The URL can be used to link to this page

Home My WebLink About2010-00585 - mechanical � CITY OF ORONO PERMIT NO.: 2010-00585 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUED: 07/15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1685 CONCORDIA ST PIN : 17-117-23-22-0022 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 016 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,000.00 NOTE: 1 CARRIER NAT GAS FURNACE 1 CARRIER 4 TON AC APPLICANT MECHANICAL 87.50 RESIDENTIAL HEATING&AIR, INC. STATE SURCHARGE MECH(VALUATION) 5.00 1815 EAST 41ST STREET SUITE A MINNEAPOLIS,MN 55407- MAIL-IN FEE 2.00 (612)724-1899 MISC FEE 0.00 TOTAL 94.50 OWNER PALM, MR.&MRS. TOM 1685 CONCORDIA ST 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 requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 a[any time for due cause. \�Yt,.lL'�'[ �M / / / / Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. r � ----- FOR CITY USE ONLY !��O '"p-',��`�\ City of Orono ¢ `r P.O.Box 66 Date Received: Permit# �'`, 2750 Kcllcy Parkway � �,i t�,�' Crystal Bay,MN 55323 Approved By: Amount$: �}�o�� Phone(952)249-4600 Fax(952)249-4616 `„ia�o+y" CITY OF ORONO— MECHANICAL PERMIT (nll Commcrcial penniLs must tx�approvcd by the Building Ofticial or Inspector and/or Firc 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 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 PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 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 A ly) [�]�dential ❑Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ► eplace Job Site/Owner Information: Site Address: � (;�5 `� C o ,� , , -� ,; r c:� �� e� Owner: 1� �-, ��,1 n1 Mailing Address: � �� `J � a � � o� � �a� �J� City: �e�, � �� ,-� � Zip: S 5 3 UI ( Home Phone: ��,5� - `i� I � � � � � Alternate Phone: �, � Z - Z� .5 - I ZC�; Contractor Information: Contractor: '��-�- � ��;� �_�-�'� �� Contact Person: . -L. �-��_ ��- �-{ ��t, , `� Address: � `�� `�. �1 i s` 5� S� � �`{State Bond #: � �l 5 �5`-1 � �i S City: ��'1�-� -��ti p�� 1�. `� Zip:,�S�{u�- Expiration Date: �� 2 � 1 b Phone: r i Z � 1 2-�I � � `,5`�S Alternate Phone: ❑ Insurance— Current: ~�`- � 1 ` MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ��10 HEATING SYSTEMS Quantity: � ` Make: �- ��i� �� Cc;�r t r- Model: �j$Mv L � 0 � ,� Z� �' Fuel: P�J�, r �;�s �C_1 � Flue Size: Input BTUs: � FJ O E �;� � �-� ' v v � � Output BTUs: �,' S O o� CFM: COOLING SYSTEMS Quantiry: � Make: < c t c ; + �_r' Model: 2'��i P/��y�S Tons: �-� H. Power FIItEPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION Na Kitchen Exhaust duct recirculating cfin No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfin FU EL 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 r 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;excludinQ 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; foliow guidelines below: 1. CONTRACT PRICE * is 1.25`%of contract price with a(Minimum Fee of$50.00) �1000 � � x .0125 $ � � Sv (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) C� U c @ �, . C�-iJ �1:(_j( i X .��J �D J (contract price) (ininimum$5.00) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 G `i �C� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 1 ■ * 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 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 far 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 th t all statem nt ma on this application are complete, true and correct. Applicant's Signature: Date: � '� ( Z_ � f (j Reset Form 3 �J_ ` DAT�f TIME V CITY OF ORONO CALLED IN �� ` INSPECTION NOTICE A SCHEDULED -�— � � PERMIT N0. oZd/D�C/D��S COMPLETED ADDRESS Ilo(�S �t' OWNER �lS� �� TELEPHONE NO. 9JZ �7� �Z�� CONTRACTOR lOI Z Z7.S /�.OD � DESCRIPTION �u�h�e � �`� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICA�FINAL O ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ING RI ❑ S I L ❑ FOUNDATION/REMOVAL WNERI NTRACTOR TO MEEf YO : YES NO � MENTS: � W a � J O � � O � W � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED i�`PFiOJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice