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Home My WebLink About2011-00083 - mechanical , CITY OF ORONO PERMIT NO.: 2011-00083 � , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuE�: 02/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 14 CI-IEVY CFIASE DR PIN . 36-118-23-41-0035 LECAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECFIANICAL- MULTIPLE VALUATION : $ 990.00 NO"I'E: MOVING(3)HGAT RUNS IN THE BA"CIIROOM I APPLICANT MECHANICAL 50.00 D J'S HEATING & AIR STATE SURCHARGE MECH (VALUATION) 5.00 6060 LABEAUX AVE TOTAL �5.00 ALBERTVILLE, MN 55301 �) OWNER MCLEAN, CHRISTOPHER R GLIZABETI-I 1 14 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall bc perlbrmcd according to thc approvcd plans and specitications,applicabic Cit��approvals,and the Statc l3uilding Codc. "fhis pcnnit is for only thc�+°ork describcd and docs not�rant perntission for additional or rclatcd�vork which requires separatc pennils. All provisions of la�cs and ordinances guvcrning this type of work shall be compicd��ith��hcther or not specitied hercin.This permil will expire and become null and void if construction authorized is not commenced��ithin l80 da�s of the date of issuance,or if construction is suspended for a period of I 80 days at anti�time atter work has commenced. The applicant is responsible for assuring all required inspections arc requestcd in conformance with the State Building Code.This permit may be v time for due cause � ��.D'��/.� �, � -� � � � a, 7, � Applicant Permitee Signature Date Iss B�-Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - � • �O C Y USE ONLY ,�� Citv of Orono � P.O.Box 66 Date Receive � Permit# ��` �� j �°T �� 2750 Kelle Parkwa �:�..z I Y Y ,� ��'��;�;'=. �� Crystal Bay,MN 55323 Approved By: Amount$: �� \�t�"(��_j�;�;�;$o`� Phone(952)249-4600 Fax(952)249-4616 '+hCEgHO 4 �--.� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspcctor and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical perniits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOL�RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—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 Mechanica] Code/State Building Code requirements. 6. All work n�ust be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Recard must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑ Coinmercial (Approval Required) ❑ New `�Additional ❑ Repairs ❑ Re lace P Job Site/ Owner Information: Site Address: �E'�:f ��,�.,��j��5�, (z�'. Ov�mer:��,r,o�_��/s,�� Mailing Address: j�y( <%��u C �,c� n,-_ City: a ��o�U Zip: ��.3�lI Home Pllone: Alternate Phone: Contractor Inforniation: (5 �✓� � � Contractor: j��" ��yr,��,v:r 5.r�-� Contact Person: r�„� f y �- Address: �U�j �a/2�-,>��u�� State Bond #: �d 6�%��_ City: /, ��,.'�� Zip:S53� Expiration Date: 7�� j ( Phone: �(3tiL�y, �-�.� Alternate Phone: �j� -3�?�'-�S�� ❑ Insurance—Current: 1 i � MECHANICAL SYSTEMS BElNG INSTALLED . \�ote: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTlis: 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 ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FL1EL STORAGE (Must be approved b��Fire Marshall if proposina to abandon tank in pince.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LI�iE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 /�G t/� �l ( ��G�7 l� v�v.s } � PERMIT �FEE CALCULATION(S) � � � � BASED OFF - 2002 STATE STATUE I ❑ 1'es, this section a}�plies The replacemeut of a Reside»tial fixture or appliance that meets all tlu-ee 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 fiariire or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed conh-actor. 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 appl}�; follow�uidelines belo��: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �qp,�� X .o12s $ contract pricc) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$5.00) x .0005 $ (contract price) (minimum$5.00) 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 far 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. ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of 55.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, a��-ees 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: � � 7�1� 3 s QL/1 S_�DAT/ TIME �/ CITY OF ORONO CALLED IN O INSPECTION NOTIC SCHEDULED � PERMIT NO. Dl��COMPLETED i ADDRESS � � OWNER LEPHONE NO.� 3' � CONTRACTOR � a DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � � d W ;[�14(ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE WO CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on site: f Inspector. .`L--- if'�� White Copy/inspector's File Canary CopylSite Notice