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Home My WebLink About2011-00788 - cooling system s, CITY OF ORONO PERMIT NO.: 2011-00788 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 819 BROWN RD N PIN : 27-118-23-34-0005 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 4,863.00 NOTE: 1 BRYANT 5 TON AC APPLICANT MECHANICAL 60.79 PRONTO HEATING& AC STATE SURCHARGE MECH (VALUATION) 2.43 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 (952)835-7777 MISC FEE 0.00 TOTAL 65.22 OWNER JEVNE IV, FRANZ A 819 BROWN RD N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians and specifications,applicable City approvals,and [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of Iaws 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cacse. �"'l� _ A, Q Cil�- / / / / I vwC.t.� Applicant Permitee Signature Date Issued By Sig ure SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � FOR CITY USE ONLY /.-�"Q"" ;� City of Orono /` ¢ � '`� P.O.Box 66 Uate Received: Permit# '�.: �� 2750 Kelley Parkway tr' �`• � ` Crystal Bay,MN 55323 Approved By: Amount$: ��'��''��40`�� Phone(952)249-4600 Fax(952)249-46L6 ��ssxti.,: CITY OF ORONO—MECHANICAL PERMIT (nll Commercial pennits must be approved by the 13uilding Ofticial or Inspector and/or F�ire Marshall) GENERAL INFORMATION L 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. 2. 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 required for each heating,ventilation, 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 permit 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 final. TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address: 8��( N . ��owr � • Owner: �a-VI Z J-e� ►'�sL Mailing Address: 5��.�-- City: ✓l9 Zip: SS 3S � Home Phone: `jS'2-`�� 6 -�1 y�� Alternate Phone: Contractor Information: Contractor: �yo�1'CU �Q.CI�►� `�L Contact Person: wa� ��`�"�� I �/,�/ e, Address: ��n �°^ /r� � State Bond#: �I 3� l S�� City: l�f Zip:'�-1v Expiration Date: `� (Z5 '�Z Phone: °l� ��3 S �� Alternate Phone: ❑ Insurance—Currenr �2t.�ll.rr� (��,�,�q,� 1 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or appliance 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; excludinQ 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee � PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � �l 4� 63 � �� X .oi2s $ � b .-7�1 (contract price) (minimum$50.00) 2. STATE SURCHARGE �..��3 •o O x.0005 $ Z •`'I 3 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �S • Z�— ■ * CONTRACT PRICE or JOB COST means the actual or estimated doliar 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 party, the reasonable market 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry 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. Applicant's Signature: Date: � Z� � � Reset Form 3 G�� DA / TIME V O CITY O ORONO CALLED IN �/��` INSPECTION N�O C) E -7 SCHEDULED � PERMIT NO. "'"'� —�OC �� COMPLETED ADDRESS OWNER � a�7�°� L HO N0.95 �i��J �� CONTRACTOR � DESCRIPTION �� ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O >. � O ti W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52) 249-46�� OwnerlContractor on site: Inspector. White Copyll�spector's File Canary CopylSite Notice