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Home My WebLink About2013-00069 - mechanical ' � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 3 - PJ 0 PJ 6 9 * DATE ISSUED: OU28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 140 BROWN RD S PIN : 03-117-23-12-0011 LEGAL DESC : KALLESTAD ACRES : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE VALUATION : $ 3,560.00 NO"[�E: RGPLACE(1)ONE-FIOUR HEATING SYSTEM-MODEL#GMH950904CX-NATURAL GAS-90,000 INPUT[3TU'S APPLICANT MECHANICAL 50.00 NORTHERN HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 1.78 9431 ALPINE DR RAMSEY, MN 55303 MAIL-IN FEE 2.00 (763)323-7597 TOTAL 53.78 OWNER COLEMAi�, MR. & MRS. 140 BROWN RD S LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The�cork for whicl�this permit is issued 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 does not grant permission for additional or rclated work which requires scparate permits. All provisions of laws and ordinances governing this type of wark shall be compied with whether or not spccified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 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 revo� d at any time for due cause. � �� /' ,�- �i/� Applicant Permitee Signature Datc Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � t ` FOR CI Y USE ONLY O¢Q�� City of Orono /2��j �� P.O.Box 66 Date Received /Permit#��3 — a�t_. 2750 Kelley Parkway � � �`�y��r��=". Crystal Bay,MN 55323 Approved By: Amount$: / �t�^?P�*�'r��}.�u� Phone(952)249-4600 Fax(952)249-4616 "�a�_�a CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will cC`'VE� be reviewed and a permit will be issued within two working days. ��N ,�a 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT �Q�� VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TH�tr�„ PERMIT CARD IS POSTED ON THE JOB SITE. ` �T�OROI�O 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidifieation-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 l ) ❑■ Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑■ Replace Job Site/ Owner Information: s�te aaaress: 140 SOUTH BROWN ROAD DOUGLAS COLEMAN 140 SOUTH BROWN ROAD Owner: Mailing Address: c;ty: LONG LAKE Z,p: 55356 Home Phone: �952� 473-7236 Alternate Phone: Contractor Information: NORTHERN'S ONE HOUR ANGELA VETSCH Contractor: Contact Person: Address: 9431 ALPINE DRIVE state Bona#: MB003479 RAMSEY 55303 08/15/14 City: Zip: Expiration Date: Phone: �763� 323-7597 Alternate Phone: ❑ Insurance—Current: 1 MECHANI . L , Note: All Geothermal Systems will now require a Site Plan& Review by our Building Otticial. IS THIS GEOTHERMAL? ❑ Yes 0 No HEATING SYSTEMS Quantity: 1 Ivtake: ONE HOUR Model: GMH950904CX Fuel: NATURALGAS Flue Size: Input BTUs: 90 ,�� Output BTUs: CFM: COOLING SYSTEMS Quantity: 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ 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 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;excludine 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ j PERMIT FEE CALCULATION(S)—JOBa OVEIZ $�00.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is ].25%of contract price with a(Minimum Fee of$50.00) 3,560.00 X.o�2s $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 3,560.00 � .78 x.0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $53.78 ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit,and other fixed costs. lt is the amount to be charged to the customer for the work done. [f 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 FERMIT APPLICATION AGREEMENT �� '-'� The undersigned hereby applies 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. � ; �� "� r / Applicant's Signature: �' '(iG• � �� Date: �� Reset Form 3 — DATE TIME � / CITY OF ORONO � '?� v INSPECTION OTICE SCHEDULED p�— —� � PERMIT NO. D/ 'C��COMP ETED ADDRESS I • �'� OWN TELEPHONE NO._'�'15�'5�73 7�� CONTRACT R � �: DESCRIPTION a—�J � � lV ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC NAL ❑ FOUNDATION/REMOVAL � OWN NTRACTOR TO MEET YOU�.�'�ES_NO � COMMENTS: � W � � J O a � O � W � Q ti Z W � W � � � GW ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractar on site: Inspector. z,�� `�"� White Copyllnspector's File Canary CopylSite Notice 1 V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �U�-3 '��f` COMPLETED /.�7 -d�'/�' ADDRESS _!�i`1} ,br� �fK. /C'�- S OWNER TELEPHONE NO. CONTRACTOR ��C� < 7`�� DESCRIPTION � � O FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOO BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FI L ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CO�IAMENTS: 4' �� 1"�irsl�c�.> �G,�� ?� r_'�!�' ��-�' a ✓�it.d.,, � •-f-iHy� �.��s��C�/��-[ O � � ° �ur� � !'�D/. Q � � ,s�lK�' �4S f iK� — z - V�.c�� - � W � W I�b/� �f � �r�r�`e J a � O WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II for the next inspection 2a hours in advance. (952) 249-4600 wnerl tractor on site: ` a � o Inspector. ` White Copyilnspector's File Canary CopylSite Notice