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Home My WebLink About2011-01237 - mechanical , CITY OF ORONO PERMIT NO.: 2011-01237 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 930 COX FARM RD PIN : 27-118-23-33-0013 LEGAL DESC : SHADOWOOD FARM : LOT O10 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 16,000.00 NOTE: IN FLOOR HEAT FOR KITCHEN-ARGO-MODEL#AT0623 -INPUT BTU'S 6KW (1)KITCHEN EXHAUST-300 CFM (1)BATH EXHAUST- 100 CFM-REPLACE EXISTING-REPLACE EXISTING (1)BATH/SHOWER EXHAUST-200 EXHAUST-REPLACE EXIST[NG (1)ERV-200 CFM-NEW APPLICANT MECHANICAL 200.00 AIR CONDITIONING ASSOCIATES STATE SURCHARGE MECH(VALUATION) 8.00 55 WEST IVY AVENUE ST PAUL, MN 55117- MAIL-IN FEE 2.00 (651)488-0291 TOTAL 210.00 OWNER KILLINGSTAD, MR. & MRS. 930 COX FARM RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pcnnit 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 oCwork shall be compied with whether or not spccified herein.This permit will expire and become null and void if construc[ion 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 applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any.time for d e cause. �� l�l �--i�� Applicant Permite� ignature Date I ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FO CI USE��ONLY ' ��1' City of Orono �� / � �7 O� `YO P.O.Box 66 Date Receive . � Petmit# �` � �t�� „ 2750 Kelley Parkway ��'1' 1� Crystal Bay,MN 55323 Approved By: , Amount$: � �i ��,�,��i,f� Phone(952)249-4600 Fax(9S2)249-4616 \,;�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the E3uilding Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 c�nstruction or remndeling is involved,a separate buildine 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 1 � � �Residential ❑ Commercial (Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: � Site Address: �3 � �� cn u'c.�, �.o�� Owner: �� I I��1�� Mailing Address: � �� X City: ��G�in p Zip: �' �� Home Phone: Alternate Phone: �Contractor Information:� Contractor: �-I V OH I 1"I U�►_vl�f�� Contact Person: ��} �F I�J�! Address: `� � �� v I/ �✓'�+�� State Bond#: � City: 51\ �o�vi ` Zip:�( p� Expiration Date: Phone: �S��i�` t\'��i I Alternate Phone: ❑ Insurance—Current: 1 � ��,��.�" �."�''1VIEGHAI�IIC%�L��"�'T'E $� � �T,ALLED�� : �� ` �T_ . � = � � � -W Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �,No HEATING SYSTEMS Quantity: (�l'��c�oV h�C�� y� k!'�'�V4�iE/l Make: � Y�O Model: I�T(S r(j�. 3 Fuel: -- Flue Size: Input BTUs: �Q �YX Output BTUs: �- 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 V�(��q�PS eK1S�'�� No. V Bath E�chaust(must have duct ou ide) �d U cfm r-e p Iac�S exts-�i rn S [� No. � Other Fans: Locations � S�o(,� �c90 cf r e��c�cPc� ��S'�i„�� l� � ��V 20cO�-� nEw 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 F�;E CALGULATI�N(S) .�� BASF_,D OFF - 2002 STATE STATLTF ❑ 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]ess;excludine 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 $ � .r��,...",3,,,;�,. ' PERMiT FEE�'ALCUI;ATjON S�- ?(?�3S O�irR�50�?.QO � �� If above does not apply; follow guidelines below: 1. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00) � 6v � /�o��c�o ^ x .0125 $ 2c�U� (contract price) (minimum$50.00) 2. STATE SURCHARGE � x .0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 CX�3 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2�� r ■ * 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. �"�=� �±�C " � ��PE�1� .�� `!�,. � `� � s .. M; . ._ ._.r, �- . . ._.. .n . .__._._ . ,� _,�..� �, �� . �. �a .. �.� 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. Applicant's Signature: � Date: �� Rese# Form � : , 3 � � / /� � �'� Z � E � � TIME ITY OF ORON CALLED IN ` r � / --�� — INSPECTION,NOTICE scHE�u�Eo ( � •L11.L PERMIT NO+��'r�— C��_� � COMPLETE/D� 1 � ADDRESS C9. 7 �i ( /% u � �i.�;%'� �' / OWNER TELEPHONE NO.�%��n o v2�I CONTRACTOR �: DESCRIPTION ``�� '��k� C.�� i�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 � ❑ 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: a W C oN o -�- �'o�-- � ��c�' � � 0 � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED I:i PROJECT COMPLETE W O CO ECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WlLL RETURN ❑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 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice