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Home My WebLink About2009-00435 - mechanical , , CITY OF ORONO PERMIT NO.: 2009-00435 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3825 CHERRY AVE PIN : 08-117-23-33-0089 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,390.00 NOTE: HEATING SYSTEM-(1)LENNOX-GS IMP-090-NATURAL GAS-3"PVC-88,000 INPUT BTU'S-81,000 OUTPUT BTU'S COOLING SYSTEM-(1)LENNOX-XC13042-3 U2 TONS GASLINE FOR FIREPLACE,MAIN, FUTURE UNIT HEATER AND COOKTOP APPLICANT MECHANICAL 16738 SERBUS HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 6.70 272INDUSTRIAL BLVD. WACONIA,MN 55387 TOTAL 174.08 (952)443-2819 Minnesota State License#: 00469 OWNER HERMAN,MATTHEW&AMY 3825 CHERRY AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT 7'he work for which this permit is issued shall be performed according to the approved 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 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. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r aJ,a y time for due cause. �� / 27 /� � � / / Ap lic�ht Permitee Signature Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � — -. . � FOR�CITY USE ONLY �,�` City of Orono 7 � 4 `r P.O.Box 66 Date Received/��/p� Permit#p��— �� y, z � 2750 Kelley Parkway � J-7 ��.� �`��r� a G stal Ba MN 55323 A roved B Amount�t/ � �� n.r> � Y Y> PP Y� �a� '��.o` (952)249-4600 �k�o�� 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 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 farm 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: 3��'� L��E"-�'-y �t,J. Owner: ��^''`'�N Mailing Address: City: L �-L N�j Zip: ��'�C'. Home Phone: Alternate Phone: Contractor Information: � ��=�`S �� Contractor: - , 4'C� � Contact Person: � l v�. Address: ��- �l�-%c�, �c.rr..�• State Bond#: ��C 93 7v City: C,�.--��1�'f-� Zip: �1N Expiration Date: f��1' Phone: �� "� �� Alternate Phone: ❑ Insurance-Current: 1 -- — � , MECHANICAL SYSTEMS BEING II�TSTALLED � � Note: All Geothermal Systems will now require a Site Ylan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: l Make: �7�r�'f Model: �S'� t�{�c;�c� Fuel: �!-�� Flue Size: �� L Input BTUs: ��v�� ou�ut BTus: �� .� CFM: �j� COOLING SYSTEMS Quantity: I Make: �C 7��`�' Model: �--� 3 � �� Tons: ,3' Z 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 E�aust(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 rill ❑ Other/List hat&Where: ��'2��^-L�� .--- II/I lhs,J �cur— �,�r� �.�.�:,� �_.,�.-� C.b iU�--T z�-�C.l ----� ��t'•�C--zJ 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT`'��:�,�:T��TION(S)'-10BS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25°/o of contract price with a(Minimum Fee of$50.00) !�-�l" x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) /S� �� x.0005 $ � contractprice) (minimum$ .50) 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 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 ar 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 Buiiding 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 conect. �� Applicant's Signature: � Date: � �7�U� 3 V I � ,Q DAJ TIME � CITY OF ORONO CALLED IN v �" INSPECTION NOTI E �/� �SCHEDULED � � PERMIT NO —L�7'`=-� COMPLETED ADDRESS �C�a� �w��%�7 �/�t� OWNER CONTR. �i�� 'Z� TELEPHONE NO. '�f Sz-- 7'y� o7CP�/9 � DESCRIPTION ,�L�� ❑ FOOTING ❑ MECHANICAL RI ❑ fXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS O ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � !.�- ��r-f-c�-�- ��r�� 0 � W � Q � Z W � W � � d � /�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ''CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor o site: Inspector. �' White Copyllnspector's File Canary CopylSite Notice � /A TIME ✓ CITY OF ORONO CALLED IN � �� INSPECTION NOTICE �CHEDULED d � PERMIT NO. —D� 3�+ COMPLETED ADDRESS ��J� C�/��.7� TTl/`e� OWNER CONTR. S�%i-�GGO T7��`G TELEPHONENO. 9S2' �� °?�/ �' � DESCRIPTION �e�' C�� ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL / ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � � l� rq n Gl�'I��T '� S �f C� � 0 � W / Q �,.� ► 1 � /�,�1 � � ,A''� .�'''v�9 I z ►'U c�'T' C� �' �� 1� .. W � W � � GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �SUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION W�THIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �� f�✓ �� White Copyllnspector's File Canary CopylSite Notice