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Home My WebLink About2011-00834 - heating system CITY OF ORONO PERMIT NO.: 2011-00834 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE ISSUEv: 08/10/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 3060 FARVIEW LA PIN : 04-117-23-34-0014 LEGAL DESC : FARVIEW : LOT 004 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 8,11 1.00 NOTE: 1 BRYANT NAT. GAS FURNACE APPLICANT MECHANICAL 101.39 PRONTO HEATING&AC STATE SURCHARGE MECH(VALUATION) 4.06 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 (952) 835-7777 MISC FEE 0.00 TOTAL 107.45 OWNER V HAFSTAD, B FLYGENRING& 3060 FARVIEW LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This pemiit 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 goveming this type of work shall be compied wi[h whether or not specified 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 witl�the S[ate Building Code.This permit may be revoked at any time for due cause. C.��.�--�C� �i1'�� / / �i��✓x-Q...yL, l l Applicant Permitee Signature Date Issued By Sig ure te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . FOR CITY USE ONLY � 'Q City of Orono ¢ ��` P.O.Box 66 Date Received: Pennit# ' � � ' 2750 Kelley Parkway i�` r �*" Crystal Bay,MN 55323 Approved By: Amount 5: �e � {•o`� Phone(952)249-4600 Fax(952)249-4616 �!eaexo�'$=- CITY OF ORONO-MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Ofticial 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 PERi�IIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation, humidification-dehumiditication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction ar 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 A 1 ) � Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address: 3U 6 O �0.`r V �� Owner: Va-`� �a rS 1�� Mailing Address: S�¢-- c��: p�'°''�° z�p: SS3 � � Home Phone: l`S2-�� - ` 2��- Alternate Phone: Contractor Information: Contractor: �''lT° T�--0.� Contact Person: ��'��"` w�`-� Address: �S�� 0.S�1� �� State Bond#: I 3 gS � �J `� 281)z Ciry: � Zip: S S3�y Expiration Date: Phone: �S2� $3�� Alternate Phone: ❑ Insurance-Current: �� c� 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: I Make: 0.�� Model: 35S Uqv�elZ� Fue�: C� Flue Size: Input BTUs: �� U Output BTUs: ��`'� U 0 O 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/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 proposi�cg to aba�idon ta�ik 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 CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential tixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. �Ias 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 $ 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) � `b111 - �O x .0125 $ � � b� •�� (contract pnce) (minimum$50.00) 2. STATE SURCHARGE � �l�`. O U � "I . D � x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �1 . � 5 ■ * CONTRACT PRICE or 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 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned bereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the Ciry 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: g S � � Reset Form 3 �C._ � � Q Dl�T� TIME � CITY OF ORONO �D IN � � INSPECTION /�TICE SCHEDULED �I-ZD-/( ;� PERMITNO.�v/� —OD 3 � COMPLETED l� � ADDRESS_ .�� I—a-rV 1 �c.c� �'v OWNER T LEPHONE NO. �5Z �3Gj 7777 CONTRACTOR ��- >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ MBING RI � AL ❑ FOUNDATION/REMOVAL Z NER/ ONTRACTOR TO EEf YOU: Y _NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � GW �ORKSATISFACTORY:PROCEED �hROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952) Z49-4600 OwnerlContractqrqn 'te• Inspector. � White Copyllnspector's File Canary CopylSite Notice