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Home My WebLink About2009-00747 - mechanical CITY OF ORONO PERMIT NO.: 2009-00747 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuED: 10/22/2009 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,000.00 NOTE: 1 BRYANT NAT.GAS HEATING SYSTEM 1 BRYANT 4 T COOLING SYSTEM 3 BATH EXHAUST GAS LINE FOR 2 FIREPLACES APPLICANT MECHAN[CAL 162.50 METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 6.50 16980 WELCOME AVE SE PRIOR LAKE, MN 55372 MAIL-IN FEE 1.50 (952)447-8124 TOTAL 170.50 OWNER AZAD, ALISHAH 200 BEDERWOOD DR LONG LAKE, MN 55356- 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 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 revoked at any time for e cause. � �,, /11►" / / / Applicant Permite Sign ture te Issued By Signatur �te SEPARATE PERMI REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. , � FOR CI'I'Y USN ONI.Y 4p�� c�ry of orono P.O.Box 66 Date Received: Pctmit ti �'�,�.,,, � 2750 Kelley Parkway - —--------- ' �,r;=.� Cryslal}3ay,MN 55323 Approved By: Miount 3: ��,'�'��+ (952)249-4600 ----- - , ------------ ----- .�;`,*Aa CITY OF ORONO-MECHANICAL PERMI'T (All Commercial pertnils must be approved by the I3uilding Oflicial or Inspector and/or l�ire hlars6al I) GENERAL INFORMATION � 1. You may apply for mechanical permits by mail or in person at ttie City ofCtces. Applicatiotis will be reviewed and a permit will be issued wilhin two working days. 2. Permit cards will be sent by retum mail attcr a review is completed. PI;Rivtll'S nR};NO'1' VALID UNTIL YOU RECEIVE A PL12MI'1'. WORK MUST NOT I3EGIN U1V'I71.Tlil� PERMIT CARD IS POSTED ON THE JOB SITE. ` 3. Mechanieal Desians—Complete ealculations,details and specificutions arc requirecl tin-each heating,ventilation,humidification-dehucnidification,and air couditioning installation in��lu�_ling heat loss/heat gain calculalion,design temperatures,equipmcnt ratings and idcr�tiCicatiou as t�> type,manufacturer and model. Data shall be presented on fonn providcd. 4. When any new construction or remodeling is involvecl,a separate building pcnnit inust be ubtained. 5. All work must be done in accordance with the Uniform Mcchanical Codc/State L3uilding Ca�le requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4G00. (24-48 hour notice required) 7. House I ieating'I'est Record must be submitted before final. TYPE OF PERMIT � (Check All That Apply) �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑{Zcplacc Job Site/Owner Information: Site Address: :�i� J 1 � cv-� t,�%' 4�1C, � (� 1�l' • ^ ^ r �,� � S ll Owner:l�l,`�� ,�> 1� � �, �� \� Mailing Address: �� S��,'1_►�'��'�� City: ��'�'-��L�(� �-� Zip: S � _�� - Home Phone: � ��1'��-� Alternate Phone: 1 b 3— :� ��,��J�J Contractor Information: � r� Contractor: ��'`�� = �� ,i�` Contact Person: I�I�'��` � �------- Address: �� `�°�l.v''�,.�� State Bond#: � �� S�� City: Y� 1�" '�� Zip:�r`l� Expiration Date: �! '�� 'x�_� � Phone: �� '��'��'�� Alternate Pt�one: �� `�� —�� ❑ lnsurance-Current: � i'�� 1__�-_�_� 1 ��;; MECHANIC��AL:`SY5'T�MS`BEING INSTALT��Dy�; , HEATING SYSTEMS Quantity: 1 — --- Make: `, �` 1J L''�� --- � Model: ��, I��V� 0��,�� — --- Fuel: r ��\ _._ ,� Flue Size: ��r � � ---- Input BTUs: ��,�� ; ��a V «__ Output BTtJs: �1� ��J�� _ _ CFM: I � '-l'`� _ __,__ COOLING SYSTEM5 Quantity: � _ Make: " ' 1� �.-�� Model: �I ��A�� Tons: H.Power --�--- FIltEPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. KitchenExhaust duct x rccircul�ding `_cl�tn O No.�� Bath Exhaust(must have duct outside) "�� r�'=cl�izl No. (lther Fans: Locations cf�❑ FUEL STORAGE(MUST BE APPROVED BY FIRE MAItSHAI,L) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Insi�ic ❑Oulsicic LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �-}�S I 1'� �G� � � '' ��I y��S �_'_l 2 ' ° � PERMIT FEE CALCULATION(S) • �,.��"�4 � - BASED OFF -2002 STATE STATUE _ . � ❑ Yes,this section applies The replacement of a Residential fixtwe or appliance that meets all three of the followu�g rcquirentcnts: I. Does not require modification to electrical or gas scrvice. 2. Has a total cost of$500.00 or less;excludins the cost of the fixture or applilnce:and 3. Is improved,installed or rcplaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Perniit 4 15.(� State Swcharge $ .50 Mail-In Fee(If Applicable) $ 1 SU Total Permit Fcc � PERMI�:F�E�CALCI7LATION(S)—IOSS-4VER$500.00 -1 If above does not apply;t<>llow guidelines below: 1. CONTRACT PRICE 'is 1.25%of contract price with a(Minimum Fec of�35.00) � � ��a`) )�J x.0125$ � � .:1 S� (contract price) (minimum�35.00) 2. STATE SURCHARGE *"Add the State}31dg Code Div. Surcharge(Minimum F�c of�.54) .�/ S�� . Z �� X.ocws x- � � -- (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 ___ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � 1� �J S/ ■ • CONTRAC'I' PRICE or JOB COST means the actual or estimated dollar amount cliarged for the permitted work including materials,labor,profit,and other fixeci costs. It is U►c amowit to be chargcd to thc customer for the work done. If any material, equipment, labor or installations nre fumisliecl by the owner,tenant or any other party,the reasonable market value of such items must Ue aaded to i.hc estimated cost or contract price for permit fee purposes. In the event that therc is a disputc. un thc amount of the job cost, the City may request the submission of a signed evpy of Qic uctu�il co�itract. ■ **1'he STATE SURC(IARGE is.0005 of the f3uilding Department at(952)249-4C00 for the pricc. MECHANICAL PfiRMIT APPLICATIQN AGREEMENT The undersigned hereby applies to the City for issuance of a Meclianical Peru�it, agrccs tu do all work in strict accordance with the ordinances of the City and the regulations of tl�e State oC Minnesota, and certifies that all statements made on this applicatioit are complrtc, U�uc �n�{ correct. �. -_ � � . �� _� � - Applicant's Signature. �� ,�� \ Date. _�__ ResetForm 3 � ��DA�E,/n TIME CITY OF ORONO CALLED IN l W INSPECTION NOTICE SCHEDULED � M PERMIT NO.o��'�d �� COMPLETED � ADDRESS o�DO OWNER CONTR. ��`�� I'� TELEPHONE NO. !S� 7 7 7 I Z� _ ' � DESCRIPTION ` yc��n � �"7� � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRA I L G Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHO �ypS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REM � � Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPE/Q�Tr Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRES9 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � O 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: � , �' • c"% IL a o j G� ;� s .i� lr—�S� ,7�'J�" � � � I1/� ��IID M� T-�� '��S't O/� � "�'`�'� W � Q � z W � W � � ��( v f l.�.j ,C�/d c�/� �-.�1'.'J��.S �� ' � � ` GW �WORK SATISFACTORY:PROCEED CI PROJECT COMPLET�Y�6 � � ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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 OwnerlContractor on site: Inspector. �„b l�'� �f � White Copyllnspector's File Canary CopylSite Notice -�LJ ` �� DATE TIME CITY OF RONO CALLED IN / �--/ /d INSPECTION NOTI E L� SCHEDULED / � v �� PERMIT NO. �O�/ �COMPLETED � ADDRESS �� OWNER CONTR TELEPHONE N0. �� 5�5 � �D/� � DESCRIPTION��""i ��C N 'C � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADI ILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE O ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �(��5._i f� -,2 3- C�' `j � � 0 � W � Q � 2 W � W � � d ,. � WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952) Z49-4600 OwnerlContractor on ite: ' Inspector. � 1 � 1 I, ,�� White Copyllnspector's File Canary Copy/Site Notice �� .7 TIME � CITY OF ORONO � CALLED IN �� f� INSPECTION NOTICE -� SCHEDULED -��:��C�- -��" PERMIT NO. �� „/ ��COMPLETED ADDRESS � �)�? ��`Ll �� ^F� , OWNER CONTR. � ' TELEPHONE N0. a a � DESCRIPTION �'�s�� i /�`1 � l �"I �)6'� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � ��1 r��O �l.�o�PJ� '� S�' � 0 � � ^ � 3 -r� 0 � W � Q � z � �TZ� �1.�5�:Q �1 P��.t� � . � � � , �t'G. �v�c-�-��f-i i�ti"S t%�,i��t f%�r4 � � �-/s-/o � a W� �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION X TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice