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Home My WebLink About2009-00521 - mechanical t � CITY OF ORONO PERMIT NO.: 2009-00521 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: O8/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1981 FAGERNESS POINT RD PIN : 18-117-23-14-0005 LEGAL DESC : FAGERNESS : LOT 004 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 59,775.00 NOTE: NOTE: GEOTHERMAL-(2)HEATING SYSTEMS-HYDRON MODULE-MODEL#H05013TLINS&H02610TLINS(4 TON)AND(2 TON) APPLICANT MECHANICAL 747.19 A R ENGH HEATING& A/C STATE SURCHARGE MECH (VALUAT[ON) 29.89 7182 NORLING AVE SW 55321- TOTAL 777.08 (612)227-9561 PAID WITH CC# 5300 OWNER WHITTINGTON-GGROENKE, MICHEAL&JULIE 1981 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,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 not specified herein.This permit will expire and become null and void if construc[ion 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 applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �-,--�-� � � zs � �� , �s o 9 Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. � � • • FOR CITI'USE ONLY Citp of'Orono `�� P.O.Box 66 Date Received: Permit# � ,,,, �� 2750 Kelley Parkwap i a �1�?�; `� �.� Crystal Bay,M1��532: Approved By: Amount$: \}� F, �� `��r��;r�a�y,��i (9s')249-4600 i'�ec��o$/ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must b�approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at flie City offices. Applications will be reviewed and a permit��ill be issued within two working days. 2. Perniit cards will be sent by return mail after a revie�r 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 Desiens—Complete calcularions, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditionine 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 Recoi-d 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: �� F31 '�-�2�r.�r5� }�- �?�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: A R G--��t{ �� R�c� Contact Person: �rv�t,� Address: 71�Z�•1�.t.�NC� AvE s� State Bond #: City: C�y�.��, Zip: fS3Z{ Expiration Date: SPf+q Phone: �t Z—ZZ7 -Lj�b/ Alternate Phone: ��,- Z,�(,-1Z� ❑ Insurance—Current: 1 � s � MECHANICAL SYSTEMS BEING INSTALLED , . 1�iote: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? �] Yes ❑ No HEATING SI'STEMS Quantity: ` ' Make: �y��•��O�U�e Cor�Mo C Model: 50 l�� NS �oZ�Ib tl.l►�S Fuel: Flue Size: Input BTtis: �To� Z-r 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 VVith Flue VENTILATION ❑ No. I�itchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be appro►�ed b�•Fi��e Marslrall if proposing to abando�z tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: aallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other i List What R Where: � . � � �� PERMIT FEE CALCULATION{S) � �� BASED OFF - 2002 STATE STATUE � �� ❑ ��es, 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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Sk�ip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 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) � 59�'��S � x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) � � 59 ��5 f x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * COI�rTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pernlitted 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 of the Building Depai-tment at(952)249-4600 for the price. 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: �j —?J$ ��'�} 3 � D TE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED �2 �- PERMIT NO.d��—�vs�"� COMPLETED ADDRESS � � � OWNER CONTR. �' l C�-7� �� TELEPHONE NO. �l a �a � gS�� DESCRIPTION /� �`��r �� /<--�— � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o lU � �cnSS�r e ��Sfi � � 0 � W � Q � Z w � W � � d ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CAIL{NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on s' : Inspector. White Copyllnspector's File Canary CopylSite Notice �I DATE TIME ✓ CITY OF ORONO a��G�s 1 CALLED IN INSPECTION NOTICE SCHEDULED �� PERMIT NO.�0a9'"66�� COMPLETED ADDRESS ��1 /`�S'-,� '�"� OWNER C CONTR.��1 ��.� TELEPHONE NO. � DESCRIPTION ' ��` '�� ✓1'��C'G� /C, T- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTiC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUM8ING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � � �- �3r��st�-s..3_—� • °� �" .�- � � J 0 � � � 7 l � �T �� ;��d �-4— H ��r,c�rQ ��rps � � � �J - S � ��Se� Q /t�_n� `� �r ��A �t S� �� r,� � D� .�ce � —TA�� A t 5�,��rt t.��e�� S i,o� � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: ' Inspector. � White Copy/lnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTI�E SCHEDULED PERMIT NO.ao0�-DdS�-/ COMPLETED _�.� „�CZ— ADDRESS I� rS ( � Ci�'r/LC�.S-S f2C� OWNER C'f�l l�-� Cl�nS��ONTR. A � (=^C-:- l� TE�EPHONE NO. � DESCRIPTION � ❑ FOOTING CHANICALJ#° .-�S ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ( .x��'R"'S i L� LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. p COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � T �S �t C�/� ��{ �c:l Q S``fJ�l�'�/1 a � � , � S W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJ ECT COM PLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on sit \ Inspector_ � � Y✓ White Copyllnspector's Flle Canary CopylSite Notice