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Home My WebLink About2012-00309 - nt gas furnace CITY OF ORONO * 2 PJ 1 2 — fd 0 3 0 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADQjcESS : 3800 DICKSON EXTENSION PIN : 17-117-23-31-0020 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK O10 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,100.00 NOTE: 1 COLEMAN NAT GAS PURNACF, APPLICANT MECHANICAL 50.00 A[R JEFF'S HEAT[NG &AIR CONDITIONI STATE SURCHARGE MECH (VALUATION) 1.05 3028 WESTEDGE BLVD MOUND, MN 55364- TOTAL 51.05 (952)270-0668 OWNER ADAM BLAIR, KELLY HARRISON/ 3800 DICKSON EXTENSION SPRING PARK, MN 55384- AGREEMENT AND SWORIY STATEMEIVT The work for which this permit is lssued shall be performcd according to the approved plans and speciYications,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 wi[h whether or not speciYied 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 wit the S ate Building Code.This permit may be revoked at any ti e due use. � i /. ! , � � � � �� t-�-� �� Applica t tee Signat re Date Issued By, i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHEfi� HAN DESCRIBED ABO E. � " FOR CITY USE ONLY City of Orono 4O� P.O.Box 66 Date Received: Permit# ��, � 2750 Kelley Parkway � � � • a �'�'�r�� ti Crystal Bay,MN 55323 Approved By: Amount$: �A ",�`'��o` Phone(952)249-4600 Fax(952)249-4616 ��i9A j CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards wiil be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each hearing,venrilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: � Site Address: ��j C �� 561� ��"� �� '' Owner: /"��l,�J�. (�/�f� � Mailing Address: �Y�ev�l`e City: S �vL Zip: � Home Phone: Alternate Phone: Contractor Information: ► Contractor: �/' ��F�� N� �/��ontact Person: Address: - f�� `e State Bond#: City: GN?_�y[ Zip:S��(,.�Expiration Date: �-�. � Phone: �$z��'L�� `� ��S( Alternate Phone: ❑ Insurance—Current: 1 � .��.��'� .��_�'`� �4 ,��'. MECHANICAL S��'EMS BEING INSTAZ,I,ED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. . IS THIS GEOTHERMAL? ❑ Yes No i HEATING SYSTEMS Quanrity: � Make: Model: � ,(�yj�`) Fuel: (�� tl Flue Size: Input BTUs: O�� our�ut BTus: � 7 . oG C) CFM: I L �— � � 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 FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandore 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 FEE CALCULATI�JN(S) ✓ � BASED OFF — 2002 STATE STATUE ; ❑ Yes,this secrion applies The replacement of a Residential fixture ar 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 less; excludinQ 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 $ �� 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) � '�� X.oi2s $ (contractprice) (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 pernutted 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 pemut 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. a ,,; , MECHANZCAL PER�VIIT APP'LTCATI�N AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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 /"" ,..(DATE TIME � CITY OF ORONO CALLED w / `� INSPECTION NOTICE SCHEDULED -�z- ��-�a a PERMIT N0. aB�°7"O D,30 COMPLETED ADDRESS -��C /G SD�y� �C��.,�,�-C�.,a,-� OWNER TELEPHONE NO. �Z Z7I� D�olo� CONTRACTOR ��l �P�S I�Gz�Z�r�" >; DESCRIPTION �`�-� - � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � �;/J �C � �C�i /�-� >. � O � Q � U � /V 7�C F� `,) � 2C� � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED /��ROJECTCOMPLEfE �-�ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. �� ' White Copyllnspector's File Canary CopylSite Notice