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Home My WebLink About2008-P00410 - mechanical CITY OF ORONO PERMIT NO.: 200�004�0 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE �SSUED: 1 U24/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 BRACKETTS POINT RD PIN : 11-117-23-32-0019 LEGAL DESC : RGT ORONO POINT : LOT 003 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 30,000.00 NOTE: 4 BRYANT GAS FURNACES 4 BRYANT AC'S APPLICANT MECHANICAL 375.00 KLEVE HEATING&AIR STATE SURCHARGE MECH (VALUATION) 15.00 6365 CARLSON DRIVE SUITE G EDEN PRAIRIE, MN 55346- MAIL-IN FEE 1.50 (612)941-421 1 TOTAL 391.50 OWNER JOHNSON, ROBBIN& KRISTINE 1280 BRACKETTS PT RD 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 Ciry 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 wark 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 I 80 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 reyuested in conformance witllthe State Building Code.This permit may be revoked at any time for due cause. �� i i Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. FOR CITY USE O[YLY City of Orono � ' ' �g O� P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway ' � ,1�t��.. r Crystal Bay,MN 55323 Approved By: Amount 5: ��j�%��,�G�- (952)249-4600 ��v CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building O(Ticial 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 DesiQns—Complete calculations, details and specifications are required for each heating,ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat cain calculation,desi�n temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. When any ne�v construction or remodelinQ is involved, a separate buildin� permit must be obtained. 5. All �vork must be done in accordance with the lJniform Ntechanica! Code,�State Buildin� Code requirements. 6. All work must be inspected (roush-in and final). Call (95�) 2�19-�600. (2d--13 hour notice required) 7. House He�tino Test Record must be submitted before final. TYPE OF PERIv1IT (Check A11 That A lv I ❑ Residential ❑ Commercial (?,pproval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace � Job Site / Owner Information: Site Address: l��`-� �.JrC�I-�.t�'�"� ��I ' � • O�vner: 1 lO� � XJV L � Mailing Address: Citv: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:KlPvP Nt-.n . �,A l� Inc Contact Person: Ashley Griffin �ddress: 6365 _rl son D . Ste GState Bond n: Rr,r_�E� � 1 F� Citv: Eden Prairie Zip: 55346ExpirationDate: 8/ 14/b9 Phone: 9 S 2—9 41 —4 2 1 1 A lternate Phone: g S 2— 3�5—i 2 4 2 ❑ Insurance — Current: I . ° �� -�`;i s i�'°'�'�r`;s", `�,> 's,PERMIT:FEE,�CA.LCITI�ATION(S) ` � '�� , , ' � i��> t . �� 9� � 4_�h� ��-�.,.�. � L�. ��f i e}�.,.:, � : r . �F� ,� :J �� ti�. ��'� .�-,� ��r; • :,:�.�,� .,��>�:,.�'{� ;� � �:_,.�:BASED OFE, :2002.STATE STATUE ,�.. :� ��n:��ti� _,•-,,. ..t : ❑ Yes, this section applies "1 he replacement of a Residential fixture or appliance that meets all three of the followin�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. Ship next section, if this applies; Cost of Permit � 15.00 State Surchar�e $ 50 , Mail-In Fee(If Applicable) � 1.�0 Total Pcrmit Fee S � PERMIT FEE CALCUI.;ATION(S) -JOBS OVER $500.00 � If above does not apply; follow guidelines below: 1. CO�iTR-�CT PRICE * is l.?�°o of contract price �vith a (�linimum Fee of 53�.00) ��1 lM� x .OI�� S ��' �G (contrc;pnc�� (minimum��:00) 2. STATE SliRCH.-1RGE " .Add the State Blde Code Div. Surch�r_e (�(inimum Fcc of S.��) �� . �� x .000� 5 ��.- ontract pric:) (minimum� ';G1 �. POSTAGE & H.�,\�DLI�G (Onl� on 11aii-(n .applications) S 1 �Q -3. TOTAL PER,�IIT FEE (.�dd Lines 1-3 .-�,bo�e) S � � � ` CONTR�CT PRICE or 10B COST means the actual or estimated dollar amount char�ed for the permitted �vork includin� materials, labor, profit, and other fixed costs. It is the amount to be char_ed to the customer for the �vork done. lf an}' material, equipment, labor or installations are furnished by the owner, tenant or any other party, [he reasonable m�rket value of such items must be added to the estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the amount of the job cost, the Ciry may request the submission of a si�ned copy of the actual contr�ct. • " The STATE SURCHARGE is .0005 of the Building Department at (9�3) 249--1600 for the price. - _ � MECHANICAL PERMIT APPLICATION AGREEMENT The undersi2ned hereby applies to the Ciry for issuance of a Ivlechan�cal Permit, a��rees to do all work in strict accordance with the ordinances of the Citv and t re�ulations of the State of Iviinnesota, and ce i� that all statements made on this app �cation are complete, true and correct. Applicant's Si�natur � Date: v� O� , � Reset Form • . _ j _�___ .��' t� 1 r •a��,.�F;'�':�`�`",*��;�%1EGHANICA.LS�SY�S�IvIS BEI�IG��ST�LEll,�-�n,`,� ,,;�:,.,��r:,:, . HEATING SYSTEMS Quantity: � I � Make: � Model: ��l:ftV�(� ' v�� C � Fuel: Flue Size: ]nput BTUs: ' �^-�" '" Output BTUs: CF�I: COOLING SYSTE�IIS Quantiry: � I \lal:e: \lodel: l I�bAl�tq� 16�NAb2 Tons: H. Power FIREPL�,CES � ❑ Gas Factor-y Fireplace ❑ Wood Bumin� Fireplace ❑ Wood Stove ❑ Wood Stove \Vith Flue Brand Name: Model tio.: VErTILATiON ❑ No. Kitchen Exhaust duct recirculatine cfm ❑ No. Bath Exhaust (must have duct outside) cfm ❑ No. Other Fans: Locations c`n� FUEL STORAGE (titUST BE APPROVED BY F[RE M.-�RSHALL) , ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Under�round ❑ lnside ❑ Outsid� LP Gas: �allons Other: � G.-1S LING ONI�Y ❑ Outdour Grill ❑ Oth�r' List \�1i:u �C \1'h�rr: 7 � DA(T� TIME CITY OF ORONO CALLED IN / / / INSPECTION NOTICE SCHEDULED -/.S"D �-'3O PERMIT NO.�40�-4D�/D COMPLETED ADDRESS ��D �� OWNER CONTR. �� TELEPHONE N0. lO`a. �lc� lo-3S� � DESCRIPTION_��/�'`IQC� / ' ��C � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � O`NNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o � /l��c�J ��! �K' � C. J � �. � O'1 \ � � Q 1'� � W � W � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. J PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site- Inspector_ � - White Copyllnspector's File Canary Copy/Site Notice