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Home My WebLink About2011-00722 - mechanical � � CITY OF ORONO PERMIT NO.: 20��-00�22 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 15 CREEK RIDGE PASS PIN : 03-117-23-12-0013 LEGAL DESC : CREEKSIDE IN ORONO : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,500.00 NOTE: 1 BRYANT NAT. GAS FURNACL 1 I3RYANT 4 TON AC 1 KITCHEN EXHAUST GAS LINES:GRILL,COOKTOP,DRYER,3 FIRF.PLACES APPLICANT MECHANICAL 156.25 HEATING&COOLING TWO [NC. STATE SURCHARGE MECH(VALUATION) 6.25 18550 COUNTY ROAD 81 TOTAL 162.50 MAPLE GROVE, MN 55369- (763)428-3677 OWNER PFEIFER,ANDY&MARNIE 115 CREEK RIDGE PASS 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 separate 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 180 d -s—�tlie da[ere�ssuance,or if construction is suspended for a penod of 1 0 days at any ti e after work has commenced. The applicant is responsib or assur g all equired inspections are requested in confor c it the ate Bu'ding Code.This permit may be revoked at e f due cau � � / / Applic ermitec i Date [ssued By ' nature ate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E. /�0 � �, City of Orono �'�f2 CITY USE ONLY � 7 ,�� Q� P.O Box 66 Date�Received: � Permit� � � ' �, � 27�0 Kelley Parkway � k'y Crystal Bay,MN 55323 l. 111��r:�-- ti Approved By: Amount S: �'r�kE�H$$o` (952)249-4600 � CITY OF ORONO — I�I�CHANICAL PERMIT (All Commercial pe:�nits must be approved by tlie Building Official or[nspector and/or Fire Nlarshall) GENERAL NFORivIATION L You may apply for mechanical pei�iuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within rivo working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. �VORK NIUST NOT BEGTN UNTIL THE PERi`�IIT CARD IS POSTED ON THF.,JOB SiTE. 3. Ivlechanical Desiffns—Complete calculations, details and specifications are required for each lieating, ventilarion, hunudification-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 fornl provided. 4. When airy new conshuction or remodeling is involved,a separate building pennit 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(9�2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERIvIIT (Check All That ApPIY) ' �Residential ❑ Commercial(Approval Required) � New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner lilfomiation: Site Address: ��S ' � Owner: __�1� ' a Mailing Address: City. Zip: Home Phone: Alternate Phone: :Contractor Information: Contract�ATING &COOLING TWO INC. Contact Person: tJ � ��, 18 oun y . Address: Maple Grove, MN 55369-9231 �.7_s.�� a�R-�s77 State Bond #: www.heatcool2.com City: Zip: Expiration Date: Phone: Alternate Phone: ❑ I�isurance—Current: 1 ' i ; i'�fECHANIC�L SYST�NIS BENG Ti\TSTALLFD < , : :.: HEATI\G SYSTE�IS - Quantity: � Make: � � VTodel: ��j ��j� Fuel: a� .-- Flue Size: 3 11 -- - - Input BTUs: Output BTUs: CFM: COOLING SYSTENIS Quantiry: � � � � Make: �R �- � Model: 8��Q�� Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ �Vood Burning Fireplace ❑ Wood Stove ❑ Wood Stove�Vith Flue Brand Name: Model No.: VENTILATION ❑ No. ` Kitchen Exhaust �p�� duct recirculating cfm ❑ No. Bath Erhaust(must have d tside) cfm � ❑ No. Other Fans: Locations cfm FUF,L STORAGE (NIUST BE APPROVED BY FIRE MARSHALL) � ❑ Installation � Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other. GAS LINE ONLY � � � Outdoor Grill ❑ Other/List What&Where � t ��,� J �oo�G 7{� I �J�y E� l 2 . PERMIT FEE CALCULATION(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: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee $ PERMIT FEE CALCULATT�N 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) �. �g� x.0125 $ contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 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 esLimated 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. � ,$, ,„�j �IECHANICAL PERMIT APPLICATION AGREEM�f'��„��,�� ;�,�;: 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 is application are complete, true and correct. Applicant's Signature: ' Date: ��1� 3 �` � C/�-� ` /� T TIME ✓ CITY OF ORONO CALLED IN l �/ '�� INSPECTION NOTI SCHEDULED _�11� - � ' � PERMIT NO. D � COMPLETED ADDRESS j�� C-�-C� ��- �SJ c,, OWNER TELEPHO�NO.�� 3 �� CONTRACTOR "� � � °� `�-f- �; DESCRIPTION ' � , i' �, � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � jr�",.•�^- � C.� �► � � o � �� W � Q � Z W � W � dJ`�� Q.I/�11QRK SATISFACTORY:PROCEED ❑�ROJECT COMPLETE � � W ❑ CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL tNSPECTOR � CITATION ISSUED ❑ tNSPECTION REQUiRED.CALlTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: � ?= �_.� Inspector. White Copyllnspector's File Canary CopylSite Notice �� Q' TIME � CITY OF ORONO CALLED IN v � � INSPECTION NOTICE �i SCHEDULED � PERMIT NO. a�ll'DO /��'COMPLETED ADDRESS l�� OWNER TELEPHONE NO.��3�3 �s�� CONTRACTOR " � 1�� ; DESCRIPTION —�` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � _ � -7- � 0 � � 0 � � w - � Q . � � � � � � � � . � � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ RECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 ours in advance. (952� 24J-46O0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice