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Home My WebLink About2013-00204 - heating system , ., CITY OF ORONO * Z 0 1 3 - 0 P1 2 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2735 COUNTRYSIDE DR W PIN : 04-117-23-12-0018 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 6,072.00 NOTE: 1 BRYANT NAT GAS FURNACE APPLICANT MECHANICAL 75.90 STANDARD HEATING&AIR CONDITIONING STATE SURCHARGE MECH(VALUATION) 3.04 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 5541 1- MAIL-IN FEE 2.00 612-824-2656 TOTAL 80.94 OWNER ALEXANDER, TIM 2735 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he 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 goveming 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 da�c of issuance,or if construction is suspended for a period of 180 days af any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at any time for due cause. �L�L�I � � � l l Applicant Permitee Signature Date Issued By ' nature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO FOR CITI L�SF.pNi,l� ' O��O Cit� of Uron�r P�� Bos��, Datz Fecei��e�: F'a�mit= -- _ __ 27�0 Kelley Parkway . a � �� Crystal RaY,�iN 55;2; appro�ed R�- Amount$� x � r , _---- ---___ � u`�� (952)249-4600 , t��pe� ;. CITY OF ORONO—MECHANICAL PERMIT (All Commercia]permits mus[be approved by the Ruilding OfFicial or Inspector and/or Firc\�tarshall) GENERAL INFORMATION I - --- -- ---- -- 1. You may apply for mechanical permits by mail or in person al the City offices. Applications will be reviewed and a pemiit wiil be issued within two working days. 2. Permit cards��ill be sent by retum mail after a review is completed. PERMITS ARE NOT VALIll UN1IL YOU I�,CEIVF.A PF_.RMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Mechanical Desi�—Complete ealculations,dclails and speeit3cations are required Yor each heating,vcntilation,humidification-dehumiditication,and air conditioning inst�llation including heat loss/heat gain calculation;design temperatures,equipinent ralings and idenlil�ication 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 pemiit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requiremcnts. 6. All work inust be inspected(rough-in and final). Call(952)249-4600. (2�-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT __._._�..�____.______...�r {Checl� All Tliat Appl�') �kc5identi��1 �Commercial(Approval Required) ❑ Ne�� ❑ Additional ❑Kepaus �Replace Job Site 1 O�1ner IiiCormation: Site Address: `�� d � fX� /� _ O��mer: ailing Address: Scw✓�.e_ ��ty: z�p: SS 3 S�_ Home Phone:��-S�� "' l� L �Aiternate Phor.e: Contractor Inforniation: Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 City: Zip: Expiration Date: Phone: Alternate Phone: � Insurance—Current 1 _ �. _ _ _- _ _ � ' � MECHANICAL SYSTEMS BEING INSTALLED , Note: All Geothermal S�stems will now require a Site Plan& Re�-ie«�b}� our Buildiug Oflicial. . IS THIS GEOTHERMAL? ❑ Yes�No HEATING SYSTEMS Quantity_ / Make: Model: Fuel: Y1.�o/ /'+v� � - �� - --- — Fluc Size: Input BTUs: 2 e�� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: �I�ons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: ❑ Wood 13urning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTII,ATION � Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to ahandon tank in place.) � Installation � Removal Fuel OiL galluna ❑ Under�ouiicl �lnside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What�r Where: 2 , PERMIT FEE CALCULATION(S) � BASED OFF -2UO2 STATE STATUE [� Yes,lhis scction applics Thc replacement of a IZesidential tixture or appliance that mccts all threc of the follo�ving requireinents: 1. Does not require moditication to electrical or gas service. Z. Has a total cost oY$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,instailed or replaced by the hotneowner or licensed contractor. Skip ne�t section,if lhis applies; Cost oY Pennit $ 15.00 State Swcharge $ 50 Mail-In Fee(If Applicable) $ ?.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$�OO.Od If above does not apply;lollo��r guidelines below: 1. CONTRACT PRICE * is 12�%oY contract price�vith a(Minimum Fee of$50.00) �O<.J�� r .012� $ � �J (contract price) (minimum$5Q00) 2. STATE SURCHARGE **Add the State Bldg Code lliv. Surcharge(Minimum Fee of$.50) OCJ� Z� x.000� $ �- � (contractprice) (minimum$ .50) 3. YOS"I'AGE&HANllLING(Only on Mail-In Applications) $ 2_00 -{. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �� ■ � CONrRACT PItICE or JOB COST means the actual or estimated dollar amount charged for the perniltted work includin�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 fumished 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 cop}' of the actual contract. ■ *��I�he STA'I'E SURCHAKUE is.000�of the Building Department at(9�2)249-4600 for the pnce. MEGHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to tlle City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinanc e City and the regulations of the State of Minnesota, and certifies that all stateme s m o this application are complele, true and correct. Applicant's Signa . `� _ D�ate: Reset Form 3 �� D TIME � CITY OF ORONO CALLED IN S� INSPECTION NOTICE SCHEDULED •2�- �� PERMITN0�9�3' ��0� co PLETED ADDRESS 7.35 C0 � OWNER T L PHONE NO. l5Z SDO /7/f CONTRACTOR S��-�—�`�" �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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 O � � O � W � Q � � 2 w � W � � d W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q5Z� Z49-46�� OwnedContractor on site Inspector. White Copyllnspector's File Canary Copy/Site Notice