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Home My WebLink About2010-00569 (mechanical-heating & A/C) CITY OF ORONO PERMIT NO.: 2010-00569 . 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE IssuED: 07/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2408 CASCO POINT RD PIN : 20-117-23-12-0023 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,900.00 NOTE: 1 GIBSON HEATING SYSTEM& 1 GIBSON COOLING SYSTEM APPLICANT MECHANICAL 61.25 A-1 HEATING&AIR COND STATE SURCHARGE MECH (VALUATION) 5.00 6090 PAGENKOPF RD TOTAL 66.25 MAPLE PLAIN, MN 55359 (763)479-1483 OWNER GASCH,JAMES 2408 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit 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 grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances goveming this type of work shail 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 revo ce at any time for due c �� ,�� ?� � � � � D �-e- am �� '�';/a -l U Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j � FOR CITY USE ONLY . O,�p�,O City of Orono P.O.Box 66 Date Received: Permit# ��, 2750 Kelley Parkway � � �A;�� Crystal Bay,MN 55323 Approved By: Amount$: � ` ��-�o Phone(952)249-4600 Fax(952)249-4616 - ��( �eeso$ � CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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 pernut 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 DesiQns—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidificarion,and air condirioning 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 pernut 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 Apply) ,�Residential ❑ Commercial(Approval Required) t ❑ New ❑ Additional ❑Repairs �Replace Job Site/ Owner Information: Site Address: �(� �- - �j� �� Owner: � Mailing Address: City: -cr�s� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: "�'`(TC �X Contact Person: Address: (o � Q State Bond #: � �( 2 - �'(.�Q City: `;�l�.e�2 ^ Zip:�-5��5�`(ExpirationDate: D Phone: �76 ? ��`7 �- ��( �Q °3 Alternate Phone: G(2 � 3 3''''�j -S� � �3 ❑ Insurance- Current: 1 -a�3.�% `�k�'"� � t'� _rc ��v.� .�T��,.Y'1 �' . � � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�'No HEATING SYSTEMS Quantity: ' Make: 'E��l Model: �/G �� ( � �8� � 3�C, Fuel: � Flue Size: �i, Input BTUs: 8(�,d e � ou�ut BTus: �?6 � o 0 CFM: (6 O f� 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;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 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 1.25%of contract price with a(Minimum Fee of$50.00) � �� '^ x.0125 $ �g(, �� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ t� � �� (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 1 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �j, ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 pernut 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 times the Contract Price or a minimum of$5.00. 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. Applicant's Signature: �-�� Date: � o� �� 3 � n� � �� DATE TIME C ��TY OF ORONO CALLED IN � �a //U INSPECTION NOTICE SCHEDULED '�� PERMIT NO. aO I O"C�O�9 COMPLETED ADDRESS � S�O g CCz�c-L1 C O .�� L OWNER TELEPHONE NO.?��U�q/�C�i� CONTRACTOR — � �?�"! ✓�GL. �: DESCRIPTION ��-�"�n � ' � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o �''v !' 1J � �' ft �� a � 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C IS UE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRAN(iE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. �( /�� White Copyllnspector's File Canary CopylSite Notice