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Home My WebLink About2013-00014 - mechanical CITY OF ORONO * 2 0 1 3 - 0 B 0 1 4 * ' 2750 KELLEY PARKWAY DATE ISSUED: OU08/2013 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 765 DICKEY LAKE DR PIN : 34-118-23-22-0010 LEGAL DESC : RINGERSWOOD : LOT 006 BLOCK 002 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,792.00 NOTE: 1 [3RYANT NA"I'GAS P'URNACE APPLICANT MECHAN[CAL 59.90 PRONTO HEATING& AC STATE SURCHARGE MECH (VALUATION) 2.40 7588 WASHINGTON AVE S EDEN PRAIR[E, MN 55346- MAIL-IN FEE 2.00 (952)835-7777 TOTAL 64.30 OWNER FENSKE,JAMES 765 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be perfornied according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work dcscribed and does not grant permission for additional or related wark 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 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 requested in conformance with the State[3uilding Codc."I�his pennit mav be revoked at any time for due cause. �..�rY�"�`�� (/�`_"' / / l l Applicant Permitee Signature Date Issued . Si ture atc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY �'"`�'� City of Orono ��. �� P.O.Box G6 Date Received: Permit# � ��, � � 2750 Kellcy Parkway �� t�'�� ,' Crystal Bay,MN 55323 Approvcd By: Amount$: � , �� u�� Phone(952)2a9-4600 Fax(952)249-461 G �``.��Xp14% CITY OF ORONO-MECHANICAL PERMIT (All Conmicrcial permit,must bc appro�cd by dm Building Ofticial or Inspcctor and/or Eirc Marshall) GENERAL INFORMATION L You may apply for mechanical perniits by mail or in person at the City offices. Applicatious will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERI�ZIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each hcating,ventilatiou,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatUres,equipment ratings and identification as to type, manufachirer and model. llata sha[l be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site / Owner Information: Site Address: � 6S � ��-� I�JC..e_ � � Owner: �►'vl� ��S � Mailing Address: S a'i''�� City: �.ra�o Zip: S S 3S � Home Phone: �1S 2��'1�1�,--`1DS � Alternate Phone: Contractor Information: Contractor: �✓0 � � ` C- Contact Person: a (� � l.u�-� Address: �5�5$ lt� ^ �✓LS State Bond #: �8oa`-t S z �, City: �� Zip: S�`�� Expiration Date: � 1 Z�'1 ,� Phone: '�l S L�35=�71 Alternate Phone: ❑ Insurance-Current: �� 1 MECHANICAL SYSTEMS BEING 1NSTALLED 1�Tote: All Geothernlal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: g��°�-l'1'� Model: �Z��`�$Ubb Fuel: �� Flue Size: Input BTUs: (�� D Output BTUs: �I�� Uw 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 o�itside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in pluce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Whcre: 2 . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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 less; excludinQ the cost of the fixhu-e or appliance: and 3. Is improved, ii�stalled or replaced by the homeowner or licensed contractor. Skip next section, if this applics; 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 apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �t'�Rz. o o x .oi2s $ S`� • q o (contract pricc) (minimum$50.00) 2. STATE SURCHARGE ��I'�q 2. o b X .0005 S 2 ' y o (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �y� 3� ■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the pernlitted work including materials, labor, profit, and other fixed costs. Tt 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 dis�ute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT 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: � �`��3 � Reset Form ' � � � � � � � DATE TIME CITY OF ORONO CALLED IN � '�� INSPECTION NOTICE SCHEDULED a7a?/3 /T:D� PERMIT NO.�/3 -��Dl�COMPLETEB ADDRESS � OWNER T LEP ONE NO�s � �3 � �7 CONTRACTOR ��l — �-�� >; DESCRIPTION Q �-- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � � W�IF�/ TRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED _ OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR '�7 CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice