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Home My WebLink About2012-012549 - mechanical � ' CITY OF ORONO * 2 0 1 z - 0 1 Z 4 9 * 2750 KELLEY PARKWAY pATE �SSUE�: 12/17/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1370 CHERRY PL PIN : 08-117-23-32-0022 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O11 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 9,900.00 NOTE: (1)TRIANGLE TUBE HEAT[NG SYSTEM MODEL-TR►MAX 175 NATURAL GAS PVC 3" FLUE 175 K INPUT 168 K OUTPUT APPLICANT MECHANICAL 123.75 NAFSTAD, ERIK STATE SURCHARGE MECH (VALUATION) 4.95 1370 CHERRY PL MOUND, MN 55364- TOTAL 128.70 OWNER NAFSTAD, ER[K 1370 CHERRY PL MOUND, MN 55364- AGREEMEIVT AND SWORIY STATEMENT "I'hc�vork 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 relaled 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 reques[ed in confor i ce with the State Buildine Code.This permit may be revo- t a r due cause. Z � 1-� � 20I Z Z� �-7 � �_ Applicant Per i Signature Date Iss � By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � R TY USE ONLY ,¢�� City of Orono �/�, [��J' P.O.Box 66 Date Receiv f Permit# ol[J�oZ ` � � !/ ��;;„ y � 2750 Kelley Parkway p � .� ��?�;rr. � Crystal Bay,MN 55323 Approved By: Amount$: �� 0 ' �t� ��{%��'',�� o� Phone(952)249-4600 Fax(952)249-4616 � �'�f<<$4� �Ao 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 pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut 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 Designs—Complete calculations, details and specifications are required for each heating,ventilarion,humidification-dehumidificarion, and air conditioning installarion 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 App1y) �(Residential ❑ Commercial(Approval Required) �' �� New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: � 3�C) C�l�',�}'I,� �l2`e- �'(�/lo /�11� � J��y Owner: C��k��"1�1� Mailing Address: �3�� ""�+�y ��Z� City: �!'�t� Zip: /�'lf Home Phone: I 5z - �I S � 5 ��Z Alternate Phone: �3 } �51- �� Contractor Information: Contractor: Cr�l I� ��t��'O Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance- Current: 1 � # ...�4 �, ICAL� p°'�i`EMS BE °`��4 Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTI3ERMAL? ❑ Yes (�No HEATING SYSTEMS Quantity: � Make: �{�i?�n�L �U�0e � Model: ��ti(Y�a�C ��'S Fuel: �4� Flue Size: �U C 31I Input BTUs: � I�� Output BTUs: �b�k CFM: N f� COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Firepiace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircularing 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: � � � ' PERMIT FEE CALCULATION(S) ' BASED OFF — 2002��STATE STATUE ; ❑ Yes, this section applies The replacement of a Residential fixture ar appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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 $�_ �� ,�� PERIvITT FEE CALCULATION�(S)��—70B��;`��3UER$500.00'�� i If above does not apply; follow guidelines below: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��I�lU�� X.oi2s� l 23.�5 (contract price) (minimum$50.00) 2. STATE SURCHARGE $9�joo X.000s $ �95 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ,�8i� I�/(� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��g�� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 puiposes. 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. `a'' '.�� ; MECHANIC�::� � � ��x NT :� ..�. �y� �� :r� 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: �z�� 3 � t s� ` / DATE TIME v CITY OF ORONO CALLED IN �`�I � INSPECTION NOTICE Q SCHEDULED �L�" I - ! � �•� 3� PERMIT NO.�� —��J COMPLETED ADDRESS �r � _�� u OWNER LEPHONE NO. -� �� '� CONTRACTOR /�' n 'L �: DESCRIPTION � � �� `�' '""`��5 � � ❑ FOOTING ❑ �UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ` (� SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP /��/` � ❑ OGRESS � ❑ FINAL ❑ SEWER HOOK-UP n� r � COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. � �� ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � r►�—� c� U" C y�B`ti's � /1:��n�i+.� � � C,�. 0 � � g A-� ��- � z �i��,�5ti W � W � � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ,01 � White Copyllnspector's File Canary CopylSite Notice �� DATE TIME \ / CITY OF ORONO CALLED IN �— 2 v INSPECTION NOTICE SCHEDULED '3� � /�� PERMIT NO. —OI Z � COMPLETED ADDRESS 137D G� OWNER S��TELEPHONE NO.�5� Z�S�l��'' CONTRACTOR >: DESCRIPTION � I�IY� �a'� � ��"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a .�� J �`).� "��•? L.�l i'^ , - �-+ l'� � �''�� . O a � O � W � Q � Z W � W � � d W��IqOF{K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WiTHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � �� l � 1 �� White Copyllnspector's File Canary CopylSite Notice