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Home My WebLink About2010-00062 - mechanical � ,, CITY OF ORONO PERMIT NO.: 2010-00062 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuEn: 02/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2525 DUNWOODY AVE PIN : 20-117-23-22-0018 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 009 BLOCK 008 PERMIT TYPE : MECHANICAL(>$500) PRONERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,000.00 NO"I�F;: 2 LENNOX HI?ATING SYSTGMS APPLICANT MECHANICAL 50.00 OWENS COMPANIES, INC. STATE SURCHARGE MECH (VALUATION) 2.00 930 EAST 80TH STREET BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00 (952) 854-3800 MISC FEE 0.00 TOTAL 54.00 OW(VER PEEL, MICHAEL 2525 DUNWOODY AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to the approved plans and specitications,applicable City approvals,and thc State Building Code. This permit is for only the work describcd and does not grant permission for additional or rclated 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State Building Code.This permit may be revokcd at any time for due cause. �{�M-.11.l�� (�IA, l l l l Applicant Pennitee Signature Date Issued By S'g ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .. S FOR CITY USE ONLY ��' City of Orono f��'z P.O.Box 66 Date Recci�cd: � Permit# _ 2750 Kcllcy Parkw�ay '� i:y� +-.��' Crystal Bay,MN 55323 Approved By: _ Amount 5: � � ,$c�.�� (952)249-4600 �?$�xflw., CITY OF ORONO-MECHANICAL PERMIT (All Commcrcial permits must bc approvcd by thc Building Official or Inspector and/or Firc Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 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. Housc Hcating 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: �� t�r�u}�L�l,� ��_ Owner.��1� ��F:� Mailing Address: Z�2`� I��_=�'��}r�C(� .�� City: �)r��t��'1 C� Zip: �)��1� Home Phone: Alternate Phone: Contractor Information: Contractar: �� 4��_> �_��;n OC��_� Contact Person: � �O�'Lc��'\ Address: ��I� `� �(";��" �f State Bond#: City: Zip:�J�17�� Expiration Date: �;= � 31 � f G� Phone: t��2- �`�-{-.��(;C� Alternate Phone: �!'}2 7��- �J�7 I � � Insurance-Current: l. 1 , • �� . �C�� ...� ��"��8 � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � � Make: �nfl(� �..i'al►rl["�X Model: l�lt-�VYl�- �� -�� Fuel: Flue Size: lnput BTUs: 1 �� oUtpuc sTus: ��` �'` � OG 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 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 abandon 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 CAL.C'ULATION(S} �� B�SED OFF - 2002 STATF STI�TUE � Yes,this section applies The replacement of a Residential fixture or 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;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 S .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ : �'��`�.�`��f�L.G�,.f�.T�Q�T ��_.,f(��'�"��;��,�� .��_��-�� .... If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) � c.,C; '�/UO��`�� __ X.oi2s$ JCJ (contract pricc) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ��%�-�C�%. �� x.0005 $ .-�,�� (contract pricc) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ��/ GO 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `J-/ ' ■ * CONTRACT PRICE ar 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 far 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 of the Building Department at(952)249-4600 for the price. MECI�AIVICAL 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 Statc of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: ` 2 Date: Z-��I I� � Reset Form � 3 � / � �� ATE TIME `� CITY OF ORONO CALLED IN � INSPECTION OTICE SCHEDULED � PERMIT NO. ��"� /� COMPLE ED �J ADDRESS ��o�.� DO c� OWNER TELEPHONE NO.�� 70-3 '✓�Ofo CONTRACTOR �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING '�fECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � ti � Q � 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r IS E CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: ` � Inspector. �/ l� ,�: __ White Copyflnspector's File Canary CopylSite Notice