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Home My WebLink About2010-00054 - mechanical CITY OF ORONO PERMIT NO.: 2010-00054 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE IssUEn: 02/03/2010 � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 FARV[EW LA PIN : 04-117-23-34-0006 LEGAL DESC : FARVIEW : LOT 003 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL-MULTIPLE VALUATION : $ 8,600.00 NO�I'E: 1 LENNOX NAT GAS 1'URNACF, 1 LL,NNOX AC 3 TON __ � APPLICANT MECHANICAL 107.50 TOTAL COMFORT STATE SURCHARGE MECH (VALUATION) 4.30 4000 W[NNETKA AVE N SUITE 10 MAIL-IN FEE 2.00 NEW HOPE, MN 55427- MISC FEE 0.00 O TOTAL 113.80 OWNER KEMP,JEROME 2800 FARVIEW LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT 7'hc work for which this permit is issued shall be performed accordins to the approved plans and specitications,applicable City approvals,and thc State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate pennits. 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 180 days of die date of issuance,or if construction is suspended for a period of I80 days at any time after work has commenced. "Che applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may bc revoked at any time for dy�e cause. `7'u.-�-c.( Lc�, i i ��'11.R—rv i i Applicant Permitee Signature Date Issued F3y, nature atc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO � • FOR CITY USE ONLY O¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway � �''' � Crystal Bay,MN 55323 Approved By: Amount$: ' � 40` (952)249-4600 �'rnxo's CITY OF ORONO-MECHANICAL PERMIT (All Commercial pernuts 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 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 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 pernvt 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: �Z�7� �(i,!��V \�,w La(1 . Owner:.�Q :�r(a �hLQx�n;� Mailing Address: �'f�c� -E��A., ( v �� - City: l c�� l ;. !� � Zip: �53S�D � Home Phone: C SZ-LI-I�a- �'ZJZ- Alternate Phone: Contractor Information: Contractor: �Q� (,+pinn-{�,� } Contact Person: �� C�A� �� Address: �ODc� �_�,n�n.c_�F-�C,:� Y�� State Bond#: �L� l�2S 1�-lS N+��:� City: ny� :�� ZipSS� Expiration Date: �I 3(�`Z(� 1 i� Phone: `i�a��S3 S 5 I �= Alternate Phone: 111�� 3�� S?,�� ❑ Insurance-Current: ��,S 1 ! MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: � Make: l_�(��n i�x, Model: �1�`(Y1�Q Fuel: �{z�C �, x� Flue Size: Input BTUs: �'1('��(�� Output BTUs: �5��OC�cI CFM: COOLING SYSTEMS Quantity: \ Make: �Ofyl!�c�C Model: �C C.�"I 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 E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 Gnll � Other/List What&Where: 2 � , PERMIT FEE CALCLTLATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not requue 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. Skip 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) `��0�� x.0125 $ �l��a � (conhact price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Min►mum Fee of$.50) ��pC�.J x.0005 $ � �.�U (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 1�t �� ■ * 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 pernut 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. 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: �r � � �U Reset Form 3 � 5 �Q-�- ✓ ATE//� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE CHEDULED � PERMIT NO.��f�'O��J��'COMPLETED ADDRESS��0 , ✓�Z�,I�[�� OWNER � TELEPHONE N0�5��7�� -��'�' CONTRACTOR � �: DESCRIPTION � - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LqKESHORE/WETLANDS � ❑ FRAMING �ECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON S�AB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ S�FINAL ❑ FOUNDATION/REMOVAL OWNERIC NTRACTOR TO MEET YOU• YES_NO v, COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED y�PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� Z4J-4600 OwnerlContractor on site: Inspector. ' White Copyllnspector's File Canary CopylSite Notice