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Home My WebLink About2009-00403 - mechanical s- CITY OF ORONO PERMIT NO.: 2009-00403 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ISSUEn: 07/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 950 DAKOTA AVE PIN : 26-118-23-33-0025 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,000.00 NOTE: GAS FIREPLACE-BRAND: VALOR-MODEL NO.739 ILN APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUAT[ON) 1.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 51.00 (952)933-1868 OWNER �, OLEN,G 950 DAKOTA AVE LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State I3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her or not specified 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 required inspections are reques ed in conformance with the State Building Code.This permit may be revoke at any time�for dug cause. . � Lv� � �,,L �/ <<-i / �� / / Applicant Permitee gnature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CI'fY USE ONLY � '" � City of Orono �� p.0.g�r((, Datc Rcccivc,�: PcrmiC# ' � �� 2750 Kcllcy Parkway .; a i:y� �� Crystal B�y,MN 55323 Approvod By: Amount$: � �'�r ,�,40� ' (952)249-4600 ,�'raxob�, CITY OF ORONO—MECHANiCAL PERMIT (All Commcrcial permit�must bc approvcd by thc Building Otticial or Inspcctor and;'or Firc Marshall) GENERAL INFOI�MATION l. You may apply for mechanical pern�its by mail or in person at the City offices. Applications will be reviewed and a penT�it will be issued within two workinb days. Z. Permit cards will be sent by return mail after a review is completed. PF,RMITS ARE NOT VAL1D UNTIL YOU RECEIVF. A PERMIT. WORK MUST NOT BECIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�rns Complete calciilations,details and specifications are required for each heating,ventilation, humidification-dehumiditication,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 b�iilding 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 inspectcd(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 Inforination: Site Address: 950 DAKOTA AVE Owner: DELORES OLEN Mailing Address: SAME LONG LAKE 55356 City: Zip: Home Phone: �952)473-3619 Alternate Phone: Contractor Information: Contractor: PRACTICAL SYSTF_MS Contact Person: �OANN Address: 43426 SHADY OAK RD State Bond #: 558516 City: HOPKINS Zip: 55343 Expiration Date: 09/16/09 Phone: (952) 933-1868 Alternate Phone: ✓❑ Insurance—Current: 01/01/10 1 � MECHANICAL SYSTEMS BEING INSTALLED l�ote: All Geothermal Systems will now cequire a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Ycs ❑No HEAT[NC SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: ________ _ _ Output BTUs: _ _ _ CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES Q Gas Factory Fireplace Brand Name: VALOR ❑ Wood Burning Fireplace � Wood Stove Model No.: 7391LN ❑ Wood Stove With Flue VF,NTILATION ❑ Na Kitchen F..xhaust duct recirculating cfm _ _-- -- — � No. _ Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approi�ed by Fire Marshall if proposing to abandon tank iri place.) � Installation � Removal Fuel Oil: gallons ❑ Underground � Inside �Outside LP Gas: gallons Other: GAS LINF,ONLY ❑ Outdoor Grill � Other/List What&Where: 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: I. Does not require modification to electrical or gas service. 2. Has a total cost of��00.00 or less;excludin�the cost of the tixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pem�it $ 15.00 State Surcharge � .50 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$SQ0.00 [f above does not apply;follow guidelines below: L CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) 2,000.00 X �� 50.00 (contract pricc) (minimum$SQ00) 2. STATE SURCIfARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fce of�.50) 2,000.00 x.0005 $ 1.00 (contract pricc) (ntinimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 ■ * CONTRACT PR[CE 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 ainount 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, tlie City may request the submission of a signed copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-460� for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pe�mit, agrees to do all work in strict accordance with the ordinances of the Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. 1 C Applicant's Si�rnature: _�-� �� Date: �' 1 � (� _ ,.--- ' Reset Form '� 3 DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED _,7�23 09 �':6fl PERMIT NO.�G�g-OD�G.� COMPLETED ADDRESS 9J�� OWNER r CONTR.��CG7�7�l� ��c�7�s��J TELEPHONE NO. � b/o7 ��O A�O '�I-�7 � DESCRIPTION �� ' �-� �`Y�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. � FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � '� 5 �. ,� '� -�-� S�` � c� � � � � _ � 5 _ a � � w � Q � �r� s .�'�S �� a W � W � � d ORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE � ❑C RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner►Contractor on ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice