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Home My WebLink About2009-00272 - gas furnance CITY OF ORONO PERMIT NO.: 2009-00272 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssuEu: 06/02/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2265 BLAINE AVE PIN : 17-117-23-34-0024 LEGAL DESC : NAVARRO : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,300.00 NOTG: 1 CARRIER NATURAL GAS FURNACE APPLICANT MECHANICAL 50.00 J.T.S. HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.15 P.O. BOX 1101 TOTAL 51.15 FOREST LAKE, MN 55025- OWNER HOLT,CRYSTAL 2265 BLAINE AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The 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 requices 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 au[horized is not commenced within 180 days of the date of issuancc,or if construction is suspended for a period of 180 days at any time after work has commenced. �'he appl4�t is responsil�le for ssuring all required inspections are r�,questedti onformance��with t�i State Building Code.This permit may be revoked at `time for du�causA�. \ n � n �� ``�� , `�, / / �(�-�' / / Ap� ican r itee Signatut�e Date Issued B ignature Date �. SEPARA PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB , 3�.�b FOR CITY USE ONLY . ,�� City of Orono . P.O.Box 66 Date Received: Permit# ��;�,�.� � 2750 Kelley Parkway � � ��:. � Crystal Bay,MN 55323 Approved By: Amount$: ��:��o�.�o` (952)249-4600 CITY OF ORONO— MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 1. You may apply for mechanical pemiits 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiEns—Complete calcularions, 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 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 accardance with the Uniform Mechanical Code/State Building Code requirements. 6. All 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 Ap ly) ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace Job Site/ Owner Information: Site Address: � �� / �`� �� " , S/,� � Owner: Mailing Address: City: 9✓u,� ��-- �C. Zip: Home Phone: Alternate Phone: Contractor Information: �- � Contractor. �� }, , � , � Contact Person: `�(j,� Address: ��; /�� (/� State Bond #: C�(/�5�,(��.�2� City: ��;�.C'S� ��,,J�p Zip �; Expiration Date: ��,�d��O�G� Phone: t;�/�-��-l��'� Alternate Phone: ��Z��J�l�y ❑ Insurance—Current: 1 j MECHANICAL SYSTEIVIS BEING 1NSTALLED `' - Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �] No HEATING SYSTEMS Quantity: � Make: �l i //�`�: ModeL �,�� FueL• ' ;,�i i Flue Size: �� (/ G Input BTUs: �,CCO li�' Output BTUs S Uc�� 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 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 bp 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: 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �""' '' ` PERMIT FEE CALCULATIUI�(��.OB�u�JJVER$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 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT 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 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. ■ **The STATE SURCHARGE is .0005 of the Building 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 e ordinances/of the City and the regulations of the State of Minnesota, and certifies that a�l tatements �nade on this application are complete, true and correct. ' ' ^ j /� f � , Applicant's Signature: , ,. 1 \� - Date: 2 � � 1 \ 3 � � ✓, TE� � T`ltQE� CITY OF ORONO CAL�ED IN — ;� �� INSPECTION N TIC�'E`(� r�� / SCHEDULED PERMIT NO. ��/7��LJ� I�COMPLETED �O � ADDRESS � Z �PS � ��-�n� �� OWNER � CONTR. ��TL�c-+� ac��l TELEPHONE NO. � ��' �S�v l • �G ��" � DESCRIPTION i��r�� f��Q C� �-r�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �MECHANICAL FINAL ❑ IAKESHORE/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 � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O. �" � O � W � Q � 2 W � W � � a ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContract�'n site: Inspector. White Copyllnspector's File Canary CopylSite Notice