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Home My WebLink About2011-01533 - mechanical , • CITY OF ORONO PEaM�T No.: 2oii-ois33 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/09/2011 952 249-4600 FAX: 952 249-4616 AUDRESS : 2555 COUNTRYSIDE DR PIN : 04-117-23-14-0006 LEGAL DESC : COUNTRYSIDE MANOR : LOT 004 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: (1)RUDD IIEATING SYSTEM MODEL-RGRL-09GZAJS NATURAL GAS 90,0001NPUT 72,000 OUTPU"C APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.50 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 51.50 (952)933-1868 OWivER SCHNEBLY, MR.& MRS. 2555 COLTNTRYSIDE DR LONG C,AKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned 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 pennission 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 reyuired inspections are requested in conformance wilh the State[3uilding Code.This permit may be revoke,�1 at any time r due cause. ' � I � �� -� /� Applicant Permitee ignature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r � � �7�� FOR CI U ONLY O,¢p�O City of Orono !� � P.O.Box 66 Date Received: �/ rt# 2750 Kelley Parkway / a �'''• t Crystal Bay,MN 55323 Approved By: Amount$:� �s�'.;° �c� Phone(952)249-4600 Fax(952)249-4616 axo CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 Desiens—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 pernut 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 1 0 Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner Information: siteAd�,.ess: 2555 COUNTRYSIDE DR Owner: ST EVE SC H E B LY Mailing Address: SAM E ci�: LONG LAKE Zlp: 55356 Home Phone: Alternate Phone: Contractor Information: PRACTICAL SYSTEMS J OAN N Contractor: Contact Person: 43426 SHADY OAK RD 558516 Address: State Bond#: HOPKINS 55343 09/17/12 City: Zip: Expiration Date: Phone: (952� 933-1868 Alternate Phone: � Insurance—C�irrent: ��/�2 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: 1 Make: R U U D Model: RGRL-09EZAJS Fue�: NATU RAL Flue Size: Input BTUs: 90,�� oucpuc BTus: 72,000 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL 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 PERMIT FEE CALCLTLATION(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;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3,000.00 X.o12s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 3,��.�� 1 .50 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $51 .50 • * CONTRACT PRICE ar 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. 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 the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. ! 12/09/11 Applicant's Signature: � Date: ; Reset Form � 3 / D T TIME � CfTY OF ORONO CALI.ED IN �"� INSPECTION NOTICE/� SCHEDULED ia�3-� �,� PERMIT NO.�O�/—LJ�-S�� COMPLETED ADDRESS �'ss'S �� OWNER TELE HONE NO. 4�Z Q3� `�� CONTRACTOR /� (�7�7 CC�� DESCRIPTION _�//2� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHAN�CAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALI ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o ��f ti`"'4'� �� '�� 'r . � c1�- C..� , �+ � �.1 �n, c { � `�/� �d ' � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑ CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN 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� 249-460� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice