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Home My WebLink About2010-00674 - mechanical CITY OF ORONO PERMIT NO.: 2010-00674 2750 KELLEY PARKWAY � ORONO, MN 55356— DATE �SSUEu: OS/OS/2010 s 952 249-4600 FAX: 952 249-4616 ADDRESS : 2515 COUNTRYSIDE DR PIN : 04-117-23-11-0007 LEGAL DESC : COUNTRYSIDE MANOR : LOT 003 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 25,000.00 NOTE: 3 HEATING SYSTGMS,2 COOLING SYSTEMS,VENTALATION,&2 GAS LINES APPLICANT MECHANICAL 312.50 LITTLE IGLOO H.V.A.C. STATE SURCHARGE MECH(VALUATION) 12.50 1829 135TH AVE ANDOVER, MN 55304 TOTAL 325.00 (612)636-0500 PAID WITH CC# 9982 OWNER KAHLER, CHRIS&DELPHINE 2515 COUNTRYSIDE 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 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 sepazate 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 l80 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 inspec[ions are requeste co formance with the State Building Code.This permit may be revoked a any ime for due cause. �� ,� �/ 7 / I C.� �.�,�,�'C� G�l�Ct.l? d`" rf` �"�_I U /- / / A plicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , FOR CLTY USE ONLY 0,��,0 City of Orono � P.O.Box 66 Date Received: Permit# �;; 2750 Kelley Parkway � � ��- P� Crystal Bay,MN 55323 Approved By: Amount�: � �l'��H��4e' Phone(952)249-4600 Fax(952)249-4616 � � �� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical permits by mail or in person at the City offices. Applicarions will be reviewed and a permit 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specificarions are required for each heating,ventilarion,humidification-dehumidificarion, and air condirioning 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 Apply) [�'Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs �Replace Job Site/ Owner Information: Site Address: ,�5 � � �cu✓ri�'�-/ j,�� _ C I/��'�S c� '�'�v r�F Owner: I�G�I�-� Mailing Address: �57s �✓�7 ��/'Y �J✓' City: �U� Zip: �S �� Home Phone: Alternate Phone: � (Z' �t—' 6..�5� Contractor Information: `,J - "� �nC. Contractor: �7�� .Lr�OG �� Contact Person: �L�ry '`'� �ns�l� Address: ��i�`� l3 S�/�`'`� �� State Bond#: �jC15�6 o?v�oZ 55'�`� City: ��'� /i Zip:� Expiration Date: �`� Z4 j� Phone: �/� ""�� "-U�z�' Alternate Phone: �/Z -",��2--�3 Z� ❑ Insurance— Current: 1 ;�� F'"" � € � CAL SYSTEMS I��T��'r'' .STA:LlED ��`� �" „''� . � � � � , � �� _ �,a �z� ��: � � � �� ,.� ..� �: >x� �.:, � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. , IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: / � � (yU�� Make: �� //C/OGi�' �L°IUL,��-�/1�JG�i� '��/� � � Model: U � �� ,� Fuel: ,,,J�1 i l:� ��,l G.��12 C,�;� N!�� {�S �� Flue Size: p� Input BTUs: _�� Output BTUs: � �DU � 5G� CFM: �UU� C�� 5��-�� COOLING SYSTEMS Quantity: � ( Make: W1 �J A +�p�,y�.� Model: �.�jZ �7��y� �Z.�' 3� � Tons: �� H. Power FIREPLACES �� " � �t'� �w rt ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION r� � Na � Kitchen Exhaust � duct recirculating _��cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FLTEL STORAGE (Must be approved by Fire Marshall if proposing[o 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: �c�F-�� 2,"�'"� r 2 �y��kcc .I�SQi't" (�/�"-h�� (/ . • PERMIT FEE CALCULATION(S) BASED-0FF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap liance 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 $ PE�IT FEE CALCULATION(S}—JOBS OVER $500.00 ' ', If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� / �L/ x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT 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 far 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 for issuance of a Mechanical Permit, agrees to do all work in sh-ict accordance with the ord�nances of the City and the regulations of the State of Minnesota, and certifies that all tate ents made on this application are complete, true and correct. Applicant's Signature: Date: �7� �� 3 � D /� TIME " CITY OF ORONO CALLED IN � ��" INSPECTION NOTIC C�CHEDULED � � � PERMIT NO. o��—��7/ COMPL ED ADDRESS �� ''" ' OWNER TEI,�E�ONE NO. � — 3 �5� CONTRACTOR L � >; DESCRIPTION v" ` � tl� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J r� �1 � ,/1�y1�.� "r��_ '�C'S t`` C; O � � 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �-PROJECT COMPLETE I � ❑CORRECT WORK&PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor on site: �' - ' �' Inspector. �..t.. � ".�� `�,�.j White Copyllnspector's File Canary Copy/Site Notice �' V DAT /� TIME CITY O ORONO CALLED IN �� INSPECTION N TICE /�� SCHEDULED ��/..CL oZ,'07� PERMIT NO.��_`�v �� MPLETED ADDRESS ��-� �� OWNER T LEPH NE NO�a—�3��SOb CONTRACTOR � � �: DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ X V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ KESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � C� tiJ/l S rfi t��S� L�-f l�' � � � �c �f- � J�, 0 � W � Q � z W � W � j d W ; WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN 0 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 si : Inspector. � � � White Copyllnspector's File Canary CopylSite Notice � � � DA TIME � CITY OF ORONO CALLED IN 8'�� INSPECTION NOTICE ' / SCHEDULED - � !U:o0 PERMIT NO.�bl�—��77 COMPLETED ADDRESS �5�5 OWNER / T LEPHONE NO. ��Z �3� �SDD CONTRACTOR L ��lP `�1�� : DESCRIPTION /�1 P� /�L �� , � lLl ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � 5 � /�-;�-�r � � 0 � W � Q � z W � W � � GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ C RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice