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Home My WebLink About2011-01433 - mechanical , .,��''I! ti CITY OF ORONO PERMiT No.: 2oii-o1a33 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE IssuEn: 1 U14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2696 ETHEL AVE PIN : 20-117-23-24-0044 LEGAL DESC : REG. LAND SURVEY NO. 0115 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 7,967.00 NOTG: 1 BRYANT NAT GAS FURNACE 1 BRYANT 3 TON AC APPLICANT MECHANICAL 99.59 STANDARD HEATING&AIR CONDITION[NG STATE SURCHARGE MECH(VALUATION) 3.98 ]30 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 55411- MAIL-IN FEE 1.99 612-824-2656 MISC FEE 0.00 TOTAL 105.56 OWNER KAUFFMANN,JANET 2696 ETHEL AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specitications,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 with whether or no[specified herein.This permit will expirc 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 I80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any[ime for due cause. �i�� / / / / Applicant Permitee Signature Date Issued Sig re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIB D ABOVE. - FOR CITY USE ONLI' p Cih of Orono � ��' ��`'� P.(�.Bo�66 Dnte Receiced: Permit= � � � ' 2750KelleyParkway --- ---"---- � �pe,a �� Crystal Ray,M:J 55323 _appro��ed Bt': �uount$: � � . _.__ � �'� -.�� (952)249-4600 --� 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 permits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT V�1LID LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMTT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desi�ns—Complete calculations,details and specifications aze 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,manuYacturer and ruodel. Data stiail 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 requuements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Z'est Record must be submitted before fmal_ TYPE OF PERMIT ,M_�, (Checl: All That A 1��) �Kesideiitial �Commercial(Approval Required) ❑ Ne�� ❑ Additiinial ❑Repaus ❑Keplace Job Site/ O�tiner Information: Site Address: ,b e �� C _ O��n : "`�'t a�i n��ddress: SC''�'� c�n�: �T�-� z�p: �53 � ) Home Phone: ( 5�� l � � L C v ��A�rnate Phone: Conti-actor Information: Contrac�r�ndar " " ning Contact Person: 130 Plymouth Avenue North Address: Minneapolis, MN 55411-3445 State Bond#: 612- City: Zip: Expiration Date: Phone: Altemate Phone: � Insurance—Current: 1 �� "�� '� ��i,� �I�i,�� I �� i�l � ' PERMIT FEE CALCULATION(S) . BASED OFF -20U2 STATE STATUE [�] Yes,this section applies The replacement of a Residential fixture or appliance that mects ail 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;excludins�the cost of the fixture or appliance:and 3. Is unproved,installed or replaced by the homeowner or licensed contractor. Skip neht section,if ihis applies; Cost of Perniit $ 15.00 State Surcharge $ 50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS_OVER$SQ0,00 If above does not apply;follow guidelines below: 1. CON'TRACT PRICE *is 1.25%of contract price��ith a(Minimum Fee 50.00) / x.0125 $ > conVact price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � � �� x.000� $ � '� (contract price) (minimum$ .50) 3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Luies 1-3 Above) � �� • & CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and o[her 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 STA"I'E SURCHARGF:is .000�of the Building lleparlment at(952)249-4600 for the price. . ' MECH ' ICAL PERMIT APPLICATIQN AGREEMENT The undersigned hereby applies to lhe City for issuance of a Mechanical Pern�it, 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 state ade on this application are complete, true and correcc. Applicant's Si a r : _ Date: � � l � Reset Form 3 � , , I ;� ; ;i i�. �,�- i __ q� • MECHANICAL SYSTEMS BEING 1NSTALLED . . Note: All Gcotheruial Systems will now requirc a Site Plan& Review by our Building Official. • IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: C.'rYy Model: Fuel: �f - �— Flue Size: Input BTUs: O`�� Output BTUs: � t/� CFM: COOLING SYSTEMS Quantity: I Make: Model: Tons: � H.Power � FIREPLACES � Uas Factory Fireplace Brand Name: ❑ Wood Buming 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 approred by Fire Marshall ifproposing to abandon tank in place.) � Installation � Removal Fuel viL ��allons ❑ iJnderground �Insiile �Outside LP Gas: gallons Other: GAS LINE ONLY � ❑ Outdoor Grill �,] Other/List What K, Where: 2 .� „, � C �� - � - �/ �� 1�� I� TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC� SCHEDULED PERMIT NO.��l�I I��3,3COMPLETED ADDRESS `�I�r..C� � � � `�"�'l� �� OWNER �� r;�f? f TELEPHONE NO. �� —�� !� CONTRACTOR ' , f �'a►''1 ��2..j"'��(l�Yl�'J � �` � DESCRIPTION � l � `I�� `f- � ��— � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ , ING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL OWNE�NTRACTOR TO MEEf YOU:�YES_NO v, MENTS: � W C � � O � � O � W � Q � 2 w � W � � GW ❑WORK SATISFACTORY:PROCEED J�OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. (g52) 249-4600 OwnerlContractor on site: Inspector. '� � i' White Copyllnspector's File Canary Copy/Site Notice