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Home My WebLink About2010-00027 - mechanical CITY OF ORONO PERMIT NO.: 2010-00027 " 2750 KELLEY PARKWAY � � ORONO, MN 55356- �ATE IssuE�: OU2U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1223 BROWN RD S PIN : 10-117-23-31-0065 LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE : LOT 000 BLOCK 001 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,000.00 NOTE: MAKE:PAYNE,MODEL:PG8MAA0361 10,NAT GAS, [NPUT 1 10,000 APPLICANT MECHANICAL 50.00 COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 1.00 6511 HWY 12 TOTAL 51.00 MAPLE PLAIN, MN 55359 (763)479-1600 OWNER QUADY, CURTIS 1223 BROWN RD S P.O. BOX 127 WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and docs 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 whcther or not specified herein.This pennit will expire and become null and void it�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 requestec�in conformance with the State Building Code.This permit may be �� revoked at any time for due cause. � j _Z j _�� r ( l.. .^�� / � I l rr� l�-�l l App�lic t Permitee Signature Date ' � � Issued By Signat �e Date SEPARATE PERMTTS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ��- , ��a FOR CITY USE ONLY �� City of Orono �� P.O.Box 66 Date Received: Permit# . Ir�.: _il} 2750 Kelley Parkway '��a �`'�� 1� Crystal Bay,MN 55323 Approved By. Amount$. �d� 'r�,�%_v�o��'� (952)249-4600 `�Vry�oe CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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: 1223 BROWN RD S Owner: Mailing Address: Cit ORONO Z� 55391 y� p� Home Phone: Alternate Phone: Contractor Information: Contractor: COUNTRYSIDE Contact Person: MAGGIE Address: 6511 HWY 12 State Bond#: City: MAPLE PLAIN Z�p; 55359 Expiration Date: Phone: (�63)479-1600 Alternate Phone: � Insurance—Current: 1 . . ' MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? � Yes � No HEATING SYSTEMS Quantity: � Make: PAYNE PG8MAA036110 Model: Fuel: NAT GAS Flue Size: Input BTUs: 110,000 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm � No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall 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 $ .50 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: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 2,000.00 x.0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ 1.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ 51.00 ■ * 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 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. ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT 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. . �'�� ...-'"- ;�--�, � � �� ._.� �'�� ( 1�b Applicant's Signature: �--' Date: l� � � , . � Reset Form �� . 3 v� � DAT TIME `� CITY OF ORONO CALLED IN � -2� INSPECTION NOTICE�^� SCHEDULED l -2�-/O I l :'Bd PERMIT NO.��/C�'—�O(� COMPLETED ADDRESS I o�� rd�7'1 I�C .� . OWNER � LC�c.�J�'8"r`- CONTR. CD4%f1�iu�,s CC� �� TELEPHONE NO. �-�`2 `�73 3�7�jo � DESCRIPTION °✓ ""`""��' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED •: ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on s�te: , Inspector. ,(� � � White Copyllnspector's File Canary CopylSite Notice