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Home My WebLink About2011-01321 (mechanical- heating system) i CITY OF ORONO PERMIT NO.: 2011-01321 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 10/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3700 CASCO AVE P[N : 20-117-23-31-0040 LEGAL DESC : REG. LAND SURVEY NO. 0467 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,351.00 NOTE: I BRYANT NAT. GAS FURNACE APPLICANT MECHANICAL 54.39 PRONTO HEATING&AC STATE SURCHARGE MECH (VALUATION) 2.18 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 (9sz�s3s-�� TOTaL ss.s� OWNER DONGOSKE, MR. &MRS. 3700 CASCO AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'I�he work for which this pem�i[is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for addi[ional 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 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. 'I'he 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR C[TY liSE ONLY 0`�<�. City of Orono `�� '� P.O.Box 66 Date Received: Parmit# I ��, „� �� 2750 Kelley Parkway ��,�/� t Crystal Bay,MN 55323 Approved By: Amoun[S: 'i��,�r�i��f Phone(952)249-4600 Fas(952)249-4616 ,•�as°��,1 CITY OF ORONO-MECHANICAL PERMIT (Ail Cornmcrcial permits must be approved by the Building Official 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 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 viUST NOT BEGIN UNTIL THE PERA1[T CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desians—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation inclttding 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. Ali wark 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 �f Replace Job Site/Owner Information: Site Address: 3�Ob �GIS C 0 -�V � Owner�4�-�S �b✓IqOS I� Mailing Address: �lpb �SC� ��- City: 0�'� Zip: �� Home Phone:�SL-y 1 I-a�Z6 Alternate Phone: Contractor Information: Contractor. C"✓�� {��.f��q Contact Person: �1v�� S� W��k— (� � ✓�,I ( q Address: �s��w 0.S'l`� /l"�-J State Bond#: �� /S � 3 City: � Zip: � Expiration Date: � �Zb 1 �- Phone: RSZ- O�S7�1, 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: TJ Gl,✓Lt Model: �b t�C71 v U�6 � �-6 Fuel: ��S Flue Size: p �v0 Input BTUs: 2 I Output BTUs: � �0� � 0� 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 ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be aVproved 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 ❑ OLitdoor 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;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 $ 5.00 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.�5%of contract price with a(Minimum Fee of$50.00) �l 3s( -oo x.oizs � S`� . 3�i (contract pricc) (minimum$50.00) 2. STATE SURCHARGE �`�3S( � o U x.0005 $ 2 ' 1 � (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � • � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 pern�it 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 acRial contract. 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 Ciry and the regularions of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: � �— Date: �O '� � ( Reset Form 3 � �� `� DAT � TIME CITY OF ORONO CALLED IN �� / INSPECTION NOTICE SCHEDULED /a� -Z / /��.3d PERMITNO.aO// -`'��,3�/ COMPLETE ADDRESS �� %Gl. S % 1j�_ OWNER TEL PHONE NO. ��'3�g -3$� CONTRACTOR �-- " �; DESCRIPTION � � � Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE NAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU• Y S_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � a W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHtN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ;J CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. w White Copyllnspector's File Canary CopylSite Notice