS. ��Z�� i i i i Applicant Permitee Signature � Date [ssued E3y Si ature —➢�ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. ' FOR CITY USE ONLY .-�,---, ;- Q City of Orono O � P.O.Box 66 Date Received: Permit tl � �� - -- - z �:,�., �� 2750 Kelley Parkway 4� ��" �. Crystal Bay,l�iN 55323 Approved By: Amount$: �"�k•,'r��," Phone(952)249-4600 Fax(952)249-4616 .��- CITY OF ORONO—MECHANICAL PERMIT (All Commcrcial permits must be approved by the Building Ofticial or Inspector and'or Firc Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a petmit will be issued within two«�orking days. 2. Permit cards will be sent by return mail after a revie« is completed. PERMITS ARE NOT VAI,ID iJN"I'IL 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,ventilation,humidi�cation-dehumid�cation,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall Ue presented on form provided. 4. When any new construction or remodeling is involved,a separate building pemut must bc obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State I3uilding Codc requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-48 hour notice required) 7. House Heatin�Test Record must be submitted beforc final. TYPE OF PERMIT Check All That A 1 ' Residential ❑Commercial(Approval Requued) �e�i• ❑Additional ❑Repairs ❑Replace I Job Site/Owner Information: Site Address: �1 L�_`��J� ,�` /a�cctil �� Owner:��,cwt�,�,v►v� �� +11 /Tp�n33 Mailing Address: �`�2��'��✓� City: '-�-�"t4.� 1"}L� Zip: j'.� �J�7 Home Phone:�fi2. --�-17 3~ �' S � Alternate Phone: Contractor Information: Contracfo�RTH & HOME TECHNOLOGIES, IfW�ontact Person: �� dba & HOME Lic_ BC0512060 State Bond#: (`JL��3��g 7"!—�� Address: 27nn ��To,�T��, ,,,,,-�,,.� N ROSEVILLE, MN 55113 City: 651.633.25�ip: Expiration Date: Phone: ��Z' 3� �3 -Z j 7� Alternate Phone: ❑ Insurance-Current: 1 , MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothcnnal Systems will now require a Site Plan& Review b} our Building Official. IS THIS GEOTHERMAL? ❑ Yes (�No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input t3TiJs: Output BTUs: CFM: COOLING SYSTEMS Quantitv: Make: Model: Tons: H.Power FIREPLACES ['•� Gas I�actory Fueplace i�`L Brand Name: ��-1V�� ❑ Wood Burning Fireplace ❑ Wood Stovc Model No.:X�L- rj��157�r !��/'r_3�'�L.'ti9�r�" ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Eahaust duct recirculating cfm ❑ No. Bath I�xhaust(must have duct outside) cFm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshull if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Urill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF- 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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 Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER $500.00 lf above does not apply; follow�guidelines below: 1. COIYTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) f'Lj3��.��c X .o12s� �3,�� (contract pnce) (minimum$50.00) 2. STATE SURCHARGE �'�3��,cy� �.000s $ 2,6 5� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �, � � _ c 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `� �.7 � ��'' — 7' �� ■ * 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, labor or installations are furnished by the owner, tenant or any other part_y, the reasonable market value of such items must be added to the estimated cost or contract price for pennit fee purp�ses. 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. MECHAIVICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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. Applicaiit's Signature: �Cti�- � Date: �Z�2'��""I Z Reset Form 3 � �� qATE TIME \ / CITY OF ORONO LLED IN � -1( / 3 v INSPECTION NOTICE �) �( SCHEDULED I�_ ,/� PERMIT N0. `�� v MPLETED ADDRESS .� � OWNER — T P NE N / 3 3 �� CONTRACTOR l� j; DESCRIPTION �U `�' �- � � ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLI f}�Jy. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLAN S �� 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 � COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � f' � �'.1 /l,l � �1-�-I- �..L �/r'�'� IL O � C=� � 1 �`�� ='�'�`'� l 0 � W � Q � 2 W � W � j O W �RtAR14SATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. r � ,�Iti%� � S White Copyllnspector's File Canary CopylSite Notice